r/no_T_top_surgery

Ain’t nothing like being the MAN of my dreams . Proud of all the work I put into myself . As i look back on the Post Op Top and Bottom surgeries it feels DAMN GOOD 🤴🏾🔥💯🙏🏽
▲ 137 r/no_T_top_surgery+4 crossposts

Ain’t nothing like being the MAN of my dreams . Proud of all the work I put into myself . As i look back on the Post Op Top and Bottom surgeries it feels DAMN GOOD 🤴🏾🔥💯🙏🏽

u/Kingtop911 — 7 hours ago
▲ 10 r/no_T_top_surgery+1 crossposts

So let’s talk about top surgery

I have done my surgery in 2 of June. In general I did not hurt at all when I went off from anesthesia. When I woke up I was in a very cold room and then I was rolled back in my room. I am living in Greece so I was in a public hospital but hear this, public hospital with 3 bedrooms on it by itself and no one went to sleep there WHAAAT

Anyways now to to the medical talk:

As I said personally I did not hurt BUT, sleeping upright was the WORST thing for me, I could not get good sleep for days(I am a side sleeper) and I was miserable. I was supposed to get out after 2 days but I left after 8. Why you may ask.

I started having a lot of blood pressure and the doctors were worried, I told them I have a mental disorder and hospitals make me very anxious and I want to go home and that’s why the high blood pressure. OBV they did not believe me and gave me pills. So they kept me there BUT also because they wanted my tubes to clear out so I am 100% okay

Did you know that your tubes can loose air and make a pop sound? Well thank god I was in the hospital and they changed my bottles in time because WHEN i tell you I freaked out. I did.

Now regarding care: I cleaned them first every 2 days with a spray they gave me and cover them plus a binder

Care I do now:
Bepanthol (it’s a cream that’s very safe and good for the skin)
And I clean it every morning, the cream I put it morning and night.

For the bloating: still kinda but it gets down but I don’t mind either way.

Aftereffects: I still have not realized what has happened and sometimes I still feel like I have boobs going up and down and other stuff.
I feel some zaps on my chest sometimes and at first I was like “damn heart attack ok the monsters get to me” but it wasnttt so yayyyy

Anesthesia is nothing so pls don’t worry. You can do it ❤️

For any questions my DMs are open.

reddit.com
u/Responsible_Rule_396 — 23 hours ago
▲ 133 r/no_T_top_surgery+1 crossposts

Celebrating 1 year post-op today yay! Pics >1week >pre-op

Teetyeetversary woo! Had double incision without grafts by Dr. Mosser at the Gender Confirmation Center in SF exactly one year ago 7/3/25 at 35 years old. As a non-binary person that wanted a flat chest but not a male passing one, there has not been a single ounce of regret on this decision. My boobs were "fine" to me for as long as i had them, but the moment i found out that i could not have them, it was a done deal. Dysphoria looks different on everyone. Allow yourself to be exactly who you are supposed to be. This world makes challenges and hoops to jumps through but in the end it feels amazing to act regardless of fears for your own benefit. I truly wish this happiness on everyone who seeks it.

u/calisth_enby — 3 days ago
▲ 80 r/no_T_top_surgery+1 crossposts

Top surgery with tattoos

I am very impressed how dr. Bluebond put my chest tattoos back together! Apparently according to the nurse she always does a good job with tattoos. Here is a picture for reference. Looking forward to getting the color on my Saturn touched up in the future!

u/Afraid-Dragonfly3733 — 3 days ago
▲ 4 r/no_T_top_surgery+1 crossposts

Telehealth appointments NYC Surgeons

Anyone here know if there are any surgeons in NYC here who take Blue Cross Complete medicaid and who can do remote telehealth appointments until the surgery date? Like consults and follow up appointments until the surgery date/day before surgery date. I'm planning on moving back to NYC soon-ish but not sure when the date but I'm out of state and would love to be able to work with a surgeon who does telehealth. And if Oriana Cohen specifically does this I would love to know because she's a surgeon I'm interested in. Thank you!

reddit.com
u/sitcomneighbor — 3 days ago
▲ 261 r/no_T_top_surgery+1 crossposts

Is there a website for rich people to pay for my Top Surgery?

I’ve been watching a lot of botched breast implant videos recently and have recently discovered the website called “myfreeimplants.com” and I was wondering if there was a similar website or something. Also, follow up question, do ppl still pay for 0F or is everyone too broke in this economy?

reddit.com
u/sourshrk — 6 days ago

Horrible Surgery Consultation - Non-flat TS

I've been lurking here for a long time and recently took the steps within Kaiser to seek non flat top surgery as a femme presenting Nb person.

The experience with the psychiatrist and tele nurse was amazing. I felt really understood. For years I just thought I wanted a breast reduction but had lurked online long enough to know most people don't find the results satisfactory. And I wanted to go to basically nothing. So I'm seeking a mostly flat chest but not a masculinizing surgery. I seriously saw folks on here get this kind of procedure from this surgeon. I have no idea how I have such an awful impression.

I found a Dr that is well received by folks on this page. And I came prepared with a few photos. I expected it to be more of a conversation of what is possible after she saw my chest. It's honestly hard to find pics of exactly what I'm after so the first picture I showed was apparently too feminine to count as gender affirming care. She actually immediately went into a lecture about how this is cosmetic and not dysphoria. I hadn't even gotten to explain that I'd want something flat but similar placement. Honestly I wasn't totally prepared to be questioned because folks had such a good experience with her. I just burst into tears.

And communication kinda devoled from there. I tried to explain that I was questioning getting a full top surgery or leaving some tissue behind. But she took that to mean I feared regret of having surgery at all. I believe she didn't believe my identity or that I had any struggle at all with my gender. I actually didn't expect to have to express this to my surgeon. And also I was pretty upset by then and was no longer making too much sense. I really should have just left immediately. The notes are pretty devastating:

"I explained that this is a cosmetic breast mastopexy, and does not meet the criteria for surgery for "gender dysphoria".

Given her starting breast size, this would be a moderate reduction and mostly a lift for excess skin as her breast size is already on the smaller side.

 

Patient also discussed several times that she is worried she will regret it later and that she really doesn't want to look masculine. Further she emphasized that she does feel like her mental health would benefit and she would feel better if she were smaller."

But now my medical notes state that my wants are cosmetic and do not fit the criteria of gender affirming care. She also wrote that I don't wear a binder but I wear one everyday? One of the reasons I want surgery is because living like this is so atrocious and uncomfortable. I just want them gone I don't care what kind of result I get at this point. I wish I had explained that better. I feel like this has ruined my chances with insurance and I really don't want to go to a cosmetic only surgeon because I don't believe I'll get what I want. I'm so defeated.

reddit.com
u/Delicious_Habit_8759 — 5 days ago
▲ 17 r/no_T_top_surgery+1 crossposts

Nearly one month out from DI w/ nipple grafts with Dr. Lucio Pavone

Hi all!

I've seen next to nothing about Dr. Pavone's work on Reddit or elsewhere (e.g. TransBucket), so I wanted to share some pictures and do a quick review as mentioned in my previous post where I talked through recovery supplies.

I had my consult with Dr. Pavone in July 2025. At the time, he didn't seem terribly personable, but was straight to the point of what surgery made sense for my anatomy/what he could do and what the steps would be.  He asked if I was on HRT, I confirmed I was not and had no plans to start.  I already had a letter from a therapist for insurance (Aetna high deductible plan), so the office was able to start prior authorization right away.  I saw a few examples in office of top surgeries he had done in the past so I felt comfortable moving forward, but I also wasn't someone looking for any results more specific than "boobs gone, nipples adjusted to match my chest").  My BMI places me in the obese category, but that wasn't mentioned at all in any of my appointments or conversations with the office. 

One extra note is that I am non-binary and while no one misgendered me directly, I did notice all my paperwork referred to me as a trans man.  This could have been for insurance reasons, so I didn't bring it up with anyone.

In late July, I was scheduled for surgery on April 30th, 2026.  I later found out that my partner wouldn't be able to care for me that day, so I called to reschedule.  My surgery was then moved out to May 28th.

 

I had a pre-op appointment with Dr. Pavone in late March where he was much more friendly, talked me through the day of surgery, and answered my remaining questions.  I had to see my primary care doctor for bloodwork and an EKG within a month of surgery for clearance, so I got that done in early May.

 

Surgery went smoothly and all the recovery instructions I needed were provided verbally and through written communication.  My incisions were covered in steri strips and I had nipple bolsters.  On top of that, was a large foam-ish pad and I was wrapped in ACE bandages.  I did not remove anything until my post-op one week after surgery.

At my one-week follow up appointment, my drains and nipple bolsters were removed.  I was given instructions on how to continue care for recovery and received a large bag of supplies (petroleum gauze and non-stick pads for the nipples, abdominal pads for extra cushion under compression, and ACE wraps).  Another appointment was made for a week and a half later just to check on things.  I had to contact the office before the next as I didn't have quite enough supplies to make it and they prepped another bag for me to pick up free of charge.

I bought a compression vest (https://www.amazon.com/dp/B09PQJWFCN) during this time and brought it to the next appointment to confirm if I could use it instead of the ACE wraps as they were quite itchy.  The RN approved and also confirmed I didn't need to continue using the abdominal pads for extra compression if I didn't want to.

I met with Dr. Pavone yesterday (June 30) for my second to last check-up. He said everything looked good and I could start scar care and ramp back up into full exercise/activities as I felt comfortable. He said he generally recommends compression for 4-6 weeks, so I could stop wearing the vest if I wanted, but continuing for a couple more weeks wouldn't hurt anything either and could help with any residual swelling.

Overall, I'm super happy. 10/10

Pictures in order: Pre-op, immediately post-op, day after drain removal (June 5), June 13, June 23, June 30

u/Luminaria19 — 4 days ago
▲ 7 r/no_T_top_surgery+2 crossposts

best swim tops post-op?

tldr my half of family is being shitty and have told me they will actively physically avoid me/ask me to leave if I don’t cover up my (16 month post op) chest 🫩😓

not swimming is not really an option, it’s going to be 95° and this is the only chance this summer that I have to see the other half of my family

reddit.com
u/No-Resolve-5037 — 5 days ago

post-op chronic pain / neuropathy

hi lovely people 🌱 (first time posting)

I am mostly seeing pre/post op posts here but I thought I’d try & see if anyone here had some advice…

It’s now been 4 and a bit years since I had top surgery (& I do not regret it 🧡) am 28 yrs old

…..But.. I have unfortunately simultaneously been through the wringer pursuing answers/solutions to the chronic pain that has exacerbated over the years and totally disrupted my life since -despite total dedication to pursuing rehab and exercise in various forms/ daily meditation / all the basic health checklist items ( hydration, active rest, good sleep, utilizing compression wear / hot and cold therapy etc etc )
I have tried pushing through it and ended up with spinal flares & a cubical tunnel injury which was freaky.
(I am also autistic /have adhd which doesn’t help w my brain being hyper-aware of body at all times).
No variation of pain meds work, nor medicinal cannabis .

It feels like I have sought all the options I can think of and am now on a wait list for a Ketamine infusion ….despite not knowing too much about it…. and whether it can help reset my nerves. The pain has become an impasse to progressing with life….
& so …. wondering if anyone has or knows anyone who has experienced nerve damage post surgery for advice/ commiseration lol?

Also if anyone who’s made it this far and is pre-surgery please don’t let this scare you 🙏

I am so beyond grateful to have been able to get top surgery and resolve that crippling dysphoria (just fyi I am non binary) it just so happens my particular brain/nervous system has reacted this way that I’m still on the waitlist to embrace life in what feels like my “true body” 🌈

Hope anyone reading this is having a good day 💚

reddit.com
u/david-byrne_Dancing — 5 days ago

can you get top surgery as a 18 year old without parental consent while being on your parents insurance?

I’m about to turn eighteen and I desperately want top surgery. I get insurance through my parents work and I live in the United States (NY state). I don’t care if they see that I got surgery through a bill or anything but I don’t have their permission.

Edit with more specifics 6/30/26: My dad works for a hospital and I get insurance through his work. I doubt my family would dispute the charge after I get surgery because they don’t want me to be in financial debt but they would try to stop me before hand by stopping the insurance from covering it and preventing me from going through with it. Theres no chance that I will get kicked out or anything, my family while they don’t agree with medical transitioning, are accepting enough to love me even though they don’t understand me. I have friends who can help me post-op, it’s mostly finacials i’m worried about. I’m currently seventeen and a half.

reddit.com
u/ThoughtsofDandelions — 5 days ago
▲ 23 r/no_T_top_surgery+1 crossposts

seeking advice/support for long-term disabling pain and discomfort from top surgery

hoping that if someone who has been through something similar sees this, they might be able to offer some advice.

I had top surgery 2.5 years ago, DI with free nipple grafts. currently, I am in constant pain everyday and cannot function. I have continuous widespread burning pain across my entire chest wall, with additional pain in my nipple grafts. one nipple graft is constantly erect, which causes a constant grating pain from the touch of a shirt or even the air against it. this nipple also becomes red and swollen with trapped fluid that surgeons suspect cannot drain normally due to the ducts being severed during grafting, and this causes a sharp, stabbing and a burning, throbbing pain. I also have an area of discoloration with a hard lump under the skin near one of the incisions which radiates stabbing and crawling pain across that side of my chest. this red-brown patch has been present since the surgery, and is in a concave area of my chest that was therefore not properly compressed by the post-surgical compression garment, leading me to suspect there may have been some fluid build-up after surgery. I raised this issue to my surgeon at my 6 month follow-up, but was brushed off. my chest feels painfully tight and lumpy, and (without touching them, just existing) I can feel my scars underneath my skin like hard underwire bands digging into me, despite massage (which is very painful to perform), and they sear and itch.

I have seen multiple doctors: breast surgeons, a pain consultant, and the surgeon who did my top surgery, who have all been unable to provide helpful treatment plans, besides a nerve block injection for neuropathic pain which I have scheduled. they seem stumped by my case. the surgeon who did my surgery has dealt with the situation very poorly, actively ignoring what I have told him, and making me fight to have him take my pain seriously. according to him, I am the only patient of his who has reported these levels of pain years after the surgery. he has guessed that the discoloured lump could be scar tissue, fat necrosis, or potentially a neuroma, but is unsure. his description of a seroma sounded identical to how the lump feels to me, but he did not think it was one. he has said that he could excise it, but is unconvinced that would help my pain. his only proposed solution to the issues with my nipple grafts is to remove the nipple, which I want to avoid unless absolutely necessary as for me they are very important parts of my body. my surgeon removed almost all tissue on my chest, despite the rest of my torso having an inch or so of padding, so I do wonder if the total lack of tissue could be contributing to the sensitivity of the area, as the side where more tissue was left causes me significantly less pain. (could be a total coincidence).

I was not informed before the surgery of any of these potential effects; of the potential of long-term post-surgical pain, of the issues with severed ducts filling up in the grafted nipples, of the grafts being constantly erect or the sharp pains in them. I was told my chest would probably be numb, not that it would be in constant pain. everywhere I turn, medical professionals seem unable to offer me solutions, handing me off to each other. I am UK-based, and my GP has repeatedly refused to prescribe me stronger painkillers, despite my being unable to fulfil my basic survival needs due to my levels of pain. I have a referral to a pain clinic for help managing my pain, though from my understanding, due to unreasonable waiting times, it will likely be years until I receive any support from them. things feel very hopeless and bleak. I am unable to leave the house most days, and can barely eat and sleep. I did not know going into this operation that it would cost me my health and comfort.

if anyone has been through something similar, whether it be chronic pain from their surgeries, physiological issues with nipples or constant hardness, painful areas or lumps of tissue, lack of tissue causing heightened sensitivity, or anything else, I would be very grateful to hear your experiences, and to know that I'm not the only one who has gone through this. in addition, if anyone has any advice or guidance in terms of what medical treatment they sought or found effective for post-surgical problems, this would be invaluable to me. thank you so much for your time ♡

TLDR: if you've faced long-term post-surgical complications or pain, what treatment did you seek/receive and what did you find effective?

reddit.com
u/Soggy_Construction72 — 7 days ago
▲ 8 r/no_T_top_surgery+1 crossposts

Questions for Folks That Have Had DI w/FNG

Hey everyone, I'm getting surgery in a few days and am on the fence about getting grafts. Currently, I don't really enjoy sensation in my nipples 95% of the time so I'm not concerned with loss of sensation. My main concerns with getting grafts is size and placement not being to my liking, and the possibility of nipples getting erect and poking through shirts. Secondary concerns are a longer/more difficult healing process. I haven't smoked or vaped for a month, so I'm not as concerned with losing a nipple. My surgeon says that since they're disconnecting the grafts from the nipple stalk, they shouldn't get hard anymore so they won't have that headlights thing going on under my clothing.

If you've gone with grafts, what's your experience been like with nipples getting erect, with changes in sensation for better or worse? How was healing for you?

reddit.com
u/BoremUT — 6 days ago
▲ 5 r/no_T_top_surgery+1 crossposts

Insurance and copay

Hey all, longtime lurker and first time poster, but I am wanting to get top surgery in the near future and I am having a little confusion on if it will be covered by my insurance or if I'll have a copay. For reference I live in Northern California and am on Medi-Cal. It says on their website that it is covered with possibly needing a note from a therapist but I just wanted to make sure so I have a clearer idea of what I'll need to save up. Any info would be helpful ❤️

reddit.com
u/Grucifix_666 — 6 days ago

How do I begin???

For three years I keep hitting some wall or another in the way of getting top surgery. I found places in the U.S and prices, but I keep getting slammed with life and money. I want this to mobilize by 2028. How do I begin? I have a rough idea of pricing. but how do I begin consultations with out any savings? any advice is welcome.

reddit.com
u/CountSeedsVamp — 6 days ago

Having Anxiety About Recovery

Hey folks,

I’m 37, 38H and I’m having double incision with nipple grafts in 4 days in Seattle. While I’m very stoked to finally get this done (been on the waitlist for 18 months and wanting the surgery for over a decade), I’m starting to have some anxiety about the first few days of recovery and specifically the pain and possible inflammation.

When I had my daughter the one thing I wish I knew about labor was what the pain would actually feel like. No one really talked to me about the pain and I felt so surprised by it. Which made it so much worse. Anyway, just wondering if anyone can prepare me with describing the pain, comparing it to something else, rating it a ?/10, etc. I know pain is subjective and different for everybody but for reference, I’ve had a tonsillectomy in the last year, I’ve gotten dozens of tattoos and I deal with chronic pain. Also, any other last minute advice and success stories would be greatly appreciated. Thanks in advance!!!

reddit.com
u/yallplaytoomuchnow — 9 days ago

1 year post op, nonbinary

I am dissatisfied with my nipples because they stick out too much and so they show under tight fitting shirts but other than that I'm very happy with my results. Surgeon was Dr Kryger in thousand oaks.

u/DommyMommyMint — 10 days ago

4 years post-op + looking for moderators ❤️

Four years but feels like forever ❤️

I also wanted to say a huge thank you to everyone who’s helped make this community what it is. When I created r/NoTTopSurgery, I never imagined it would grow to over 5,000 members. It’s become such an important resource, and I’m incredibly grateful to everyone who’s shared their experiences and supported others here.

As the community has grown, it’s become clear that it’s time to bring on a few moderators to help keep things running smoothly. If you’re an active member of the community, have a good understanding of the subreddit and its values, and would be interested in helping moderate, please send a Modmail with a little bit about yourself, why you’d like to help, and any relevant experience (though previous moderation experience isn’t required).

I’d love to build a small team to help keep this community safe, welcoming, and supportive for everyone.

Love,
Livvo ❤️

u/stsouthmusic — 11 days ago