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 Posted: Mon Jan 07, 2008 8:04 pm
Okay, sorry if this topic was already there but there are some questions I wanna have discussed.
What makes me ask those are rumors in the first place...
I did some research on the general topic "steps in transitioning" and some sources told me, you should always go on T first, then, if your body has changed do surgery.
This seems to be mainly because of the new muscle tissue (if you work out) that could make a surgery easier. (?)
On the other hand I hear about quite a few guys who first get their breasts removed before starting T...
Anyone knows something about that?
What about the whole "if you bind too much your boobs will deform and make surgery more difficult"-thing? What is "too much" anyway? 8 hours everyday or full-time?
I know that binding can lead to respiratory issues, like water accumulating in the lungs...
Share your wisdom with me! xD
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Posted: Tue Jan 08, 2008 9:32 pm
-[ boosh, boosh, stronger than a moose ]-
Discuss it with a doctor.
I would personally say that surgery is a huge step to take first and T is at least partially reversible. In the reading that I've done most guys who undergo surgery first do it because they have immense trouble passing without it.
-[ because the boosh is loose and we're a little bit raw! ]-
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Posted: Tue Jan 08, 2008 9:41 pm
I always see people going on T first, then top surgery later. I know that once you start your RLT if you have trouble passing because of your breasts, you can get top surgery before starting T. Otherwize, I highly suggest T first from the stories and articles i've read.
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Posted: Thu Jan 10, 2008 8:34 pm
It depends on your personal needs. Assuming you are 100% certain what you are doing (hormones are more "reversible" than surgery), really it just depends what makes you most uncomfortable/makes it difficult for you to pass - your breasts, or voice, etc.
I had surgery first because my breasts were too large for me to pass as male without it (they were also my #1 body discomfort). It was absolutely the right way for me and I'm very happy I did so. I was told by my surgeon that there are advantages both ways - having been on T for some time can help the surgeon better determine the shape of the pectorals if the subject is somewhat muscular, but without it, apparently estrogen helps to heal the scar tissue more quickly/smoothly (he was actually quite happy that I wasn't on T yet). I can say that in my experience that does seem to be true - I recently had a revision after being on T for over a year and it does seem to be taking longer to heal, though it could be my imagination.
There is no need to do anything just because most other people do it - what you must do is evaluate your own individual needs.
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Posted: Sat May 10, 2008 7:31 am
Think of it like this: Estrogen will make your boobs grow back.
It depends much on your general shape of you body, but I find that the best way would be to start T, then work out to loose the fat in the girly-places (like arms, tighs, boobs and so on), and then go for the surgery. the smaller your boobs are, the less scars the surgery will leave, and the more likely it is that they can leave some feelings in your nipples after the surgery. That's my opinnion at least...
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Posted: Sat Jan 10, 2009 8:53 pm
I plan to do surgery first, for several reasons:
1) Most of my dysphoria has to do with my chest. They're small but they're there, and I don't want them to be.
2) Although people say that hormones can be partly reversed, the fact is that I've got no idea what they are going to do to me - the exact effects very much based on a person's individual genetics and biology. And the effects that I'm the most concerned about (specifically, deepening of the voice) just happen to be the same ones that are not reversible. But I know that I want my boobs gone, I knew that before I even knew I was trans, so in my case it makes sense to do that part first.
3) If I do surgery first, then I won't have to deal with hair trying to grow back while I'm healing.
4) I am just a little bit vain, and at no point do I want to be perceived as a man with boobs - even small ones.
The fact is that if you look at the WPATH SOC, you'll see that the requirements for chest surgery are the same as for starting T - three months psychological evaluation and approval from your therapist. They clarified this in the most recent version, because there are a lot of guys who can't pass just by binding, and therefore wouldn't be able to do their real-life test for bottom surgery without getting top surgery first.
So, although most guys do go on T first, there's really no correct order to do them in - if you really want to get surgery done first, it's possible.
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