#the real facts

[answersfromzestual]

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 ✌️ 💙 💜

[cooljon1988]

Oh so I like ONE picture of a stunning trans girl with her big beautiful gock out and suddenly I'm “gay” and “into trans women” and “horny” all this woke nonsense has gone too far I tell ya.  Wake up sheeple!!!

[ooc-themis-cattails]

School is NOT fun if you are gifted. I don't know what kind of person thinks high school is "the best time of your life," but it's sure not gifted kids.

We were bored out of our minds in the same prison hell as the rest of you, and the only difference is that we were the ones who got beat up and had no allies. It was never the cool teachers that liked you, but the unpopular ones, the ones that everyone knew picked their nose and flung the boogers at the class (though you have never actually seen it happen yourself). They would come up to you in the cafeteria in front of everyone and act like you were their best buddy, and you would want to die and sink into the floor. The cool teachers liked the funny kids, not the smart kids. When you got praised by Mr. Yorty, you wanted to disappear.

Being called smart wasn't fun; that was the opening reassurance of parent-teacher conferences before they tore into you for being inattentive or absent-minded (to you the teachers are repeating old lessons you've heard before), "not a team player" (it's hard to assign partners outside your skill level), "time waster" (because you doodled on your worksheet when you finished early), and whatever other personal flaws you might happen to have. Everyone knew you were smart. Teachers pointed it out to you so often, it was like being told you're exceptionally short or tall-- you know, you know, it's meaningless. You're not eager to hear that or interested in hearing that. All you want is for the day to pass so you can go home. As for friends, you had a choice of like 3 people who were also smart and who you could trust not to be jealous of you. One of them is an asshole, and another one you can't stand to be around because their BO makes you ill. Maybe you and the remaining kid will be friends, if you're compatible and lucky. You might not even be the same gender. You'll be friends anyway, even if your parents aren't happy about it; you can't afford to be picky. Sometimes there'd be a new kid, but even if you spent the first day being their new friend, the next day they learned you were unpopular and turned against you and made fun of you. You learned not to make friends easily or trust anyone. It was pretty lonely and you never knew when everyone's fun game was going to be picking on you for the rest of the day.

Parent/teacher expectations scaled to their skill level. I don't know what non-gifted kids' parents expect of them. Mine wanted me to get on the highest honour roll (requiring all A's) because the fact that I was always on the honour roll (requiring one A and no less than a C) wasn't interesting or meaningful because it had always been true forever. If you don't have to work hard, then everyone expects you to work VERY hard, because they know you didn't work to be good, and yet they can't help seeing you as a hard worker because you're good. If your parents ever promise you a reward, they're not asking you for an A on the exam, they're asking for a 4.0 GPA. Do gifted kids have to work hard for that? Yes, we are not born knowing the exports of Urugay, and we don't like doing 50 math problems any more than you do. Did we get better jobs than you? We did not. We are all working call centers and retail and service jobs. The kids who grew up to have good jobs were the ones who were maybe a bit above average, had amazing social skills, and could make employers like them and believe in them.

is there a word for “i was instantly good at a lot of things as a quote-unquote gifted child, and, as a result, i was able to skate by without ever being taught how to actually learn a new skill, and now that i’m an adult trying to learn new things that i can’t be good at instantaneously, i don’t have the patience or knowledge to improve on them, because skills that don’t come naturally to me just make me angry because i lived off instant gratification my whole childhood due to not ever being challenged intellectually or taught basic learning skills?” asking for a friend

[chloesimaginationthings]

You know Henry’s final speech went hard in FNAF

[liquidstar]

Yes, Greece still exists, we didn't all die 2000 years ago. Yes, people speak Greek. You people are so fucking stupid for real. So many of you claim to love ancient shit but can't even acknowledge the actual living culture of the people whose mythology and classics you romanticize. You keep leaving annoying comments about how you just forget Greek people still exist, thinking you're being quirky because you love ancient stuff soooo much that you forgot about the people it came from. You think about it so little you don't even realize that an actual Greek person has to read this shit, making it clear how little you actually care about the culture beyond the romanticized (and westernized) mythology. Don't claim you love Greece, don't use our mythology anymore if you can't acknowledge that we're still around without making it about how little you think about us. It's mind boggling that you'd think a Greek person would read this and think you're anything but obnoxious. Explode.

[aq2003]

christopher eccleston do you know that i would die for you (1 2)

[wanderinggoddess]

Claudia, c. 1970s

[laquilasse]

Come eat lobster with a monster

[oshamirs]

Osha & Qimir + HANDS

[heilos]

I am not over Gerald calling Shadow son in Shadow Generations. That's his boy, that's his real son boy that he has to say goodbye to. He's so upset he put Shadow in this position from the very beginning, but he loves him and he's so glad to have created him and I fucking CAN'T.

[s-aint-elmo]

part 2 of my pining falin agenda aka I STAND WITH MARCILLE THAT DRESS WAS CUNT

part 1

(ID in alt text)

[bunnieswithknives]

As much as I love angst I think it would be funny if he just didnt give af

[bishonenvoicedbyadyke]

thinking about the armand painting again and how violent its very existence is. like there's layers to this.....this is a painting that was paid for with your body. in it, along with cattle and dogs, you're pictured worshipping your abuser, kneeling at his feet. your skin is whitened. your features barely recognizable...... and now this painting is in a public museum here for everyone to see. like anyone can come and see your bare, vulnerable throat.

[batfamhastwitter]

Part 9 and Part 1 of the Bats and Birds Q&A! Thanks to everyone who submitted questions, there should be more to come soon!

Prev ~ Beginning ~ Next

[chloesimaginationthings]

Yall ever think about how Nightmare bb is canon in FNAF

[shotmrmiller]

being at a restaurant because of a blind date set up from a friend but the thing is you don't remember his name, or what he looks like- did she even tell you what he looks like?

you quietly sit there, fingers tapping a restless rhythm on the polished mahogany tabletop, your wine glass stained red with tonight's indulgence, stands as empty as your stomach. just when you're about to wave a hand to your waiter, a massive brute of a man crashes into the chair across from you with so much force that you can hear the wood groan under his bulk.

he settles into it, unhurried, as if he wasn't 20 minutes late, his worn leather jacket creaking as he does before leaning forward and resting his forearms on the table, and the silver wear rattles with the impact.

then he looks at you with an unsettling intensity, irises so dark they blend into the pupils and asks if you've been waiting long.

you've a mind to leave him there but you're hungry- starved, really- and he's going to cover the check so you might as well stay and get your free dinner. "doesn't matter now, does it?"

you shoot a quick text to your friend, telling her that he- simon- is here and slip your phone back in your bag, not reading the messages she sends back until the morning after, when your head pounds in rhythm with your sex.

who's simon?