I am a female to male transgender person who had a botched surgery. Can you tell me what type of surgery I should of had? photo

This is the problem with keyhole or periareolar reduction for FTM surgery.  It does not address the breast skin.  The double incision mastectomy with nipple graft gives a predictably flat chest.  You can still have double incision, which solve your problems.

Thank you for your question.  Based on your pictures and the procedure and amount of breast tissue removed.   I personally would have done a different procedure for you that would have yielded a much different result.   Having said that you would need about about year  before undergoing a restorative procedure and possibly a secondary procedure to get you to your goal.  

The treatment of FTM scars is different than normal scar revision and is a focus of our office. There are at least seven different priorities in FTM Top surgery revision, including:
Reduction of High Tension Scar Widening
Revision of Areolar scar width, size, position, and texture.Pigmentation correction for the scar and areola (especially if there is areolar/nipple hypo pigmentation)Textural improvement in scarsContour Correction of the scarContour Correction of the glandular part of the male breast pectorisPectoral footprint reestablishment (concavity or convexity)Hyperemia correction of the scarsOur office specializes in the management of Top Surgery corrections using a Hidef combination approach that minimizes scar visibility and maximizes the footprint of a male pec. This can be achieved with a combination of surgery, RF, laser therapy, intralesional injections, PRP, and scar modulation. Sometimes, liposuction or fat grafting is indicated. 
Best, 
Dr. Karamanoukian
Realself Hall of Fame

It's usually suggested to wait 6 to 12 months depending on the reason for a #revision and it's still early in your healing. The ideal technique best for you is difficult to determine online by photos alone. There are several methods used which depend upon the patient’s breast or chest #size before surgery. Considerations include the #laxity of skin, the #size of the #areola, the amount of #fat and recent weight #gain or weight #loss. The most common procedures include the #periareola, #buttonhole, #double incision, and #anchor patterns. I often use #liposuction along with the double #incision for larger breasts, and, some variation for smaller breasts; depending upon the position of the areola. The female breast nipple and #areola are often centered on the breast. However, the nipple and areola are lower and closer to the outside edge of the #pectoralis muscle in the male patient. Shaping the side of the chest may also be required and can be performed with #suctioning; along with contouring of the muscle, as noted above, to provide the best definition for the chest. A board-certified plastic surgeon with specialization is such breast procedures will #confirm the technique best suited for your revision during an in-person evaluation.

I generally dislike terms like "botched" surgery, but your surgeon is NOT experienced in transgender top surgery if (s)he truly believed keyhole surgery would leave you with a reasonable result that even would be close to a masculine chest. Especially with the amount of tissue removed! 
This should have been a star-pattern nipple reduction, areola reduction, and after biconvex elliptical skin-reducing total mastectomies (not an anchor pattern), reconstruction of the nipple/areola complexes as full thickness skin grafts in masculine position (lateral and inferior, at the edge of the pec muscle). 
For examples of this (proper) operation, and a few examples of (proper) keyhole top surgeries, click on the web reference link below. All examples are my patients over a nearly 3 decade experience with transgender surgery. Sorry you had this (lack of) experience. This is truly one operation that even ABPS-certified plastic surgeons have no business doing unless they have experience with this specific procedure, and can show photographic evidence they know how to choose and do the proper procedure for each transman's anatomy. Revision can correct this pretty effectively. Best wishes! Dr. Tholen

Sorry to see that you have had such an unfavorable outcome. Based on the volume removed from each breast, you were likely a better candidate for a double incision approach with free nipple grafts. It appears that you still have a moderate amount of excess skin inferiorly as well as some residual breast tissue that can be removed with a revision of your surgery to the double incision approach. With the standard double incision top surgery with free nipple grafts, the contour will be superior, scar placement can be optimized into the inframammary crease and nipple placement can be achieved into a more masculine position further lateral on the pectoralis muscle. We have also had patients that have opted to not have the nipple grafts placed at the time of surgery and will then seek nipple tattooing postoperatively to place the nipples into the location of their choice. This is a decision you will have to make since you lost one of your nipples - you will either have to sacrifice the remaining nipple and have them both tattooed postoperatively or replace the surviving nipple as a nipple graft and do a nipple reconstruction on the one you originally lost. By all means place yourself into the care of a board certified plastic surgeon comfortable with FTM top surgery and more specifically top surgery revisions. I hope this helps and best of luck with your continued transition!!

I appreciate your question.You had the keyhole procedure but needed the double incision to remove the excess skin.This can still be done and reposition the nippleThe best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz

Hi Omen3.  I am very sorry to hear that your TopSurgery was not a good experience for you.  This was a massive decision for you to take and unfortuantely you had a very bad operation.  With the amount of breast tissue removed - you should have had the mastectomy with free nipple grafts as discussed.  Regrettably, you are committed to allowing your chest to heal completely before embarking on revision surgery.  I would recommend that you have a course of Manual Lymphatic Drainage MLD X 6 to help improve your healing.  PLease do see a specialist in FtM Top Surgery to discuss any revision surgery.  Wishing you all the best for your future.

As most of the answers have already stated, you have too much skin for the technique your surgeon used, and that seems to be the cause of your bad result. 
Whilst the skin will uptake somewhat in the 6-12 months after surgery, it is very limited and really depends on the quality of the skin. Bigger breasts stretch it out and gravity places stress on the tissues every day. Binding  and aging decrease the elasticity of the skin and whilst testosterone may decrease the size of the breast tissue a little, it usually has no effect on the skin.  
I only do this periareolar technique in very small breasts in the size range of 100 - 150g. I have prformed it in someone with ~200 g breasts, but they had loose skin afterwards (despite looking ok on the operating table), however they had good skin and were aware of this risk. After 3 months the excess skin has dramatically decreased, so I think they will be ok.
In your case, I would advise a revision using a double incision and free grafting what remains of the nipples. I would not advise revision using a circular excision around the nipple/areola and too much skin needs to be removed and it would cause a lot of gathering.
Good luck

Unfortunately I see this way too often.  Many surgeons try to avoid the scarring by taking the breast tissue out through a small incision around the areola.  This rarely results in anything good.  Go to a board certified plastic surgeon who specializes in FTM top surgery. He/She will evaluate you and will most likely be able to help you.  Dont lose hope.  This can be fixed. You just need to choose the surgeon wisely and travel if neccessary.