It is very difficult reconstruction that involves local flap, possibly cartilage graft. In person consultation with a board certified plastic surgeon is recommended. Good luck.
Thank you for your question, and photo. Board Certified Plastic Surgeons, and Otolaryngologists, (ENT) take care of facial soft tissue that is damaged. We see piercings go through soft tissue all of the time. These are typically repaired in the office, if needed. Best to reach out, have a...