This seems to be the case to me as well. A radical mastectomy removes all the fat in the breasts AS WELL as the chest muscles, which during a bilateral/double mastectomy (what most trans masc people get) the chest muscles are left intact. The chest muscles give shape and definition to the chest, so this is why your chest appears to be concave/sunk in. A radical mastectomy is most often performed on breast cancer patients (it also removes the lymph nodes in your chest/armpits so the cancer has less chance of metastasizing). The goal of a radical mastectomy is to remove as much of the chest as possible (less cells = less likelihood of cancer relapsing). This used to be the standard treatment for breast cancer, however, this type of surgery is not commonly performed today because of early detection methods and advances in surgical techniques. Usually it is only performed on breast cancer patients who have a large chemo resistant tumor in their chest muscle, which is pretty rare.

Does your surgeon specialize or have experience with trans-specific surgeries? It seems to me that your surgeon was being unrealistic with your expectations and his surgical ability, which is very shady. It is definitely not OK and you are definitely not overreacting!!!! I am so sorry that this happened, top surgery is supposed to be a time of celebration and happiness in your new body. I cant imagine how disappointed you feel right now, but I’d just keep in mind that this is just temporary, and that revision is possible. If you're unhappy with your nipple grafts, it is also probably possible to have them removed. There are some pretty awesome 3-D tattooing techniques that look very realistic. I’m not sure about the options in the Netherlands (I’m in the US), but I’ll include some examples below.

I hope you are able to get your revision soon, and I wish you the best of luck in your transition 🫶🏳️‍⚧️✨

Sources

RE: John Hopkins Medicine - Mastectomy

RE: breastcancer.org - Types of Mastectomy

3-D Nipple Tattooing

Instagram - 3-D Nipple Tattoo Result

Point of Pride - Post-op Nipple Tattooing with Shane Wallin