They have - on women.
Men don't have breasts so trying to put fake tiddies on a man is always going to look fucking weird because of the male skeleton, shoulders too wide, ribcage to large, and its not like the surgeon Is trying to augment something that's already meant to be on a woman's frame, they are trying to force something unnatural and against nature. Even the very best surgeon is not going to get the results he would on a woman, and the sort of doctors that do this shit to Troons are the very best, they are amoral sociopathic hacks, that know what they are doing is weird and unnatural so waste time when the patient mark is just going to look like a freak anyway?
No man is ever going to look anything other than weird with a pair of tits looking like a chameleons eyes on his chest.
You can spend hours being a perfectionist and end up doing one surgery a day where the patient looks like a freak, or you can rush the AGP faggot on and off the table as quick as you can and maybe do 2 or 3 a day.
The patients gonna look like a clown anyway, but the rush way you get paid more.