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reduction rhinoplasty

It is very common for patients to want their nose to appear smaller, whether this means the removal of a nasal hump (or dorsal hump), or making the nose appear slimmer from the front.

Reduction rhinoplasty is a careful balance between refinement and maintaining a natural, unoperated appearance. 


No two patients are the same.  We use pre-operative simulation images to help communicate a shared vision for your rhinoplasty.  State-of-the-art ultrasonic instruments are used, when applicable, to lower and refine the nasal bridge.

tip refinement

Control over the prominence, the angle and the shape of the nasal tip is absolutely key in achieving a harmonious and natural result in rhinoplasty.

The priority is securing the tip in a stable position that complements the nasal bridge and the rest of the facial features.

The anatomy of the nasal tip cartilages and the soft tissues of the nose are unique to every individual.  A meticulous approach to shaping the tip and the use of grafting is important in achieving the best possible results.

post-traumatic rhinoplasty

Physical injury can result in a complex pattern of deformity of the bony and cartilaginous structures of the nose.  Patients will often experience not only a change in appearance, but also a change in the nasal airway.

Careful analysis of the post-traumatic appearance of the nose is essential, so that the surgeon can plan a bespoke procedure (septorhinoplasty) that can restore both the form and the function of the nose.

Mr Jacques' experience in both reconstructive and cosmetic nasal procedures provides his patients with the reassurance that both their functional and aesthetic aims can be met.

male rhinoplasty

Cosmetic rhinoplasty procedures have to be individually tailored, not only to the patient's nasal anatomy, but also to their aims, tastes and sense of self.  The nose has to complement the other facial features, as well as the patient's ethnic and gender identity.

There are no firm rules on what constitutes a complementary nose for a man or a woman.  However it is essential to avoid a one-size-fits-all approach to nasal refinement.  Many male patients will be concerned that having a rhinoplasty will make their nose look "done" or overly feminine.

The key to planning a cosmetic rhinoplasty is communication - we use pre-operative image simulation so that the surgeon and patient can visualise and agree a surgical target that suits the patient's individual aims. 




Surgery performed to alter the structure of the nose


The nose is one of the most noticeable and central facial features.  If you feel that your nose does not complement your facial features, rhinoplasty offers a way of refining and improving the appearance of the nose.

All of our patients have a unique nose, and their own aims and desires from cosmetic nasal surgery.  Thorough assessment, clear communication and detailed treatment planning allow our patients to have a truly bespoke procedure.

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Is cosmetic nasal surgery right for me?

No two patients are the same. 


Cosmetic nasal surgery is complex, and the changes that are achievable for one individual may not be achievable for another. 

You will have a detailed consultation with Mr Jacques about your personal aims from a rhinoplasty procedure.  Your nose will be examined in detail, and simulated imaging can be used to guide the changes that can made to refine your appearance.

Form and function in cosmetic nasal surgery

The nasal septum forms the middle wall between the two nostrils, and is critical for the support of the bridge of the nose.  Because of this, the appearance and the function of the nose are intrinsically linked.  This is especially true if your nose is asymmetrical, or you have any difficulty breathing through the nose.


It is therefore important to work with a surgeon who can assess and treat both the appearance and the function of the nose.  This approach means that the structural integrity of the nose and the nasal airway are considered at the same time as the cosmetic appearance.  It aims to give you a final result that is not only natural and symmetrical, but also maintains a good nasal airway and stable appearance over time.


The decision to have surgery to change the appearance of your nose is a highly personal one.  It is essential to work with your potential surgeon to discuss your aims and wishes in detail, and to have a full understanding of the procedure and its limitations.  You should take all the time you need to arrive at a decision, and feel confident that your surgeon understands your aims, and is able to meet your expectations.