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“Going from Invisible to Visible”
Published in Phillip Joy, Megan Aston, Queering Nutrition and Dietetics, 2023
Whitney Linsenmeyer, Melik D.H. Coffey
When I started taking hormones, I just wanted my size. I was consumed by wanting to start testosterone. Then, wanting my beard to grow. Then, wanting to have surgery. Now that I've had top surgery, I don't need that size anymore. I'm thinking to myself: Where do I want to go? How do I want my body to change? What do I want it to look like? How do I want to feel in my body? Do I want to be this heavy? Am I content being this heavy? Is it the healthiest thing for me to be this heavy? Now I just want to be healthy; I want to be the healthy guy who can touch his toes, put his socks on, and take walks around his neighbourhood.
Gender Identity and Leadership
Published in Danielle Laraque-Arena, Lauren J. Germain, Virginia Young, Rivers Laraque-Ho, Leadership at the Intersection of Gender and Race in Healthcare and Science, 2022
Recently, a friend of mine went in for a top surgery consultation. Like me, they are a non-binary trans person, coercively assigned female at birth. The medical office asked for my friend's preferred name and pronouns on their intake form, in person, and over email many times, performing the requisite motions of trans inclusivity – and yet they continued to misgender and deadname3 my friend, sometimes in the same interaction where they had asked for, and received, the correct information. Which is a little mind-boggling, just from a reading comprehension standpoint. One might hope that a practice specializing in gender-affirming procedures would be a little more sensitive to their transgender patients, but nominal acceptance does not equal respect in practice. The fact is, it does take conscious, long-term effort to get pronouns right, change your language, and start thinking about gender differently. That sustained practice of self-reflection and self-correction isn’t necessarily emphasized, and traumatizing, alienating, and dehumanizing medical interactions continue to be a staple of the trans experience.
Trans Care Within and Against the Medical-Industrial Complex
Published in Joel Michael Reynolds, Christine Wieseler, The Disability Bioethics Reader, 2022
Each day, my social media feed is populated with crowdfunding requests for surgery. Often, it’s for facial feminization surgery, which is nearly unilaterally denied coverage. Other times, it’s a request for top surgery, from uninsured and underinsured trans masc folks.
Double-incision mastectomy after reduction mammaplasty for persistent gender dysphoria: a case report
Published in Case Reports in Plastic Surgery and Hand Surgery, 2023
There are several reasons why a transgender patient may choose to undergo a reduction mammaplasty versus a double-incision mastectomy. Patients who desire smaller, A-cup breasts and/or preservation of NAC sensation, may prefer breast reduction. NAC resizing may not be necessary for these patients. Nonbinary patients are more likely than transgender male patients to undergo reduction mammaplasty [5]. Patients who desire a flat chest and/or resizing of the NACs usually undergo double-incision mastectomy [11,12]. Our patient initially requested a double-incision mastectomy, but was only offered reduction mammaplasty. Although gender-affirming top surgery, such as the double-incision mastectomy, was less common than reduction mammaplasty in earlier years [10], as the demand for gender-affirming top surgery increases, more surgeons will become experienced with the double-incision technique, enabling more patients to undergo double-incision mastectomy as a surgical option.
Mastectomy is a safe procedure in transgender men with a history of breast reduction
Published in Journal of Plastic Surgery and Hand Surgery, 2023
Floyd W. Timmermans, Lian Elfering, Thomas D. Steensma, Mark-Bram Bouman, Wouter B. van der Sluis
Prior to undergoing gender-affirming mastectomy, transgender men may have opted for breast reduction surgery. Reasons to seek breast reduction surgery prior to a mastectomy can be having large breasts, resulting in physical complaints, or more specifically in this population, breast dysphoria as an expression of gender dysphoria. In some clinics, especially in the past, breast reduction was offered as ‘top surgery’, as there was little or no experience with gender-affirming mastectomy. Resultantly, having undergone breast reduction surgery prior to a gender-affirming mastectomy may limit the available mastectomy techniques that are commonly used in transgender individuals. Some concerns are present that performing mastectomy with prior breast reduction surgery, increases the risk of complications and revision surgery [11,12]. Furthermore, the previous use of a NAC-bearing pedicle during breast reduction may endanger NAC vascularization and vitality during pedicled NAC mastectomy [13].
“What Has Kept Me Alive”: Transgender Communities and Support
Published in Journal of Homosexuality, 2022
Bodily support only occurred within personal communities. Participants discussed two specific forms of bodily care: caretaking following gender-affirming surgeries and assisting with hygiene and make-up. Mark and James were the only participants in my sample who underwent gender-affirming surgeries. However, both reported receiving intensive caregiving from each other and other members of their community following these surgeries. After James’ hysterectomy, a friend who was not working at the time came every single morning to help clean the surgery site and change bandages; in the evenings, his friends who worked came over and assisted with housework. For Mark’s top surgery, James took 10 days off work to travel with Mark to another city and be his primary caregiver during recovery. James recalled talking with other community members during this time away in order to coordinate a meal delivery schedule for when the pair returned.