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Offline Laura1951

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Laura's BA Journey
« on: July 07, 2021, 06:00:43 am »
Laura's BA Journey

July 7, 2021

First, thank you to Susan, @Devlyn and @Danielle for making this subforum possible. I DO hope to see many stories here about our BA journeys.

To BA or not to BA, that is the question.

When i first began HRT five years ago, and again when i recommitted to HRT two years ago, i had hoped for a "B" cup and would have been thrilled with a "C". With the prevailing knowledge that we tend to achieve one size under what our closest female relatives reached, a B seemed probable. Most of my relatives have C and D cups.

However, i stopped at an A cup a year ago and have seen no new growth since then. Yes, i do see many tennis players with my cup size or even smaller, but at least to me, since i'll never have female hips, i'd at least like to have breasts that are proportional to my frame.  A "C" cup would be ideal but i'd be happy with a full B.

When i had my yearly check-up last fall with my trans specialist, i began to inquire about BA and GCS. She was onboard with both decisions and recommended me to Kaiser's therapist which is the first gate that must me passed. My online conversation with the therapist informed me that the wait time for BA was currently about four months while the GCS timeline was closer to a year.

Because i wanted to give HRT more time, just in case a surprise spurt happened, i delayed an appointment with the BA surgeon.  That was probably a mistake, because now that the country is opening up, more of us MTF's are seeking procedures.

My current BA journey began two months ago when i asked my Trans doctor for a referral. When it came time to book an appointment with my regular therapist (which is more like a concierge than a therapist), i found that appointments required anywhere between a three and four month wait. My own appointment is scheduled for late July, after which i'll be referred to a surgeon. The current wait time for surgery is about a year.

More about my journey when it happens.

Onward,

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline Northern Star Girl

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Re: Laura's BA Journey
« Reply #1 on: July 07, 2021, 05:18:38 pm »
@Laura1951
Dear Laura:

I am so very glad that you found our new Breast Augmentation sub-forum. 
Your request was instrumental in the creation of this new sub-forum.

Along with the rest of your followers I will be eagerly following your "BA" journey.
I wish you well as you continue to jump through all the hoops required by doctors
and insurance companies....


HUGS and best wishes for happy results.
Danielle
***SEE MY LINKS BELOW
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Positive Mindset... put away negativity

Started HRT:   March 2015
Went Full-Time    December 2016
Quit my male-mode job and relocated to a very small town in Alaska in January 2017
I'm a blonde, blue eyed woman, Age 41

Offline Another Nikki

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Re: Laura's BA Journey
« Reply #2 on: July 08, 2021, 11:35:47 pm »
thanks for creating this thread laura.  like you i’m going to give hrt a little more time.  if i can’t get into b cup territory by the end of 2023, i may do the same.  so i guess that means start the process around the end of 2022.
“What you know, you can’t explain, but you feel it. You’ve felt it your entire life—that there is something wrong. You don’t know what it is, but it’s there like a splinter in your mind, driving you mad. It is this feeling that has brought you to me.”

Offline sandrauk

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Re: Laura's BA Journey
« Reply #3 on: July 09, 2021, 01:41:40 pm »
Hi Laura

I've been very lucky with boobs, I've grown to a 36D/DD with just hormones, (hard to be exact as I've lost 2 stone and it varies with bra make. I completely disprove the one size smaller than family theory.

The good news is that they carry on growing for well over 10 years so you could have more growth

The bad news is the same- you might not get to find out for over 10 years, and, like me, you'll be 70 in a few weeks.

If I were you, I'd have a BA in a heartbeat. 36D sounds fantastic, and it is but I have no cleavage, and unless I wear a bra they don't really show through clothes, and I find bras uncomfortable.

Even if you do grow after BA I still don't think you'd regret it.

I'll PM you some photos if you think they'd help.

Sandra

Offline Pammie

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Re: Laura's BA Journey
« Reply #4 on: July 10, 2021, 02:04:45 pm »
Hi Laura

If I were you, I'd have a BA in a heartbeat. 36D sounds fantastic, and it is but I have no cleavage, and unless I wear a bra they don't really show through clothes, and I find bras uncomfortable.

Sandra
Im a 36B cup and am super happy with that. A couple of things I’d say about your post;
1. You probably need to do to a bra fitting as u may well be wearing the wrong size if they are uncomfortable
2. Not sure about how BA will change the cleavage as it’s all about rib cage I thought. Happy to he corrected though!


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Offline sandrauk

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Re: Laura's BA Journey
« Reply #5 on: July 10, 2021, 08:27:22 pm »
Thanks Pammie

I haven't been for a fitting as I have many bras in all different sizes, but I suppose a fitting may help.

A 36 band seems to fit but after a couple of hours it starts to dig in,  I do like the projection it gives but it still lacks cleavage. I have a "2 sizes bigger" bra that really pushes them together, but it just looks ridiculous, and at my age, wrinkly, ugh.

A 38 band size has much flatter cups, and with sticky out nips, pushes them in and sets my teeth on edge.

Bra-less, I can't wear anything tight to show them off as the nips are just too much for a PG audience. I like attention but not that kind.

As for a BA I've seen a few here where the problem seems to have been solved.

Sandra

Offline Dorit

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Re: Laura's BA Journey
« Reply #6 on: July 15, 2021, 07:30:26 am »
I had my BA exactly one year ago at 73!   For me it was the easiest recovery of all my surgeries and immensely satisfying.  It is the only trans surgery that millions of CIS women all over the world have done.  It added to my female experience and acceptance too.  Laura, it seems that you are decided, so do it.  I would just suggest more than one consultation and opinion, I had two and they were very different.
I first told a psychiatrist that I wanted to be a girl in 1967 after a psychotic breakdown
Began therapy again with gender specialist 50 years later in September 2017
Began HRT November 2017
Name change with Israel Ministry of Interior March 2018
FFS September 2018
GCS December 2018
Gender change with Israel Ministry of Interior January 2019
BA July 2020
GCS Revision March 2021

Offline Laura1951

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Re: Laura's BA Journey
« Reply #7 on: July 26, 2021, 12:43:49 pm »
July 26, 2021

Gatekeepers

One of the things i enjoy about having Kaiser insurance is their support for our transition that goes far beyond just providing HRT. Through them, i've received FFS, electrolysis, and consultations for GCS. Today was my video appointment for BA, something i'd waited for a few months due to their busy schedule.

Kaiser's process begins with the Multi Specialty Transitions (MST) office which refers you to a therapist, which is actually part therapist and part concierge. This morning was my video conference with a therapist who spent 30 minutes updating my record, asking questions about my transition and support system, and providing basic information about breast augmentation. This is essentially their informed consent process, which is fine.

Upon completion, she referred me back to the MST for the next step, which is an appointment with a nurse to ask more questions and connect me with a surgeon. While writing this post, i received their call and arranged for a nurse consultation this Friday.

One step at a time.

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline Rachel_Christina

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Re: Laura's BA Journey
« Reply #8 on: July 26, 2021, 01:53:26 pm »
Ahhh BA, I put it off for 4 years, unfortunately I never developed anything more than Bee stings and large nipples. D:

September last year I finally had them done. 280cc both sides.
I'm now a 34C.
It has really changed my whole shape. And has in the end added massive amounts of confidence to me.
It was also a very easy surgery, I loved the whole experience.
Healing was very fast, scraping minimal and all sensitivity is back. Only lost some around the scar area.

I think honestly we over think the surgery.
I was lucky I got rail roaded when I went in on the day. I never knew exactly when I was due for the operation.
So when I arrived at 8 and was under at 9:30, with all paperwork and Dr marking me up, I had no time to over think it, painic and back out of it!

Do it or don't do it for yourself anyway. Not for anyone else!



Offline Laura1951

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Re: Laura's BA Journey
« Reply #9 on: July 26, 2021, 02:25:26 pm »
Thank you @Rachel_Christina, for sharing....This is something I've contemplated from the beginning. Had I ended up with a natural B, I would have been happy, but now that I know I'll never be larger than an A, it was time for a consultation....A C cup would be nice, but I'll wait for the surgeon's advice about proportion. This is all for me and my self-confidence.

I'm curious about the recovery. I play tennis fairly frequently so I'm anxious about how long I'll have to stop exercising before returning. I'll know more Friday.

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline Rachel_Christina

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Re: Laura's BA Journey
« Reply #10 on: July 26, 2021, 02:32:30 pm »
Thank you @Rachel_Christina, for sharing....This is something I've contemplated from the beginning. Had I ended up with a natural B, I would have been happy, but now that I know I'll never be larger than an A, it was time for a consultation....A C cup would be nice, but I'll wait for the surgeon's advice about proportion. This is all for me and my self-confidence.

I'm curious about the recovery. I play tennis fairly frequently so I'm anxious about how long I'll have to stop exercising before returning. I'll know more Friday.

Laura

I would have been happy if I became an A 🤣

I would say given the amount of peck muscle involved in tennis and the rapid swings you will need to avoid it for atleast 3 months I would imagine.


Dr will know.
After a month I was back in the garage but it's not fast swinging motions.



Offline Laura1951

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Re: Laura's BA Journey
« Reply #11 on: July 30, 2021, 04:11:50 pm »
July 20, 2021

Nurse Phone Call
Once you've talked to a Kaiser therapist and declared your informed consent, the next step is to talk to a Kaiser nurse about the procedure. This 15 minute call came today, just a few days after the therapist video conference.

Today's nurse works out of Kaiser's Multi-Specialty Transition (MST) department, which handles my HRT meds and is the first contact for all things transgender. He reviewed my medical chart first, asking questions about my HRT as well as other procedures and conditions from the past. At that point, we talked about surgical offices that are currently taking patients.

Unfortunately, while there are quite a few breast surgeons located within a 90 mile range, only a few offices are accepting new patients and work directly with the trans community. Because of this, i selected the busiest and more experienced office in San Francisco, which is about two hours away, a bit longer if i take mass transit there.

The nurse mentioned that wait times vary, but were within four to six months in the past. If, after my consultation with SF, their wait times don't work with my calendar, i can ask to be referred to the San Jose office, the other experienced set of surgeons.

Within the next week or two, i'll receive a call from them for an in-person appointment.

Onward.

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline Another Nikki

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Re: Laura's BA Journey
« Reply #12 on: August 04, 2021, 09:58:32 am »
fingers crossed for you the process goes smoothly and quickly.  i’ll be following  :)
“What you know, you can’t explain, but you feel it. You’ve felt it your entire life—that there is something wrong. You don’t know what it is, but it’s there like a splinter in your mind, driving you mad. It is this feeling that has brought you to me.”

Offline Laura1951

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Re: Laura's BA Journey
« Reply #13 on: August 05, 2021, 03:51:05 pm »
August 5, 2021

While I was hoping for a call from the San Francisco surgeons regarding my BA, I received a message from the Transitions office today. They said, "...the referral to SF was returned to us. They have asked us to refer you to your local plastic surgery department, as you are not in the SF region. So I forwarded the referral to the Stockton department."

This is a shame since the SF office is highly rated and the MST office didn't mention anything about service areas.

oh, well. Waiting for their call.

Onward.

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline judithlynn

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Re: Laura's BA Journey
« Reply #14 on: August 13, 2021, 11:15:01 am »
Hi Laura;

This an interesting topic. I have been considering a BA for some time. I got a referral to a surgeon about 4 years ago, but he recommended that I waited  for some more time to give my breasts a chance to grow. At that time I was  just an A Cup.

I have quite a broad back and that made me a 44A Cup. Thats a big problem for finding bras, but Marks & Spencer in the UK (where I buy all my undies) do a nice line in cotton (different colours including pink)

https://www.marksandspencer.com/au/total-support-wild-blooms-non-wired-bra-b-h/p/P60376223.html?dwvar_P60376223_color=AX&pid=P60376223&quantity=1

Over time my breasts have grown, quite a lot and I am now a comfortable but smallish 44C. Actually since I started taking Besins Prometrium (at night time) (Micronised Progesterone) together with my nightly estrogen dosage, I have had more upper pole development and my breasts are more rounded and fuller and my nipples are much more pronounced (especially from Day 14 in the month, which is when my Progestrone cycle begins - I am on a cyclical program rather than continuous) and my areolae have increased in size overall.

However I would still like to be bigger. Two years ago I had a consultation with a surgeon  from Salisbury in Wilts at the Nuffield Hospital in Bournemouth(on the recommendation of another girlfriend from Bournemouth that had her surgery done by him giving her a very natural overall 36DD look) and when I saw him he recommended Mentor round implants 500cc which he said would give me natural DD/E look. However I was a bit put out by his suggestion that, he recommended placing them above the muscle, whereas I had been told to look at under the muscle or half and half for a more natural look.

Another friend of mine from the UK had her BA  by a surgeon that is based in Truro but also does surgery in London and she had grown B cup natural breasts and opted to have 545cc High Profile anatomical Mentor implants, which gave her very natural breasts at around an E cup. She looks fabulous now after her BA and she says that it is the most affirming thing she has done and that all her clothes just look so much better on her now. She recommended finding a surgeon that uses the Crysalis program, which basically scans in your existing breasts into a computer and then shows you how you’ll look with the various shapes and sizes of implants.  I have recently found one locally and you will be surprised at how natural the round ones can actually make the breast look.

Best of luck
JudithLynn


« Last Edit: August 14, 2021, 12:04:40 am by judithlynn »
:-*
Hugs




Offline Laura1951

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Re: Laura's BA Journey
« Reply #15 on: August 13, 2021, 06:46:13 pm »
August 13, 2021

Surgeon Video Appointment

Today was my video appointment with Dr. Nanigian who works out of Kaiser in Stockton. He was one of the doctors offered to me during my  consultation with the Transitions office, being told that he was new to Kaiser but had "experience."

The out-patient operation takes around two to two and a half hours, with initial recovery being three weeks. The greatest discomfort comes in the first two weeks. For active people, like myself, it will take around five to six weeks before i can return to the courts. He told me to listen to my body regarding exercising or doing other activities.

As far as size, we'll need to meet at his office so they can measure my chest wall and provide me sizers to place under a sports bra so i can help determine the size i prefer. As i've written earlier, i've no need to go big, but would be happy with a full B or small C.

Of course, he reminded me that bra manufacturers are inconsistent regarding bra size, which is why the silicon implants they use are measured in milliliters.

While i'd read that implants placed under the muscle look more natural, he said that there's been an evolution over time and while he does both under and over implants, he believes over may be better for me. Because i play tennis and am active, implants under the muscle could cause problems (something he called animation deformity). Those of us who have small breasts have less breast tissue to mask the underlying implant. For most of us, it's tough to look completely natural.

The current wait time for surgery is about two to three months, so i'm hoping for a November date which is when our tennis team breaks for the holiday season.

More details after my office visit.

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline Northern Star Girl

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Re: Laura's BA Journey
« Reply #16 on: August 13, 2021, 07:23:38 pm »
@Laura1951
Dear Laura:

I am anxious and eager to read more as you feel free
to share after your video office visit.

HUGS and HUGS,
Danielle
***SEE MY LINKS BELOW
The Ramblings of a Northern*Star Girl
A New Chapter: ALASKAN DANIELLE's Chronicles
I am the HUNTED PREY: Danielle’s Chronicles
Things change re: ALASKAN DANIELLE
Positive Mindset... put away negativity

Started HRT:   March 2015
Went Full-Time    December 2016
Quit my male-mode job and relocated to a very small town in Alaska in January 2017
I'm a blonde, blue eyed woman, Age 41

Offline Laura1951

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Re: Laura's BA Journey
« Reply #17 on: August 13, 2021, 09:24:01 pm »
How Anecdotal Information Can be Problematic

As I've researched breast augmentation performed on our community, I've constantly read advice that implants placed under the muscles results in a more natural appearance. However, today my surgeon, while admitting he performs both over and under placement, advised me that over would be a better choice since I'm active. He referenced something called animation deformity.

Here's what I found on the NIH site about it. Scary stuff, so I'll be happy with over the muscle, thank you.

"Animation deformity is a common and distressing sequelae of breast reconstruction, estimated to occur in anywhere from 75–100% of sub-pectoral breast reconstructions. Animation deformity is caused by contraction of the pectoralis muscle against the breast implant, causing it and the overlying breast shape to unnaturally shift with muscle contraction."

Laura
“When you’re ready, start living your truth. That’s when the magic happens.”

One New Life to Live (My personal blog)  |  My BA Journey   |  Laura's HRT Journal 

Full Time since 11/27/20  |  Laura's FFS Journey.   |  Stay or Go



Offline Rakel

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Re: Laura's BA Journey
« Reply #18 on: August 14, 2021, 05:26:24 am »
I have a pair of 800 ml breast implants under the muscle. I had my surgery about 6 months ago.

When I contract my pectoralis muscles, my breasts rise slightly, about a inch at the most. This happened to my breasts before any implants, but not as pronounced.

In my opinion, animation deformity is a process that happens regardless if you have implants or not. It is just more noticable when you have larger breasts. I feel that this term, animation deformity is just a fancy way of putting a medical name on something that is well known.

On the plus side of submuscular placement, you get more support for the implant with under the muscle placement, since an implant over the muscle sometimes causes the skin to stretch and you get a dangeling implant, especially with the larger size implants.

We have our choices and each of us must chose what is important for ourselves, individually.




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Offline Pammie

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Re: Laura's BA Journey
« Reply #19 on: August 15, 2021, 02:00:39 am »
I have a pair of 800 ml breast implants under the muscle. I had my surgery about 6 months ago.

When I contract my pectoralis muscles, my breasts rise slightly, about a inch at the most. This happened to my breasts before any implants, but not as pronounced.

In my opinion, animation deformity is a process that happens regardless if you have implants or not. It is just more noticable when you have larger breasts. I feel that this term, animation deformity is just a fancy way of putting a medical name on something that is well known.

On the plus side of submuscular placement, you get more support for the implant with under the muscle placement, since an implant over the muscle sometimes causes the skin to stretch and you get a dangeling implant, especially with the larger size implants.

We have our choices and each of us must chose what is important for ourselves, individually.
The quoted text seemed to be implying that animation deformity was exclusively a condition arising from breast reconstruction (or, of course augmentation) rather than something that occurs naturally?


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