Consultant Oral & Maxillofacial Surgeon in London
Dr Tom Pepper is a Consultant Oral & Maxillofacial Surgeon providing expert assessment and treatment for a wide range of facial, jaw, skin and cosmetic concerns.
Private consultations are available at leading London locations including Harley Street and Cromwell Hospital.
Both UK and international patients are welcome.
How to Refer
Referrals can be sent directly by email to: enquiries@facialsurgerylondon.co.uk
Please include:
- Relevant imaging and reports
- Patient contact details
- Any details regarding urgency, or special requirements such as interpreters
Areas of Expertise
Facial Cosmetic Surgery
Assessment and surgical treatment of aesthetic concerns affecting facial appearance and balance, including:
- Facelift – both deep plane and SMAS plication
- Brow lift – endoscopic, trichophytic, and direct
- Lip lift
- Neck lift
- Blepharoplasty
- Chin and jawline augmentation – implants and genioplasty
- Fat transfer / lipofilling
- Chemical peel and microneedling
- Facial rejuvenation adjuncts including the full range of injectables:
- Botulinum toxin
- Dermal fillers
- Polynucleotides
- PRP
- Skin boosters
- Exosomes
- Biostimulators
Facial Feminisation Surgery (FFS)
Comprehensive facial feminisation surgery tailored to the individual patient’s anatomy and goals, including:
- Hairline advancement
- Forehead contouring
- Brow lift
- Cheek augmentation
- Jaw reduction
- Chin feminisation
- Tracheal shave
Dr Tom Pepper offers both single-stage and staged facial feminisation procedures for transgender and gender-diverse patients.
Orthognathic (Jaw) Surgery
Management of functional and aesthetic jaw discrepancies in collaboration with orthodontic colleagues.
Common reasons for referral include:
- Class III skeletal deformity / underbite
- Class II skeletal deformity / overbite
- Facial asymmetry
- Long-face syndrome
- Sleep-disordered breathing
- Relapse following previous treatment
Procedures include Le Fort I osteotomy, BSSO, and bimaxillary osteotomy (double-jaw surgery), as well as associated skeletal facial corrections such as SARPE and genioplasty.
Sleep Surgery
Assessment and surgical management of obstructive sleep apnoea and related airway disorders, including:
- Multidisciplinary sleep surgery planning
- Maxillomandibular advancement (MMA)
- Coblation of the tongue base and inferior turbinate
- Genioglossus advancement and hyoid suspension
- Drug-induced sleep endoscopy (DISE)
- Hypoglossal nerve stimulation (HGNS)
- Inspire
- Genio Nyxoah
Referrals are welcomed from sleep physicians, respiratory physicians, ENT surgeons, dentists, and general practitioners.
Temporomandibular Joint (TMJ) Disorders
Assessment and management of:
- Jaw pain
- Clicking joints
- Restricted opening / trismus
- TMJ arthritis
Referrals are welcomed from physiotherapists, dentists, ENT surgeons, and general practitioners.
Treatments available include:
- Specialist masseter and temporalis muscle botulinum toxin injection
- Arthroscopic arthrocentesis
- Viscosupplementation with hyaluronic acid and/or PRP
- Open joint surgery (e.g. discectomy)
- TMJ replacement (TMJR)
Skin Cancer & Skin Surgery
Services include:
- Surgical treatment of basal cell carcinoma (BCC) and squamous cell carcinoma (SCC) in the head and neck
- Reconstruction of facial skin defects (e.g. following Mohs’ surgery)
- Scar revision and optimisation
- Removal of a range of other skin lesions (skin tags, seborrhoeic keratosis, moles, etc.)
Referrals are welcomed from dermatologists and general practitioners.
Oral surgery
A complete range of surgical services for dental patients are provided, including:
- Wisdom tooth removal
- Complex dental extractions
- PRF treatment for tooth sockets
- IV sedation with remimazolam (rapid onset and offset)
- Jaw cysts
- Dental implants
- Bone grafts
- Implant options for patients lacking sufficient bone for standard implants – zygomatic implants and subperiosteal implants (AMSJI)
- Orthodontic-related oral surgery (e.g. canine expose and bond, orthodontic extractions, labial frenectomy)
Salivary Gland Surgery
Treatment of a range of salivary gland pathology, including:
- Tumours (e.g. pleomorphic adenoma) of the parotid gland, submandibular gland, or minor salivary glands
- Salivary gland stones (sialolithiasis)
- Mucoceles
Facial Trauma
Having trained in London Major Trauma Centres, Dr Tom Pepper is conversant with the latest in facial trauma management. Following a fellowship in the Plastic Surgery department of Duke University Hospital, a US Level 1 Trauma Centre, where he treated Duke athletes, Dr Pepper understands the need for high-level sports-people to return to play as quickly as possible. To this end, he offers advanced treatment of a range of facial injuries, including:
- Zygomatic / ZMC / cheekbone fractures
- Mandibular fractures
- Orbital floor fractures
- Nasal fractures
- Soft tissue trauma
- Post-traumatic facial deformity
Why Refer to Dr Tom Pepper?
Dr Tom Pepper is a Consultant Oral & Maxillofacial Surgeon with specialist expertise spanning facial cosmetic surgery, facial skeletal surgery, sleep surgery, skin cancer surgery and complex facial reconstruction.
His practice combines detailed facial analysis, contemporary surgical techniques and multidisciplinary care to deliver highly personalised treatment for both functional and aesthetic concerns.