POSTED UNDER Feminizing Top Surgery REVIEWS
Gender Confirmation Surgeries
ORIGINAL POST
So, I joined RS a few weeks back, to look at...
WORTH IT
So, I joined RS a few weeks back, to look at various procedures I am about to have done. I am a transgender woman, 26 years old, and I have been on HRT since 2010. I am just now starting my surgery process. I have had no prior surgeries. This review is to help other trans girls looking for information. On June 7th, I will be having SRS, using the penile inversion technique. At the same time I will also be undergoing breast augmentation. Later this summer, shooting for August, but haven't nailed down a date yet, I will be doing some FFS. Right now we have agreed to lower my hairline, narrow the tip of my nose, and shave down my brow ridge/forehead bone. As I progress I will post pictures and other information related to my procedures.
UPDATED FROM mtaylorb3
6 days pre
7 Days Preop
So my surgery is a week away today and I am just so terribly excited. I decided to update my review and add some more relevant information. So to recap, I am having Sex Reassignment Surgery (Penile Inversion Technique) and Breast Augmentation, as part of Gender Confirmation Surgeries, on June 7th 2017, at 7:30 AM, with Dr. Jess Ting at Mt. Sinai in NYC. A bit about me, I am 26 years old, mixed race, 6', 223lbs, no kids (haha), and I have been on HRT (Spironolactone and Estradiol) since June 2010.
I am a tad self-conscious about my weight. I just recently graduated from law school (yay!!!), May 24th 2017, and I put on a lot of weight during this last year of school from stress and not having a normal schedule. However, since the end of classes, I have been eating better and working out more consistently to drop the weight and get back to where I use to be. I have a naturally more athletic body for sure, so a few solid months of eating right and working out, the weight will come off. So definitely a work in progress there haha. It's coming off slowly but surely. Anywho, I will start with my breasts.
So I have posted my before pics. I am not sure of my pre-surgery measurements as they are all over the place depending on the store. I would definitely say I am like a B cup though. They are also somewhat tuberous. Again I have been on hormones for about 7 years now. Initially, my Endocrinologist told me that I could expect to be a cup size less than my mom and sister. They both have like a B-C, so I was not hoping for a miracle. I always knew that I would eventually get them done after I was done with school. That being said, I think my breasts have done fine in the 7 years on hormones but they cause me a lot of dysphoria and insecurity with my body. They are also only big when I gain weight, diminish if I even think about exercise, and uneven. So in consulting for my BA, I met with several doctors, but decided to go with Dr. Ting because he could do the BA and SRS in one surgery, so one less recovery and one less time under anesthesia. Plus he made me feel super comfortable and I think he is very meticulous when it comes to aesthetics, which is important to me. As a transgender person, I have found doctors can be somewhat callous/limited in their view of what can be achieved, but Dr. Ting shoots for the stars and after seeing his previous work, I am sure I will be satisfied. Dr. Ting recommended the Natrelle 410 Silicone Gel Shaped Breast Implants (Gummy Bear). I looked at them and felt them in office, looked at before and afters of previous patients, and I just was not into it. I told him my main concerns were being proportional, looking professional (as I am an attorney) and fullness. In my opinion, the tear drop shaped implants, while very natural looking, are just not attractive. I have no problem looking more "augmented" and I just do not want that slope/lack of fullness at the top, that comes with the Gummy Bears/Tear Drops. I have a wide chest naturally and a lot of space above my breast so I want an implant that will fill that out. So we decided on 450 CC HP Round Silicone Gel Implants. They will definitely be "larger" but as I have a larger/taller/wider frame, I think they will look better and be more proportional. Dr. Ting is going to do the incision inframammary and place the implant under the muscle. I have decided against posting wish boobs haha. I just do not know how practical that is. However, I am very excited and I have full faith in Dr. Ting. He, like many surgeons, has ordered a couple sizes up and down of the 450cc and has promised to go with what looks best.
On to the SRS. So again, Dr. Ting uses the Penile Inversion Technique. To get ready I had 3-4 electrolysis appointments starting back in March and spaced 2-3 weeks apart. Each session lasted about 45 minutes to 1 hour. They do the electrolysis at Mt. Sinai and it is required by Dr. Ting. I do not have much to report on this part of the surgery haha. I will definitely post post-op pics after surgery and update on the dilating experience, swelling rate, etc. I seriously cannot wait to be post-op and to have the majority of my transition behind me.
As it is 1 week prior to surgery I will also post my Pre-Op Instructions.
I had my Pre-Op Appointment on May 23, 2017. They went over everything with me again. They took my vitals, medical history, and collected blood samples for labs. I was cleared 2 days later. The instructions are pretty standard. No eating or drinking after midnight the day of surgery, must do a bowel prep starting at noon the day before, no smoking (not a smoker), no drugs (obviously don't do drugs either haha), no aspirin for a week, and I am cleared to continue hormones until the day of surgery along with my digestive/vitamin supplements. No body piercings the day of surgery and wear loose clothing. I got a bunch of XL sleeveless t-shirts from VS during the Memorial Day Sale. The arm openings are huge so I think that will help a lot. I also purchased some XL adidas track pants and a hoodie to wear to the hospital. Also no nail polish, perfume, lotion, or cosmetics the day of surgery. I can shower the morning of surgery before I go in. My surgery time is 8:30 AM, I have to arrive by 6:30 AM, and I will be in the hospital a minimum of 3 days. So the earliest I will be getting out is June 11, 2017.
So that is pretty much all of the Pre-Op information. I have posted some pics. The pics in the blue/black underwear and bra set are from today, May 31, 2017, and then I threw in some pics from within the last year. (Making me miss last summer and when I was tan and skinnier haha)
7 more days!!!!!!!! =)
Please feel free to inbox me/comment with any questions!
I am a tad self-conscious about my weight. I just recently graduated from law school (yay!!!), May 24th 2017, and I put on a lot of weight during this last year of school from stress and not having a normal schedule. However, since the end of classes, I have been eating better and working out more consistently to drop the weight and get back to where I use to be. I have a naturally more athletic body for sure, so a few solid months of eating right and working out, the weight will come off. So definitely a work in progress there haha. It's coming off slowly but surely. Anywho, I will start with my breasts.
So I have posted my before pics. I am not sure of my pre-surgery measurements as they are all over the place depending on the store. I would definitely say I am like a B cup though. They are also somewhat tuberous. Again I have been on hormones for about 7 years now. Initially, my Endocrinologist told me that I could expect to be a cup size less than my mom and sister. They both have like a B-C, so I was not hoping for a miracle. I always knew that I would eventually get them done after I was done with school. That being said, I think my breasts have done fine in the 7 years on hormones but they cause me a lot of dysphoria and insecurity with my body. They are also only big when I gain weight, diminish if I even think about exercise, and uneven. So in consulting for my BA, I met with several doctors, but decided to go with Dr. Ting because he could do the BA and SRS in one surgery, so one less recovery and one less time under anesthesia. Plus he made me feel super comfortable and I think he is very meticulous when it comes to aesthetics, which is important to me. As a transgender person, I have found doctors can be somewhat callous/limited in their view of what can be achieved, but Dr. Ting shoots for the stars and after seeing his previous work, I am sure I will be satisfied. Dr. Ting recommended the Natrelle 410 Silicone Gel Shaped Breast Implants (Gummy Bear). I looked at them and felt them in office, looked at before and afters of previous patients, and I just was not into it. I told him my main concerns were being proportional, looking professional (as I am an attorney) and fullness. In my opinion, the tear drop shaped implants, while very natural looking, are just not attractive. I have no problem looking more "augmented" and I just do not want that slope/lack of fullness at the top, that comes with the Gummy Bears/Tear Drops. I have a wide chest naturally and a lot of space above my breast so I want an implant that will fill that out. So we decided on 450 CC HP Round Silicone Gel Implants. They will definitely be "larger" but as I have a larger/taller/wider frame, I think they will look better and be more proportional. Dr. Ting is going to do the incision inframammary and place the implant under the muscle. I have decided against posting wish boobs haha. I just do not know how practical that is. However, I am very excited and I have full faith in Dr. Ting. He, like many surgeons, has ordered a couple sizes up and down of the 450cc and has promised to go with what looks best.
On to the SRS. So again, Dr. Ting uses the Penile Inversion Technique. To get ready I had 3-4 electrolysis appointments starting back in March and spaced 2-3 weeks apart. Each session lasted about 45 minutes to 1 hour. They do the electrolysis at Mt. Sinai and it is required by Dr. Ting. I do not have much to report on this part of the surgery haha. I will definitely post post-op pics after surgery and update on the dilating experience, swelling rate, etc. I seriously cannot wait to be post-op and to have the majority of my transition behind me.
As it is 1 week prior to surgery I will also post my Pre-Op Instructions.
I had my Pre-Op Appointment on May 23, 2017. They went over everything with me again. They took my vitals, medical history, and collected blood samples for labs. I was cleared 2 days later. The instructions are pretty standard. No eating or drinking after midnight the day of surgery, must do a bowel prep starting at noon the day before, no smoking (not a smoker), no drugs (obviously don't do drugs either haha), no aspirin for a week, and I am cleared to continue hormones until the day of surgery along with my digestive/vitamin supplements. No body piercings the day of surgery and wear loose clothing. I got a bunch of XL sleeveless t-shirts from VS during the Memorial Day Sale. The arm openings are huge so I think that will help a lot. I also purchased some XL adidas track pants and a hoodie to wear to the hospital. Also no nail polish, perfume, lotion, or cosmetics the day of surgery. I can shower the morning of surgery before I go in. My surgery time is 8:30 AM, I have to arrive by 6:30 AM, and I will be in the hospital a minimum of 3 days. So the earliest I will be getting out is June 11, 2017.
So that is pretty much all of the Pre-Op information. I have posted some pics. The pics in the blue/black underwear and bra set are from today, May 31, 2017, and then I threw in some pics from within the last year. (Making me miss last summer and when I was tan and skinnier haha)
7 more days!!!!!!!! =)
Please feel free to inbox me/comment with any questions!
Replies (21)
June 3, 2017
Good luck girl, I'm mtf I can't wait to see you results, thanks for all the information that you post
July 12, 2017
You seem really cool, my name is Ashley I live in the UK. Well done on law school which one did you go too I was never that smart nor could I be bothered with all the hard work so good for you! :) I noticed that we do not get spironolactone in the UK whatever that is, I am only taking estrogen and a hormone blocker which is called decapeptyl 11.25mg goes in your bum every 3 months I think I have only had three got my next one coming up this month lol and when you speak about your breasts I am your age 26.. and I have none lol I have been hormones for like a year or so I think you have been very patient which is very kl x as a lot of people cannot be that patient so I am pleased for you and I am sure that you will have the results that you desire as so will I and everyone :)
I am a delivery driver for a company called Ocado check them out lol we deliver peoples groceries to them all other the UK and I really enjoy my job my take me until I am like in my thirties before I can even thinking of getting a boob job as of debt etc... but at least In our country they pay for srs surgery on the nhs so I just have to be patient and as we are all on the same waiting list you have to wait like two years just before you get your first appointment which kinda sucks! otherwise I would of been on hormones like in 2009-2010 like you! but you know what, I am happy with my life and my decisions and I think that is the best thing for us, as long as we are happy that is the main thing. :) good luck with your journey and recovery xx
I am a delivery driver for a company called Ocado check them out lol we deliver peoples groceries to them all other the UK and I really enjoy my job my take me until I am like in my thirties before I can even thinking of getting a boob job as of debt etc... but at least In our country they pay for srs surgery on the nhs so I just have to be patient and as we are all on the same waiting list you have to wait like two years just before you get your first appointment which kinda sucks! otherwise I would of been on hormones like in 2009-2010 like you! but you know what, I am happy with my life and my decisions and I think that is the best thing for us, as long as we are happy that is the main thing. :) good luck with your journey and recovery xx

July 12, 2017
Aw thank you! For sure, I definitely needed this information prior to and post surgery. Just want to do my part.
August 28, 2017
Your breasts look amazing. You must have a really good jean. It grow it really nice and big. Mine is not even a full 32 A. It so small, Im still on a really low dose on my HRT. Maybe I can ask my doctor to increase it but it been on HRT for over 10 years since late 2009

November 6, 2018
Hey SGLTR, so many factors go into breast growth on HRT. I was never happy with mine pre-breast augmentation. I think BA is the only way to go to get the best results.
UPDATED FROM mtaylorb3
1 day pre
One More Day!!!
It's so crazy think that something I've wanted my whole life is now less than 24-hours away. I keep alternating between extreme euphoria and panic that something will go wrong and they will call and tell me it's not happening tomorrow lol. (So goes my life)
However, haha, I am going to keep my fingers crossed and pray everything works out. Which it will haha! I have fought too long for this!
So a few things I wanted to add before surgery. I want to talk about hormones, day before procedures, and some changes to my breast augmentation.
HRT
So, I began HRT on June 28, 2010. I was always on a fairly high does of Sprironolactone and then the Estrogen was added and increased more slowly. In the past year I've been on the highest dose my doctor offers, 8mg, and boy did I see serious side effects. While my boobs grew to their largest size ever, I gained so much weight (stretch marks on my hips for days), my moods/anxiety became unbearable (but weighed against my body dysphoria I just had to take the extra estrogen), and then there were the hot flashes. Now idk how many other girls go through hot flashes, I know HRT in menopausal cisgender women is supposed to control hot/cold flashes but gosh I will tell you, if I even thought about being warm, my body would heat up and I would be soaked. I'm sure it is also an anxiety response which the estrogen was exacerbating. Anywho, I say all of this to say that I am so damn glad I am getting off HRT lol. I literally haven't taken estrogen or spiro in 2 days and already I feel better. My plan is to take 2 mg, 1mg in the AM and 1mg in the PM, of estrogen after tomorrow and hopefully such a low dose will still have some positive side effects and less of the horrible stuff. I am going to set a post-op appt with my primary doctor of course and talk to him about it and see what he recommends, but I am shooting for as low as freaking possible.
Day Before Stuff
So today begins the fun bowel prep lol. I'll stat that at noon and then after that mostly water and clear liquids. I am going to have a workout and a decent but healthy breakfast to hopefully keep me somewhat satiated. So I have to be at the hospital at 5:30 AM tomorrow. One weird thing is that Dr. Ting's nurse Elsa has still not called me and let me know if/when I need to pick up prescriptions lol. So idk. In the info packet it says she calls the business day before surgery but still, I don't like last minute things. So I'm gonna give her til noon because at a certain point I just want to remain home for the rest of the day (I mean I will be owls prepping). I should mention my grandmother got into town yesterday and she will be staying with me for the first 2 weeks. She's retired so lots of free time. Secretly I'm super happy she's here. I have my friends of course but there is nothing like family.
Breast Augmentation
Finally, so I was browsing the breast augmentation section on this wonderful website on Saturday night. Comparing/Contrasting haha. I started to feel as if 450ccs may not be big enough for my body and the look I want. I emailed Dr. Ting and he got back to me the same night, on a Saturday! He is such a sweet and dedicated guy. I told him my concerns. I of course don't wanna have boob greed, I've waited my whole life for this haha. Also I only wanna do this once and I just want the best result possible. I told him again, aesthetically I like larger boobs. However, I will be working in a law office so I can't look ridiculous. I just want to be proportional for my height, shoulder width and chest width. I also want to be full. So he said he was comfortable doing a larger implant and told me he ordered the spectrum of sizes up to 600cc. Now 600cc is a bit much lol. He told me he would place sizers in and go with what looks best. Ladies it's so important you have a plastic surgeon whom you can communicate with and who is truly working FOR YOU. Ultimately we are consumers and thus we are asking for a service and we should get the best customer service. Dr. Ting has always made me feel welcome to ask questions at anytime and his knowledge and openness about literally every trans-related topic has made me feel so comfortable, it's unreal. If you are considering any kind of gender confirmation surgeries, I highly suggest setting up a consult with Dr. Ting. I of course can't vouch for his work quite yet but the pics he showed me of his prior work and his overall demeanor are what really won me over.
Okay ladies that's all for now haha. I am going to go enjoy my last workout for quite awhile and hopefully quell my nervous energy/excitement.
However, haha, I am going to keep my fingers crossed and pray everything works out. Which it will haha! I have fought too long for this!
So a few things I wanted to add before surgery. I want to talk about hormones, day before procedures, and some changes to my breast augmentation.
HRT
So, I began HRT on June 28, 2010. I was always on a fairly high does of Sprironolactone and then the Estrogen was added and increased more slowly. In the past year I've been on the highest dose my doctor offers, 8mg, and boy did I see serious side effects. While my boobs grew to their largest size ever, I gained so much weight (stretch marks on my hips for days), my moods/anxiety became unbearable (but weighed against my body dysphoria I just had to take the extra estrogen), and then there were the hot flashes. Now idk how many other girls go through hot flashes, I know HRT in menopausal cisgender women is supposed to control hot/cold flashes but gosh I will tell you, if I even thought about being warm, my body would heat up and I would be soaked. I'm sure it is also an anxiety response which the estrogen was exacerbating. Anywho, I say all of this to say that I am so damn glad I am getting off HRT lol. I literally haven't taken estrogen or spiro in 2 days and already I feel better. My plan is to take 2 mg, 1mg in the AM and 1mg in the PM, of estrogen after tomorrow and hopefully such a low dose will still have some positive side effects and less of the horrible stuff. I am going to set a post-op appt with my primary doctor of course and talk to him about it and see what he recommends, but I am shooting for as low as freaking possible.
Day Before Stuff
So today begins the fun bowel prep lol. I'll stat that at noon and then after that mostly water and clear liquids. I am going to have a workout and a decent but healthy breakfast to hopefully keep me somewhat satiated. So I have to be at the hospital at 5:30 AM tomorrow. One weird thing is that Dr. Ting's nurse Elsa has still not called me and let me know if/when I need to pick up prescriptions lol. So idk. In the info packet it says she calls the business day before surgery but still, I don't like last minute things. So I'm gonna give her til noon because at a certain point I just want to remain home for the rest of the day (I mean I will be owls prepping). I should mention my grandmother got into town yesterday and she will be staying with me for the first 2 weeks. She's retired so lots of free time. Secretly I'm super happy she's here. I have my friends of course but there is nothing like family.
Breast Augmentation
Finally, so I was browsing the breast augmentation section on this wonderful website on Saturday night. Comparing/Contrasting haha. I started to feel as if 450ccs may not be big enough for my body and the look I want. I emailed Dr. Ting and he got back to me the same night, on a Saturday! He is such a sweet and dedicated guy. I told him my concerns. I of course don't wanna have boob greed, I've waited my whole life for this haha. Also I only wanna do this once and I just want the best result possible. I told him again, aesthetically I like larger boobs. However, I will be working in a law office so I can't look ridiculous. I just want to be proportional for my height, shoulder width and chest width. I also want to be full. So he said he was comfortable doing a larger implant and told me he ordered the spectrum of sizes up to 600cc. Now 600cc is a bit much lol. He told me he would place sizers in and go with what looks best. Ladies it's so important you have a plastic surgeon whom you can communicate with and who is truly working FOR YOU. Ultimately we are consumers and thus we are asking for a service and we should get the best customer service. Dr. Ting has always made me feel welcome to ask questions at anytime and his knowledge and openness about literally every trans-related topic has made me feel so comfortable, it's unreal. If you are considering any kind of gender confirmation surgeries, I highly suggest setting up a consult with Dr. Ting. I of course can't vouch for his work quite yet but the pics he showed me of his prior work and his overall demeanor are what really won me over.
Okay ladies that's all for now haha. I am going to go enjoy my last workout for quite awhile and hopefully quell my nervous energy/excitement.
Replies (15)