When reanimation of the paralyzed face is performed after the facial nerve has been sacrificed, repair of functional nasal valve collapse is often overlooked. This study highlights the problem of valve collapse after facial paralysis and reviews the efficacy of performing immediate reconstruction using suture suspension technique. Zachary M. Soler, MD, and colleagues reviewed the cases of 18 patients who underwent nasal valve reconstruction with the suture technique. Patients were evaluated using the Nasal Obstruction Septoplasty Evaluation survey. Those who did not undergo reconstruction experienced markedly more congestion, difficulty breathing, exercise intolerance, and trouble sleeping. Patients had acceptable cosmesis and no complications.