Saw you had an ask about top surgery as a genderqueer person. I had mine without issues. I'm not on T. No reason a surgeon should refuse it based on that identity
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@top-surgery-talk
Saw you had an ask about top surgery as a genderqueer person. I had mine without issues. I'm not on T. No reason a surgeon should refuse it based on that identity

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How do you get scarless top surgery?
Unfortunately, the answer is you don't. Different methods will scar differently, but they all do. Keyhole tends to leave the smallest and least noticeable scars, but they will still be there
There.are methods to reduce scarring, though. I used silicone strips, and there are lots of creams and serums that are said to help (although most products only seem to ave anecdotal backing). A lot of people bothered by the scars also tattoo over them after they’ve healed.Â
One of the best things you can do to reduce scarring is just following your surgeon’s post op instructions. Don’t lift too early, use whatever they recommend, and clean your scar areas properly.
Do you have to go off T for top surgery? or not take it during recovery? because I read that somewhere but only once during my research about top surgery...
I’ve heard of people being told to take a few weeks without T. I stopped two weeks before. I however know people who were told to continue as normal. It seems to be up to your doctor and surgeon’s opinion, as well as your own personal health.
I identify as Non-Binary and do not want to go on Testosterone but would like to have Top Surgery. I'm just wondering if you know how the results change if you are not on hormones?
Hi there!
So for starters, I can’t point you to any studies on this sort of thing. My information is anecdotal and based on results I’ve seen and people I’ve spoken to.
In general, there doesn’t seem to be a big difference in the actual surgical result. I’ve seen folks who have and haven’t been on T get a variety of results from a variety of surgeons. You do not have to be on T to have top surgery and get rsults that make you happy.
However, keep in mind the general fat distribution of your body is impacted by whether or not your on T, and that might affect how you feel about your torso’s appearance. T also makes it easier to build muscle mass, and this will also affect the look of your chest.
All that said, there are two great ways to find out more. The first is to seek out photos/experiences from people who had surgery but aren’t on T. The second is to ask your surgeon about it.
Hey everyone.
I’m still deciding what to do with the binders. I will update soon.
To the people who have messaged me: I will get back to you soon as well. I apologize for the long wait, Tumblr does not notify me about instant messages.
So please, in the future do NOT contact me via the instant messaging system. Use fan-mail instead. I am sorry for the inconvenience, it’s just one of those annoying tumblr bugs.
Thanks everyone for the interest and ideas.

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Old Binders
Hey everyone!
I have been less than active lately due to work, school, a variety of medical issues, and life.
Anyway, I was cleaning last weekend and found a box of my old binders. I had meant to donate them right after surgery, but completely forgot about them.
I have a small variety, some old and some practically brand new. I will be posting the specifics of the sizes, styles, and condition soon. I know they are all Underworks, and they are all double-fronts with the exception of one tri-top. I believe they are all small/mediums as well.
I’m not sure if I should donate them to a program, a local LGBTQetc center, or maybe a give-away post. I just want to make sure they go to people who really need them.
Thoughts?
Hey everyone. I’ve gotten a lot of asks lately that I cannot answer.
This used to be in my FAQ, and I don’t know if it’s gone now, but please note that:
I do NOT have specific information about any surgeon that isn’t Garramone or Barlett.
I do not have information on specific insurance plans or insurance companies.
I want to help and can try and put you in touch with people who may know more, but in general (unless you are super lucky) I can’t help you with specific surgeons or insurances.
I’m sorry.
I found out my Aetna insurance plan will cover my surgery but I am having difficulties on figuring out what to do now. I have been on T for 5 years, my name is changed and I guess I should be getting a referral from my primary doctor who I've only seen once? I called and asked but the receptionist seemed very confused because I have been their only trans patient(i went to the Mazzoni center in Philly for my T). I'm completely lost on how to get this stuff figured out.
Anyone have any advice?Â
Hi. I currently work as a PA in a local practice, and I think I can help with some basics. Please note that this is general advice, because I personally did not have any insurance coverage for my surgeries.
So generally, for referrals, it depends on your insurance. HMOs and POS usually require referrals, generally PPOs don’t. If you don’t know much about your plan, it doesn’t hurt to call your insurance company and check. Even if you think you know your plan, it can be helpful to double check.
Now, depending on the surgeon you want to see, you may need certain paperwork to schedule an appointment or surgery. You should contact the surgeon’s office for that, and be aware of how that will limit your options. Also make sure to check and see if your surgeon takes insurance or not, as many do not take any insurance (like Dr. Garramone).
If you do need a referral from your primary care doctor, you don’t have to explain that much to the receptionist. Half my job is accepting that, even if I don’t know what a patient is talking about, if the doctor does, the message goes through. So when you call your primary care, do the following:
ask if they have a referral line. If they do (some larger practices do), the people there may have a better idea of what you need, or will at least be able to help you figure out referrals.
explain that you need a referral to a specific practice/doctor for a specific reason. Be as clear as possible, because this message may be going right to your doctor or may limit you in the future. “I need a referral to X doctor for y amounts of visits for a consultation about z procedure” is generally a good start.
if the reception staff is still confused, request to speak to the doctor or leave a message for the doctor to call you back. An easy script is “I would like to talk to Dr. A about my options for procedure B, which I would like to have with Dr. C. Can you have Dr. A call me back at *phone number* to discuss this?”
I hope this helps some. I don’t know much about this particular situation or anon’s doctor, but I this should be at least enough to get the ball rolling.
Hello, I have a question. I've had top surgery 1,5 year ago & revision 1 year ago. I have anxiety issues, cause of pressure on my chest. Can this have something to do with scar tissue? Does this sound familiair to anyone?
I personally have been experiencing something similar to this, but I also have a history of anxiety issues.
I also know at least one other guy in my support group said something similar, but I’m not sure of how common it is or if it’s due to scar tissue.
How about it? Does anyone else have a similar experience or any insight?
Hi there, I've had Top Surgery in November and have been developing the same kind of stretchmarks around my nipples. I was wondering how those mark on your chest look like now. I'm sorry about my English, it's not my native tongue.
Your English is fine, don’t worry!
The marks are still there for me, but have faded considerably. They are way less noticeable now than when they first developed.
I will post a picture as soon as I can so you can see how they have progressed for me.Â
UPDATE: Here it is!
As you can see, the red lines have faded considerably. This is a more recent thing, as even a month ago they were much more noticeable.
I use Vaseline for the marks, and I think it’s helped, but I can’t recommend anything because I don’t know for sure. A dermatologist may be helpful if you are bothered by your lines.

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How can I get top surgery if I'm genderqueer? don't they all want you to be All Man All The Time for the legal portion at least? That would feel so wrong. I'm not a man.
Okay, so here’s the deal. There are some surgeons who do not wish to operate unless you identify as male. HOWEVER, there are plenty of surgeons who are willing to operate on non-binary people. I’m going to dig around a bit for you, because I think I’ve seen a list and a few resources for nb people considering top surgery.
At the very least, know that my surgeon, Dr. Garramone, operates on non-binary people as well as ftms.
It's not as talked about, but you can definitely get top surgery without lying about you gender identity.
How long did you wait to masturbate?
.About two weeks. However, other people have told me their surgeons recommend you wait until you can exercise-about 6 weeks. It's an embarassing question to ask a surgeon, but better safe than osrry!
Ok. I want to have top surgery but i'm scared to lose sensation in my nipples? Nipple sensation is a pretty big deal to me...
There are surgical operations available that attempt to preserve nipple sensation, but everyone has to come to terms with the possibility of losing this to some degree. I’d love to tell you that certain operations absolutely will preserve all nipple sensation and that there’s no need to worry, but I have to be realistic with you and ensure that you are prepared for every potential outcome. It’s not a good idea to go into an operation with one outcome in mind. In doing so you set yourself up for post-op depression and disappointment.An important aspect in retaining nipple sensation is choosing an operation that preserves the nipple stalk. In standard Double Incision procedures this nipple stalk is severed, removing the nipple from their main nerve source. Even in this procedure the amount of sensation retained post-op can be visualized with a bell curve. On one end are people with absolutely no sensation whatsoever, on the other end are people with exactly the same amount of sensation as they had pre-op. 5% of people will lay on either end of that graph and the other 90% exist somewhere in the middle. It is more likely than not that a patient will have at least some sensation post-op, even if all they have is protective sensation. Protective sensation is the body’s ability to sense pain or discomfort.Surgical operations that preserve this nipple stalk, therefore increasing the rate of retaining sensation (beyond protective sensation) would be the keyhole method, peri-areolar method, and T-anchor method. Other variations exist but these are the most common. For keyhole and peri-areolar methods of top surgery you generally cannot be any larger than a B-cup chest. Even then your chest needs to be assessed by a surgeon to see if you would be a good candidate for these operations as other factors come into play, such as skin elasticity. These procedures have minimal scarring that is usually not visible and tend to have the highest rates of post-op sensation. The t-anchor operation is similar to DI but differs in the sense that the nipple stalk is never severed. Instead, an extra vertical incision is made that runs from the bottom of the areola to the incision made across the pectoral muscle. This allows the nipple to be reduced in size and repositioned without ever breaking that connection to the blood supply and nerve line. This results in an increased chance of retaining sensation than one would have going the traditional DI route. The operation can be more expensive and there is an extra incision made, so there’s an extra scar, but for some people preserving nipple sensation is incredibly important.
I don’t hear many people talking about this, but I have some funky stretch marks around my nipples. They weren’t there at one month or even two, but they showed up.
I’ve using vaseline on them and my scars, and they look better. I’m not sure if it’s time or what, but there’s that.
Does anyone else have any experience with stretch marks like this (around the nipple grafts, not there pre-op, etc)?
I have this as well. I thought I was the only one because I have never heard anyone else mention it. I had surgery with Dr. Garramone a year ago.Â
That's interesting. I wonder if it has to do with Dr. Garramone's technique (I also went to him) or if it's more common.
I don't hear many people talking about this, but I have some funky stretch marks around my nipples. They weren't there at one month or even two, but they showed up.
I've using vaseline on them and my scars, and they look better. I'm not sure if it's time or what, but there's that.
Does anyone else have any experience with stretch marks like this (around the nipple grafts, not there pre-op, etc)?

Anya is live and ready to show you everything. Watch her strip, dance, and perform exclusive shows just for you. Interact in real-time and make your fantasies come true.
Free to watch • No registration required • HD streaming
So I really want top surgery but I'm scared that It won't look as good as it should because I'm like hardly an A cup so theres not much to work with you know? do you think everything will be okay?
While I'd love to say yes, everything will be perfect, I can't really be sure. Like everyone else, there will be factors into how your results look and feel to you.Â
HOWEVER, if you're worried about the size issue, fear not. I've seen many many people who had small chests pre-op and had excellent post op results. A good surgeon will help you pick the procedure that meets your needs and will help you get the results you need.
I recommend you check out trans bucket and take a look at some of the before and after pictures to get an idea of what your chest will look like.
You can still have good results that look the way you need them to look. It's not a guarantee for everyone, but top surgery absolutely has potential to give you a great looking chest.
Best of luck!
Hi. I'm hoping to have top surgery soon, but I have my nipple pierced. My nipple piercing is currently the only thing I like about my chest and it's helped me a lot to feel better about myself so I don't regret getting it, but I'm worried that it will affect the outcome of my surgery. Will a piercing increase the likeliness of nipple loss? I can't find much information about this and I'm worried. Any information would be helpful.
From what I understand, it should not be a make-or-break factor. I think the best course of action would be to email your prospective surgeon and ask if it will be an issue with their particular style of nipple grafts. They may simply request you let the piercing close prior to surgery, for example.
Anecdotally, I know one or two guys who had piercings prior to surgery and didn't have any issues,, but that doesn't say anything about your situation.
I'm sorry I can't be of more help. Best of luck.