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 lecturer at Queen Mary’s University, 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 organizations, 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 Vice President of the International Board.
As a trans woman I was very nervous on the run-up to my consultation, however, Mr Paun made me feel safe and comfortable. He understood what I was hoping to achieve with my rhinoplasty and gave me realistic expectations so I understood what was achievable. I'm incredibly satisfied with the results of the rhinoplasty (I'm 7 weeks post-op at the time of writing), and would definitely recommend...
I cannot recommend Mr Paun enough. He performed revision rhinoplasty on me in January 2023 after I was left scarred, disfigured and in pain by a previous surgeon. It was not an easy job but Mr Paun is extremely talented and has helped me to feel more 'normal' again. Right from the get-go Mr Paun was kind, considerate and non-judgemental and I never once felt rushed or pressured. Mr Paun...
My initial consultation and operation was done by Mr. Santdeep Paun who was very professional and reassuring. Everything was explained to me in simple terms so I could understand fully. The operation solved my breathing problem and I am more than happy with the result. The reception and clinic I attended was immaculate and the staff very professional, polite and helpful. If you’re looking f...
On February 2nd, I underwent rhinoplasty with Dr. Paun in Delhi, India. Suffering from a deviated nasal septum (DNS), my nose was not only crooked but also excessively thick. Dr. Paun's expertise worked wonders; he skillfully transformed my nose, rendering it straighter and thinner. In just five weeks, my nose has taken on a beautifully defined appearance, restoring my lost confidence. ...
I had the best experience with Dr Paun. I am so impressed with everything that was done. I am so happy with my results. Dr Paun was very good with explaining the pros and cons and explained well how to look after my nose after the procedure was done. It was a very positive experience and i would definitely recommend Dr Paun. The nurses were amazing and looked after me very well after the...
A: 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.
A: Bifidity of the tip cartilages does not necessarily change with age. There are some tip changes that can occur - usually a degree of drooping so there may be some related change. The tip drops as some of the support mechanisms that hold it up weaken with age and gravity also takes its toll!. There can also be some thinning of skin which may make the underlying tip cartilages look more visible.
So you may seem some difference to the tip but it wont specifically be more bifidity but the thinning of skin may perhaps make it look a little more prominent.
A: Hi
I don’t think there is a right or wrong in this question. It can be done either way although my preference is usually to do the rhinoplasty at the end. It reely depends what your own priorities are and whether the nose is bothering you enough to do it first. If you lose a lot of weight it can change the facial dimensions hence why I like to do the nose once everything else has settled so that the balance between the nose and the rest of the fact is harmonious.
A: Hi
The good news is that there is the potential to markedly improve the tip by elevating is upwards (rotating) and the securing it in the correct position. There are lots of ways to do this and it may involve attaching the tip onto a secure cartilage foundation to avoid it dropping again in the future. There is also a muscle going from the upper lip into the tip which can be divided to avoid the downward pull on the tip as you smile. This would in effect, lengthen the upper lip somewhat to enhance the overall appearance.
Hope this helps
Santdeep Paun
A: I think it is easy to see your concerns, but it is way to early to start worrying about the final appearance. The swelling reduces rapidly in the first few weeks but then there is a much slower phase of healing as the skin shrink wraps itself. Final results take at least a year but often more in thicker skin types. Your surgeon should have regular follow up appointments booked for you so discuss your concerns when you next meet them, but give it some time for things to settle.