Mustafa Aydinol, MD

From what you described, a few key issues are present:
• Volume asymmetry and contour irregularities in the buttocks and hips
• Indentation near the hip and a depression in the right thigh
• Midback fat retention
• Post-liposuction fibrosis in the thighs, compounded by lipedema

Hi there,

From the images and your description, your breast shape does show some mild characteristics of a tuberous (tubular) breast deformity, such as:
• Wide spacing between the breasts
• Relatively low-set position on the chest wall
• Lack of upper pole fullness and round projection
• A softer, “deflated” appearance without a bra

However, your condition appears to be on the very mild end of the spectrum, and not every feature is consistent with classic tuberous breast anatomy (e.g., you don’t seem to have severe constriction or herniation through the nipple area).

Possible contributing factors:
• PCOS-related hormonal imbalance can indeed affect fat distribution and breast tissue development, which might lead to a softer, less projected appearance.
• What you’re experiencing could be a combination of mild tuberous characteristics and the effects of hormonal or connective tissue laxity — rather than a true congenital deformity alone.

Can this be improved with exercise or hormone balancing?

Unfortunately, exercise or massage won’t significantly change breast shape, as they don’t target glandular or fatty tissue. Hormonal balance may influence breast fullness slightly over time, but it won’t correct structural or spatial aspects (such as projection or shape).

What are your options?

If you’re looking to enhance volume, projection, and symmetry, you could consider:
• Breast augmentation (implants or fat grafting) (with or without a small lift)
• Glandular reshaping if a tuberous component is confirmed during evaluation

A consultation with a plastic surgeon for a tailored surgical plan can solve your problem.

You’re not alone — many women with PCOS or mild tubular features share similar concerns. The good news is that surgical correction can achieve a natural, beautiful result while still respecting your anatomy and goals.

Warm regards,
Dr. Mustafa Aydınol
Plastic, Reconstructive & Aesthetic Surgeon

Hi,

I understand that it can be frustrating to continue experiencing eyelid swelling and side bulging even after surgery and following your surgeon’s advice closely.

There are a few possible reasons why you may still be experiencing this issue:

1. Residual or Recurrent Lacrimal Gland Prolapse

Even after a correction, the lacrimal gland can sometimes shift back if not adequately repositioned or if the surrounding tissue is weak. If the bulge is located near the outer upper eyelid (as shown in your photos), this remains a likely cause.

2. Fat or Tissue Repositioning Issues

If the eyelid surgery didn’t fully address herniated orbital fat or was conservative in skin/fat removal to avoid a hollow look, some puffiness may persist. This doesn’t necessarily mean a mistake was made — many surgeons prefer under-correction to avoid complications, especially in patients with stretched or delicate skin.

3. Fluid Retention or Lymphatic Congestion

Chronic morning swelling can also be related to fluid accumulation, particularly in patients with sensitive lymphatic drainage. Allergies, sleeping posture, or even sinus issues can play a role.

4. Scarring or Healing Response

Sometimes internal scarring or fibrosis from previous surgery can alter the contour of the eyelid and create fullness that mimics swelling or bulging, especially when the soft tissues don’t settle evenly.

⸻

Can It Be Corrected?

Yes, in most cases, a carefully planned revision procedure can help. This may involve:
• Further lacrimal gland suspension
• Refinement of residual fat pads
• Scar tissue revision or internal reshaping

A consultation with a plastic surgeon who specializes in complex eyelid revisions would give you the best guidance. An MRI (often unnecessary) or USG can sometimes help evaluate gland position or residual tissue.

You’re absolutely right to listen to your body — persistent swelling 2 years post-op deserves a second look.

Best regards,
Dr. Mustafa Aydınol
Plastic, Reconstructive & Aesthetic Surgeon

Hi,

First of all, congratulations on your incredible 50 kg weight loss — that’s a major achievement and a strong foundation for your upcoming aesthetic journey.

When planning multiple plastic surgeries, especially after massive weight loss, it’s absolutely essential to prioritize safety, proper staging, and recovery between procedures. While it’s technically possible to combine multiple surgeries in a single session, this depends on your overall health, BMI, nutritional status, and surgical goals.
That being said, I wouldn't recommend combining body surgeries and face surgeries.

Regarding your question:

⏱️ How long should you wait between surgeries?

In general, I recommend waiting 3 to 6 months between major procedures to allow your body to fully recover and stabilize, especially when surgeries involve large areas (such as tummy tuck, body lift, breast work, etc.). This also gives your surgeon time to assess healing and make any adjustments for optimal results in the next stage.
Theoretically speaking, it is also possible to have another round of anesthesia the following day (for example if you have hematoma). But when combining surgeries, it is better to wait.

Hi there,

Thank you for sharing your detailed experience — I truly admire your patience and commitment throughout such a long and difficult healing process.

From what you’ve described and based on the timeline, persistent swelling and asymmetry two years after revision rhinoplasty is no longer considered part of the normal healing phase. While minor residual swelling can last longer in some patients — especially with thick skin or large grafts — a firm lump at the graft site, visible asymmetry, and ongoing structural issues (like lopsidedness or dorsal irregularity) may point to something more than just swelling.

The area where rib cartilage meets the nasal bone can sometimes create contour irregularities or movement over time if the graft was not securely integrated or if scar tissue has developed unevenly. In some cases, these issues can be addressed with localized steroid injections, though you’re right to be cautious — in thin-skinned areas or with aggressive dosing, steroid can cause skin atrophy. However, when done conservatively by an experienced surgeon, it can be helpful for persistent swelling or scar tissue.

If the shape, support, or symmetry of your nose is still bothersome and continues to affect your quality of life or confidence, a second revision may be appropriate — ideally with a surgeon who specializes in complex or tertiary rhinoplasty cases. These procedures are delicate, but with the right approach and careful structural work, excellent results are still possible.

You’ve been through a lot — and your concerns are valid. Trust your instincts, and don’t hesitate to seek a second opinion from a surgeon experienced in rib graft revisions and structural rhinoplasty.

Wishing you clarity and confidence in your next steps,
Dr. Mustafa Aydınol
Plastic, Reconstructive & Aesthetic Surgeon