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9 year update!

Hey Real Self Friends! I got off here for almost a decade as botched job was hard to work thru. I am pleased with my results and truly believe Dr. Hamilton did his best. Definitely an improvement from my first notch surgery.

My only regret is getting my original surgery at the tender age of 22 when I wasn’t knowledgeable. That surgeon took off too much alar, and this can’t be fixed unless you take off even more which I refused. One nostril is bigger than the other but I’ve learned to live with it. As you see, I know my nice angles. :)

Got a little filler to fix the notching on the nostril from my first doctor taking too much from my alar. It’s softened the line so my nostril doesn’t look V shaped.

Hope this helps. XO

Almost 4 months...

Hi all!! Everything is going well... I had my 1 month followup in November and he said everything looked great.. I was eager to know if my swelling had at least decreased by 25%, he said absolutely not and that I was still very swollen and be patient. Overall, I'm happy with my results.. I'm just inpatient! LoL.. The nostril side that I felt still allowed for columnella show is still the same. As time passes, it honestly doesn't bother me as much. It's improved from presurgery but I still wanted that perfection. He acknowledged my concern and noticed the difference, but stated he wouldn't touch it for 18-24 months if it still bothered me. The thing that bothers me the most is that my smile hasn't returned!!!! My top lip can no longer lift up like it use to.. My barely have any top teeth showing when I smile.. And this sucks because I was always complimented on my beautiful smile.. I've spoke to others and I understand this is due to swelling from the columnella work and it will just take time! I'm praying to God it hurries.. I didn't know this was a risk beforehand, so it really threw me for a loop.. I look like someone's grandma when I smile lol... And it's definitely noticeable..

I won't be updating until 6 months.. I'm praying by then my smile would have returned fully. :)

2 months post op - forgot to mention

*Clarify* the change is not causing an extremely hard time to adjust... It's just a don't have the droop as much when I smile, it just sits there... I'm use to seeing the droop all my life, so it's the norm.. Just takes time to get use to it.. And the swelling just makes the tip, like blah! Just sitting there... I can't see dramatic improvement but I feel can feel new shale when I touch that's it's more refined.. Of course swelling takes time, so I know this is normal.. Patience, patience, patience!!!!

Also, my nose no longer throbs. It use to throb especially when I get up fast, or lean forward too much, or do thinks that normally raise your blood pressure.

Provider Review

Board Certified Facial Plastic Surgeon
8631 W. Third Street, Los Angeles, California
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Dr. Hamilton was very pleasant, down to earth, funny, knowledgeable, and honest. From the start, we shared a common interest of just improving the things I wasn't happy with. He gave an honest opinion on what was fixable and what was not. I literally found him on RealSelf from other ladies hearing of him but no reviews, so then I did more research on google. I didn't have 100s of reviews to go on, I literally went with a gut feeling after our phone consult plus I researched his credentials and experience. I saw Facial plastics/reconstructive fellowship and a head/neck fellowship, surgeon at cedar-Sinai, and teacher in their facial reconstructive dept, and he's written journals about other non-related head and neck. My other surgeon wasn't facial plastics, so this was important to find someone who only deals with the face. During the phone consult and preop consult, he answered questions thoroughly. As RealSelfer @jaedessi said, "He also gave me his thoughts on why some African Americans end up with undesirable/botched nose jobs. He explained how he believes part of it is from surgeons using the same techniques used on Caucasian noses onto ethnic noses, how there's a disconnect between what the patient wants/expresses and what the surgeon actually understands from the patient". I'm happy that we embarked on this journey together. He was so open. His bedside manners are beyond average. The fact that he is a Beyoncé fan, gave him a few extra points :) I felt like he was family and our conversations went from surgery, to books, to family, to life experiences. The fact that he is a people person was beyond amazing, more than I could possibly wish for. If you've had a bad doctor, finding one with these qualities makes you appreciate bedside manners so much. I love his personality.