That's dreadful, and also I gather that nowadays there is of emphasis on getting an aesthetic result for female cancer patients who do not want their breast(s) to be rebuilt & that it is increasingly common to prefer to be flat.

Of course, flat-chested femininity looks very different to flat-chested (or ripped-pecced) masculinity, but I find it a bit baffling that an experienced surgeon couldn't figure out how to create a good result for any sort of chest.

So it feels like it maybe comes down to attitudinal issues amongst some surgeons.