What is it, and how does it work? Miss Rakhee Nayar explains how facial reconstruction restores both how the face works and how it looks.
Women in the UK dual-trained in Mohs and plastic surgery
Renewing Patient Confidence
Understanding Facial Reconstruction
Facial reconstruction is a specialist area of surgery that rebuilds the face’s structure.
It restores functions such as breathing, eating and speaking, and aims for a natural, balanced appearance in people affected by injury, illness or a condition they were born with.
- Restores Everyday Function
- Aesthetic Harmony
- Reclaims Natural Identity
- Boosts Patient Confidence
Restoring Facial Function
Why You Might Need a Facial Reconstruction?
Facial reconstruction surgery is necessary when trauma, disease, or congenital conditions cause a significant loss of facial structure or function. This specialist intervention is often required to repair complex fractures and lacerations, or, in Miss Nayar’s practice, commonly to restore the face following tumour excision and Mohs surgery.
Reconstruction techniques offered
Advanced Microsurgical Techniques
What Does Facial Reconstruction Involve?
Facial reconstruction uses advanced techniques to restore the face’s natural appearance and function. Due to the face’s complex anatomy, these procedures can sometimes be performed in multiple stages.
Restoring Function
Why is Facial Reconstructive Surgery Performed?
Facial reconstruction surgery rebuilds the structure of the face, and the way it works, after serious injury or surgery.
Under the care of a specialist facial reconstruction doctor like Miss Rakhee Nayar, these procedures focus on returning symmetry, facilitating correct movement, and improving a patient’s quality of life after the loss of tissue, bone, or nerve function. This can sometimes be delivered by a team of specialists with different areas of expertise.
Trauma & Injury
Rebuilding the facial framework following severe fractures, deep lacerations, or complex burns.
Cancer & Disease
Restoring the face after tumour excision or specialised Mohs surgery, particularly for Basal Cell Carcinoma (BCC).
Request an e-Consultation
Miss Nayar offers a convenient e-Consultation service for patients seeking a specialist opinion from across the UK and overseas. This secure digital pathway enables remote assessment of skin lesions and concerns, providing a prompt clinical recommendation.
It is an ideal first step for those considering Mohs surgery or reconstruction before travelling for an in-person appointment.
Specialist Reconstructive Surgeon
Meet Miss Rakhee Nayar
The surgeon you choose for facial reconstruction affects both your long-term health and how you feel about your face. Miss Rakhee Nayar is a highly skilled Consultant Plastic Surgeon with over 20 years of surgical experience, offering a unique blend of technical precision and empathetic care.
With women representing nearly 17% of UK surgical consultants (Royal College of Surgeons of England, 2024), Miss Nayar is one of fewer than 10 women in the UK dual-trained in both plastic surgery and Mohs micrographic surgery. This rare distinction allows her to provide a compassionate, expert approach to facial reconstruction surgery, addressing the unique aesthetic and recovery concerns of her patients.
Specialist Expertise
She is one of the few consultants in the UK with formal specialist training in both plastic surgery and Mohs reconstructive surgery.
National Leadership
She chairs the Mohs Surgery Training Interface Group (JCST), the national committee for Mohs fellowship training, which keeps her close to current practice in facial reconstruction.
Bespoke Care
Each plan is built around your face, your skin and what needs repairing.
Experience in Complex Cases
Her experience in complex facial cases shapes how each reconstruction is planned, from the shape of the defect to how the face moves afterwards.
full range of procedures
Treatments We Offer
Depending on the size, location, and depth of the defect, various facial reconstruction techniques are utilised to restore the face’s natural contours.
These range from simple primary closures to more complex tissue transfers, chosen according to the size and position of the defect.
Direct Closure Techniques
This straightforward method involves bringing the edges of a wound together and securing them with sutures. It is ideal for smaller defects where skin laxity allows for a linear scar that follows the face's natural tension lines.
Local Flaps
A local flap shifts healthy tissue from an adjacent area while keeping its original blood supply intact. Because the tissue comes from next to the wound, its colour and texture are close to the surrounding skin.
Skin Grafts
A skin graft involves transplanting a thin layer of healthy skin from a donor site, such as behind or in front of the ear or the neck, to the wound. Unlike a flap, it relies on the blood supply of the recipient site to survive.
Conditions We Treat
Skin cancer removal defects
Benign skin lesions
Scar revision
Uncompromising Clinical Safety
Facial Reconstruction Recovery
Recovery time after facial reconstruction depends on how complex the procedure is and which techniques are used. While some patients may be treated as outpatients, more complex microsurgery requires a dedicated period of clinical monitoring while the reconstruction settles.
“Confidence rebuilt through careful healing.”
Initial Healing
For minor reconstructive procedures, sutures are typically removed after one week either in the clinic or locally in a walk in centre for example.
Complex Cases
Major reconstructions involving grafts often require a dressing to stay intact for at least a week which is then removed under the care of the hospital.
Swelling & Settling
While initial bruising subsides within a few weeks, the final results and full restoration of facial movement may continue to settle over several months (up to 18 months).
Bespoke Aftercare
Every patient gets a recovery plan for their own operation. Our team remains by your side, offering expert support at every stage of your restoration.
In Patients' Words
Patients Feedback
What Our Patients Say
Concerned About Skin Cancer?
Book a Specialist Assessment
Skin cancer is easier to treat when it is found early. Contact Miss Rakhee Nayar’s clinic for an assessment by a surgeon dual-trained in Mohs surgery and plastic surgery.
or Call Us Now
07740 306144
Circle cheshire Clinic
The Courtyard, Hall Ln, Wincham, Northwich CW9 6DG, United Kingdom
07740 306144
contact@mohssurgeon.co.uk
Schedule Your Visit
Where to See Miss Nayar
Miss Rakhee Nayar provides specialist Mohs and reconstructive surgery at Circle Health Cheshire Clinic. This modern, private facility offers expert care in a discreet environment for patients across Cheshire and the North West.
07740 306144
Frequently Asked Questions
We're Always Here to Help You
What is the cost of facial reconstruction?
Pricing depends on the complexity of the case and the number of surgical stages required. A transparent, detailed cost plan is provided following a private consultation and clinical assessment.
Is facial reconstruction surgery painful?
The procedure is performed under local anesthetic where possible but sometimes general anaesthesia is necessary. Generally whatever the anaesthetic, you will feel no pain during the operation.You may be aware of pressure if awake but should feel no discomfort. Post-operative discomfort, such as tightness or bruising, is effectively managed with prescribed pain relief and typically subsides within the first week.
Will I have visible scars after the procedure?
While scarring is inevitable, incisions are placed along natural facial folds or the hairline to minimise visibility wherever possible. These scars generally fade and flatten over time, and further refinement treatments are available if needed.