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.

[*Anya*]

I posted here a couple of years ago. My long-term ex was heavy and had extremely large breasts. She hated them.

She did not ID as male but absolutely identified as very masculine of center. She liked being called sir and hated that when she turned around and they saw her chest, people would get flustered and apologize, calling her ma'am.

I don't even know what size they were or what the largest size actually is.

She did have frequent back aches and grooves in her shoulders.

She had insurance through her job-a PPO.

She researched plastic surgeons and found one comfortable with reducing them down to less than an A.

The surgery went well. She was in the hospital for at least 2 days (this was probably 20 years ago) and she had drains in both breasts. When she woke up from anesthesia, she felt both breasts that were heavily bandaged (you still could hardly see them) and she cried with happiness.

I did admire them (without touching). They were perfect and very, very, very small. She never wore a bra again and did not need to. She then lost a lot of weight and they never changed size or moved from their perfect smallness.

You do not need to go the route of complete removal unless you truly want to!

Options!

Explore reduction. I saw her again about 3 years ago and in a shirt, I could not see any difference! They never grew and never sagged.

No gravity for her!

From plasycsurgery.org:

Breast reduction candidates

Overly large breasts can cause health and emotional problems. In addition to self image issues, you may also experience physical pain and discomfort.

The weight of excess breast tissue can impair your ability to lead an active life. The emotional discomfort and self-consciousness often associated with having large pendulous breasts can be as important an issue as the physical discomfort and pain.

Breast reduction is a good option for you if you:

Are physically healthy
Have realistic expectations
Don't smoke
Are bothered by feeling that your breasts are too large
Have breasts that limit your physical activity
Experience back, neck, and shoulder pain caused by the weight of your breasts
Have shoulder indentations from bra straps
Have skin irritation beneath the breast crease

https://www.plasticsurgery.org/recon...ion/candidates

[Wrang1er]

I, too would love a reduction. Size a would be A-mazing!

[ClintB]

Anya- thank you for the post... I'm glad to hear that so,done went that small who was full figured and you found it attractive.

I have heard that some insurances willl limit the amount of tissue that can be taken. Maybe a size b wouldn't be so bad either. Still could get down to flat with a sports bra... I think. I would like to get rid of my binders though.


If push came to shove, maybe I could save up and pay out of pocket. Yikes, but I have a good job and it may be doable.

[Mel C.]

When I think of myself, I think of a chest, not breasts. If I had a medical reason, I'd have them removed.

[JDeere]

I want a reduction really bad but they wont give me the size I want and I have seen many overweight transguys with full top surgery, they just look like heavy cis male, I'm not trying to be offensive or anything but that is how I see it, from my own experience.

I hope everyone gets what they want and need because some of us won't ever get it.

[BullDog]

I want to have chest surgery and not a breast reduction. That's obviously a personal choice for everyone. The older I get the more uncomfortable I am with my chest. So I really do need to come up with a financial plan to make it happen.

If I do get it I'll look like a chubby butch with a flat chest because that's who I am. I think it will be very freeing for me and the aesthetics are definitely secondary to how it will make me feel in my body.

And what's wrong with big butches, FTMs and males anyway?

[ClintB]

Originally Posted by JDeere

I want a reduction really bad but they wont give me the size I want and I have seen many overweight transguys with full top surgery, they just look like heavy cis male, I'm not trying to be offensive or anything but that is how I see it, from my own experience.

I hope everyone gets what they want and need because some of us won't ever get it.

So that is my observation as well, overweight FTM men with fulll chest reconstruction look just fine... just like any other guy of their size.

Certainly nothing wrong with being overweight... it's my own insecurities combined with what I've heard from a cis females wanting reductions about "medical standards"

i am overweight. I essentially want to appear flat chested to the world and I don't want to really have to "deal" with breasts. But.... I'm not sure I want a male looking chest.

Luckily I was just looking and some pre and post op pics... and I think I was wrong (as well as my ex). There were a few overweight individuals who went really small (like a b cup) and it actually looked just fine to me. So I'm less worried now.