Top Surgery for Butches: Have you thought about it?

[JDeere]

I've considered a reduction but not complete top surgery. It's expensive on my end due to no insurance and I might not survive another surgery, long story on that. But yeah I've hated mine since I was a young kid.

[DapperButch]

Originally Posted by JDeere

I've considered a reduction but not complete top surgery. It's expensive on my end due to no insurance and I might not survive another surgery, long story on that. But yeah I've hated mine since I was a young kid.

You can get Obamacare, just like everyone else. Although your State has chosen to not do their own exchanges ( because Rick Perry wants you all to continue to be the state with the highest uninsured rate in the country), you can still get insurance (even though it is going to cost you more because...well Rick Perry), through the federal exchanges.

http://obamacarefacts.com/insurance-...ance-exchange/

If you meet the criteria for reduction, insurance will pay for it.

Since the state of Texas is anti trans, Texas does not require insurance companies to provide trans services (so yes, would have to pay out of pocket for top surgery, most likely).

[JDeere]

Originally Posted by DapperButch

You can get Obamacare, just like everyone else. Although your State has chosen to not do their own exchanges ( because Rick Perry wants you all to continue to be the state with the highest uninsured rate in the country), you can still get insurance (even though it is going to cost you more because...well Rick Perry), through the federal exchanges.

http://obamacarefacts.com/insurance-...ance-exchange/

If you meet the criteria for reduction, insurance will pay for it.

Since the state of Texas is anti trans, Texas does not require insurance companies to provide trans services (so yes, would have to pay out of pocket for top surgery, most likely).

Yes it will cost me out of pocket, quite a pretty penny for anything I need done. I can't afford insurance of any kind right now. So I'm just stuck.

[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?

[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???

[ClintB]

I'm not sure about full chest surgery, but the one advantage of having a larger chest is a reduction may be covered for back and neck pain and issues. I am wondering if you are allowed to pick the size though. I've heard that sometimes jnsurance will limit the size reduction. Why they really care I don't know.

[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

[DapperButch]

Originally Posted by ClintB

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.

I would highly recommend this binder:

https://www.gc2b.co/

They came out after I got top surgery, but all of my clients say they bind well (even the really big guys), but are still comfortable. You may find you are ok-enough with this if surgery is something that doesn't work out for you.

Butches have been wearing the Frog Bra since the 1990's!

https://www.titlenine.com/product/frog-bra-320927.do

This though, doesn't get on completely flat when you are working with a DD. However, it is a good choice for working out.

Also, always buy the right size binder and never double up. People believe that it makes them flater, but that just isn't accurate. Don't wear beyond 8 hours, if you can help it.