Recurrence in patient on TRT

[Jedi_Gynecomaster]

I can't find any docs in my area (Tasmania, Australia) who are willing to remove the entire gland.

I'm on trt, and wondering what the rate of recurrence is for men on trt if their surgeon leaves a small amount of tissue in behind the areola. I'm told they do this to support it, preventing it from caving in, and keeping blood supply.

Obviously I have read of many US docs who remove the entire gland to prevent reccurence. The 4 plastic surgeons I've seen all say either it's impossible to remove 100% of the gland without cutting the nipple off, or they say without tissue behind the areola the nipple will die. 

Trying to work out if it's worth getting the surgery done without full gland removal, because I don't want it to return.

No idea if the trt triggered the gyno to grow or if it was something else.

[Dr. Elliot Jacobs]

I routinely remove ALL the best tissue beneath the areola.  The nipple retains its blood supply from the surrounding skin.  In order to prevent cratering, I then move fat flaps underneath the areola to support it.

Dr Jacobs