Medico-Legal Reports by Consultant Oral & Maxillofacial Surgeon Dr Tom Pepper
Dr Tom Pepper is a Consultant Oral & Maxillofacial Surgeon providing independent medico-legal expert witness services for solicitors, insurers and courts throughout England and Wales.
Instructions are accepted in relation to personal injury, clinical negligence and other medico-legal matters involving the face, jaws, mouth, teeth, facial skeleton, facial scarring and related conditions.
Based in London, Dr Pepper provides clear, evidence-based medico-legal reports founded on extensive experience in Oral & Maxillofacial Surgery, facial trauma, orthognathic surgery, facial cosmetic surgery and skin cancer surgery.
Expert Witness Services
Dr Tom Pepper provides independent expert opinion and medico-legal reporting in accordance with his duties as an expert witness.
Reports are prepared for:
- Claimant solicitors
- Defendant solicitors
- Insurers
- Joint instructions
- Courts and tribunals
Services include:
- Initial screening of cases
- Liability and causation assessments
- Condition and prognosis reports
- Personal injury reports
- Clinical negligence reports
- Supplementary reports
- Joint statements
- Conference attendance
- Court attendance and expert evidence

Areas of Expertise
Facial Injury and Facial Trauma
Expert opinion relating to injuries affecting the face and facial skeleton, including:
- Facial fractures
- Mandibular fractures
- Maxillary fractures
- Zygomatic fractures
- Orbital fractures
- Nasal injuries
- Dental trauma
- Soft tissue facial injuries
- Facial lacerations
- Facial scarring
Instructions are accepted in relation to road traffic accidents, assaults, sporting injuries, workplace accidents and other traumatic events.
Facial Scarring and Disfigurement
Assessment of:
- Facial scars
- Cosmetic impact of scars
- Permanent facial disfigurement
- Psychological impact of facial injury
- Future treatment requirements
- Scar revision options
Particular expertise is available in assessing the aesthetic consequences of injuries affecting highly visible areas of the face.
Oral Surgery and Dental Injury
Expert opinion concerning:
- Dental injuries
- Complex dental extractions
- Wisdom tooth surgery
- Nerve injuries
- Oral surgical complications
- Oral pathology
- Salivary gland conditions
Temporomandibular Joint (TMJ) Disorders
Medico-legal assessment of:
- Jaw pain
- Clicking and locking
- Restricted mouth opening
- TMJ injury following trauma
- Degenerative joint disorders
- Long-term prognosis
Orthognathic Surgery
Instructions relating to:
- Jaw surgery
- Facial asymmetry
- Malocclusion
- Skeletal facial deformity
- Surgical complications
- Long-term outcomes
Skin Cancer Surgery and Facial Reconstruction
Assessment of:
- Facial skin cancer treatment
- Reconstructive surgery
- Surgical outcomes
- Facial defects
- Cosmetic and functional impairment
Clinical Negligence Instructions
Instructions may be accepted in cases involving:
- Delayed diagnosis
- Surgical complications
- Nerve injury
- Consent issues
- Failure to diagnose facial pathology
- Oral surgery complications
- Management of facial trauma
- Orthognathic surgery complications
Each case is reviewed individually to determine whether it falls within Dr Pepper’s specialist expertise and whether an independent opinion can be provided.
Why Instruct Dr Tom Pepper?
Dr Tom Pepper is a Consultant Oral & Maxillofacial Surgeon practising in London with extensive experience managing conditions affecting the face, jaws and facial skeleton.
His clinical practice encompasses:
- Facial trauma
- Facial cosmetic surgery
- Facial feminisation surgery
- Orthognathic surgery
- Skin cancer surgery
- Oral surgery
- TMJ disorders
- Salivary gland surgery
This breadth of specialist practice enables detailed assessment of functional, cosmetic and long-term consequences of injury and treatment.
Reports are prepared with clarity, objectivity and careful attention to the requirements of litigation.
Geographic Coverage
Instructions are accepted throughout:
- London
- South East England
- England and Wales
Remote consultation and document review may be available where appropriate.
Fee Information
Indicative fee schedules and terms of instruction are available on request.
Please contact for current availability, turnaround times and fee information.
Contact for Medico-Legal Instructions
For expert witness enquiries and medico-legal instructions, please contact: enquiries@facialsurgerylondon.co.uk
When making an enquiry, please provide:
- Brief case summary
- Area of dispute
- Key dates
- Relevant medical records (if available)
- Anticipated timescale
