Malpractice cases require that the plaintiff can prove there was a deviation from the standard of care that directly caused the poor cosmetic outcome. Because troon surgery is all super secret techniques which vary between surgeons, it’s difficult to establish what “the norm” is and whether the doctors did something outside of that norm or failed to do something they should have done.
I like how the fourchette necrosis formed the shape of a butterfly
It always makes me lol when people start screeching that a doctor telling them to lose weight before a surgery is bad and fatphobic. NO YOU FUCKING IDIOT IT'S SO YOU DON'T SUFFOCATE YOURSELF ON YOUR OWN ADIPOSE TISSUE WHILE UNCONSCIOUS. That and having to cut through several inches of fat means you have to be sedated even longer than usual. Horrifying to realize how many dimwits treat surgery like magic instead of being put into a carefully monitored drug coma and cut open.
Also you can't suture fat so you have this whole internal slip-sliding going on, putting extra pressure on the wounds.
Total Fatty Death
That’s why pre-surgery the surgeon does his markup lines while the patient is standing up. The surgeon will pull the skin up and down and try to pinch the skin together, then draw the lines as close to where they think the cutting lines can join. These are the lines they start cutting to. This is why BMI comes into play for plastic surgery. If the surgeon can’t fold the skin together, they can’t make an accurate markup.
