FTM top surgery: tender lump left pec & loose booblike sag in both pecs-- swelling or did my surgeon leave too much in? (Photos)

hello labu1785 As you heal, the area may feel “lumpy” and irregular. This, too, decreases with time, and massaging these areas will help soften the scar tissue. You should visit or contact your PS about this concern. 

While it is still early in your healing it does appear as though you have some redundant tissue. Discuss with your plastic surgeon potentially converting to full double incision mastectomy for better contour and outcome. Best of luck!

Thanks for the question.  Unfortunately, if a full double incision mastectomy with nipple grafts is not performed, this can be a consequence.  In the right patient you can "get away" without not performing the double incision.  But the patient needs to have minimum excess skin and ptosis of the breast.  It relies on the skin tightening up and flattening onto the chest wall.  At 2 months out you likely still have some swelling so I would worry too much about a revision now.  At the 6 month mark, if no improvement then you might want to consider something.  It may just need to be a touch up with some liposuction of the residual tissue, or you may need to covert to a full double incision procedure.  Good Luck"The above answer has been given without seeing this patient and cannot be substituted for actual in-person examination and medical advice; it is only opinion. Seek in-person treatment with a trained medical professional for appropriate care."