He is lucky he has you and your support.
It is true, what others have said here, that he is the only one that should decide on what he wants and makes him comfortable. That includes the therapist and Dr's.
I do know that if all of the breast tissue is not removed and
female hormones are still running around rampant...that the breast tissue,or cells, can continue to grow. I am not sure but, i bet with liposuction there would be extra skin tissue that would remain post op. Indeed, working out and increasing pectoral muscle mass could help reduce that void.
The good news is...transitioning is just that...it is a work in progress.
Knowing what you want is the first step.
Then, you gotta try and make it happen.
He could go on T and build his pecks and decide he doesn't need lipo.
He could get the lipo and if he doesn't like it...there are still options.
He could get lipo and then plastic surgery to remove the extra skin or
any extra breast tissue... if he isn't happy with just the lipo.
I think the options require more patience. However, in this case, it may be
the right thing to do.
It's a work in progress.
I will say this...and this is my personal perspective and experience...
If i where he, and i knew i didn't want breast tissue...i would go on T and get the double mastectomy. Because it would just be done. I have no patience.
That is what i did. I actually got the surgery before T cause i had plenty of peck muscle. They thought i was already on T.
I didn't have to be on T to get the surgery.
However, in regards to passing, you have mentioned that a few times...So, i am getting the impression that it is very important to him.
With the double mastectomy i had...i still have scars on my chest.
Funny story,
i was on the beach, with my ex girlfriend, and people kept looking at us. I of course was subconscious and thought for sure it was my scars they were staring at...but, then we heard the people say that's so and so and...is that? are they? We both kinda laughed...cause they thought we were a famous couple...and then i felt sorry for celebrities.
My point is that, sometimes the scars don't go away and you are left with either explaining yourself or not. i have never been asked what are those from? or what happened to you? Now a days, the more people transition, the more people will know what the scars are. And, it is a way to be outed.
I am not ashamed. However, we still have to be careful and live at the same time.
So, there are the scars to think about with double mastectomy. Maybe he doesn't want to take a chance on those. Some people don't have any scars. and others have worse. I consider myself very lucky.
I wish you both luck.
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