Ethical concerns - he over promised and under delivered

Warning :/ Warning :( Warning :| Be careful with this one. Do extensive research and ask questions and be sure to note the Doctor's demeanor and answer to your questions. I ended up being worse off after Dr. Jason Hamilton's failed revision efforts than before I came in. ONCE pre surgery he walked out of the room in haste while I was expressing how anxious I was to have this 2nd surgery. I had a floating piece of cartilage that had dislodged from somewhere else and it was causing me problems. In that moment I found it strange and off-putting because his emotional reaction seemed to lack compassion for my reasonable concerns. Subsequently he focused on that area without considering the changes that needed to be made for overall symmetry and instead of saying the can only revise with an open procedure he spoke to me as if no one else would be able to either. Unfortunately after the fact I found that not to be the case. Also, ever since the right side of my nostril ALWAYS drains as if I'm crying and it has resulted in me having permanent crust accumulating at my columella. It's been 17 months and that's still the case. That's a drastic quality of life issue that could have been avoided. In the side where this occurs you can feel a hard bony protrusion and I don't think this is a coincidence. ? I regret not being more mindful and choosing another surgeon at that time. A good Doctor values the Hippocratic Oath, takes accountability for their actions and or lack thereof. This Doctor doesn't seem to in my experience. His insistently told me to be patient for 1 year. I was told to give myself grace and asked to give it more time to heal ALL the while no accountability was taken on his part for the things that obviously looked nothing like the image he was to be working from. ? He kept trying to get me to believe that it looked better than when I came to him and accept that and live with that because nothing is perfect. The key is I never asked for perfection. I simply wanted to look as much like my original nose as possible. I kept saying that the botched job I got before resulted in a similarity of butchered and disheartening outcomes of nothing I want to live with on my face. The fact is that he didn't do what I asked him to as the primary goal caused me severe mental anguish. So one year comes and goes then he finally stops passing the buck and acknowledged the many things that are wrong. In addition he addressed his communication oversight. Asked me to schedule a revision procedure. I told him I wanted to wait another year after he couldn't get me in immediately nor could he put me on the waiting list for no shows as he'd done before. Strange how I was called so many times to fill in for no shows yet all of a sudden they could barely fit me in and as all this unfolded I consistently was not given the same priority they'd given me before. Had I only thought perhaps there's a valid non coincidental reason ALL these other patients keep dropping off his calendar? Maybe I would have saved myself so much grief and trauma. At the time he offered to revise his poor work, he told me he would remove the strut graft that was placed in. He placed it in (after never ever discussing with me that he would be doing so) or that there was a need based on his desired outcome not my own. Again, I didn't ask for anything that would require it. Other Doctors use different techniques and no matter what they use, or plan to use, they let the patient know in advance. He never communicated any of this with me clearly. I ask lots of questions and I was very specific on what I wanted. So much so that the day we met I had a full plaster mold of my face and my desired outcome. He refused to keep it to work from but began using Photoshop mock ups of my face. He never actually finished it while in my visit. I told him his mock up that the tip was not how I liked it. He stated he wasn't done and would send it to me when done. I asked for it repeatedly. Yet, I never saw his version of the computer generated image even after asking repeatedly and it was not even at the last visit pre surgery. So I brought pictures of MYSELF to him to work from with the goal in mind of me looking like myself. When I awoke from I simply asked did it look like the picture of MYSELF and he said BETTER, and instantly I was overcome with disgust and a deep unsettling feeling of dread because how could anything you did be better than the image of myself if that was my only goal and desire. I was devastated even more a week later when the cast was removed to see, the results and realize ALL the while during surgery every other reasonable structural change that I asked for him to make, so that I look like as close as possible to my pre rhinoplasty self, ALL of them where ignored and were not even attempted. He also insistently asked to perform and attempted to old scar revisions and made them worse. At the same time after many months of being dismissed and going around in circles via office visit follow ups, and emails etc, he offered to revise it do what I asked and also undo everything he had done that I didn't ask for. Again he openly acknowledged that he didn't do certain things. Yet at the very next in person meeting spoke to me as if he had not just said any of those things and as if he made no such acknowledgement of the previous things for which he briefly took accountability and began speaking to me as if he almost was just meeting me for the 1st time. It was shocking and hurtful as a patient who's entire life can be so easily irreparably damaged by the tasks plastic surgeons are expected to be experts at carrying out. In fact when he spoke to me in person that last time it was in a condescending, disingenuous, and contradictory way, in which he didn't accept responsibility for anything. Then at 15 months post op, during the same traumatic last visit, I get told he doesn't think I should have a another revision. He told me yet again to be patient as NOW ALL of a sudden FULL results take 3 years. Then I was referred to a dermatologist to fix the skin around the dead space his surgical technique created and to wait some more for ALL the unnecessary unnatural noticeably asymmetrical and hideous structural changes he made to go away. His further deconstruction of my nose doesn't just go away with time. It becomes most evident with time. His suturing technique and his pre and after care for the skin doesn't adhere to the modern advances in healing that would help prevent and minimize scarring. My skin isn't the issue, because ALL the following 4 other opinions from Doctors in the field in Beverly hills & Korea, they ALL immediately began speaking of ALL the things Dr Hamilton neglected. One Doctor in particular. Also, Dr Hamilton's team no longer replies to my emails when I asked for my medical records to give to another Doctor to have them help me in the near future. Something that is within my right. This includes dismissive aggressive behavior juxtaposed by disingenuous placating faux accountability postering as well. He is NOT a specialist in African American rhinoplasty. If anything he barely dables in it. Please don't be fooled by the few Black Identifying & mixed race people who (got lucky). HE has them plastered ALL over his website. Final example of my experience, I asked him how long should I tape my nose after the cast came off and he said that wouldn't be necessary. This was 1 week post revision. (Compression and taping is essential in cases such as mine). Also, he didn't give me but 1 single corticosteroid shot at about 2.5-3 months later after I complained about something he himself never acknowledged as an issue. Every other time I spoke with him it was as if I was talking to a different person who hadn't heard a word of my concerns previously. If you're in tears he barely shows the appropriate human response to them or any of your very reasonable human emotions at any time. I waited almost 20 years to fix my nose and I couldn't have been more disappointed.