Firstly, I'm a trans male (FTM) and unfortunately I have a D cup. Top surgery is too expensive right now, but I plan on starting hormones soon. I'm looking for a few facts on the affects of hormones (T) on breasts if any. Do they cause any shrinkage at all or any other kind of side effects to breasts?
Answer: FTM Top Surgery Scar Revision FTM Top Surgery can leave noticeable scars on the chest. Our office specializes in Hidef Scar Protocols to help correct scars from FTM Top Surgery; including Vbeam laser, fractional RF and Laser, scar modulation RF, topical scar protocols that do not require surgery, and scar subcision or excision. Best, Dr. Karamanoukian Realself100 Surgeon
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CONTACT NOW Answer: FTM Top Surgery Scar Revision FTM Top Surgery can leave noticeable scars on the chest. Our office specializes in Hidef Scar Protocols to help correct scars from FTM Top Surgery; including Vbeam laser, fractional RF and Laser, scar modulation RF, topical scar protocols that do not require surgery, and scar subcision or excision. Best, Dr. Karamanoukian Realself100 Surgeon
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CONTACT NOW April 30, 2017
Answer: Effects of Hormones on FTM Top Breast Surgery & Insurance Coverage Many companies will require one year of HRT (Hormone replacement therapy). The #benefits of HRT for every patient, however, do include heavier #chest #muscles and more chest #hair; which can cover some incisions while you are healing. #HRT may be a strong consideration for most patients. WPATH (World Professional Association for Transgender Health) provides the best current standards of care for physicians to assist in the care of #transgender, #transsexual and #nonconforming patients.Hormone therapy for top surgery is not required unless you’re seeking coverage through #insurance. There are a number of states that now prohibit discrimination and legally require #insurance companies to provide transgender health coverage. If you live in a state where surgery coverage is not mandated by law, you still might be able to get your top surgery covered via student health insurance. To get #Top Surgery covered by insurance there are a number of requirements. Here are some of the obstacles you may face:1. Meeting the insurance company's basic criteria: legal adult status, Gender Dysphoria diagnosis, support letters from qualified mental health practitioners, your primary care provider and your surgeon.2. Having to pay out-of-pocket for surgery, then getting a reimbursement from the insurance company.3. Having to be evaluated by a board of in-network doctors.4. Finding in-network surgeons who have Top Surgery experience.Keep in mind, that coverage varies between health insurance companies, states, and plans. Read your policy completely, not only the summary, and look for the #exclusions and limitations section. Finally, call your insurance company's member services department, or, contact a #benefits representative and ask the following:• Is my selected surgeon a provider with my specific plan? (Make sure that you provide the representative with your surgeon's NPI number.)• If my surgeon is NOT a provider, does my plan have out of network benefits?• Does my plan cover gender confirmation Top Surgery?• How much is my deductible?Being each person varies, it’s important to be realistic about your goals and what is achievable. It's best to consult with your board-certified plastic surgeon about your concerns and to confirm if FTM Top is in your best interest.
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CONTACT NOW April 30, 2017
Answer: Effects of Hormones on FTM Top Breast Surgery & Insurance Coverage Many companies will require one year of HRT (Hormone replacement therapy). The #benefits of HRT for every patient, however, do include heavier #chest #muscles and more chest #hair; which can cover some incisions while you are healing. #HRT may be a strong consideration for most patients. WPATH (World Professional Association for Transgender Health) provides the best current standards of care for physicians to assist in the care of #transgender, #transsexual and #nonconforming patients.Hormone therapy for top surgery is not required unless you’re seeking coverage through #insurance. There are a number of states that now prohibit discrimination and legally require #insurance companies to provide transgender health coverage. If you live in a state where surgery coverage is not mandated by law, you still might be able to get your top surgery covered via student health insurance. To get #Top Surgery covered by insurance there are a number of requirements. Here are some of the obstacles you may face:1. Meeting the insurance company's basic criteria: legal adult status, Gender Dysphoria diagnosis, support letters from qualified mental health practitioners, your primary care provider and your surgeon.2. Having to pay out-of-pocket for surgery, then getting a reimbursement from the insurance company.3. Having to be evaluated by a board of in-network doctors.4. Finding in-network surgeons who have Top Surgery experience.Keep in mind, that coverage varies between health insurance companies, states, and plans. Read your policy completely, not only the summary, and look for the #exclusions and limitations section. Finally, call your insurance company's member services department, or, contact a #benefits representative and ask the following:• Is my selected surgeon a provider with my specific plan? (Make sure that you provide the representative with your surgeon's NPI number.)• If my surgeon is NOT a provider, does my plan have out of network benefits?• Does my plan cover gender confirmation Top Surgery?• How much is my deductible?Being each person varies, it’s important to be realistic about your goals and what is achievable. It's best to consult with your board-certified plastic surgeon about your concerns and to confirm if FTM Top is in your best interest.
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February 8, 2017
Answer: I'm FTM trans- what will testosterone due to my breasts? Testosterone will have many masculinizing effects. This includes shrinkage of glandular breast tissue. Unfortunately, it will not shrink the skin to any noticeable degree. This will leave your breast looking like deflated pancakes. You will need surgery in order to address this. If you have health insurance, you should check with your plan to see if they will cover the procedure. If not, just start slowly saving so that you can get the results you want. While it may take a little longer than you want it to, it will happen.
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CONTACT NOW February 8, 2017
Answer: I'm FTM trans- what will testosterone due to my breasts? Testosterone will have many masculinizing effects. This includes shrinkage of glandular breast tissue. Unfortunately, it will not shrink the skin to any noticeable degree. This will leave your breast looking like deflated pancakes. You will need surgery in order to address this. If you have health insurance, you should check with your plan to see if they will cover the procedure. If not, just start slowly saving so that you can get the results you want. While it may take a little longer than you want it to, it will happen.
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August 22, 2016
Answer: FTM hormones Testosterone may have an effect on decreasing breast volume, however it will not decrease the amount of skin (which for D cup breasts is quite significant), so top surgery will most likely still be necessary in order to truly achieve a masculine chest contour. We have had favorable experiences recently with insurance coverage for this procedure.In order to get a qualified, expert opinion on your surgical options and expectations visit a plastic surgeon certified by the American Board of Plastic Surgery. Best of luck, Keith M. Blechman, MD New York, NY
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CONTACT NOW August 22, 2016
Answer: FTM hormones Testosterone may have an effect on decreasing breast volume, however it will not decrease the amount of skin (which for D cup breasts is quite significant), so top surgery will most likely still be necessary in order to truly achieve a masculine chest contour. We have had favorable experiences recently with insurance coverage for this procedure.In order to get a qualified, expert opinion on your surgical options and expectations visit a plastic surgeon certified by the American Board of Plastic Surgery. Best of luck, Keith M. Blechman, MD New York, NY
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September 26, 2015
Answer: Top Surgery I appreciate your question.The 2 major methods are double incision mastectomy with nipple grafting and keyhole.It depends on the size of your breasts as to which method would be best for you and the ability to maintain nipple sensationThe decrease in estrogen will shrink your breasts but ultimately you may still need surgery The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz
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CONTACT NOW September 26, 2015
Answer: Top Surgery I appreciate your question.The 2 major methods are double incision mastectomy with nipple grafting and keyhole.It depends on the size of your breasts as to which method would be best for you and the ability to maintain nipple sensationThe decrease in estrogen will shrink your breasts but ultimately you may still need surgery The best way to assess and give true advice would be an in-person exam.Please see a board-certified plastic surgeon that specializes in aesthetic and restorative breast surgery.best of luck!Dr Schwartz
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