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Thank you for the question. I have taken care of several patients like yourself who have wished to be as “flat” as possible after breast reduction surgery. Sometimes the procedure needs to be done in 2 stages to avoid complications (related to blood flow and wound healing). Unfortunate, how other people choose to “classify” you is unpredictable and should be a secondary concern to your preferences and goals. I hope this helps.
You can only control how you feel about yourself and not how other persons perceive you. Therefore you choose how you want to feel and appear. Having said that I would caution you to think hard about the (maybe unexpected) psychological impact of the procedure. Discuss this throughly with your Plastic Surgeon and maybe even a Psychologist/Psychiatrist. Good luck !
A women has the right to choose the size of her breasts and the shape of her chest. A women who wishes to be flat does not need to be identified as anything other than a women who wants her chest contoured. There is no impediment to contouring the chest down to perfectly flat, and the patient's sex or gender identity or preference is immaterial.
Whether drains are used or not and how long they stay in is variable amongst different plastic surgeons. There is no absolute right or wrong when it comes to this. Your surgeons recommendation will be bases upon their personal experience and training. I
It is quite possible to have breast pain on one or both sides long after surgery is over. Usually it is nothing to be concerned about, but it sounds like you are doing the right thing by discussing it and having it evaluated by your surgeon to make sure that nothing serious is wrong...
Sharp chest or breast pains one year after breast reduction are probably not related to your breast reduction surgery. See your primary care physician for a start to sort things out. Best of luck, peterejohnsonmd