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

Mr Thomas Jacques, London Borough of Islington (2025)

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

24/06/2025

✨Perfectly straight, feminine profile - the importance of morphs ✨

Rhinoplasty is a bespoke process, which aims to produce a nose that flatters the patient's features and suits their individual preferences. Simulated profile photos (morphs) from an essential part of pre-surgical planning in this respect. Whilst we cannot guarantee that the final appearances will exactly replicate the morph, it is nevertheless an important way of gauging a patient's personal tastes and appetite for change.

In this case, my patient was clear that she wanted a more feminine appearance, a higher tip angle and improved tip definition. However she strongly preferred a straight profile line, without a "swoop" or a supratip break. This style of profile is increasingly popular, and can look extremely elegant.

You can see her beautiful profile transformation, and compare with the morph we created together on the fourth slide, demonstrating just how rewarding it can be to deliver on a patient's individualised surgical plan.

🎉

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

8

22/06/2025

👃 Natural profile transformation - correcting a retracted columella 👃

Thank you very much to my patient for allowing me to share her photos! Her chief concern was a droopy, unsupported appearance to the lower part of the nasal bridge and the nasal tip. She also wanted to achieve a straight profile with reduction of her dorsal hump.

Analysis of preoperative photos is essential in planning the right changes in a rhinoplasty procedure. In her case, the droopy appearance of the tip was not simply due to the tip being positioned too low. In fact a major part of the issue was her significantly retracted columella - the skin between the nostrils. This gives the tip a droopy appearance and lengthens the appearance of the upper lip.

Careful use of a caudal septal extension graft has resolved her retracted columella, restored tip support, and given the tip a feminine appearance, all without raising the tip excessively.
🎉

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

12/06/2025

⭐⭐⭐⭐⭐

Thank you to my patient for this very kind 5-star review! He underwent a complex reconstructive rhinoplasty under my care recently with a great, natural outcome. So much of the success of rhinoplasty is in the planning and preparation. 🔍

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

10/06/2025

👃 The ideal male profile 👃

Thank you to my patient for allowing me to share his post-operative photos, which were taken about two months after surgery.

He recently underwent septorhinoplasty under my care, in order to correct an obvious asymmetry of his entire nose that was affecting his ability to breathe. At the same time he wanted to have his nasal profile straightened, and the size and projection of the nose made more harmonious with his other features.

The ideal masculine profile is usually straight, maintaining a small amount of "extra" height in the uppermost part of the bridge. We try to maintaining the vertical length of the nose, and use more subtle changes to make the nasal tip look less droopy. In his case, the tip looked low because of a low "tip-defining point" and a flat infra-tip lobule, which was slightly lifted in his surgery.
🎉

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

08/06/2025

✨Profile transformation - de-humping and de-projection ✨

Thank you very much to my lovely patient for allowing me to share her results. Her concerns were her dorsal hump, and an overall prominent nose which did not harmonise well with her other features. At the same time, she was keen to improve her tip definition (see the frontal view).

You will notice in the before photo that her nasal tip angle was already ideal - slightly upturned at about 100 degrees. When deprojecting a nose, controlling the tip rotation, even when it is staying constant, is extremely important in maintaining a natural appearance and not shortening the nose.

🎉

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

06/06/2025

It was a pleasure to work with my patient, who had always disliked the prominence of her nose and wanted it to be deprojected, whilst maintaining a natural and unoperated appearance. At the same time, she was keen for subtle refinement of the nasal tip, which had some excess width just above the nostrils, and an irregular appearance to the underside.

Treating the prominent nose can be complex, and careful planning of tip support is essential in order to maintain a natural appearing amount of tip rotation. We can see in the post operative photos that the nose has a much more proportionate appearance, and the tip is looking beautiful and natural at roughly 2 months after surgery.

🎉

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

26/05/2025

👃 Complex septal reconstruction with natural profile changes 👃

Thank you to my patient for allowing me to share her photos. She underwent a septorhinoplasty, first and foremost to improve her nasal airway. She had a severely deviated septum which was blocking the right nostril completely, which was combined with an external Z-shaped deviation of the nasal bridge.

As well as improving her airway and her symmetry, she was keen to have natural refinement to her nasal appearance. She disliked her dorsal hump and found that her nose slightly dominated her other features, but equally did not want to look "operated".

Her septorhinoplasty straightened her deviated septum, strengthen the fracture cartilaginous nasal bridge, and lowered her nasal profile to create a beautiful, harmonious appearance.

🎉

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

19/05/2025

✨Profile magic ✨

Grateful thanks to my patient for allowing me to share her results. She had always disliked her nasal profile, specifically her dorsal hump. Her aims for her surgery were to create a lower nasal bridge, with a gentle slope and a more upward turned nasal tip.

Many patients planning a rhinoplasty are keen to have a slightly more lifted tip and a shorter-appearing profile. Making this happen, without the nose looking unnatural, requires careful judgement and meticulous planning. Her postop photos show wonderful refinement of the nose and a much more harmonious profile.

Mr Thomas Jacques

07/07/2025

04/07/2025

30/06/2025

26/06/2025

24/06/2025

22/06/2025

12/06/2025

10/06/2025

08/06/2025

06/06/2025

26/05/2025

19/05/2025

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