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Self-harm scars and surgery

Started by Transguy, September 20, 2013, 03:26:33 PM

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Transguy

Hello, this is me again.
I have an issue so I'm turning to you once more^^

I'm going to have a surgery scheduled soon, I've seen the surgeon once and everything was fine. There is just one thing though : I still have very obvious self-harm scars on my arms, over 4 years after the last one. I'm not going to describe them, but well, they're still weird and very big. I haven't told my surgeon yet and I don't know what to do : do you think I should warn him beforehand or let him have an "ugly" discovery on the day of the surgery? Do you think he would massively freak out/change his mind about the surgery or just do his business without paying attention ?
I'm also afraid of telling him because I hid those scars from my therapist to access treatment faster (I'm completely over this, these are just old bad memories and they have no connexion to being trans) and I'm afraid the surgeon will ask me if I've discussed this with my him ...
What do you reckon I should do ?

I hope someone has an answer to this problem...
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AdamMLP

I don't think it would be an issue.  The number of trans guys on here that have a history of self harm is pretty crazy, so I'm sure they'll have seen it all before  (I'm assuming that this is a trans related surgery, ignore this if it's not.)  It's not their place to decide who can and who can't have the surgery, it's their place to cut you open and do what needs doing.

I've got some fairly noticeable scars on my arms, they've faded a bit these days I think, but when I had a minor operation it had only been a few months since I stopped if I can remember rightly.  No one mentioned anything if they even noticed.  Actually, since leaving the school that everyone knew in two years ago, it's only been pointed out to me that people noticed in this last week.  And that's because we've been talking about self harm.  If you don't draw attention to thing people don't make that big a deal out of them.
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Adam (birkin)

I'm assuming this is for a phallo, if so, I would say that you have some old scars on your arm and you're just wondering if that would pose an issue for skin donation.

If not, I'd just not say anything.
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Transguy

Actually it's for top-surgery, so I think my arms will be uncovered (my surgeon already looked at the surgery site but I always wear a sort of sleeve to hide the scars so he didn't see them).
So you think I shouldn't say anything... ok. It's true I might be worrying more than necessary over this...
It's just that they're big and I'm afraid of him cancelling the surgery on the spot, which is probably a ridiculous fear to have.
Thanks a lot for your input !
  •  

Kreuzfidel

I don't think he would "cancel the surgery on the spot" - it's not the surgeon's place to assess your mental health, and if you had the all-clear from a therapist in general, he would assume you'd spoken to them about anything to do with self-harm. 

Aside from that, scars can be caused by a number of things, and self-harm isn't really the first that pops into most people's minds when they see scars. 

As my surgeon told me, it's not her job to psychologize me.  That's for the mental health pros.
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mangoslayer

It shouldn't affect anything. I have some big self harm scars and my top surgeon had no problem with them. The only thing they affected was my donor site for phalloplasty, i had to use my dominant arm.
  •  

xander

I also have large scars and my surgeon has said nothing about them.
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aleon515

If it's for top surgery I think it is a non-issue. I think most people will be professional enough not to mention stuff unrelated to their work. If someone is prepping you for surgery they are going to be VERY focused. Or I hope they are very focused. They have so much to think about that they really have to concentrate.


--Jay
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Transguy

Alright, this sounds like good news. I hope you're right, that he'll just assume this kind of issues have already been dealt with...
Thank you all for your useful inputs !
I think I am not going to say anything then.

  •  

Transguy

Thanks. I am also shocked at the amount of transmen who have self-harmed in the past   :(
@chipper I have scheduled it for June next year (no choice to do it earlier because of my studies).
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anibioman

If you're wondering if the fact that you used to be a cutter will make a surgeon not pro form top surgery on you I would say don't worry if you gave them a letter from your therapist saying surgery is the next step. It's your therapists job to make sure you're emotionally ready for surgery so the surgeon shouldn't object.