Mr Thomas Jacques

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

It was a pleasure to see my patient in clinic following her rhinoplasty. She requested surgery to help with a number of...
28/05/2026

It was a pleasure to see my patient in clinic following her rhinoplasty. She requested surgery to help with a number of aesthetic concerns: her dorsal hump, nasal overprojection, and mild asymmetry and irregularity of the bridge on the front view.

We wanted to achieve a feminine, refined profile with a slight curve, but still very much within the range of natural appearances. The results show an elegant nasal profile, in much better proportion with her other features

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


Transformation from the side, subtle changes from the front (Part 2).In a similar vein to my last post, this is a lovely...
26/05/2026

Transformation from the side, subtle changes from the front (Part 2).

In a similar vein to my last post, this is a lovely rhinoplasty result where a number of changes add up to more than the sum of the parts.

My patient (pictured around eight weeks after her surgery) wanted to have a reduced, straight profile, with a slightly rotated and deprojected nasal tip. Her front view did not concern her significantly, but we discussed some smaller adjustments to improve symmetry and reduce the bulbous appearance of her nasal tip. These changes are visible in the front view, but don't fundamentally change her appearance.

Transformation from the side, subtle changes from the front.Many thanks to my patient for allowing me to share her posto...
24/05/2026

Transformation from the side, subtle changes from the front.

Many thanks to my patient for allowing me to share her postoperative photos, which were taken around six weeks after her surgery. She disliked her dorsal hump and profile shape, and wanted to see significant change in her profile, but did not want to look fundamental different from the front view. She had no significant concerns about her frontal profile, and only wanted to see some refinement in the shape of the nasal tip.

The nose is a complex three-dimensional shape, and significant changes in the profile will always lead to some change in appearance from all angles. Nevertheless, careful planning and respect for normal anatomy allows us to deliver more subtle changes where this is what the patient wants.

Her postoperative photos show a beautiful transformation in her profile, along with natural refinement in tip shape on the other views.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


It was a pleasure to catch up with my patient who had undergone a complex septorhinoplasty a couple of months ago. His ...
17/05/2026

It was a pleasure to catch up with my patient who had undergone a complex septorhinoplasty a couple of months ago. His profile result is a really nice example of a subtle, masculine enhancement that "flies under the radar". He initially sought help regarding his deviated nasal septum which was severely narrowing the nasal airway.

The cosmetic elements of his surgery involved small de-hump along with a radix graft to strengthen the profile, as well as a septal extension graft to anchor and support the tip. The tip cartilage shape was managed carefully, in order to create a more natural rounded contour whilst preserving a balanced vertical nasal length.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


Many thanks to my beautiful patient for sharing her postoperative photos, which were taken around six weeks after her su...
30/04/2026

Many thanks to my beautiful patient for sharing her postoperative photos, which were taken around six weeks after her surgery. Her chief concern was her tall dorsal hump, and she was keen to achieve a more flattering and feminine profile line. Her small chin and flat infratip area led to the illusion of a long, downward pointing nose.

Her procedure involved profile reduction, tip support and careful attention to the infratip area, in order to give the impression of a short nose without looking excessively up-turned.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


This lovely outcome is a nice illustration of maintaining good bridge and tip definition after a natural hump reduction....
28/04/2026

This lovely outcome is a nice illustration of maintaining good bridge and tip definition after a natural hump reduction. My patient disliked her dorsal hump, and was looking to improve the femininity of her profile with a gently-curved supratip break. Maintaining tip support in her procedure was key, in order to avoid upward movement of her already gently up-sloping tip angle.

Close attention was paid to mobilising and contouring the nasal bones in order to keep the slim nasal bridge as much as possible. The new profile flatters her other features perfectly!

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


Complex septorhinoplastyDesigning a rhinoplasty is an individualised process, which takes into account the patient's con...
26/04/2026

Complex septorhinoplasty

Designing a rhinoplasty is an individualised process, which takes into account the patient's concerns about the nose and the surgical challenges. Our default aim is to deliver a natural, flattering nasal appearance, which is in keeping with the patient's features and personal tastes.

My patient had a history of near-complete left nasal blockage, and her septum was so deviated as to be in contact with the outer wall of the nose. She wanted a straight profile with an overall less prominent appearance to the nose, as well as improved symmetry.

The first part in any functional septorhinoplasty is to support the septum in the midline. The cosmetic changes are then built on top of this new structure, but maintaining a straight and well-supported nasal bridge is the key priority. Her new nose looks completely harmonious, with no signs of having had cosmetic surgery.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


Complex revision rhinoplasty - check the front view!This was a very satisfying revision rhinoplasty, which my patient re...
19/04/2026

Complex revision rhinoplasty - check the front view!

This was a very satisfying revision rhinoplasty, which my patient requested around 30 years after her initial procedure. She had persistent difficulty in breathing through the nose, along with cosmetic concerns that worsened gradually over time.

More commonly in the past, rhinoplasty was performed very quickly via a closed approach, with reduction of the key nasal structures and no effort to reconstruct the support of the bridge and tip. This can result in instability of the nasal framework, with progressive pinching of the nasal side walls, a dip in the profile, tip pinching and asymmetry, all of which can be seen in her photos.

Restoring natural shape and contour to the nose requires careful stabilisation of the septum and the side walls of the nose with cartilage grafting techniques. In her after photos, can see wonderful improvement in her profile, as well as increased symmetry and smoothness of her nasal contours.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


Grateful thanks to my patient for sharing her postoperative rhinoplasty photos. She disliked her prominent nose and dor...
15/04/2026

Grateful thanks to my patient for sharing her postoperative rhinoplasty photos. She disliked her prominent nose and dorsal hump, and wanted to achieve a natural appearance, which looked straight and more in keeping with her features.

Her procedure involved significant reduction of the cartilaginous and bony nasal framework, following by careful reconstruction of the nasal bridge and tip support, in order to ensure a straight profile and a natural nasal length without tip droop.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


Most noses have a dominant feature that causes the most concern. The job of your rhinoplasty surgeon is to treat this c...
13/04/2026

Most noses have a dominant feature that causes the most concern. The job of your rhinoplasty surgeon is to treat this concerning feature, but also to look out for the other, more subtle factors that affect your nasal aesthetics.

In this case, my patient had a prominent dorsal hump that she disliked. Her nasal tip was not a particular concern for her; however, the tip angle was at the lower end of the normal range, and so reducing the dorsal hump alone might have resulted in an overly elongated appearance.

Removal of the dorsal hump was therefore combined with very subtle upward rotation of the tip - just enough to keep the vertical length of the nose proportionate with her other features.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


I was really delighted to see this lady in clinic recently following her rhinoplasty. Her result is a beautiful overall...
09/04/2026

I was really delighted to see this lady in clinic recently following her rhinoplasty. Her result is a beautiful overall transformation, which dealt with her nasal "dislikes" but also looks natural and in keeping with her ethnicity.

Her aims were to remove her dorsal hump, while refining and lifting her nasal tip. Both are common requests, but patients are understandably anxious that their result doesn't go "too far", leaving a nose that looks artificial. Rhinoplasty results can always vary a little due to variations in the healing process and the patient's own anatomy. Nevertheless, it is critical to plan the intended changes together with the patient, so that we have a joint idea of the ideal outcome.

Consulting locations:
📍 Montrose London, Belgravia SW1X 8LT
📍 HCA 102 Sydney Street, Chelsea SW3 6NR
📍 Lister House, 11-12 Wimpole Street W1G 6ST

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


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London Borough Of Islington

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