Mr Thomas Jacques

Consultant ENT & Rhinoplasty Surgeon, based in Central London and Surrey. Expert in cosmetic and reconstructive nasal surgery.

09/01/2026

👃 Hanging columella and dorsal hump 👃

Grateful thanks to my patient for allowing me to share her beautiful post-operative photos. She had always disliked both her dorsal hump and the appearance of her nasal tip, in particular the drooping appearance of the underside of the tip (columella).

Reliable and natural correction of a hanging columella requires the careful use of cartilage grafting techniques. Cartilage from the nasal septum is placed between the tip cartilages in order to provide support and allow us to suspend the tip in a more elevated position in a controlled manner.

The combination of treatment of her tip concern along with reduction in the dorsal hump has produced a fantastic result which really harmonises well with her other features. We were both delighted by the transformation around six weeks post op!

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

07/01/2026

👃 Natural, but transformative 👃

Increasing numbers of patients seeking a rhinoplasty are motivated to achieve "my nose, but better". They are understandably keen to avoid a short, upturned or pinched nose that would look obviously surgical, or incongruous with their ethnic heritage and other features.

My patient was concerned chiefly about her dorsal hump and slightly prominent tip, all of which made her nose too dominant in profile. She naturally had slightly elevated nasal tip, and so after analysing her nose we decided that a priority in her operation was to maintain a natural nasal length.

Key to achieving a great outcome in her case was using a tip support graft, taken from her own septal cartilage, in order to rebalance the relationship between the infratip and supratip areas. This gave her tip a subtly "lighter" appearance without changing its position.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

05/01/2026

✨ Functional and cosmetic septorhinoplasty ✨

Many thanks to my patient for allowing me to share her post-operative photos. Throughout her life and career she had struggled with a poor nasal airway, especially on the left side. She had sustained a nasal injury in childhood which had resulted in noticeable asymmetry. Additionally, she had never liked her profile, finding her nose to be too prominent and elongated.

Along with the functional improvements, my brief was to refine the external appearance of the nose and make it more proportionate, and improve her symmetry, whilst avoiding any obvious signs of having had surgery.

The procedure involved careful reduction and deprojection of the profile, and subtle improvement to tip shape, support and projection. The resulting nasal shape looks completely unoperated, but makes perfect sense among her facial features.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

22/12/2025

✨ Stunning profile refinement ✨

Thank you so much to my patient for allowing me to share her beautiful post-operative photos.

She had long-standing concerns regarding her dorsal hump and her bulbous and over-projected nasal tip. She felt that the nose dominated her other features, and wanted a more refined and harmonious appearance.

Her procedure included a careful dehump and deprojection of the nasal bridge, followed by extensive reshaping of the tip cartilages. The key to perfecting her tip was maintaining her pre-existing tip angle, which was already feminine and suited her well. We were both delighted with her transformation!

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

10/12/2025

✨ Profile transformation ✨

I was delighted and excited to see this patient for follow-up recently. She has some mild swelling as she is around two months post-op.

She presented with a number of concerns regarding her nasal appearance. She had a significantly overprojected nose, with a sharp and very asymmetrical dorsal hump. She found her nose detracted from her other very feminine features.

Her procedure was relatively challenging due to the extent of change required, and required very careful control of the tip position. The nose was deprojected as a whole, whilst slightly reducing the nasolabial angle to decrease nostril show. Her hump was smoothed and reduced to give a straighter and more harmonious profile.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

08/12/2025

✨ Fixing a cleft tip and excessive nostril show ✨

Thank you very much to my lovely patient for allowing me to share her photos.

She presented to my clinic with multifaceted concerns about the appearance of her nose. She mainly disliked her dorsal hump and the appearance of her nasal tip. Her tip was relatively wide, with a visible cleft between the tip cartilages (a bifid tip). She disliked the fact that the nostrils were very visible from the front.

An experienced rhinoplasty surgeon will analyse the appearance of your nose carefully, and deliver a surgical plan to improve the appearance based on your individual anatomy. In this case, the tip position was de-rotated using grafting techniques, and the tip cartilages carefully brought together and shaped to provide a neater appearance.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

02/12/2025

👃 Frontal and side profile refinement 👃

Many patients considering rhinoplasty are concerned that their front profile might be neglected when focusing on the side view. This does not have to be the case in experienced hands.

Thank you to my lovely patient for allowing me to share her postoperative photos. She disliked her profile, which appeared elongated and seemed to make her look older. At the same time from the frontal view, she wanted to improve her symmetry, refine the nasal tip and maintain a slim appearance to the nasal bridge.

Careful planning allowed me to re-balance the shape of the nose with a combination of reduction and grafting techniques. We were both delighted with her natural and beautiful new nasal shape (from all angles!)

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

26/11/2025

⭐⭐⭐⭐⭐

"Wonderful experience"

Thank you so much for this kind positive feedback. Many of my patients start their rhinoplasty journey somewhat fearful about pain, severe swelling, bruising, nasal packing, among other things. Rhinoplasty is inevitably a big deal for all patients, and so every small improvement we can make to the post-operative experience is hugely valuable.

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

24/11/2025

✨ Subtle nasal refinement ✨

Rhinoplasty is not just about making large noses smaller. Many patients already have smaller and more proportionate noses, but are unhappy with elements of their nasal shape. An experienced rhinoplasty surgeon will work with you as an individual, discussing changes to each element of the nose, in order to deliver a natural and harmonious outcome in keeping with your priorities.

In my patient's case, she primarily disliked her dorsal hump. She did not want drastic changes to her nasal size or proportions, and wanted a completely natural appearing result. It was noted that she had a naturally up-turned, relatively short nasal profile, which suited her well.

In planning her procedure it was important that tip rotation was carefully controlled in order to maintain nasal length whilst refining the appearance of the tip. In her photos there is still a little swelling around the tip and bridge, but we can see a wonderful and natural refinement overall.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

13/11/2025

✨ Functional and cosmetic septorhinoplasty ✨

It was a pleasure to work with my patient, who presented with both functional and cosmetic concerns. She had grown up with a noticeably deviated nose, with a reduced nasal airway on the left side. In addition to this, she disliked her profile: there was a fairly tall dorsal hump along with other irregularities.

A good cosmetic rhinoplasty is always built on the basic elements of a functional operation. In all cases, we take care to ensure that the nasal airway is open on both sides, and that the nasal bridge and tip are well supported. In challenging cases such as this, we first ensure that the nasal framework is well aligned, and the septum is centred, before moving on to the cosmetic elements.

Reviewing appearances at six weeks, we can see a stunning transformation of her profile along with a huge improvement in her symmetry.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

12/11/2025

⭐⭐⭐⭐⭐

It was wonderful to hear that my patient had such a good experience during her rhinoplasty surgery.

Ultimately in cosmetic nasal surgery, we are most interested in the final results, but delivering a comfortable and reassuring patient experience is so important to me.

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

10/11/2025

✨ Symmetry and profile ✨

Grateful thanks to my patient for allowing me to share her lovely post-operative photos.

Rhinoplasty frequently focuses on the profile, but has to take account of the patient's frontal view. In my patient's case, she found her nose too long, too prominent, and disliked her dorsal hump. However she also had a significantly asymmetrical nose and wanted to maintain a slim nasal appearance whilst correcting this. Overall, she wanted a more feminine and less prominent nose, that balanced with her other facial features.

Cases with multiple concerns can be challenging, and choosing an appropriately experienced and specialised surgeon is essential. In her procedure, the nose was deprojected and the tip supported internally using cartilage grafting techniques. Multiple different techniques were used to improve her nasal symmetry.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 7958

Address

London
London Borough Of Islington

Website

http://www.thomasjacques.co.uk/

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