Is it possible to get both top and bottom surgery without taking Testosterone?

Question

I identify as trans, ftm, but I'd prefer to not take Testosterone, but I still want top and bottom surgeries. And is it possible to have bottom surgery without T and to have bottom surgery first?

Richard A. Bartlett, MD · Answer

Dear mjmoletem7, Thank you for your question. I specialize in Top Surgery at my practice and it is not a requirement to take Testosterone for this specific operation. As always, I suggest consulting with your Board Certified Operating Surgeon. Best of luck to you!

Babak Dadvand, MD · Answer

Hi,Thanks for the post. I can only speak to the TOP surgery as this is my area of expertise. It is not a requirement to be on testosterone for TOP surgery. The benefits of testosterone in the chest are bulking up the pectoralis muscle and reducing the amount of breast tissue, but the surgery would still have outstanding results without being on testosterone. Sincerely,Dr. Dadvand

Tracy Kayan, MD · Answer

I can speak for the top surgery portion of things because I perform a lot of these surgeries, and while taking testosterone does help shrink and soften the breast tissue, it is not a requirement for undergoing top surgery, nor do insurance companies require that a patient be on testosterone in order to cover top surgery. I have had plenty of patients NOT on testosterone successfully undergo top surgery with excellent results.

Is it possible to get both top and bottom surgery without taking Testosterone?

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