Mr Thomas Jacques

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

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

12/08/2025

✨Natural profile and tip transformation ✨

The key priority of a majority of my patients is to remain natural-looking, whilst meaningfully addressing their nasal concerns. They understandably fear a nose that looks disproportionately small, upturned or not in keeping with their features. They can often be put off rhinoplasty after having seen results online that look like a "cookie-cutter" outcome.

My patient disliked her dorsal hump, and felt that the nose appeared too dominant on her face. We discussed the type of changes she wanted using preoperative imaging. The subtlety in her operation was in making the profile and tip look more feminine, but without increasing her nasolabial angle, which was already in the ideal range. This was achieved by refining the tip shape (seen best from the front view), and slightly raising the domes to create a more curved infratip lobule.

We were both very pleased with the outcome at two months, which will refine further as the first postoperative year passes.

🎉

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

10/08/2025

✨Beautiful rhinoplasty (from all angles) ✨

Thank you very much to my lovely patient for allowing me to share her results, photographed at two months after surgery. Her concerns were her dorsal hump, and a prominent nose, as well as some complex issues of smoothness and symmetry from the front view. The nose was deviated slightly to the right side, with asymmetry and "dents" in the tip region.

Rhinoplasty is often focused on the profile but must not neglect the other aspects of the nose. Multiple techniques are employed in any one case in order to alter the height of the bridge, control the 3D position of the tip, and correct asymmetry.

🎉

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

07/08/2025

✨Tip refinement, symmetry and support ✨

I frequently advise patients that rhinoplasty is (or should) be a procedure that is aimed at specific aesthetic and functional concerns. There is no part of a rhinoplasty that is "mandatory", and the target result is the product of an individualised plan agreed between the patient and surgeon.

This lady had three concerns, centred around the nasal tip. Her tip had a central groove which she had always disliked. She felt that her tip had become slightly lower over time, and was slightly off-centre. We therefore planned a targeted rhinoplasty procedure, the key part of which was establishing stronger midline tip support. Grafts used are all taken from the nasal septal cartilage. The tip cartilages can then be matched up and aligned, in order to produce a natural, refined result.
🎉

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

05/08/2025

👃 Symmetry and natural deprojection - male septorhinoplasty 👃

It was a pleasure to work with this gentleman who recently underwent septorhinoplasty under my care. He had a persistent issue with nasal septal deviation, associated with significant deviation of the external nose which he disliked. He found it difficult to breathe through the left side of the nose as a result.

Restoring his nasal airway required an external-approach septorhinoplasty, which allows me to have a top-down view of the nasal anatomy. The septum can then be realigned in the centre and stabilised using cartilage grafting techniques (grafts are taken from the septum itself). In addition to this, his preference was to achieve a slightly less prominent nose which was more balance with his features, but retained a natural and masculine profile.

At around two months postoperatively, we can see excellent symmetry and a carefully de-projected profile, which looks completely natural and no longer dominates his other features.
🎉

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

03/08/2025

✨ Profile, balance and symmetry ✨

Thank you to my patient for allowing me to share her beautiful post-operative photos. Her concerns were her dorsal hump, a slightly over-projected nose, and nasal asymmetry (see second photo). She was keen to achieve a better-aligned nose, with a profile that looked more balanced and feminine.

For a large number of patients it is a key priority to maintain a natural appearance, without any of the obvious signs that a rhinoplasty has taken place. We aim for a nose that could have been your birth nose, whilst still addressing key concerns.

My patient's postoperative result (around two months after surgery) demonstrates a much more aesthetically pleasing profile and great symmetry on the frontal view, whilst avoiding shrinking the nose and creating an unbalanced appearance.

🎉

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

07/07/2025

✨Natural, feminine profile transformation and deprojection ✨

Deprojecting a prominent nose whilst maintaining a natural appearance and a good functional outcome is frequently challenging, and requires experience and careful use of grafting techniques. My lovely patient attended with long-standing concerns about her prominent nose, which she felt was too long and dominated her otherwise delicate features. She wanted a small, more proportionate profile and a straight, unoperated appearance.

Careful and conservative work was carried out to reposition the nasal tip in a less prominent and higher position, whilst keeping this in harmony with a reduced bridge height. We were very happy with the outcome, which shows a nevertheless very significant reduction in the nose, no evidence of "surgical" appearances, a more feminine and youthful profile, as well as a more refined nasal tip from the front view.

🎉

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

04/07/2025

Thank you very much to my patient for allowing me to share her beautiful post-operative photos. She had always disliked her dorsal hump, and felt that the nose was a little too projected, and did not quite complement her other features.

Her bespoke rhinoplasty procedure was a perfect demonstration of how operations composed of several subtle changes add up to be more than the sum of their parts. The most obvious improvement is the removal of the hump, but adding onto this slight deprojection and rotation of the nasal tip has slightly shortened her profile and really brought the nose into better proportion with her facial structure, and turns a good result into a great one.

We were both delighted by how great she is looking just over a month postoperatively!

🎉

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

30/06/2025

✨Stunning profile transformation ✨

Thank you very much to my patient for allowing me to share her postoperative photos. She had always disliked her nose, and in particular her long nasal profile, low-positioned tip and dorsal hump. She felt that the nose dominated her facial appearance and detracted from her other features.

As with all procedures, we carefully discussed her wishes and planned her rhinoplasty accordingly. She was keen for a shorter nose, a youthful, upward-looking nasal tip, and a gently curved profile. The procedure involved lowering the hump, fully mobilising the nasal tip, slightly shortening the nasal septum, and using a septal extension graft to provide stable tip rotation.

The result is nothing less than transformative, and brings out the natural beauty of her other features. The profile has an elegant supratip break, a shortened, more proportionate and feminine appearance, and an open nasolabial angle.

26/06/2025

✨Tip repositioning ✨

It was a huge pleasure to work with my patient, who had always disliked her prominent nose, feeling as if it was too long and dominated her face. She aimed to achieve a more balanced, less prominent and more feminine profile.

Cosmetic rhinoplasty requires careful analysis of the projection (distance from the face) and rotation (upward or downward tilt) of the nasal tip. Details like the nasolabial angle and the shape of the infratip lobule are key in creating a naturally enhanced appearance.

Her profile was transformed through deprojection of the nasal bridge and tip, and tip repositioning in order to shorten the nose, making the tip appear to point upwards without creating an unnatural or excessive change.

🎉

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/

Alerts

Be the first to know and let us send you an email when Mr Thomas Jacques posts news and promotions. Your email address will not be used for any other purpose, and you can unsubscribe at any time.

Contact The Practice

Send a message to Mr Thomas Jacques:

Shortcuts

Featured

Artful Nurturing
2 Harley Street Therapy Center, London

Want your practice to be the top-listed Clinic in London Borough of Islington?