Dr. Santdeep Paun is a Consultant Nasal and facial plastic surgeon. The founder and medical director of Symmetry Clinic in London, Dr. Paun has expertise in a variety of facial plastic surgery procedures, but his primary specialty is cosmetic, reconstructive, and revision rhinoplasty. He is particularly well-known and loved by his patients for his skill and artistry in creating beautiful rhinoplasty surgery for patients of all ethnicities. Dr. Paun earned his MBBS from the University of London before pursuing highly specialized fellowships. Dr Paun became a specialist on the GMC register in Otolaryngology - Head and Neck Surgery in the United Kingdom. He then completed a prestigious fellowship in Facial Plastic Surgery, during which he received advanced training at Amsterdam’s Academic Medical Clinic, Adamson Cosmetic Facial Surgery Clinic in Toronto, and Harvard’s prestigious Massachusetts Eye and Ear teaching hospital, respectively. Throughout more than 20 years in practice, Dr. Paun has frequently been called upon to lend his expertise in rhinoplasty to the press, as well as to future and current physicians. He is an honorary senior lecturer at Queen Mary’s University and is invited as a Honorary Professor internationally where he teaches students in addition to performing clinical research on aesthetic reconstruction and rhinoplasty. He has also published numerous peer-reviewed journal articles and textbook chapters on his specialty. Dr. Paun is a highly sought-after speaker and he travels as much as he can—both within the United Kingdom and internationally—to speak at surgical conferences and meetings, sharing his insight with other discerning rhinoplasty surgeons. Doctors from around the world travel to Dr. Paun’s clinic to observe his meticulous work and natural-looking results. Within the NHS, Dr. Paun was the former head of department at St. Bartholomew’s and one of the United Kingdom’s largest and most distinguished teaching hospital trusts. He still works at these hospitals today, where he performs his most complex cases. Because Dr. Paun undertakes complex revision rhinoplasties, he is referred to patients from other surgeons from the London area and across Britain. Dr. Paun’s exceptional work has earned him multiple honors, including being named the best nose surgeon in the UK in Tatler’s 2018 cosmetic surgery guide and the esteemed Albert Nelson Marquis Lifetime Achievement Award. When not operating on patients or lecturing, Dr. Paun is an active member of several professional organisations, including the European Academy of Facial Plastic Surgery (of which he was once treasurer). He is the first and current president of the European Board for Certification in Facial Plastic and Reconstructive Surgery. He is also currently the President of the International Board. He is a passionate cricket and football fan!
Mr. Paun includes Vectra 3D imaging with your in person consultation. Please inquire for details and scheduling.
When scheduling your consultation with Mr. Paun we can advise you on financing options and next steps to apply.
I had Rhinoplasty performed by Mr Paun back in January. The whole experience went smoothly from consultation to cast removal and check up. I had been considering Rhinoplasty for a long time amd was reccomended Mr Paun by a friend after mentioning the struggle of finding a surgeon. As soon as I met Mr Paun I knew he was the surgeon for me ! Everything was explained in detail within the consultation with 3D imaging used to get in idea of the achievable result. There was no over promising and it wad made clear what could be made possible for the structure of my nose without impacting the function. This is something that stood out for me as function was prioritised as well as the aesthetic result. I also like that the goal was a natural nose that created facial harmony and other facial features are taken into consideration. Surgery day I was extremely nervous due to never going under anesthesia before but I had a visit from the Anaesthetist, multiple nurses, dietitian and Mr Paun himself which all put me at ease. If anyone else has a fear of anasthesia all I can say is that there really is nothing to worry about and I am unsure why I was so fearful. I was well cared for post surgery (including multiple bowls of ice cream) and rested as instructed when discharged. When having my cast removed I initially loved the results but a couple days later had a wobble and got very emotional about the nose as it was so swollen and far from the expected result at this point (which is normal). I had done alot of research about the identity crisis people can go through after having surgery and did prepare for it but still went through it. I contacted Mr Paun with my concerns and recieved a prompt response re assuring me the swelling will decrease (which it did). I am 4 months post op and absolutely love my nose, this isn't even the final result so I can't wait to see what it looks like at the 1 year mark. I wish I had done it sooner ! Thank you for giving me confidence and a beautiful natural looking nose.
I recently had a rhinoplasty procedure with Mr Paun at the Cadogan Clinic, and I couldn’t be happier with the entire experience. From the very beginning, I had a lot of questions and Mr Paun was incredibly patient, thorough, and reassuring in answering all of them. He made me feel very comfortable and well-informed every step of the way. The anaesthetist was also fantastic—very calming and professional, which made a big difference for me as I’m scared of needles & being put to sleep. Thanks to the whole team’s care and professionalism, I felt safe and supported throughout the process. It’s only been two weeks since the surgery, and the results are already amazing! I never thought my nose could look this good! Mr Paun is not only highly skilled but also genuinely kind and professional. I highly recommend him and the Cadogan Clinic to anyone considering rhinoplasty.
I had an outstanding experience with Mr Paun from the very beginning. He is a highly professional, conscientious, and exceptionally skilled surgeon who immediately made me feel at ease. His calm, reassuring manner gave me complete confidence that I was in the safest hands. The open rhinoplasty procedure went smoothly at an excellent hospital, and now, just under three weeks post-operation, I am absolutely delighted with the results. The outcome already exceeds my expectations, and I look forward to seeing the final result as healing progresses. I would not hesitate to recommend Mr Paun to anyone considering rhinoplasty.
I had a revision rhinoplasty with Mr Paun last year. He was very thorough and attentive during the consultation. The procedure went very smoothly and I am very happy with my results. I have been back several times (for follow-ups as due to thicker skin the swelling was taking a bit longer to settle). He’s been absolutely lovely. I’ve had two rounds of steroid injections and the last round has been very effective.
I had been contemplating rhinoplasty for some time and decided to go for it in Autumn 2024. I made some enquiries and found out about Dr Santdeep Paun. I had my first consultation with Dr Paun at The Cadogan Clinic, and immediately felt that i was in a very professional and pristine environment. During my first consultation, Dr Paun explained everything, listened carefully to me and answered all my questions. I felt very confident that this is the Dr that i want to do my surgery, and very assured in my decision. He also showed me images of how i will look and explained what will change about the shape of my nose. I also was able to take time off work in December, and was conveniently offered the date of 5th December for my surgery. On the day of surgery, i started to feel slightly nervous, but staff were so kind, and there was also no waiting around - i arrived at the clinic early in the morning and was in surgery by 8am. I saw Dr Paun and the Anesthetist team before the surgery, and again felt reassured and confident about what was going to happen (one of the nurse team reassured me by confiding that she is also having rhinoplasty soon, and another staff member told me not to worry as Dr Paun is the "Ronaldo" of rhinoplasty!) When i woke up after surgery, i was taken to recovery, and Dr Paun came to see me and explained after surgery care instructions. I was given something to eat and drink, and a bag with my medication and instructions. I went home in the afternoon. After the operation, and throughout the entire recovery time, i felt absolutely NO PAIN whatsoever. In fact, i felt great and really enjoyed taking it easy at home for a couple of weeks. There was barely any bruising either, just a little bit under my eyes, which disappeared completely within a couple of weeks. A week after surgery, i went back to see Dr Paun and he removed the cast from my nose. We looked at the result together, and even though it was only a week after surgery, we were both very pleased. There was still quite a lot of swelling at the tip, which was a bit concerning to me at first, but Dr Paun assured me that it will subside. I followed the instructions of massaging the nose 3 times per day (Dr Paun even scheduled an additional Zoom meeting at my request, just to go over the massage technique) and taping the nose at night. Day by day, the swelling subsided and the shape of my new nose appeared. It is very natural and suits my face - Dr Paun straightened the nose, removed the dorsal hump, removed the droopy tip, made it narrower at the bridge, and made the nostrils narrower too. I am now 4 months post op and i am delighted with the shape of my new nose. Nobody has noticed, but i have received lots of flattering comments such as "You look well!" where people can see that my appearance is enhanced but not sure why! I have thick skin and am continuing with the taping at night, and am absolutely delighted with my new nose. It has made such a difference to my face and enhanced my confidence so much. This was my first operation ever - i have never had a general anesthetic or any surgery before in my life, so was a really big step. It was essential to me that i had the best surgeon for this once in a lifetime event. I am so very pleased with the result. Dr Paun is clearly an artist in his surgical ability, and has crafted the most beautiful, natural nose that perfectly suits my face.
I wish I had contacted Dr Paun years ago. I have finally fixed my sinuses, so I can sleep well. I am deeply grateful for his professionalism and expertise and highly recommend Dr Paun's services to all potential patients.
I cannot thank Mr Paun enough for achieving such a beautiful result that is beyond my expectations. The result is a very pretty natural looking nose. I spent 18 years agonising over my profile and feeling uncomfortable to smile due to being left with an unsightly nasal tip following four attempted revision surgeries to correct a broken nose. I will be forever grateful to him.
I have wanted a rhinoplasty since I was 15, following an injury that left me with a deviated septum and a noticeable hump on my nose that I always felt self-conscious about. Despite my long-held desire, fear of potential risks and negative outcomes kept me from moving forward for years. Finally, after extensive contemplation, I decided it was time. I sought advice from my trusted GP and good friend of 20 years, who recommended Dr. Paun without hesitation. My GP had referred several patients to him and was confident in his consistently excellent results. I met Dr. Paun on January 10th. During the consultation, he thoroughly examined my nose using a camera and confirmed my deviated septum. He listened carefully to what I hoped to achieve, explained realistically what could be done, and took photographs to create a simulation of the expected outcome. He patiently answered my numerous questions, giving me complete confidence in his expertise. I scheduled my surgery for February 11th. Prior to surgery, I had another reassuring consultation with Dr. Paun to review our plans and discuss any risks, giving me yet another chance to ask further questions. His calm and reassuring manner put all my anxieties at ease. Eight days after surgery, I saw the wonderful results for the first time when Dr. Paun removed the bandages. Even though it was still early in the healing process, my nose already looked beautiful, natural, and perfectly suited to my face—far better than even the simulation from our initial meeting. I am absolutely over the moon with the outcome and wish I'd done this years ago. Dr. Paun is truly an artist. The preparation process for surgery was smooth and straightforward. I received detailed documentation outlining exactly what to do before and after the procedure, ensuring I felt informed and prepared at every stage. Post-surgery, I had a few questions, and Dr. Paun promptly called me to address them. Additionally, his assistant Mo was extremely helpful and responsive whenever I emailed with questions, making the entire experience seamless. Today is day 12 post-surgery, and my recovery has been excellent. The first few days were challenging due to bruising and congestion, but the bruising has significantly faded, leaving only slight yellow discoloration on my cheeks and no facial swelling. Although Dr. Paun mentioned my nose was still somewhat swollen when he removed the bandages (which is normal at this stage), to me, it already looks incredible. I can't imagine it looking even better than it does now and can't wait to see the final result. My surgery took place at Weymouth Street Hospital, where the staff were attentive, caring, and supportive. On the day of the surgery, Dr. Paun, the anaesthetist, and the theatre head visited me, calming my nerves and ensuring I felt thoroughly cared for. Overall, I wholeheartedly recommend Dr. Paun. He is an outstanding professional and a true artist. I am absolutely delighted with both the result and my overall experience.
I had a complicated case. My nose had been broken two times, once as a child and once as an adult. I had an unsuccessful rhinoplasty with another surgeon. My nose was extremely deviated (septum and externally) to one side and I could not breathe properly. Mr Paun was supportive throughout the process and realistic in what could be achieved. I am delighted with the result which is beyond my expectations. My nose is straight for the first time since I was a child, I can breathe and I don't mind having my photo taken! I feel like I have the nose I was supposed to have and can now move on with my life. I'm so thankful!
I had an incredible experience with my rhinoplasty with Mr Paun to straighten a severely deviated septum which meant I was unable to breathe through one nostril. I was very well-cared for with everything clearly explained each step of the way. The surgery at Weymouth Street Hospital was seamless, and the post-care exceptional. The results have far exceeded my expectations, and I couldn’t be happier with the outcome. Highly recommend!
Thicker skin always takes longer to settle fully - the shrinkwrapping that occurs post op is slower and less complete. You have a little fullness in the supratip area rather than a real pollybeak. The first thing to consider is injection of steroid into this region which may well settle this down. Steroid injections are most effective sooner rather than later in the healing process so I would suggest seeking advice from your original surgeon about this as an option.
Implants in the nose can be problematic many years post op. They can protrude as in your case, potentially cause infections and then as the skin thins, even extrude out through the skin. Unfortunately I have had to remove many in the last year alone. The important thing is to get some good advice from a surgeon experienced with dealing with implant issues. If the implant is not getting infected, it may be fine to leave alone but probably needs close monitoring to ensure it is not getting too close to the skin edge. The worry is if the skin thins enough that the implant can come through and then it can leave a difficult scar. You will also have to discuss what to do if the implant is removed as you will need it replaced with something (usually your own cartilage). I suggest you see someone sooner rather than later before things get any worse.
I understand you believe you are having only minor changes but actually it is the lifting of the skin to access the tip and bridge of the nose that causes swelling. It depends a little on the thickness of your skin as to how quickly things will settle post op but 6 weeks is a little too close for comfort. Personally I advise 6 months minimum to have surgery before a "life event". I have had one patient who attended a famous awards ceremony (unbeknown to me before I operated on her) 2 months post op and was fine but you do take a chance. And this is even without the possibilty of you having any potential complications which might hamper the recovery. Personally I think just a little too close to be sure. But if you do decide to proceed, there is always make up which can hide things! Good luck and congrats on the wedding!
Yes - there is no contraindication to having both procedures. Get some good advice with a responsible rhinoplasty surgeon about your concerns but there generally should be no reasons why you cannot proceed.
Its always difficult advising by just looking at photos and so seek a good professional opinion by seeing someone face to face to discuss your concerns. Whilst I am happy to advise my patients, I always seek their concerns first. At the end of the day, it is your nose and you need to be aware of what it is you specifically dislike. Of course, a surgeon, may point things out but should not influence what you desire. Digital imaging (morphing) programmes may help but ultimately spend some time focussing on what you really don't like and use this as a basis to have a discussion with your surgeon.
