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Revision Rhinoplasty - Beverly Hills, CA

UPDATED FROM water18
5 months post

Recent follow up with Dr Hamilton

water18
$11,000
Hi so I know you guys are all wondering how it went when I spoke to him so wanted to post something here. First of alll this was really really hard for me i almost didn't want to go talking about it gives me anxiety, everyone that has an issue with their nose KNOWS how hard it is and the idea of just having a normal or straight or nice nose is beyond a dream to me.
SO I told him how I felt although he already knew as I had made it clear to the front office, at first I think he was offended and I can understand that as it's his work which isn't my intention but at the end of the day with anything especially your face I feel like you need to voice how you feel and concerns and hopefully work it out.. anyway long story short we looked at before and after photos together , we really went back and forth about it and I told him what I felt there WERE some improvements it isn't worse, there are aspects that I do really like about it for example, i like the tip its not perfect i like it, the nostrils are smaller and the overall size fits my face.. he asked me if i think the bridge was at all better, i can not say yes because there is a curve and it's not straight .
I went on a couple of consults with some surgeons here that I had never met before that seemed to have done some really incredible revisions, they said that it seemed as if that the graft had shifted and it's best if the original doctor does it as he knows what is going on underneath, they said he didn't do a bad job but i can see what your talking about and perhapos he can fix it. If not come back to them and they can look at it..
I asked Dr. Hamilton about this and he said that it's the foundations underneath the graft that are so fucked up essentially (he obv didn't say it like that) that he would not touch the graft and move it again because it's going to open up a whole new can of worms... he said i have to wait 6 months in order to deterimine anything and he WOULD open it up again to see if there's any way he can disguise the apperance of it being slightly curved but right now he said he wouldn't move the graft/.
He said my nose was at a 40 degree angle before and yes my nose was totally fucked up, but I have seen some really crazy surgeries been done to re shape noses so in my head im thinking why is this not achievable for me? .
I said to him when I come back please just tell me honestly how you feel about whether ANYONE else could do another surgery and make it straight if it's about money or time then i don't care I just want to know and he said he its not about money or time he said he will tell me with my best interest in mind.. and i DO feel when he talks I believe him.. that's why I went to him.. whether it's my nose that's just the [RS bleep] worst in the world to deal with i don't know. He also did say surgeons will telll you anything and then I'm thinking well dude your a surgeon .. I just want it SO BAD to be straight but at the end of the day I don't want to look like an LA surgery mess so he gave me some options and i made an appointment for 6 months I don't have any choice at the moment i can't do [RS bleep] but I really do want to see what the options are then..
so all in all I feel [RS bleep] that he said that we possibly can't move the graft but hopefully if we can do something to make it appear straight but I have a feeling that would make the nose look much bigger and I don't know if I want that because I like that it's smaller! .I just want it straight : (
/
has anyone ever had the same issue? what are peoples thoughts? i know there's some AWFUL bad surgeons and people out there and I feel in my gut he's not one of those and if i got somethin really bad i'd probably hybernate for the rest of my life and ruin my whole life so part of me thinks maybe i just have to make do because it's never gonna be what i want it to be :(
The nose saga is not over.. but it's hopeful i guess?

water18's provider

Jason S. Hamilton, MD

Jason S. Hamilton, MD

Board Certified Facial Plastic Surgeon

Replies (5)

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January 28, 2017
Sounds frustrating. Wanting a normal nose seems like such a simple reasonable request but for some of us it's very elusive. Thanks for posting your update and being so candid about your experience.
January 29, 2017
I know right? yeah of course
January 31, 2017
revrhino 18 who where the other doc you went to see about your bridge that has shifted? and did he use your own rib or cadaver. my nose is also fucked up im going to need ear cartlidge and rib to fix my nose.
February 10, 2017
How are you doing ? Is there an update? Do you know what he used? Did you require length?
January 28, 2017
Really feel for you. I pray for us both x
February 1, 2017
I'm not a doctor, but is it possible that the rib graft warped? Is it a cadaver rib placed in your dorsum? If not, what type?
February 15, 2017
thats what I THINK! he didn't use it from my rib!!
February 8, 2017
Hi revrhino, I am sorry about what you are going through. I know it's not the result you desired. Upon looking at your before photos I understand what your surgeon means because it looks to me like your underlying nose framework is creating the curve. However, I still think your nose looks great and is a big improvement.
February 15, 2017
right but if you look it was curved to the total opposite side.. so how is it now curved the other way...
February 9, 2017
Yes, I'm going through a similar issue with my bridge post Septoplasty/ Rhinoplasty. My surgeons behavior is very similar to yours. My surgeon has blamed the large bump on my bridge from swelling, needing nasal massage, etc. I really wanted to believe her, but I've had major medical surgeries prior to this and I knew it wasn't swelling. She still has not been direct about her mistakes or been accountable. I no longer believe this will happen, because that's her character. If my surgeon were to be direct and accountable right this minute I would no longer trust her. I would have trusted her if she had been honest and accountable from the beginning regarding the mistakes she made and likely would have had her correct them. I'm reporting her at the year mark to everything I can within the state to have a record on file for someone else. I will also receive care from another doctor for my future, because to reiterate she is UNTRUSTWORTHY.
I do believe there are honest plastic surgeons out there and I also believe a good chunk are like oily used car salesmen from 80's movies. I suggest you take your time and exercise serious caution regarding whom you chose to touch your nose. I also think it's a great idea to get second and third opinions from qualified surgeons, which are recommended by other healthcare professionals.
I hope you continue to update on your outcome.
February 15, 2017
Hey yes I agree, I really don't know what to do , I think he just hopes I won't think abut it and the idea of just hiding it and going under again is kind of scary ? what is he going to do make it look bigger? I just don't know whether to believe that everything undernearth is so busted when i See other surgeons do so much and the curve was the total other direction??
February 15, 2017
Revision is scary, because it's a gamble. The gamble feels more real when the first go round didn't pan out well.
I also believe that my surgeon was hoping I wouldn't notice, which is ridiculous. I also, think she's hoping that she can sway me to not care about the outcome and keep this a secret.
It's hard to believe another surgeon who just looks at your nose and says a bunch of things are wrong and names technicalities. I do think Dr. Hamilton has one valid point, which is some surgeons will say anything to get business.
My procedure was paid for by my insurance and since I am having physical issues with breathing and headaches in conjunction with asthetic problems I'm having a CT scan done. That image will show the internal problems. Are you having any issues besides the appearance? Like can you breath correctly? Are you sleeping normal? Headaches? Etc. If so maybe you can get some imagery for the medical in covered by insurance.
UPDATED FROM water18
5 months post

Update

water18
Hii I wanted to write as a lot of people have messaged me asking if I have seen Hamilton and I haven't yet.. I am still very unhappy and i got a little bit of reystalne put in part of it to try and see if it helped well it doesn't really it just still looks pushed to the side, I have an app with him on the 25th Im super busy with work so haven't had a chance to go in but I have to decide whether I want another surgery or to live with this.. why did I go to Hamilton? Im hoping that he will give me good answers still as to why this happened and be fair about all of this. I have seen recent reviews on him and it makes me so angry as to why I didn't get that kind of result... I can not at all say go to Hamilton to anyone because i am not happy.

Replies (5)

January 8, 2017
i feel you. i feel he is ethical and will help you. if not, i want to hear about it. but, i love your result, even though i can see what you are having an issue with as well. i hope you get the answers you are looking for and that he will help you by comping a revision.
January 8, 2017
I'm sorry things haven't improved with the bridge issue. I still really love your tip. A revision is a lot to go through, and I totally get the frustration and disappointment that happen when it doesn't turn out as hoped. I hope your upcoming appointment goes well and yields helpful answers.
January 9, 2017
I hope it works out, it looks like the rib cartilage shifted. I have an open roof deformity looking at Kridel in Houston and Rorhich in Dallas. Hamilton should correct that I know exactly how you feel it's so stressful to go through another surgery.
January 24, 2017
Jersey_girl50. You mentioned kridel in houston. Do you know anyone has done a revision with him . I have a consultation soon .
February 2, 2017
I had a great consultation with him 2 years ago. Just coudn't find the time. Looking to go back this month for another consultation. He was recommended by a another doctor in Houston as his work is excellent. He is considered the Drs Doctor.
January 10, 2017
I don't know all of the details of what the surgeon did in your surgery, but I wanted to add that I had septo/rhino for different reasons than you, but ultimately when the cast came off around the week mark I was devastated. One of the reasons was one side of my nose seemed to be crooked and moving diagonally to the left. My surgeon heard that concern and insisted it was related to swelling. Fast forward a month and it was still really present so I rehashed this at the one month follow up. She continued to reiterate the swelling, but also gave an in depth discussion on what exactly she had to do to the left side and how that side had a level of trauma much greater than the other. Anyhow, fast forward to 4 months and I began to see some minute changes and around 6 months some greater shifts that were lading to an almost straight nose. My nose is straight now and not diagonal, but unfortunately it did this in small increments starting at 4 months. I don't know if this will be your outcome and I don't want to give you false hopes either, because your situation could be entirely different than mine. I do suggest that you bring up every single concern with the surgeon and make sure you get a response that leaves no questions for you! Please let us know what his response to your concern is and what the outcome is.
January 25, 2017
I completely get how you're feeling, and it's warranted. I know Kridel is supposed to be thee best nose Doctor and he just may be. However maybe u should go and talk to Hamilton again just see if he can give u a game plan on repairing it. Maybe he followed through on his plan and something shifted or who knows. I only say this because it may be better for him to do it since he knows what went wrong and it's his work. But if he can't give u a good answer and repair plan then obviously I wud look elsewhere. I have read some bad reviews on Kridel aswell and I think theyr all good surgeons but they all make mistakes or have things that don't go as planned which is no excuse. But Hamilton should do a proper revision free of charge.
UPDATED FROM water18
2 months post

Not happy

water18
Hey allll so it's been a while but wanted to update here and say no I'm not happy with my outcome lol.. basically it's curved, BS that he told me about it appearing straighter is inaccurate. I am hoping he actually explains WHAT happened and why it is, and doesn't give me a [RS bleep] explanation and tells me to work on my abs. The fact is it's very curved and slight curve I can handle but this is not cool. I paid a lot of money for this and not only that but I was SO NERVOUS when I went to him and he held my hand and told me he would take care of me. HMMM.. kinda pisses me of because well he didn't... Do i look like i've had a nose job, well no.. because it's curved.. so even though it's "natural" it's because I look like someone who needs one. Now I have to get a [RS bleep] THIRD surgery?! My worst nightmare.. I really would love to know where the good surgeons are and where are the people that can be honest and say you know what this seems a little bit too intense for me so I think I'm gonna skip it.. after over 6 years of waiting to get this done and now this outcome I am extremely disappointed. I KNOW my nose was a very difficult one but if you can't handle it then don't do it. Simple as that... Having another consult with him this week and I am not going to be listening to him talk and hoping he listens to me talk and gives me some good answers. I am going to ask exactly what was done in surgery and I really don't think fillers are a good option from what I have researched..........

Replies (5)

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October 23, 2016
Sorry your going through this. This is exactly why so damn scared to get surgery. When I am at Dr. Hamilton for my consultation he told me things and I just wanted to jump out of my chair with excitement I was that happy but then I started think about it and thought it's probably too good to be true. Why is it that he is the only doctor that says he can make my nose hole inside better when no one else really feels they can and he was not cheap I think it was almost 30,000 cash - - I have seen many doctors for consultations. Have you heard of dr yoo? I've seen almost all the good ones- even toriumi
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October 23, 2016
Oh yeah, and Dr Davis. If I needed bridgework done w/rib grafts I'm almost positive I'd choose him.
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October 23, 2016
Sorry to hear about your surgery. I'm sort of in the same boat. Had a second surgery with high hopes. Wanted minimal change but got a big change. Extreme techniques were used and reversing it will be extremely tough but now I'm going to need a 3rd surgery. I look so much worse after my surgery. Hope you find somebody good. Dr. Ion in England seems good at straightening bridges.
November 14, 2016
where are you going to for your third surgery?
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November 14, 2016
Not sure yet. Still trying to figure it out.
October 23, 2016
Join the club. I'm on track for a third surgey too.. :/ hope your doctor can help you. I really hope mine can as I trust his skill but it still doesnt look how i want..
November 14, 2016
who is your third surgeon?
October 24, 2016
Sorry to hear this. I also will not be happy with your result and the explanation he gave.?i just don't see how swelling has anything to do with it. Maybe I'm not a Dr, I just done see it. Still monitoring my results. I will start being angry or thinking revision after I don't see a good nose at 3 to 6 month mark. At that point more than 70% swelling is gone
October 24, 2016
you may ask him what kind of cartilage he used on your bridge, I had a consultation with him and was told by the consultant the rib cartilage he use is from dead body . maybe that is the reason causing the curves. but beside this bridge , do you think the rest of the parts of your nose like your tip and nostril having the good result after the surgery?
November 14, 2016
that makes me feel weird "dead body" but ok .. he didn't say anything about that.. gross.. but anyway errr I would say they are OK.