Having counseled gynecomastia patients for many years, I know there are worries patients can hardly bring themselves to voice at first. An area even more sensitive than chest size: the shape and color of the nipples.
That is what the review said.
"I worried about whether the shape would look odd, whether the nipple color would turn too dark, and so on — but I'm satisfied with everything."
I lingered over that one short line for a long while.
It captures better than anything that the standard for judging a gynecomastia surgery result does not stop at 'is the chest line flat now.'
There is a clear reason we place the incision precisely inside the areolar border and make it our standard technique to fully preserve the fine blood supply and delicate nerve network around the nipple.
Only when Trueman's own nipple guard (protective dressing) and a nipple-balancing procedure tailored to the newly contoured chest work hand in hand do the natural color, sensation, and projection hold up even as time passes.