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Top surgery

Started by Parkhockey27, April 24, 2014, 01:58:14 PM

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Parkhockey27

I am looking for doctors who will perform top surgery on female to males. I do have parental permission if that is needed. I already know Dr. Curtis Crane has done this but he is a bit far for me to travel too. I live in the south florida area. Can anyone help?!?

P.S. Anyone know how long after surgery I would be able to go back to playing competitive hockey?
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aleon515

Quote from: Parkhockey27 on April 24, 2014, 01:58:14 PM
I am looking for doctors who will perform top surgery on guys under 18. I do have parental permission if that is needed. I already know Dr. Curtis Crane has done this but he is a bit far for me to travel too. I live in the south florida area. Can anyone help?!?

P.S. Anyone know how long after surgery I would be able to go back to playing competitive hockey?

I don't know if you would need a DI or a peri. So that's a factor.

Please don't tell your age (it's against list rules for safety reasons) but if you are rather close to 18, Dr Garramone might do it. (He's in South Florida and he does not do peris anymore, from what I've heard. Doesn't like to do them.) I would have your parents call. I don't think they'd want to deal with you, as a minor. There may be other doctors too, but they would probably want to talk to parents. There is some lower limit, I believe. There's a reason for this as the muscles are not mature under a certain point (it was explained here once before). I mention Dr G as he is in Florida and was my surgeon. There is another good surgeon in Florida ,though he isn't as well known. He's Dr Alexander. HE does the peris and also DI. Maybe someone could comment on him.

(Basically peris are for very small chested guys and DIs are for bigger guys.)

There really are many good surgeons now, but if you call no one is going to pay any attention to you. They will give you a stock refusal. If your parents call they will take it more seriously. I know it's messed up and ageist, but there it is. The other thing is that parents will write the checks or sign the credit cards.

--Jay
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Alexthecat

Do you have a top surgery letter from the therapist? If you do then you have a lot of options.

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aleon515

Quote from: Alexthecat on April 24, 2014, 07:05:58 PM
Do you have a top surgery letter from the therapist? If you do then you have a lot of options.

I agree. I also think you need the parental units to help out. There are people who may say on paper but will say "well I'll make an exception for your son". That's what you want. But there is a certain point they won't make the exception. If you are, say (15-- no don't say!), they are not going to allow it. There is no way your chest is mature enough for it. Otoh, if you are 17, that's so close to the usual age it would be fairly easy. IF you are 16, might be harder. Depends on if you are more finished with puberty and so on. There are mature 16 and very immature 16, so it all depends. A letter would be very helpful as one more thing your parents can say, " My son Jimmy has had 2 years of therapy and a therapist believes he is ready for it."


--Jay
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wheat thins are delicious

Quote from: aleon515 on April 25, 2014, 01:20:09 AM
I agree. I also think you need the parental units to help out. There are people who may say on paper but will say "well I'll make an exception for your son". That's what you want. But there is a certain point they won't make the exception. If you are, say (15-- no don't say!), they are not going to allow it. There is no way your chest is mature enough for it. Otoh, if you are 17, that's so close to the usual age it would be fairly easy. IF you are 16, might be harder. Depends on if you are more finished with puberty and so on. There are mature 16 and very immature 16, so it all depends. A letter would be very helpful as one more thing your parents can say, " My son Jimmy has had 2 years of therapy and a therapist believes he is ready for it."


--Jay

I've definitely heard of 14/15 year olds having top surgery. 


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aleon515

Quote from: wheat thins are delicious on April 25, 2014, 04:40:43 PM
I've definitely heard of 14/15 year olds having top surgery.

There's a lower limit somewhere. Probably dependent on the maturity (not mentally, though you want that too, there is a recovery process that is going to be hard and frustrating) of the person in question. I read something about yellow fat development, not sure if that's it or not. But there is a line somewhere. I suppose most surgeons it's 18, with some exceptions drawn. Maybe Brett knows as he is smart young clone. :)

--Jay
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Jack_M

Competitive hockey? A good while! I'm over 4 months post surgery and still don't have complete range of motion on one side. I still struggle with deep pushups that were so much easier before. You need good range of motion and power to play hockey so in all honesty you could probably train and play not too badly after maybe 2 months, taking it easy, but competing, I'd estimate closer to 4 months and maybe even longer.
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Bimmer Guy

Quote from: wheat thins are delicious on April 25, 2014, 04:40:43 PM
I've definitely heard of 14/15 year olds having top surgery. 

Wow, that's crazy!

Quote from: aleon515 on April 25, 2014, 06:02:22 PM
There's a lower limit somewhere. Probably dependent on the maturity (not mentally, though you want that too, there is a recovery process that is going to be hard and frustrating) of the person in question. I read something about yellow fat development, not sure if that's it or not. But there is a line somewhere. I suppose most surgeons it's 18, with some exceptions drawn. Maybe Brett knows as he is smart young clone. :)

--Jay

No, I don't know all the details, but yes, something along those lines, I think. 
Top Surgery: 10/10/13 (Garramone)
Testosterone: 9/9/14
Hysto: 10/1/15
Stage 1 Meta: 3/2/16 (including UL, Vaginectomy, Scrotoplasty), (Crane, CA)
Stage 2 Meta: 11/11/16 Testicular implants, phallus and scrotum repositioning, v-nectomy revision.  Additional: Lipo on sides of chest. (Crane, TX)
Fistula Repair 12/21/17 (UPenn Hospital,unsuccessful)
Fistula Repair 6/7/18 (Nikolavsky, successful)
Revision: 1/11/19 Replacement of eroded testicle,  mons resection, cosmetic work on scrotum (Crane, TX)



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aleon515

Quote from: Jack_M on April 26, 2014, 05:03:53 AM
Competitive hockey? A good while! I'm over 4 months post surgery and still don't have complete range of motion on one side. I still struggle with deep pushups that were so much easier before. You need good range of motion and power to play hockey so in all honesty you could probably train and play not too badly after maybe 2 months, taking it easy, but competing, I'd estimate closer to 4 months and maybe even longer.

I'm a bit older than most of the guys here, but am recovering, doing well. Just add that in case it would matter.
I'm nearly 6 months post op. I can do the push ups and so on, but I can still feel pulling with anything where I stretch overhead, and don't really like the feeling.

@ Brett- Oh gee, now I am so disappointed that you wouldn't know the answer to some random question. :P
Yeah I agree 14-15 sounds a bit young. I'd gather that was an exception of some kind. The youngest person I know of went to Dr Alter (CA) and might be 16. He used to post on this forum.

--Jay
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Jack_M

Oh don't get me wrong, I'm doing Taekwondo and working out hard, including lifting weights, pullups and pushups, etc. I even started a tricking class, but while everything is doable, it's still not 100% right if you catch my drift. For example I'm fine sparring in class or doing cartwheels but competing in sparring and springing off my hands, I could do it, sure, but I wouldn't be at my best right now and when you're talking competition in a sport where you're using your arms, shoulders and chest to swing the stick, it pays to prepare and be realistic. It all depends on the seriousness of the competition too. Minor comps, meh! You'll probably be fine. But anything major and it's a little more important to be at your best. A good example in my case is reverse turning kicks. You have to twist your body right around first then follow through with your leg and I'm still a tiny bit tight there and feel pulling, like yourself Jay, and it's making the kick look a little sloppy. So because of that, a non arm based movement, I wouldnt compete in patterns, especially team patterns, as that would bring the score down for either myself or the team. So I speak in terms of that. If it's serious and you want to be at your best for the team, it'll take longer. If it's not so important and more a sport for fun where winning and losing is less important than the fun aspect, you could probably be back playing in 6-8 weeks.

And yeah, the type of procedure makes a difference. If you're small enough for peri, you'll be back to it in less time.

It's worth noting, since I do Taekwondo, that hits to the chest still smart a little more than normal, so if you play rough, be prepared for that. It's nothing crazy but sometimes a hit to the chest feels like how a high belly flop into a pool feels on your chest. I don't take actual hits through, I'm feeling this more from kicks to giant pads I'm holding.
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Parkhockey27

Ohh ok! Well I was planning on maybe get surgery within the next two months and then hockey season for me doesnt start till late november or early december. So around five months until i have to play. Plus i am younger but i dont know if that would make me heal faster or not. The level i play at is serious but I dont find there to be too much pressure on my chest because i use more of my arm strength and leg strength while playing. I suppose itd just be more reliant on the range of movement by that time. You guys think i can manage that?
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aleon515

Quote from: Parkhockey27 on April 26, 2014, 03:55:40 PM
Ohh ok! Well I was planning on maybe get surgery within the next two months and then hockey season for me doesnt start till late november or early december. So around five months until i have to play. Plus i am younger but i dont know if that would make me heal faster or not. The level i play at is serious but I dont find there to be too much pressure on my chest because i use more of my arm strength and leg strength while playing. I suppose itd just be more reliant on the range of movement by that time. You guys think i can manage that?


I've heard being younger helps you heal faster. But I don't know about this. I am quite a bit older, didn't even take a vicodin. Can't say recovery was much fun, but I have followed quite a few guys and I am doing as well or better. I know a guy who had bottom surgery over 50, and he did better than a lot of young guys. Leland at New Beginnings likes to tell about how some of the young guys go thru 2 bottles of vicodin and are much more miserable. I'm pretty sure there is more attitude and general health than age involved here.

--Jay
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Declan.

Quote from: Parkhockey27 on April 26, 2014, 03:55:40 PM
Ohh ok! Well I was planning on maybe get surgery within the next two months and then hockey season for me doesnt start till late november or early december. So around five months until i have to play. Plus i am younger but i dont know if that would make me heal faster or not. The level i play at is serious but I dont find there to be too much pressure on my chest because i use more of my arm strength and leg strength while playing. I suppose itd just be more reliant on the range of movement by that time. You guys think i can manage that?

Yes, but not if there are complications from surgery. If you're not willing to go on testosterone right now because hockey is that necessary for you to go to college, I don't recommend chest reconstructive surgery right now, either. Things can go wrong. It's unlikely, but possible. If nothing goes wrong, five months should be fine for someone young and fit provided you choose a good surgeon. Your surgeon will discuss this with you too.
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Parkhockey27

Quote from: Declan. on April 26, 2014, 06:37:08 PM
Yes, but not if there are complications from surgery. If you're not willing to go on testosterone right now because hockey is that necessary for you to go to college, I don't recommend chest reconstructive surgery right now, either. Things can go wrong. It's unlikely, but possible. If nothing goes wrong, five months should be fine for someone young and fit provided you choose a good surgeon. Your surgeon will discuss this with you too.

Good point. But, thing is even with complications I can eventually still be able to play as long as its not a debilitating problem. With t I wouldnt be able to play hockey again because I might be good enough for mens but I am not willing to play at that level. I dont plan on playing in college but I have to play for highschool now. I am willing to take the risk of complications in surgery to be comfortable with myself. I just gotta think positive and hope for the best outcome!  :)
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AdamMLP

It depends on your position and what you play on, but a few years ago in school I played defence, normally on AstroTurf (hated that stuff though), and tended to play very low to the ground, but I did a lot of reaching. I always preferred slapping or pushing the ball to hitting which probably didn't help. I'd just be cautious about playing if your style is anything like mine was, maybe work on hits a lot more, and don't do daft things like diving rolls to stop the ball going off the back line like I'd done a couple of times..
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aleon515

Here's to my Dr G clones (it's not bad advise generally): "Don't go jet skiing two weeks after top surgery."  :)

--Jay
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Jack_M

Just FYI, I'm in my 20s! Lol. In terms of healing you'd be no different because of age comparitively.

5 months would likely be okay. I'm competing in sparring end of May and I had complications on my right side. That's just a tad over 5 months for me. Btw the advice I gave was based on left side over right. So don't assume over embellishment due to complications, I negated any right side issues.

The only thing I'd say add, though, is for a young lad like yourself planning on going on T, for the sake of aesthetics, you may be better waiting until you've been on T for a while. If you have some pec developmemt (would be faster and easier to develop on T if you're sporty) then it helps the surgeon sculpt the best looking chest. Pre-T is a little more guess work with regards to how that area will eventually look once you're on T and developing bigger pecs.
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aleon515

Quote from: Jack_M on April 27, 2014, 03:04:55 AM
Just FYI, I'm in my 20s! Lol. In terms of healing you'd be no different because of age comparitively.

5 months would likely be okay. I'm competing in sparring end of May and I had complications on my right side. That's just a tad over 5 months for me. Btw the advice I gave was based on left side over right. So don't assume over embellishment due to complications, I negated any right side issues.

The only thing I'd say add, though, is for a young lad like yourself planning on going on T, for the sake of aesthetics, you may be better waiting until you've been on T for a while. If you have some pec developmemt (would be faster and easier to develop on T if you're sporty) then it helps the surgeon sculpt the best looking chest. Pre-T is a little more guess work with regards to how that area will eventually look once you're on T and developing bigger pecs.

Yes Jack had some serious complications that were not his or his surgeon's doings. But something like a hematoma isn't entirely uncommon.

I agree that the young lads sometimes don't know their limits. When you get older you know if you do x, you are going to have this reaction. The story (I don't know if it is apocryphal)  is that one of Dr G's very young patients went out jet skiiing two weeks after top surgery. He called and was rather frantic that he might have done damage.

This is surgery. You might repeat that one about a hundred times. It may not be the most serious surgery imaginable but it is still surgery. You are going to feel it, and it won't feel good. I don't mean you should be scared but realistic in terms that your body (regardless of age, needs time to heal).

I'm over 50 (and know quite a few guys over 40 who had top surgery)  and we didn't take any more time than the young lads. But I think I knew "hey I am over 50". Where the young guys will say "hey I am only 20". :)


--Jay
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