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Good.
I worked in a fairly large clinic (office assistant type stuff) and always wondered why the top-surgery patients looked so much “better” than the mastectomy patients. Finally I asked one of the doctors, and he explained that top surgery is quite different than a mastectomy, with different protocols and goals and results.
Someone with training and experience performing mastectomies can’t just step in and do a top surgery.
They shouldn’t, but I have heard way too many horror stories about trans men who have been misled and ripped off by unethical surgeons who just perform a mastectomy as they would with a cancer patient and have no care at all for doing the aesthetic work for chest masculinization.
