I have never been an athletic gymbro track student whatever a day of my goddamn life and yet I have always been strong as fuck.
Not fast, or coordinated, or fit, or with good endurance, just super dense muscle for no reason.
Like. My WHOLE life.
People used to try and pick me up as a toddler only to drop me cause I was unexpectedly heavy. At summer camp I could pick up ten-foot logs and carry them around on my shoulder while other kids needed a partner to help them. I can lift my 195lb brother off the ground. I can lift my 200lb father off the ground. I don't have a car so when I buy new furniture I often carry it home myself.
And I am NOT IN SHAPE. I can sprint, but im a terrible runner. I can't do push ups. Or burpees. It takes me like 50 minutes to run a 5k. I'm very lazy and spend most of my free time reading, painting, or thrift shopping.
But in anticipation of surgery I have begun lifting weights and yall. YALL. MY BICEPS CAME BACK IN A WEEK
WHAT WOULD HAPPEN IF I WENT FULL BEAST MODE
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Honestly I feel like it's a bit insulting to God to insist that They create a person in dignity only once, at their birth, and not continually over the course of their whole life, through the love and intelligence that both have their ultimate source in the Almighty.
My top surgery wasn't a mark against the dignity my Creator gave me, it was an act of creation born out of the love I have known from family, friends, strangers, and God, as well as a testament to human ingenuity and craft that are gifts from God. I carry around all of that on my trans body every single day and every single day I thank the Lord for it.
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Can I have top surgery and be overweight? The Truth.
I am here to clear things about being overweight and top surgery (aka double mastectomy).
Can I have chest surgery if I am overweight? Blanket answer, yes you can.
HOWEVER, let's talk about some things first.
As soon as we peek under my blanket statement, most doctors will not want to touch you if you are too far outside their BMI index. Sounds like a preference, right? I mean, true, but they are a business and, like any other business, can refuse service for any reason. Especially when your life is in their hands.
The BMI index is followed to a degree by most plastic surgerons. This index is not to body shame you in this case. It is strictly for medical reasons. There are many medical reasons to refuse the surgery.
As you lay flat on your back, your own weight presses on your lungs and heart. This can actually cause damage your heart and lungs and also restrict your breathing even further.
Anesthesia issues are a lot deeper than most people realize. It is not just a harmless gas to keep you asleep. Anesthesia is poisonous to us, and it does more harm to your body the longer you are under its direct effect. Also, the more you weigh, the more they have to use. The best anesthesiologists in the world probably would have a hard time with this, especially depending on how long you can potentially be under. The more you weigh means more tissue they need to work with and extra time can mean complications not only while under the drug but can cause many complications after the procedure is done, and even when you wake up. Issues include headaches/migranes, intense nausea, vertigo like symptoms, having a hard time passing urine, lack of gross and fine motor functions, brain functions, paralysis, coma, and death.
Blood flow issues for people who are overweight are a real risk. The skin has stretched over time , and more skin, along with viable tissue, is thinner, with less of a blood supply being delivered to the skin and tissues itself.
Being overweight also means your skin is stretched and no longer has the same elasticity as if you were not overweight. This thin skin is easy to pull apart/tear.
Time in the operating room, more is not better. The longer you are being operated on, the more complications can occur during the procedure and during the healing process. (This is also a general risk)
Upping complications means more likely needing revisions. Plastic surgerons take this into consideration for your health. Insurance probably won't shell out for the same operation twice because of the views on transitioning lead to a lot of "this is just cosmetic."
Diabetes exponentially increases risk of infection and potential necrosis and gangrene (death of tissue).
You are a living canvas for the plastic surgeron(s), your results reflect highly on them. They want the best results for you, but they also have a reputation to upkeep.
If the surgeon gives a condition they consider reasonable and the patient does not produce results near their actual target BMI, which tends to be more liberal than the numbers that are thrown around, the surgeon can question the patients ability to be able to take care of themselves and adhere to the strict rules given for post operative care. A surgeon can also think "does this person want it bad enough if they can't do this request?". They may not say that out loud, but they may think it.
The heavier you are, the harder it is on your body to heal because the extra work your body needs to do to do daily tasks, let alone extra tasks yet also rest.
You do not realize how much and how often you use your chest muscles. Getting out of bed without being able to lift yourself up is really a thing. Using those muscles in some cases can cause rips and tears of stitches, tissues, and muscles.
Surgeons will give you realistic, cis-like results with your chest, this may mean you will not have a flat chest, they may perform more of a reduction than a double mastectomy. Surgeons will make your chest look proportional to your body, hence another surgery if you do lose weight.
Do they want you to have bad results? This is a physical correction to make a positive mental impact if you have bad results post-op. This may not really fulfill the function of procedures purpose to help you like your body.
Doctors want to know you want this surgery, so if they give you a time frame and you don't meet their goals, that's fair. You may have seen your day to day but the surgeron didn't and doesn't care. To them, you didn't meet their goals/ requirements. No surgeon wants to lose their job, role, or status.
Surgeons only want what's best for your health. It's not a shaming conspiracy, it's literally just biology.
Waiting sucks, we know. But what sucks more is that having bad results, you will have forever and potentially risking your life.
Source List:
Anesthesia 1
Anesthesia 2
Anesthesia 3
Anesthesia and Obesity
Surgery 1
Surgery 2
Post Op Risk
Minimal use of being overweight during a procedure personal experience.
P.s: I tried to use respectful and professional terms and wording. If anything is offensive, please let me know in my ask box, and I will fix it.
Stay Safe
Stay Golden Everyone ✌️ 💙 💜
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