Top Surgery for Butches: Have you thought about it?

[DapperButch]

Originally Posted by ClintB

This thread is 90 percent of the reason I joined BFP.

I have never accepted my chest. I always promised myself, if I ever lost the weight (I'm heavy) my "reward" would be to get rid of them. The thing is though I always felt I was weird that even though I wanted a flat chest in public, I wanted a female chest naked... like an a cup. I figure then with a sports bra they will virtually not be there. I even think it may be worth doing now, but I've heard that if you're plus sized the doctor will want you to lose weight first. Plus an ex GF said with my build (she was being kind) I would look rediculous with a cups. I know she may get some flack for that, but I can't help but think she was kinda just stating the facts. The other part of me is getting less and less interested in staying attractive and more interested in being comfortable with myself.

Binders...I wear sometimes, but when you're a DD they reshape and that's about it, there is no way to make it appear that there aren't breasts there. I actually wear a sports bra with a binder over it, because those bastards just reposition themselves where ever they want without the bra on. The will fall plum out the bottom of shorter binders.

Has anyone had a. Reduction that is overweight? I've met trainmen with full reconstruction that looks fine... but would tiny a cups on an overweight female body look rediculous?

Clint, I looked into this back when I was fighting myself over being trans. You can only go so low based on your size. As a DD, you can probably not get smaller than a B/C. I don't know the language to explain it, but maybe you can find more information on google.

Originally Posted by cathexis

Another with DD cups. Considered top surgery often, but also concerned with what it would look like with a heavy short torso.

Anyone tried to get a sympathetic surgeon to do it as a medically necessary mastectomy? Think it might be possible to get insurances to cover it. Am concerned if it would be covered by Medicare.

Does anyone know if top surgery for gender dysphoria is covered under Medicare during this current administration. Aware it was being reviewed under President Obama, but have they reversed any decisions???

Medicare covers top surgery. It used to be near impossible to get them to cover trans surgeries (after they said they would), but now it is easier. It is hard to find a surgeon who will take Medicare. Loren Schecther does, but that is only if you have a secondary insurance. Too, he only takes so many per year since how much he gets is practically nothing. He is in Chicago.

Contact Medicare and ask them for a list. I doubt they will be for travel, housing, and of course you have to stay in the area for one week after top surgery.

Back in the day, surgeons would code it as mastectomies, but no more. The cost is too high.