Sometimes, but often not. The problem is not the puncture itself. It is the damage you can't see after the tyre has been driven on with no air in it.
A run-flat tyre can sometimes be repaired, but in practice many are replaced. The puncture itself is rarely the issue. A run-flat is built to carry the car on its reinforced sidewalls after it loses pressure, and that is exactly what makes it hard to repair with confidence: once it has been driven on deflated, the sidewall structure may be damaged inside in ways an inspection can't reliably rule out.
The UK repair standard, BS AU 159, sets the limits for any puncture repair: central tread only, a small hole, and a tyre that is sound inside. For run-flats it defers to the tyre manufacturer's own guidance, and that guidance varies. Some brands allow a single repair if the tyre was never run at very low pressure and passes an internal inspection. Others say their run-flats should never be repaired. Several car makers also advise replacement.
So a responsible fitter asks two questions before anything else: which tyre is it, and how far and how fast was it driven after the warning came on?
Look at the sidewall. Each brand uses its own marking: RFT, ROF, SSR, ZP, EMT, RSC or MOE are the common ones. Another clue is that the car has no spare wheel and no repair kit, only a tyre pressure warning system.
In most cases you can, but think it through first:
We take the tyre off the wheel and inspect it properly. If it is repairable within the standard and the maker's guidance, we repair it. If it is not, you get a straight answer and a like-for-like run-flat replacement fitted in the same visit where we have the size, or as soon as it can be sourced.
British Standard repairs at your door where the tyre allows.
Learn moreNew tyres supplied and fitted at your home, work or roadside.
Learn moreBlowout or flat and stuck? Round-the-clock callout.
Learn moreHow quotes work: the tyre plus fitting, agreed up front.
Learn morePop in your tyre size (on the sidewall, e.g. 205/55 R16) or your number plate, plus your postcode — we'll reply on WhatsApp with an all-in price.
Prefer to talk? Call 07380 373584 and read the size off the tyre — we'll quote on the spot.
Send your reg, postcode and how far you've driven on it. We'll tell you where you stand.