Specialist Mohs surgery on the nose by Consultant Plastic Surgeon Miss Rakhee Nayar. Achieve the highest cure rate with expert nasal reconstruction.
Patients Satisfaction Rate
Outstanding care and exceptional surgical results
Success rate
The definitive cure
Specialised Mohs Surgery on the Nose
Trust your care to Miss Rakhee Nayar, a highly specialised surgeon dedicated to providing world-class Mohs surgery on the nose.
As one of fewer than 10 specialists in the region combining microscopic cancer removal with elite reconstructive artistry, she ensures the highest cure rates while meticulously preserving the natural shape and function of your nose.
Refined aesthetic outcomes
Why is Mohs Surgery Used on the Nose ?
The centre of the face is a primary site for skin cancer due to its constant exposure to sunlight.
Treating the nose requires exceptional precision due to its unique anatomical structure. Unlike other parts of the body, this area has very little “spare” skin or flexible tissue.
Standard surgical methods often require wide margins to ensure all cancer cells are removed. In such a prominent location, removing even a small amount of extra healthy skin can cause visible distortion.
This can result in a pulled nostril, an uneven bridge, or a loss of facial symmetry.
Mohs micrographic surgery is specifically designed to address these challenges.
It is the most tissue-sparing surgical technique available for skin cancer.
Miss Rakhee Nayar removes the cancer layer by layer, checking each one under a microscope while you wait on the ward.
This process ensures that only the cancerous tissue is removed while every millimetre of healthy skin is preserved.
By minimising the size of the wound, the natural shape and function of your nose are protected.
99% cure rate
What Makes Mohs Surgery Unique for the Nose?
Mohs surgery is the most advanced treatment for nasal skin cancer because it combines absolute precision with the maximum preservation of healthy tissue.
Unlike standard excision, this technique involves a meticulous mapping process that allows the surgeon to verify that every cancer cell has been removed in real-time.
100% Margin Examination
Miss Rakhee Nayar examines every millimetre of the surgical edges under a microscope while you wait, ensuring no microscopic “roots” are left behind.
Superior Tissue Sparing
This method is specifically designed to remove only the cancerous cells, preserving the limited skin available on the nasal bridge and nostrils.
Highest Cure Rates
Because of the immediate microscopic feedback, Mohs surgery offers a cure rate of up to 99% for new cancers, significantly higher than traditional methods.
Minimised Distortion
By keeping the surgical wound as small as possible, the natural shape, symmetry, and function of your facial features are protected.
Clinical Excellence
Why Choose Miss Rakhee Nayar for Your Nasal Procedure?
Selecting the right specialist is a vital step in ensuring both your health and your future confidence. With over 22 years of clinical experience, Miss Rakhee Nayar provides a unique level of expertise specifically suited to the complexities of facial surgery.
A Rare Perspective in British Surgery
Recent data from the Royal College of Surgeons highlights a significant gender gap in the field, noting that only 17% of surgical consultants in the UK are women.
Miss Nayar’s position is even more distinct: she is one of fewer than 10 women in the UK specifically trained and accredited in this dual capacity.
For many patients facing the vulnerability of skin cancer on the face, Miss Nayar offers a uniquely empathetic approach.
Her patients often express a profound sense of comfort and ease being treated by a female surgeon who intuitively understands the aesthetic and emotional nuances of facial reconstruction.
The Dual-Specialist Advantage
This rare combination of qualifications ensures that your treatment is handled with both medical precision and aesthetic care. Miss Nayar is one of the very few consultants in the UK accredited as both a Consultant Plastic Surgeon and a Mohs Surgeon
- Expert cancer removal
- Intricate reconstruction
- Seamless care
- Precision and artistry
A National Authority in Surgical Excellence
Trusting your care to a leader in the field provides peace of mind throughout your surgical journey. Miss Nayar currently serves as a Consultant Plastic Surgeon at Mersey and West Lancashire Teaching Hospitals NHS Trust and several leading private clinics, including Fairfield Independent Hospital and Circle Cheshire Clinic.
- She serves as the National Chairwoman for Mohs training, overseeing the education of future specialists across the UK.
- She holds an MBChB with Honours and an MD from the School of Cancer Studies at the University of Liverpool.
- She is a Fellow of the Royal College of Surgeons of Edinburgh (FRCS Plast) and holds the prestigious European Hand Diploma (EBHS).
- She is an active member of the British Association of Plastic, Reconstructive and Aesthetic Surgeons (BAPRAS) and the British Medical Association.
Specialised Care
Nasal Conditions and Locations Treated
While skin cancer can appear anywhere, the unique contours of the central face require a tailored approach for each specific location. Miss Rakhee Nayar applies specialised techniques to ensure the best functional and aesthetic outcome depending on where the tumour is situated.
Basal Cell Carcinoma (BCC)
Squamous Cell Carcinoma (SCC)
The Nose Tip
The Bridge of the Nose
The Side of the Nose (Ala)
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.
State-of-the-art technique
Mohs Surgery on the Nose Procedure
A primary concern for many patients is whether the procedure will be uncomfortable. Miss Rakhee Nayar uses a gentle, systematic approach to ensure you remain comfortable and informed throughout your surgical journey.
Cure Rate
Will I feel any pain? The surgery is performed under a highly effective local anaesthetic that completely numbs the area, meaning you will be awake but should feel no pain during the removal or reconstruction.
Miss Nayar uses specialised techniques to ensure the numbing process is as comfortable as possible, and the area can be topped up at any stage if you feel the slightest sensation. This is done in the operating theatre.
Once the skin is numb, the visible tumour is removed along with a very thin layer of tissue, which is then mapped and taken to the on-site lab for immediate analysis.
While you wait in a comfortable ward area, the tissue is processed and examined under a microscope to ensure every cancer cell has been identified and removed.
Every stage of the journey is explained to you in real-time, reducing anxiety and ensuring you feel supported until the final "clear" result is confirmed.
Protecting your appearance
Reconstructive Procedure after Mohs Surgery on the nose
The primary goal of nasal surgery is to remove the cancer, but the second, equally important goal is to restore the natural appearance of your face. Miss Rakhee Nayar uses her specialist plastic surgery training to choose the reconstruction method that provides the most seamless and functional result.
Expert Flap Reconstruction
Miss Nayar often uses a “skin flap,” where healthy skin is moved from an adjacent area, such as the cheek or the forehead, to cover the wound while maintaining a perfect blood supply and skin match.
Specialised Skin Grafting
For certain locations, a small piece of skin may be taken from a hidden site, like behind the ear, and carefully placed to ensure the texture and colour blend naturally with the surrounding area.
Preserving Nasal Function
Every reconstruction is planned to ensure the internal valves of the nostrils remain open and stable, preventing any issues with your breathing or nasal structure.
Artistic Symmetry
By using advanced plastic surgery techniques, she ensures that the final result maintains the balance and symmetry of your features, making the surgical site as inconspicuous as possible.
Lasting peace of mind
Recovery and Long-Term Results
After the cancer has been successfully removed and the area reconstructed, the focus shifts to healing. Miss Rakhee Nayar provides a comprehensive aftercare plan to ensure your recovery is as smooth as possible and your results are long-lasting.
- Most patients experience some swelling or bruising around the surgical site for the first week, which can be managed effectively with cold compresses and simple elevation.
- While the initial stitches are typically removed within 5 to 7 days, the deeper tissues will continue to settle and strengthen over the following few weeks.
- Scars naturally appear pink or firm initially, but they will fade and soften significantly over several months as they blend into the natural contours of your face.
- Miss Nayar will monitor your healing to ensure the structural support of the nostrils remains stable and that your breathing is completely unaffected by the reconstruction.
- Because 100% of the margins were cleared, the long-term outlook is excellent, though regular skin checks and high-factor sun protection are vital for preventing new developments.
- Recurrence rates post Mohs surgery are at an absolute minimum due to the high levels of accuracy associated with checking the slides
Real Stories. Real Success
Patients Feedback
99.9% Patient Success Stories
Concerned About Skin Cancer?
Book a Specialist Assessment
Early detection is vital for the successful treatment of skin cancer and can contribute to achieving the best aesthetic outcomes. Contact Miss Rakhee Nayar’s clinic today for a comprehensive evaluation by a dual-trained Mohs doctor and plastic surgeon.
or Call Us Now
07740 306144
Circle cheshire Clinic
The Courtyard, Hall Ln, Wincham, Northwich CW9 6DG, United Kingdom
07740 306144
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.
Frequently Asked Questions
We're Always Here to Help You
Can I bring someone with me?
You are welcome to have a friend or family member accompany you to the clinic for support. While they may not be able to enter the sterile surgical room, having someone in the waiting area can be very reassuring during the laboratory processing stages.
Is there anything else I need to bring?
Since Mohs surgery involves several waiting periods while tissue is mapped, we recommend bringing items to keep you occupied. Many patients bring a book, a tablet with headphones, or puzzles, along with a light snack and a drink to stay comfortable.
I have a pacemaker. Will this be a problem?
Please inform the team in advance if you have a pacemaker or an implanted defibrillator. Miss Nayar uses specialised bipolar cautery equipment for these cases to ensure the surgical instruments do not interfere with your device’s settings.
Will I be awake for the surgery?
Yes, you will remain fully awake as the procedure is performed under local anaesthetic. This approach is much safer than general anaesthesia, as it avoids systemic risks and allows you to communicate with the surgical team throughout the process.
How long will the surgery take?
It is difficult to predict the exact duration because the number of surgical “stages” depends on the cancer’s microscopic roots. You should plan to be at the clinic for at least half a day, though some complex cases may take longer.
Will Mohs reconstruction leave a scar?
All surgery results in a scar, but Miss Nayar’s expertise as a plastic surgeon ensures the best possible outcome. She uses very fine suturing techniques and places incisions within natural facial creases where possible to make the final mark as inconspicuous as possible.