top surgery

[cathexis]

Been worried about how my core will look after the
top surgery removing size DD beasts. Got a beer gut too
even though don't drink beer, in fact hate the stuff. Am
sure gut will look like a mountain.

Will be glad to get the breasts gone, though. I am waiting
for Internal Med. and Cardio. clearance then my surgeon is
ready to schedule the case. Probably be done 1 month later.

Dapper, got a question after reading about guy's drains. My
surgeon told me there would no liposuction. Does that mean
there will be "dog ears" automatically?

[DapperButch]

Originally Posted by cathexis

Been worried about how my core will look after the
top surgery removing size DD beasts. Got a beer gut too
even though don't drink beer, in fact hate the stuff. Am
sure gut will look like a mountain.

Will be glad to get the breasts gone, though. I am waiting
for Internal Med. and Cardio. clearance then my surgeon is
ready to schedule the case. Probably be done 1 month later.

Dapper, got a question after reading about guy's drains. My
surgeon told me there would no liposuction. Does that mean
there will be "dog ears" automatically?

No, it does not automatically mean you will have dog ears. Dog ears most often occur due to surgeon inexperience/lack of skill. Some dog ear procedures can be taken care of in the surgeon's office and you should also ask if revisions are free. People should ask that at the time of their consult.

You will see some grossly overweight guys have fat on the sides of their chest, which they call dog ears. However, this is actually back fat and a different procedure would need to be done.

Regarding liposuction, I was just at a trans live surgical training this past week. One of this morning's live surgeries was double incision top surgery. Dr. Bluebond-Langner was saying that she never uses lipo when doing top surgery because there is too much of a chance of having flat spots. I think that makes sense.

[cathexis]

Another quick question.

Why can't it be done using laser instead of scalpel? Seems like
it would be less damaging to the surrounding tissue?

One more, ok? Do they do it with the patient supine or prone?
It scares me to be turned upside down. They'd better put me
out first!

[DapperButch]

Originally Posted by cathexis

Another quick question.

Why can't it be done using laser instead of scalpel? Seems like
it would be less damaging to the surrounding tissue?

One more, ok? Do they do it with the patient supine or prone?
It scares me to be turned upside down. They'd better put me
out first!

I don't know the answer to your first question, sorry.

They do your surgery while you are on your back. Most surgeons sit you straight up once or twice during the surgery (to have a looksee), and hopefully will have you in this position when they determine nipple placement.

You are welcome to ask me as many questions as you would like.

[DapperButch]

cathexis, one other comment.

If you have a preference for areola size, you should talk ask your surgeon what measurement he uses.

[cathexis]

Originally Posted by DapperButch

cathexis, one other comment.

If you have a preference for areola size, you should talk ask your surgeon what measurement he uses.

Thank you for quick responses to my questions, I really appreciate it, Dapper.
Have a couple more follow-up questions.
Isn't the usual, dime sized? What other sizes do guys want? The skin stretches over time, yes? Do the surgeons normally leave the color unchanged? Men in my family had darker areolas.
Do most docs do their top surgeries out-patient?
How long do guys normally have pain after a double incision surgery?

[DapperButch]

Originally Posted by cathexis

Thank you for quick responses to my questions, I really appreciate it, Dapper.
Have a couple more follow-up questions.
Isn't the usual, dime sized? What other sizes do guys want? The skin stretches over time, yes? Do the surgeons normally leave the color unchanged? Men in my family had darker areolas.
Do most docs do their top surgeries out-patient?
How long do guys normally have pain after a double incision surgery?

The majority of surgeons still use nickel size. 2.5cm. Garramone uses dime size. I believe that dime size looks more masculine and this is what I have. I have noticed that the surgeons who have less experience with top surgery (are used to doing cis women's breast reductions), tend to go even larger than 2.5cm. Honestly, it was because I know your surgeon is not a trans surgeon per se, that I mentioned this to you.

Your areolas will be the same color as they are now. Your surgeon should remove your areola/nipple complex. He should cut down the size of each. He should stich the areola on first and then stitch the nipple into the center. Some surgeons make oval shaped areolas because they can stretch diagnoally over time. Did your surgeon not go over how he does his areola/nipples?

I don't know of any who do inpatient. What does your surgeon do?

Pain varies between people. I used pain meds for only a handful of days (2-3?) and then used extra strength Tylenol like twice. The bulk of the pain for me was the drains. If you have drains, they are tubes pressed roughly against your sides by either a vest or a wrap. It sucks. Will you be getting a vest or a wrap?