Mr Thomas Jacques

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

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

28/10/2025

✨Profile magic ✨

Patients seeking rhinoplasty in 2025 are increasingly looking for a natural result: "my nose, but better". Creating beautifully natural outcomes without obvious hallmarks of surgery, whilst also meaningfully addressing the patient's main aesthetic concerns, is the key balancing act in rhinoplasty.

My patient wanted to address the convex appearance of her nasal profile, as well as refining her bulbous nasal tip. The key to creating a natural result in her case was to make the tip look "lighter" without shortening the nose. The vertical length of her nose was already in the ideal range and proportionate to the lower third of her face, and therefore rotating the tip upwards would be a mistake.

Her tip position was controlled using a septal extension graft, allowing me to create a more sculpted appearance whilst maintaining a similar nasal length. The lifted appearance of the tip is an illusion created through improved tip definition and a gently sloping profile line. We were both delighted with how things turned out!

🎉

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

26/10/2025

Thank you very much to my patient for allowing me to share her photos, taken around six weeks after surgery.

She presented to my rhinoplasty clinic with a set of complex issues around the shape and size of the nasal tip. The tip of the nose was very heavy in appearance, with thick skin, a downward-pointing angle which elongated the nasal profile, and a hanging columella. The tip had a broad shape, due to wide lower lateral cartilages, and was twisted to her right side.

In patients with a prominent nasal tip and very thick skin, it is not usually possible to make the nose look small as a whole. An experienced rhinoplasty surgeon will explain the complexities and limitations of your individual case as part of the pre-surgery planning process. However, huge improvements in overall appearance can be created through careful control of tip support, angulation and contour.

🎉

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

08/10/2025

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

Like many patients, she had a number of concerns regarding the appearance of her nose. She felt that her nose was too prominent and elongated, and did not like her dorsal hump. At the same time, she was keen for some improvement in the frontal view of the nose, specifically in symmetry and tip refinement.

Rhinoplasty is all in the planning: we firstly define each individual issue with the nose, and then work with the patient to define the amount of change we would like to see in each element of the nose. The magic part is how each small individual change works together to deliver a transformation that is more than the sum of its parts.

We were both delighted with the appearances at around two months post-op, which are flattering and feminine, but also natural and harmonious with her features.

🎉

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

06/10/2025

⭐⭐⭐⭐⭐

Thank you so much for this recent 5-star review! It's so gratifying to hear back from patients who've had a great outcome and a smooth, comfortable recovery.

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

29/09/2025

✨Subtle, beautiful profile enhancement and tip refinement ✨

Thank you so much to my patient for sharing her rhinoplasty journey. Her profile transformation is more subtle, but nevertheless delivered a very noticeable improvement in profile and tip aesthetics. In these cases, a careful and analytical approach to planning the procedure is essential.

Her preoperative photos show a rounded, bulbous nasal tip, with a small dorsal hump, and a tip position which was slightly elongated and overprojected. She was keen to address all of these issues whilst ensuring the nose still looked natural.

As you can see from her postoperative photos, a small amount of tip rotation and de-projection, along with a careful sculptural approach to refining the tip shape, has hugely enhanced her nose and addressed all of her concerns.
🎉

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

15/09/2025

👃 Complex revision rhinoplasty 👃

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

Revision rhinoplasty is one of the most technically complex procedures, and requires careful planning to ensure the patient's concerns can be addressed with further surgery. In my patient's, he had undergone a rhinoplasty to significantly reduce his dorsal hump, which was successful in giving him a straighter profile.

Despite this, he still felt his nose was overprojected and dominated his other features. There was some asymmetry of the nose from the front view as well as widening of the nasal bridge. We planned revision surgery with the main aim of creating greater de-projection of the nasal bridge.

As you can see in his post-op photos, there has been a noticeable improvement in the nasal projection, which now looks much more harmonious with his other facial features.

🎉

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

31/08/2025

👃 Male septorhinoplasty 👃

Many thanks to my patient for allowing me to share his post-operative results.

He had long-standing concerns about his dorsal hump, and the feeling that his nose dominated his profile. His nose was also noticeably deviated, which he was also keen to improve.

The key consideration in male rhinoplasty is performing "just enough" alteration to treat the key cosmetic concerns, but not reducing the projection of the nasal bridge or tip any more than is necessary. In his case we can see a strong, straight profile which complements his other features, and much improved symmetry on the frontal view.

🎉

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

18/08/2025

⭐⭐⭐⭐⭐

It was wonderful to see this recent 5-star review from my lovely patient.

She underwent a complex rhinoplasty procedure that improved a number of nasal concerns, including asymmetry, irregularities and a dorsal hump. It was a pleasure to work with her, and great to hear that she had such a good experience.

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

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London
London Borough Of Islington

Website

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

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