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I think you're handsome and I hope you've had a good day.

I don’t know when this was but thank you

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I’m very early on T, and I’m starting to want to do research on top surgery. I’m part of a few Facebook groups where people discuss top surgery so I can get a feel for what I want/don’t want in a surgery and what I can realistically expect, but I’m a little lost in terms of what I should look into. Outside of seeing if they take my insurance, whatelse should I look into? Any general advice? I’m at minimum many months off (I’d like to be 1 year on T), but I just wanna be in the know, ya know?

Hey, 

Thanks for reaching out! Congrats on starting T- what an exciting time!!!!!

With regard to top surgery, my advice would be to set up as many free consultations as possible (even if you aren’t especially interested in the surgeon) to get a feel for the procedure and how various offices operate. Many surgeons offer free consultations in-person, over-the-telephone or online. See my incomplete list below: 

Dr. Miguel Delgado in San Franciso, Califronia 

Dr. Gehaan D’Souza in Carlsbad, California 

Dr. Scott Mosser in San Francisco, California 

Dr. Rex Moulton-Barrett in Brentwood, California 

Dr. Alexander Sinclair in Beverly Hills, California

Dr. Jamie Schwartz in Beverly Hills, California 

Dr. Winfield Hartley in Boulder, Colorado 

Dr. Paul Steinwald in Denver, Colorado 

Dr. Timothy Alexander in Miami, Florida

Dr. Charles Garramone in Davie, Florida 

Dr. Harun Zekirovski in Orlando, Florida

Dr. Brian Aslanian in Atlanta, Georgia

Dr. Troy Austin in Evans, Georgia 

Dr. Navin Singh in Chevy Chase, Maryland 

Dr. Paul Costas in Concord, Massachusetts 

Dr. Kenneth Wolf in West Bloomfield, Michigan 

Dr. Carol Ann Aylward in Kansas City, Missouri 

Dr. Perry Johnson in Omaha, Nebraska 

Dr. Orna Fisher in Las Vegas, Nevada 

Dr. Keith Blechman in New York, New York

Dr. Emese Kalnoki in Rochester, New York

Dr. Elliot Jacobs in New York, New York

Dr. Jeffrey Rockmore in Albany, New York

Dr. Douglas Senderoff in New York, New York

Dr. Hope Sherie in Charlotte, North Carolina 

Dr. Steven Robinson in Cincinnati, Ohio 

Dr. Hugh Mclean in Mississauga, Ontario 

Dr. Dustin Reid in Austin, Texas

Dr. Matthew Stanwix in Richmond, Virginia 

Dr. Manish Champaneria in Vancouver, Washington

Dr. Megan Dreveskracht in Tukwila, Washington 

Dr. Antonio Mangubat in Tukwila, Washington

Dr. Javad Sajan in Seattle, Washington 

Consultations are a great way to get yourself educated… and they are a wonderful opportunity to speak one-on-one with a surgeon who will answer all of your questions. Prepare a handy-dandy list of questions, or use my list below:

has anyone died?

likelihood of developing a hematoma/ seroma?

skin necrosis- how to recognize dying skin?

other surgical complications?

how long should swelling occur before consulting a medical professional?

can i contact office about complications?

how far in advance should one quit smoking?

fasting before surgery?

how many additional pre-op appointments before procedure?

is blood work/physical needed for surgery?

how does the procedure work?

scar locations/ scarring/ scar treatments?

revisions?

how long under general anesthesia?

how long is the surgery itself?

recovery timeline?

post-op recovery questions: medications, showering, driving, post-op visits, drains, dog walking, class, sex.

is total cost including anesthesiologist, facility fee, surgeons fee, consultation/post-op follow-up fees and future revisions?

how many patients require revisions?

are there ways to lower the cost of the surgery?

how much of cost is required upon booking/before surgery?

how far in advance is payment due?

Take notes. Jot down what you like and dislike about the surgeons you consult with an go from there. Be a wise consumer. Don’t go to a surgeon that doesn’t vibe with you and makes you feel uncomfortable. 

Be sure to seek clarification about what’s included in the fees. Seek a surgeon who offers free revisions and follow-up appointments (EVEN if you aren’t seeking revisions or follow-up appointments). Steer clear of surgeon’s who tack on additional un-covered “cosmetic” or “contouring” fees in addition to billing your insurance company. 

My last bit of advice would be to expect the worse, hope for the best, and prep for all the rest. Anticipate all the bad and gnarly outcomes imaginable, prepare for complications, and expect suboptimal results so anything less than suboptimal feels mind-blowing (because all too often people really go into surgery with unrealistic expectation and that jazz kills). Mentally prep and brace yourself so you’re in a solid head-space and have a decent mindset before the procedure!!!

Finally, if you are planning on utilizing insurance, I’d recommend reaching out to your insurance company to see what they cover and what requirements they have… and, as always, if ya wanna chitchat further, don’t hesitate to give a holler :-)

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via vsco.co

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I’m not Ezra miller *sad face*

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This is a link to my top surgery go fund me please share or donate anything helps thank you!

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Baron Magazine

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i truly honestly feel bad for people who don’t think spongebob was ever funny

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Missed one from a while ago

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taken from @jjoe.jpg on instagram💖