Nose Reconstructionrebuilding the nose after cancer, trauma or collapse

Nasal reconstruction rebuilds part or all of the nose — its lining, its cartilage and bone framework, and the overlying skin — when it has been lost or damaged. Causes include skin cancer surgery (such as Mohs excision), trauma, infection, cocaine-related damage, congenital problems, or collapse after previous surgery (saddle-nose deformity).

Yes. Once the cancer has been fully cleared, Mr Paun reconstructs the defect using techniques chosen for its size and location — from simple closures and skin grafts to local flaps (for example a bilobed or nasolabial flap) and, for larger losses, a staged forehead flap with cartilage support.

A saddle nose is a collapsed or sunken bridge caused by loss of the supporting septal cartilage — often after surgery, trauma, infection or inflammatory disease. It is corrected by rebuilding the bridge and tip support, usually with the patient's own cartilage (commonly rib cartilage).

Sometimes. Smaller defects are often a single procedure; larger reconstructions — particularly forehead-flap reconstructions — are deliberately staged over two or three operations a few weeks apart to give the best, most durable result.

The goal is a nose that looks and works as normally as possible. Mr Paun's background in both reconstructive and aesthetic nasal surgery means reconstruction is planned with the final appearance — symmetry, contour, scar position — in mind from the outset.

Book a consultation with Mr Paun online or by calling 07915 912007. If your reconstruction follows cancer treatment, please bring any histology and operative reports if you have them.