Mr Thomas Jacques

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

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

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

07/04/2026

It was a pleasure to work with my patient, whose rhinoplasty has completely transformed her nose and profile. She attended clinic with multiple concerns about her nasal appearance: a dorsal hump and a prominent nasal profile, and a broad, downward-pointing nasal tip.

Despite wanting to alter most aspects of her nose, it was important to be cautious in not over-rotating her nasal tip, due to her facial balance and upper lip proportions. We can see a wonderful natural change to her side profile, but also a great improvement in tip refinement and elimination of the cleft between the tip cartilages.

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

20/03/2026

⭐⭐⭐⭐⭐

Thank you so much for this very kind review!

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

18/03/2026

✨ Multifaceted rhinoplasty✨

Thank you so much to my patient for allowing me to share her beautiful post-operative photos. Like many patients, she was hoping to address multiple nasal concerns in one procedure, aiming for a natural outcome that avoided any obvious signs of surgery.

Her procedure involved multiple stepwise modifications to the nasal framework, utilising an open approach for the best visibility. The dorsal hump and nasal profile were progressively lowered, before adjustments were made to the nasal bones and septum to improve symmetry. Finally, an internal cartilage graft within the tip was used to provide slight rotation and to improve her hanging columella.

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

15/03/2026

My patient and I were both very pleased to see this beautiful result at around six weeks after surgery. She requested a rhinoplasty in order to improve a few concerns about her nasal appearance: her dorsal hump, nasal asymmetry and bulbous nasal tip.

Making multiple changes and still retaining natural, plausible appearances is a key skill in the art of rhinoplasty. Patients generally want to avoid any signs that surgery has taken place. In her case one of the key considerations was to reduce the dorsum only by the minimum amount necessary to create a straight profile, in order to preserve her flattering, well-defined nasal bridge.

🎉

Contact us:
📧 contact@thomasjacques.co.uk
💻 www.thomasjacques.co.uk
📞 020 7971 795

12/03/2026

⭐⭐⭐⭐⭐

I was very pleased to see this glowing review, from a patient who herself was a real pleasure to work with. Establishing trust and a two-way approach to surgical planning is absolutely essential. Equally important is having a great team on the day!

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

11/03/2026

👃 Natural profile changes and tip support👃

Many patients seek a rhinoplasty wanting a subtle change in the shape of their nose, rather than a radical change in size or tip rotation. For many, their profile feels "off" because the dorsal hump dominates, and the nasal tip is ill-defined or underprojected. For this reason, creating strong tip support is essential, both in terms of creating definition, but also subtle rotation that stands the test of time.

In my patient's case, we can see a huge improvement in the profile that makes her look noticeably younger. The tip-defining point is raised through contouring of the underside of the nasal base, without shortening the nose.

🎉

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

02/03/2026

⭐⭐⭐⭐⭐

I was delighted to hear about this patient's great experience with her rhinoplasty. It is always rewarding to hear about patients feel well supported through their journey. Wishing you continued healing and confidence moving forward!

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

27/02/2026

👃 Subtle but transformative rhinoplasty 👃

Many patients are keen to have a rhinoplasty that "flies under the radar". They have a concern about their nose that affects their confidence, but at the same time want a holistically improved look rather than a radical transformation.

My lovely patient had always disliked her dorsal hump, and the strong, relatively prominent appearance of her nose in profile. Together we planned a rhinoplasty procedure that included deprojection and slight rotation of the tip for a more youthful appearance, along with tip refinement and removal of the dorsal hump.

A small amount of swelling is still present at this relatively early stage of healing, but the outcome already looks natural and so flattering!

🎉

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

16/02/2026

✨ Profile reduction, asymmetry correction and tip refinement✨

It was a real pleasure to work with my patient, who kindly allowed me to share her postoperative photos.

She disliked her dorsal hump and felt that her nose dominated her other features in profile. She was also keen on more refined look from the front, with correction of long-standing asymmetry in her nasal bridge.

Her procedure involved progressive reduction of her dorsal hump and nasal profile as a whole. Her tip was carefully deprojected and rotated, for a slightly shorter and more youthful profile. Her tip cartilages were shaped and re-orientated for a slimmer and neater appearance on the front view.

🎉

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

06/02/2026

👃 Symmetry and tip transformation👃

It was a pleasure to review my lovely patient in my clinic this week. Her main concerns prior to surgery were the deviation of her nose to the right, her relatively large nasal tip, and persistent difficulty in breathing through the right nostril.

Significant asymmetry of the nose can often be accompanied by functional problems, necessitating septorhinoplasty in order to correct the airway and aesthetic concerns together. Correction of significant asymmetry requires a number of different techniques that address each individual component of the deviation.

Her post-operative photos show a fantastic improvement in symmetry, along with a great improvement in overall nasal refinement, best seen on the three-quarter view. Her profile was already nice and proportionate, and so it was kept similar, with the main change being refinement of the tip and columella regions.

🎉

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
Acorn Andrology
Enfield