should i lose weight before top surgery?

[ryanjoseph]

hi y'all, i've saved up enough money to get top surgery done. woohoo! i'm also not going to be working until late may so i'm wondering if i should just get my top surgery done now. however, i'm wondering if i should get it done now or lose a bit more weight first. i'm not too sure where else to turn to other than tumblr.
i'm currently a medium in men's shirts (sometimes even closer to a small when i bind) i actually have quite a bit of fat in my chest area but still carry the majority of my weight around my hips (i'm like a 38x30 in men's pants). i'm also only about 4 months on T.
the thing is that i'm really hoping for periareolar. i'm small for a B cup and my chest is....shaped weird? i can't really find before/after pictures of peri or DI that look like my chest.
this was probably really TMI, but again, i don't know where to turn to. i'm afraid to have a consultation and ask a surgeon at this point because i'm afraid that they'll just want to sell me a surgery asap regardless.
any advice? this was a bit long, sorry. thanks for reading

[Kreuzfidel]

Without seeing you, I can't say for sure - but if you can lose a bit more weight, healthily and in a sensible time frame (not going on a crash diet for a couple of weeks that would seriously stress your body out) then certainly give it a go. 

Some surgeons prefer that you lose weight prior to surgery as it helps them to better define your chest (it is, after all, a bit like sculpting) to a masculine ideal. 

However, I can't really say what will be the outcome of your surgeon's decision to pursue a perioareolar procedure as it really depends on a number of factors outside of just cup size. 

Good luck!

[FTMax]

If you haven't already, I'd say go ahead and get in touch with whatever surgeon you're leaning towards. Even though you have the money to pay for it, it's not as easy as walking into a doctor's office and saying you're ready to go next week. When I scheduled mine at the end of beginning of February, the end of April was my earliest option, so I wouldn't worry about someone trying to schedule you ASAP. TBH, the surgeon I'm going to didn't even expect me to book on the same day as the consult, so it is pretty common for people to have a consult and take time to think about it. They'll also be a good judge of whether or not you should try to lose any weight.

Your dimensions sound fairly similar to mine. I'm a small B cup, but my shoulders through my hips (36 x 29 in pants) are very wide, so I look very solid. My surgeon was open to discussing which procedures I wanted, but I ultimately left it up to her to decide. We're going with a DI. Another option you could inquire about is a peri with lateral extensions. They do the incisions around the areola and then do an extension slice into the armpit region to take out additional tissue. A good option if you have as weird a chest as I do.

[sam1234]

Regardless of the type of surgery, it is always easier for surgeons when there is less fat. Fat tissue and mammary tissue don't look the same, so that isn't an issue, but excess fat can get in the way of the surgeon's vison.

Just before leaving Dr. Higham for my psych interview, she told me to try and stay slim because it would make the surgery much easier. That doesn't mean they can't do the surgery with excess tissue, it just makes things easier if it isn't there.

sam1234

[HeyTrace19]

If you have multiple options for surgeons in your area, I would get at least two or three consultations and see which one you like best and what they would recommend in terms of type of procedure for your particular body.  The surgeon would be able to tell you if loss of body fat would be beneficial.  One thing to keep in mind is that you cannot target where your body loses fat, so you may or may not be able to significantly change anything about your chest with weight loss.  You might try building the muscle in that area, which could possibly help a surgeon to define a more natural looking line.

[ryanjoseph]

thanks everyone!! ftmax, it would let me quote you for some reason, but i really like the idea of peri with lateral extensions. that's definitely something to look into, thanks!

If you have multiple options for surgeons in your area, I would get at least two or three consultations and see which one you like best and what they would recommend in terms of type of procedure for your particular body.  The surgeon would be able to tell you if loss of body fat would be beneficial.  One thing to keep in mind is that you cannot target where your body loses fat, so you may or may not be able to significantly change anything about your chest with weight loss.  You might try building the muscle in that area, which could possibly help a surgeon to define a more natural looking line.

yeahhh that's my problem. i live in louisiana and the closest surgeons are pretty much all in florida. i'm trying to find surgeons that do online consultations, because it would be pretty impossible for me to travel back and forth constantly. i've also lost about ~30 pounds in the past year and none of it has been in my chest/armpit area? which sucks. i don't want to spend years trying to get rid of fat there and having nothing happen. idk.