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Patients

The reality of nasal and craniofacial reconstruction today.

Behind every reconstruction is a person enduring years of surgeries, scars, and uncertainty. This page exists because of what happened to us - and because patients deserve to know the truth about the current standard of care.

Founder Story

This page exists because of what happened to me.

I underwent my first nasal reconstruction at 27. By the time I founded the Hopewell Foundation I had been through multiple surgeries - rib cartilage harvested twice, ear cartilage taken, a forehead flap. Each time I was told this would be the last one. Each time it was not.

I spent $70,000 on a surgery that left me worse than before. I created the Hopewell Foundation because I refused to accept that this was simply how things had to be.

The patients on this page are not statistics. They are people I know. People who trusted their surgeons with their bodies, their savings, and their hope.

- Katharine Derrey, Founder

Who We Serve

We are here for you if you are:

  • A patient who had Mohs surgery and needs nasal reconstruction following skin cancer
  • A patient whose rhinoplasty failed structurally and now requires reconstruction
  • A trauma patient who has sustained nasal or facial injuries
  • A patient living with Empty Nose Syndrome
  • A patient with an autoimmune condition such as granulomatosis with polyangiitis
  • A patient born with craniofacial differences who has navigated a lifetime of surgeries
  • Anyone who has been told there are no better options

Statistics

This is not individual bad luck. It is a systemic failure.

4.3M+

basal cell carcinoma cases annually - nose is the most common facial site

5-15%

of rhinoplasties require revision surgery

24%

revision rate after tertiary surgery with rib cartilage grafts

63%

of patients screen positive for PTSD after complications

$30,000-$60,000+

out of pocket per complex revision procedure

0

patient-specific engineered scaffold alternatives currently in clinical use

The Current Standard

Current reconstruction options are not enough.

They are invasive. They offer no guarantee. And they create donor site injuries across the body - not one scar, but many. Skin from the forehead. Cartilage from the rib. Tissue from the ear. Each procedure trading one wound for another, often over years of repeated surgeries.

Pre operative, patient in surgical cap before reconstruction
Early post op bruising and sutures from reconstructive surgery
Mid reconstruction, forehead flap pedicle still attached
Healing through the forehead flap reconstruction process
Months later, visible scarring across forehead, brow and nose
Healed, pink forehead scar still visible after reconstruction

Documentary photographs shared with patient consent. Each image shows what the current standard of care actually looks like.

Patient Voices

In their own words.

“
The financial cost was overwhelming. The emotional cost was deeper still. A real solution wouldn't just change lives, it would finally break the cycle.
Patient, age 34
“
I asked if he specialized in revisions. The secretary laughed and said some patients have had up to seven revisions. I realized this wasn't a solution, it was a pattern.
Anonymous
“
I remember wondering if I would ever recognize myself in the mirror again. I still hold onto the hope that one day, I will.
Patient advocate
“
The pain wasn't just in my nose, it was in my chest. Every breath, every movement, was a reminder of what my body had gone through.
Rib graft patient

Share Your Story

Your voice matters.

Are you a patient navigating craniofacial or nasal reconstruction? We want to hear from you. Your experience goes directly to our advocacy work with the FDA and helps shape the future of care for patients like you.

Share Your Story

No one should have to sacrifice one part of their body to repair another.

Help us fund regenerative reconstruction so the next generation of patients will not have to choose between scars.

Patient Stories

Behind every reconstruction is a person trying to get their life back.

Justin Stewart sitting in a hospital chair, making a heart shape with his hands
"I remember walking around with my head down at a young age to avoid confrontation."

Justin was born with frontonasal dysplasia, a rare condition that shapes the face from birth. Throughout his life, he has continually shattered the obstacles it has placed in his path.

Justin Stewart

Read their story →
"The pain wasn't just in my nose, it was in my chest."

Every breath, every movement, was a reminder of what the body had gone through.

Rib graft patient

Read their story →
"I still hold onto the hope that one day, I will recognize myself again."

Living through revision after revision, and still believing in a better path.

Patient advocate

Read their story →
Patients and community members laughing together around a table

The Hopewell Circle

Be part of the generation building what comes next.

Hopewell is building a community of patients, families, scientists, clinicians, engineers, donors, and advocates working toward a future of regenerative reconstruction.

Impact

We're just getting started.

46

Patients surveyed

18

Patients engaged in tissue-engineering research

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Scientific advisors and collaborators

Coming soon

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Patient stories shared

Coming soon

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Research collaborations

Coming soon

The field is changing. We're helping make sure patients are part of that change.