So, 4 months out and it's still pretty much the same - I feel like it's totally flat and because of some pudge above it, concave at some angles/arm positions. I have noticed that the pudge right next to my armpits feels like it sticks out enough to look weird, but I've also gained some sympathy weight for baby #3 due in a few weeks

Weightlifting might help, but it's not a high priority given my other commitments right now. So, concave nipples it is for a bit longer...
makipu: Thanks! I really don't dislike my results, but it's easy to be preoccupied with things you didn't expect, so that's probably where this comes from for me. I can't send a private msg, maybe because I haven't logged in a while, but to answer your question, the doc said all of the 'breast tissue' was removed, but not in a way that would preclude the risk of breast cancer (I assume that to mean that there are nerves, fascia, some other structures that are part of the breast but are deeper/wider than the operated-on area). The surgery doesn't touch muscle, which is why it's called a subcutaneous mastectomy. Radical mastectomies (what folks with breast cancer need) take muscle and are in-patient surgeries with awful recoveries. This is a minor surgery compared with that. So sounds like your experience was less than ideal?