Understanding Major Nose & Facial Reconstruction

Major nose and facial reconstruction is a specialized field within facial plastic and reconstructive surgery that focuses on restoring both form and function to the nose, cheeks, upper jaw, and surrounding facial structures. This type of surgery is often required after trauma, cancer removal, or congenital defects that result in the loss of tissue, bone, or cartilage.

The goal is not only to rebuild what was lost, but also to achieve natural, aesthetic, and functional results that allow patients to breathe well, speak clearly, and feel confident in their appearance.

Our Expertise in Facial Plastic Surgery

Our team is trained in facial reconstruction, including oculoplastic surgery (reconstructing eyelids), reconstructing the upper jaw, cheekbones, and surrounding tissues, so we can address this area and surrounding areas, if required. The number of surgeries required depends on the size of the defects in these adjacent areas.

Our team is trained and certified by the European Academy of Facial Plastic Surgery (EAFPS), ensuring the highest standards of surgical knowledge and patient care. With over 20 years of experience in both reconstructive and aesthetic rhinoplasty, we perform advanced procedures that may involve multiple stages, depending on the size and complexity of the defect. Our expertise covers:

  • Reconstruction after skin cancer excision (such as basal cell carcinoma or squamous cell carcinoma)
  • Post-traumatic nasal and facial deformities
  • Revision or secondary reconstruction after previous surgery
  • Combined nasal and cheek reconstruction
  • Oculoplastic reconstruction, including eyelid and periocular repairs

The Reconstructive Process

Every major nose and facial reconstruction begins with a personal treatment plan tailored to your specific needs after a systematic review of the nasal area and anatomy. The surgery and ongoing plan are developed after a detailed consultation and imaging studies to assess the defect, surrounding tissues, and nasal airflow. Depending on the extent of the damage, reconstruction may involve:

  • Local flaps using nearby tissue to cover small or moderate defects
  • Regional flaps such as the forehead flap for nasal reconstruction
  • Free tissue transfer using microsurgical techniques to transplant tissue from another part of the body
  • Cartilage grafting from the ear or rib to rebuild nasal support
  • Bone reconstruction of the maxilla or zygomatic (cheek) region

Aesthetic and Functional Goals

Although major reconstructive procedures focus primarily on restoration, aesthetic principles are equally important. The nose and midface are central features of the face, and even subtle asymmetries can affect overall appearance. By applying head and facial plastic surgery techniques refined through years of training and international fellowship experience, we aim for the result to look natural and harmonious with the rest of your features.

Our surgeons regularly review the latest findings in the field to ensure our methods reflect the most up-to-date evidence and systematic reviews on patient satisfaction, aesthetic balance, and long-term function.

Schedule Your Consultation

If you are facing a major nose or facial reconstruction, choosing a specialist with advanced training and experience is the most important step toward recovery. To schedule a consultation and begin your personal treatment plan, call our practice or request an appointment online.

EXECUTIVE DOCTOR

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CALLUM FARIS

ENT specialist and specialist in facial plastic surgery

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