Debbie was dissatisfied with the loose skin in her neck and felt that her droopy eyelids made her look tired. She was also unhappy with the results of her previous rhinoplasty, performed by another surgeon. At her initial consultation, we discussed what caused the changes in her skin and outlined a sugical solution that would address her concerns.

To improve her neck and jowls, I recommended tightening the muscle in the front of the neck in order to eliminate the bands below her chin. A face lift would suspend her loose skin and a pre-jowl implant would better define her jawline. Her eyes had a little excess fat and skin that could be corrected by a blepharoplasty. Debbie’s nose had several problems. Her profile was irregular and the cartilages had separated from her septum. Her tip was too bulbous and turned-up. Since she had also had a septoplasty, there was inadequate cartilage in her nose for the reconstruction. Therefore, it was necessary to get some cartilage from one of her ribs through a small incision under her breast.

After surgery, Debbie’s neck has no more bands and her loose skin is redraped without looking pulled. Her jawline is more distinct and her eyes more open and refreshed. The rhinoplasty straightened out her bridge and her tip is more refined. Although her nasal breathing wasn’t her main concern, she was pleasantly surprised that her breathing was much better after surgery.


Debbie had this to say,

Before. Her neck was sagging a little and her nasal profile was very irregular.

After. Note the improvement in the neck contour and softening of the jowl, without looking “pulled.”

Before

After. Note the improvement in skin tone and definition along the jawline. The skin texture is better also.

Before. Her eyes look tired and her nose is deviated to her right. She is also developing prominent jowls.

After. Her jawline is much smoother, her nose is straighter and her eyes look refreshed.

“I would rate my experience with Dr. Hamilton and his staff, on a scale of 1-10, 10 being Excellent, at a 12.

Having had 3 procedures, I couldn't be more pleased. The appointments were always on time, the staff was extremely friendly, and the visits were always  kept confidential.  From my first visit through 3 procedures, I am extemely satisfied. Dr. Hamilton takes great pride in his work and it shows. He is very dedicated and always spends as much time as is necessary to take care of his patients. He also explains things fully and takes the time to answer any questions you may have.

After my facelift procedure and eye work, I was amazed not to have any visible scars or numbness where he made my incisions. I month after my facelift, I attended my son's wedding and no one even knew what I had undergone. All I received was compliments on how wonderful I looked!  

Secondly, he repaired my nose which was previously done poorly by another plastic surgeon. I was so relieved when Dr. Hamilton was able to not only fix my nose, but restore my breathing. Also in comparison to my first Dr., I had minimal swelling and very, very little bruising with Dr. Hamilton's work.

I would highly recommend Dr. Hamilton.”

University fo Iowa Facial Plastic Surgery Grant Hamilton MD UI Facial Plastic Surgery Iowa City

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