Mr Thomas Jacques

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

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.

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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

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

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

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London
London Borough Of Islington

Website

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

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