Should I start testosterone before or after top surgery?
- There is no medical necessity for someone to be on testosterone before having top surgery.
- We recommend not starting or stopping testosterone use 3 weeks before surgery.
Can you have top surgery without taking testosterone?
Do I need to be on testosterone before I can get Top Surgery? No, WPATH Standards of Care do not require hormone therapy to be eligible for Top Surgery.
What are the requirements to get top surgery?
The WPATH Standards of Care requirements for having Top Surgery are pretty straightforward:
- Persistent, well-documented gender dysphoria;
- Capacity to make a fully informed decision and to consent for treatment;
- Age of majority in a given country (if younger, follow the SOC for children and adolescents);
How long do you have to be on testosterone before surgery?
Many Top Surgery surgeons require patients to stop testosterone 1-2 weeks before Top Surgery, and some surgeons also require that the next scheduled dose be delayed by an additional week or two after Top Surgery.
Does testosterone help healing after surgery?
It is clear that testosterone is needed for the wound healing process since decreased levels impede healing. Adequate testosterone levels are required for IGF-1 production, IGF-1 being a wound healing agent. However, there is no good data that an increase in testosterone levels above normal improves wound healing.
Does anyone regret Top surgery?
Although this is not a well-researched area, studies that have asked the question have generally found that few to no patients regret having top surgery. Regret has also been reported as extremely low (in the vicinity of . 1 percent) for transgender individuals undergoing bottom surgery.
How long after taking testosterone can you get top surgery?
That said, surgeons often recommend waiting at least 6-12 months after the start of testosterone therapy before having masculinizing chest surgery, otherwise known as top surgery, in order to first allow the contours of the muscles and soft tissues of your chest wall to settle in to their new pattern.
Can a 16 year old get top surgery?
Though most individuals undergoing top surgery are 18 or older, younger individuals may be considered for the procedure if the patient, their legal guardians, and their mental health professional are in agreement that top surgery is appropriate.
How much do you have to weigh to get top surgery?
Surgery is safest when the BMI is between 24-36. I recommend that you have your surgery when your body is at the weight you plan on maintaining for the foreseeable future.
Can breasts grow back after top surgery?
One of the most prevalent FTM surgery myths is that the breasts tend to grow back if you gain weight or stop taking testosterone. This is not true at all. Whether you had a keyhole or double-incision mastectomy, the breast tissues can never grow back once they’ve been surgically removed.
Can under 18 have top surgery?
*If under 18 years of age, parental consent is required to get FTM Top Surgery. As per the WPATH Standards of Care: Chest surgery in FtM patients could be carried out earlier, preferably after ample time of living in the desired gender role and after one year of testosterone treatment.