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Trans Summer School: Breast Augmentation

Depending on your hormone regimen and dosing, it can take a few years of breast⁠ development, but growth generally plateaus after about two yearsexternal link, opens in a new tab (be aware that your risk of breast cancer will increase!). What you see is what you get…but if you’re not happy with the look and feel of your breasts, you can explore breast augmentation. There are a huge range of procedures availableexternal link, opens in a new tab, broken down by type of incision and implant, and your best option depends on the preferences of your surgeon, your body, and your desired outcome.

Augmentation is often available as an outpatient (same day) procedure. During your consult, you can discuss your ideal cup size and the best approach with your surgeon, who will have an array of implants available for you to feel, as well as some photos of surgical outcomes to give you an idea of what to expect. During the surgery, the doctor will make a small incision to insert the implant⁠, and after the initial swelling has gone down, you’ll be looking at a whole new you.

You will likely need at least one follow-up appointment to remove sutures, and the surgeon will have instructions for you on physical activity, including sex⁠, after surgery. It can be frustrating, but it’s important to follow them to help your breasts heal. If that means some Netflix and chill sans chill, well, at least there’s a good back catalog of dorky shows to enjoy while you recover.

Some things to know about augmentation: breast implants can and do migrate, rupture, and develop other issues, although medical best practices and standards of care are always improving. If you’re young, you may need to undergo another reconstructive surgery in the future. If you want larger implants, you may need to undergo a two-step procedure with tissue expanders, which help stretch your skin to ensure there will be enough to cover your implants.

This section is part of a larger piece, Trans Summer School: The Wide World of Surgical Transition.

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