87 votes

I'm getting top surgery!

I know I've seen a bunch of people say they want more positive posts here in ~lgbt, and happily I have the opportunity now!

I live in Germany and here top surgery needs to be individually approved by your insurance provider for them to cover it. I got a letter back from them on Monday agreeing to cover it, and as of today the hospital scheduled my surgery for late March! I was expecting a lot more delay between getting the approval from my insurance and when the surgery could be scheduled (especially after the months it took to gather all the paperwork I had to send my insurance!), so I'm super hype.

My work will give me all the time I need off, and I live with my wife who should be able to take over any tasks I can't do during recovery. As much as I complain about how trans healthcare works in Germany atm, I wouldn't have been able to get this surgery back home in the US for cost reasons. So I'm feeling really lucky right now -- my transmasc friend in college had to save up for years to afford their surgery.

I'd love any recommendations anyone has for how to make my recovery as easy and comfortable as possible. I've got transmasc friends who have got top surgery, but most of what I've got from them has been "take more time off work than I did" and "drains suck". The surgery is in only a little over a month, so longer-term stuff like "get to a healthy weight" and "gain pectoral muscle to get a better aesthetic" are probably off the table, but I welcome anyone's practical recommendations! Obviously I'll get instructions from the doctor but I figure there are likely people here with personal experience who might have suggestions that a doctor wouldn't think to mention.

Also, I'm getting double-incision (only real option at my size) and atm I'm erring on the side of not getting nipple grafts. Not a huge fan of my nipples and I want to avoid any potential complications or dissatisfaction with them. I figure if I regret it I can always get nipple tattoos, whereas if I get the grafts and regret it there's not a ton of options. If anybody here has personal experience one way or the other, I'd really love to hear your perspective.

But most importantly, I'm just so excited that things are finally moving forward at a brisk pace! It's like finally getting the opportunity to stop and take a sharp rock out of the inside of my shoe.

EDIT TO ADD: oh god I just realized how am I going to keep my cats from lying on my chest

16 comments

  1. [3]
    Comment deleted by author
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    1. [2]
      sparksbet
      Link Parent
      Ooh thanks so much for this info, congratulations on your surgery! I didn't realize there were special mastectomy pillows, that's a good idea to look into. My surgeon at the consultation said I'd...

      Ooh thanks so much for this info, congratulations on your surgery! I didn't realize there were special mastectomy pillows, that's a good idea to look into.

      My surgeon at the consultation said I'd need to lose a lot of weight if I wanted bottom surgery (not something I want right now anyway) but he didn't seem to have qualms about my weight for top surgery. But y'know you read stuff online about how it can affect the aesthetics and you start worrying...

      And yeah the drains are definitely the part I dread most. Other than pain, what's it like to deal with them? I know my wife is gonna be there to help out with anything I need but she's not great with bodily fluids and things, so I'm a little worried about that part of things.

      I also need to know -- did you make any "getting something off my chest" puns immediately prior to surgery? My wife insists I can't waste the opportunity lol

      5 votes
      1. Zwiebel
        Link Parent
        Congrats on your upcoming surgery! I have some experience with chest drains for a different surgery and in a different country, but my tip would be to get a lanyard or two for the drain pots. That...

        Congrats on your upcoming surgery!

        And yeah the drains are definitely the part I dread most. Other than pain, what's it like to deal with them?

        I have some experience with chest drains for a different surgery and in a different country, but my tip would be to get a lanyard or two for the drain pots. That way you can hang them from your shoulders when you're moving around the house. Also handy for hanging them up in the shower, so you don't trip over them.
        I was afraid of standing on the tube or tripping over the drains when getting out of bed, so we put the drain pots in a bucket next to the bed at night.

        3 votes
  2. [2]
    JXM
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    I don't normally contribute to threads unless I have something substantial to add but I just wanted to say congratulations! One of my best friends just started hormones this week and I've seen how...

    I don't normally contribute to threads unless I have something substantial to add but I just wanted to say congratulations! One of my best friends just started hormones this week and I've seen how much happier transitioning has made her. Hopefully this can do the same for you!

    13 votes
    1. sparksbet
      Link Parent
      Thanks! My wife started on HRT late last year and I've seen the same in her as she medically transitions -- it's really great to see someone you love grow into their new self when it makes them so...

      Thanks! My wife started on HRT late last year and I've seen the same in her as she medically transitions -- it's really great to see someone you love grow into their new self when it makes them so much happier. I'm very hopeful and excited for my own chance to finally get my medical transition going!

      10 votes
  3. winnietherpooh
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    Cheering for you!! Wish I were brave enough to go for it myself, but I'll just vibe vicariously through you super awesome transmasc folks! If you ever need hysterectomy advice/experience OTOH then...

    Cheering for you!! Wish I were brave enough to go for it myself, but I'll just vibe vicariously through you super awesome transmasc folks! If you ever need hysterectomy advice/experience OTOH then I'm your enby!

    8 votes
  4. Noox
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    Congratulations Sparks!!! Don't really have advice for the recovery - but regarding keeping your cats off your chest while you heal, wear a hoody and put something hard and lumpy in the hoody...

    Congratulations Sparks!!!

    Don't really have advice for the recovery - but regarding keeping your cats off your chest while you heal, wear a hoody and put something hard and lumpy in the hoody pocket. Not sure how spoiled your cats are but mine only want to lie on me if I am sitting in perfect cat-pillow position; maybe if you make yourself an annoying seat to lie on you can prevent your chest from becoming a cat-destination while you heal :p

    Hope everything goes well!!

    6 votes
  5. chocobean
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    Hoping that everything goes well for you and for a complete and speedy recovery! I'm very glad your work is accommodating and that insurance is coming through. Not sure if your culture has...

    Hoping that everything goes well for you and for a complete and speedy recovery! I'm very glad your work is accommodating and that insurance is coming through.

    Not sure if your culture has traditional "comfort + heal" foods but maybe stock up on frozen portions?

    6 votes
  6. [3]
    boxer_dogs_dance
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    Congratulations! Best wishes for a safe and successful surgery. The closest analogous experience I can share is when my husband broke his collar bone. I was on call to help with shoes and shoe...

    Congratulations! Best wishes for a safe and successful surgery.

    The closest analogous experience I can share is when my husband broke his collar bone. I was on call to help with shoes and shoe laces for what seemed a very long time. Also from personal experience, opioids can cause miserable constipation.

    5 votes
    1. [2]
      sparksbet
      Link Parent
      Ooh yeah I've heard that about opioids. Idk how quick they are to prescribe them here, since I've never been in a situation where I've needed hospital-level painkillers here. So it'll be a bit of...

      Ooh yeah I've heard that about opioids. Idk how quick they are to prescribe them here, since I've never been in a situation where I've needed hospital-level painkillers here. So it'll be a bit of a surprise ig!

      Apparently the biggest thing is not raising my arms up too high or lifting heavy things, so I'll have to rely on my naturally lazy personality more than I already do 😅

      5 votes
      1. first-must-burn
        Link Parent
        Oof. Opiod constipation during my kidney stone was almost as bad as the kidney stone in terms of distress. Not trying to discourage you from the meds -- being free of pain is sometimes needed for...

        Oof. Opiod constipation during my kidney stone was almost as bad as the kidney stone in terms of distress. Not trying to discourage you from the meds -- being free of pain is sometimes needed for your body to heal, so listen to your doctor. But definitely, religiously, take the stool softeners, drink lots of water, and have laxatives and an enema on hand just in case!

        Congratulations and best of luck in your recovery!

        6 votes
  7. 16bitclaudes
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    I can't give you any useful advice but just wanted to say congratulations! I hope your recovery is smooth and swift and that you feel fantastic afterwards :)

    I can't give you any useful advice but just wanted to say congratulations! I hope your recovery is smooth and swift and that you feel fantastic afterwards :)

    5 votes
  8. [2]
    Echeveria
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    Congrats! I had my top surgery three years ago and it remains one of the best things I've ever done for myself. My experience in regards to the healing process is different than what yours will...

    Congrats! I had my top surgery three years ago and it remains one of the best things I've ever done for myself.

    My experience in regards to the healing process is different than what yours will be, as I didn't have drains (my surgeon was no longer using them) and I went for nipple grafts (which, in case you get them, it's normal that they look kinda gross for the first couple weeks).
    Here's a few things that could help you for the rest of the recovery experience, though:

    • You will have very little range of motion and strength in your arms for a few weeks, so prepare accordingly. My surgeon's instructions were that the maximum I could raise my arms was to the point where my upper arm was horizontal (elbows in line with the shoulders) to avoid stretching the scars (which they still did a bit, but as they healed it became barely noticeable). I got a stepstool so I didn't have to reach up in my kitchen cabinets, and got extra pillows so I could sleep almost fully upright as I wasn't allowed to use my arms to lift myself off my bed. A neck pillow does wonders for that too.
    • Don't hesitate to ask your wife for help. It makes a world of difference to have someone staying with you who can help you out, especially the first week or so. I stayed in a hotel room with my mom and stepdad for the first five days after my surgery and I really appreciated having them there with me. My apartment at the time was too small to host them comfortably so this was the best option. (The hotel pillows were too mushy and she had to pull me out of them a few times because I couldn't push myself up...)
    • Get some comfortable clothes that you'll basically live in until you can put proper clothes on. My combo was zip hoodie + pyjama pants, and a few cheap button-up shirts for when I didn't want the hoodie but couldn't pull T-shirts over my head yet.
    • Your scars will look terrible for a while and you might find yourself wondering if they'll be this visible forever. They will not. Be diligent with the aftercare and they'll fade quickly. 3 years later, mine aren't very visible, and the scar tissue has softened up.
    • Cleaning yourself will be tricky. Baby wipes will be your friend for a few weeks. You will feel gross after a while, and the first shower you can take is going to be the best shower of your life. I couldn't shower until about 2 weeks post-op as the incisions and grafts couldn't get wet (and if you go for grafts they tell you not to face the water for another couple weeks... something about the water pressure on the grafts if I remember right). I managed to at least wash my hair in the sink but I needed my mom's help for that.
    • Food and snacks: I stocked up on pre-portioned snacks (yogurt cups, bags of Ritz crackers, that sort of thing) and made big batches of food to portion out and freeze for later as well. Making a big batch of soup, pasta sauce, curry, etc. is pretty simple and I could just reheat a container in a pan while I had rice or pasta cooking in a pot; just stir every once in a while, and your meal is ready in 15 minutes or so. If your wife can cook for you, that makes this part a lot easier.
    • Pain meds are likely to make you constipated, so prepare for that and get some laxatives or something along those lines. For obvious reasons, don't drive while you're still taking pain meds. I took the meds for the first ~3 days only, but I have a higher pain tolerance so your experience may vary.
    • On the subject of driving, if it's relevant to you: I had to alter some of my usual driving paths as the still-healing incisions affected how much I could turn my body. I had to avoid roundabouts and anywhere I needed to reverse into for a while because I physically couldn't rotate myself properly for shoulder checks, and became very reliant on my mirrors for changing lanes and such. Living in Germany, this is likely less relevant to you as it was to me because you'd have easier/better access to decent public transportation (I live in eastern Canada and this is not the case here), but still worth keeping into consideration. (I was cleared to drive two weeks post-op.)
    • Not mandatory but I recommend it: once you can wear proper clothes again, try everything you own at least once. I had quite a large chest (DI was also my only option) and having it gone made a huge difference in what kind of tops fit me properly. I had to swap out like half my wardrobe post-op. (For perspective, I went from a North American 36DD to nothing.)
    • Depending what your work is like, be very clear to your surgeon about what your duties entail so they can gauge your recovery time accordingly. My surgeon would send people in office jobs back after ~3 weeks off, but my job is very physical so the progression from time off, to light duty with very strict weight limits in regards to what I could handle, to a progressive return to my normal duties took almost 3 months. (It helped that I was/am on good enough terms with my supervisor to be able to explain what surgery I had done, and because a relative of his is also a plastic surgeon, he had a better understanding of what my recovery required.)

    Sorry for the wall of text, but hopefully some of this helps!
    I don't have much advice about the cats, sadly, as that's not something I had to deal with during recovery.

    5 votes
    1. sparksbet
      Link Parent
      This is all super great advice, thank you so much! Don't apologize for the wall of text when it's this good lol

      This is all super great advice, thank you so much! Don't apologize for the wall of text when it's this good lol

      2 votes
  9. [2]
    GenuinelyCrooked
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    Congratulations!! My husband has had a few surgeries recently, and the only way he's been able to keep the cats off is to use a blanket with a texture they don't like. Satin-y textures seem to do...

    Congratulations!!

    My husband has had a few surgeries recently, and the only way he's been able to keep the cats off is to use a blanket with a texture they don't like. Satin-y textures seem to do the trick. It's not 100% effective, though.

    4 votes
    1. sparksbet
      Link Parent
      One of my cats has some blankets I know she dislikes the texture of, but unfortunately the other cat really likes those textures lol. Luckily they usually prefer to sleep on my wife so hopefully...

      One of my cats has some blankets I know she dislikes the texture of, but unfortunately the other cat really likes those textures lol. Luckily they usually prefer to sleep on my wife so hopefully they'll stick to that.

      5 votes