Top surgery results best post-T or after T?

[FriendsCallMeChris]

I've been researching and have found a lot of conflicting information.  I'm hoping you guys will weigh in. 
So, results-wise, is it better to have top surgery post-T, early-T or after T has really started to do it's job?  I know we don't always get to choose due to money, circumstances etc.  But if you could pick your ideal time, when would you do it for the best physical results?

Also, built-up pecs or not?

Chris

[FriendsCallMeChris]

Oh, and binding. Does long term binding affect top surgery results?

Chris

[MacG]

Post-T means after starting T (or maybe having started, then stopped). Pre-T would mean before.

But I don't have an answer. My surgeon is fine with me not having started T.

[sbx]

I've seen very good results on guys who were pre-T and those who've been on T for years, so I don't think it really matters. If someone has been on T a while and has developed pec muscles, then of course the chest will look more masculine immediately following surgery, but what's most important is how the nipples are sized/placed and whether an appropriate amount of tissue was removed. Someone who starts T after surgery will probably end up with the same long-term result as if they started before.

I've heard that having built up pec muscles will make it easier for the surgeon to make an incision along the bottom of the muscle, but I don't know if there's any truth in that.

[FriendsCallMeChris]

Post-T means after starting T (or maybe having started, then stopped). Pre-T would mean before.

But I don't have an answer. My surgeon is fine with me not having started T.

Re: pre and post.  Thanks. Brain burp!

[FriendsCallMeChris]

Thanks, sbx. Good information.

[SWNID]

I don't think T affects the results that much. The thing is, if you have been on T for a long time, you are more likely to love your results immediately after surgery because you are seeing a totally male upper body; while if you are pre T, you may feel less impressed because you are still looking at a more feminine body image in general.

Binding may have an effect if you want keyhole procedure, but less so if you are going to get DI.

I had the DI surgery after 6-7 years of binding and a few weeks on T, not built at all and I am very satisfied with my results.

[FriendsCallMeChris]

Good info, swnid. Thanks. I definitely don't qualify for keyhole.  I'm debating between pedical(sp?) and DI.

[Kreuzfidel]

I don't think there's a definable "one is better than the other" answer to this question (pre-T or post-T results from top surgery).

Some surgeons prefer for you to have been on T for a while, others don't.  But as far as the results go - it really doesn't matter if you're one T or not IMHO.  Either way, getting your upper body into shape is a good rule of thumb because most of the "could have been better" results that I've seen are due to being overweight.

Regarding binding - I would say that it likely wouldn't really make that much difference to your results unless you had some kind of severe deforming complication that occurred due to binding (highly unlikely).  Anecdotally, binding can cause sag - but in a DI, that doesn't matter much anyway as that skin is excised.  But if you were going for a peri or something - excess sag could mean you wouldn't be able to have that procedure.

[Bimmer Guy]

On T, not on T, doesn't matter.

I agree with Kreuzfidel that binding is less of an issue if you go with DI.  However, many bind in ways that stretches the skin, so you may have some stretch marks left.  I have a bit of that along my incision line as I wore a binder daily for 15 years and pressed the chest straight down.