Breast Augmentation and HRT

[Gina Taylor]

I'm thinking about getting breast augmentation done in the near future and I was just wondering if it is necessary to be on HRT before having the surgery done?

[Cindy]

It usually is so that there is 'room' to put in the implants, once on HRT most surgeons and endocrinologist want you to wait for about 18 months so that your breast development stabilises, otherwise the implants look wonky.

[Gina Taylor]

It usually is so that there is 'room' to put in the implants, once on HRT most surgeons and endocrinologist want you to wait for about 18 months so that your breast development stabilises, otherwise the implants look wonky.

Thank you Cindy. That was what I kind of thought. I guess I'll just stay with what I have, since I just got a clean bill of health with my kidney and liver and I was just reading that Coronary heart disease is the leading cause of death in the United States. Due to various lifestyle and hereditary factors, cardiovascular conditions may pose additional risks to those undertaking elective medical therapies, such as the variety of drug treatments engaged in the feminization process.  However, the effects of hormonal therapy may be similarly beneficial to the male-to-female transgender patient with respect to arteriosclerotic plaque disease and cardiovascular conditions, as it demonstrates itself in the genetic female population.

And some medical contraindications are:
•   Androgen-sensitive epilepsy
•   Migraines
•   Sleep apnea
•   Polycythemia (elevated red blood cell count)
•   Cardiac failure, renal failure, or severe hypertension susceptible to salt retention and fluid overload
•   Significant liver disease
•   Coronary artery disease or risk factors for this condition
•   History of uterine cancer
•   Bleeding disorders (for injected testosterone)
•   Significant history of violent behavior
•   History of breast cancer (testosterone has antiproliferative effects on most but not all breast cancers)