Hello everyone,
I live in Perth, Western Australia. I thought it would be interesting to share my experiences and thoughts regarding top surgery in one of the most isolated cities of Australia.

I have been working my butt off with exercise and healthy eating to get my weight down safely to a healthy BMI. I'm hoping to have top surgery mid-2015. For the longest time, I have desired to have a flat chest. When I was young and enduring puberty, I thought I would grow up flat-chested because many of my female friends had already started growing breasts. To my horror, I was simply a very, very late bloomer. Going bra shopping was torture, I would leave the store breaking down into tears, it would ruin my mood for the rest of the week. I had no interest in having breasts in any shape or form. It wasn't until I brought my first binder that things changed inside my mind and my outlook of my body, the joy that these breasts were able to be controlled and flattened by a simple binder was amazing. However, during summer, it became awful to wear a binder under a t-shirt. During transitioning and acquiring hormones, having been on them for four years and despite my male identity shifting to non-binary, my underlying urges and desires behind top surgery has only grown stronger and more concrete than before.
I long for the day that I can wear a t-shirt without a binder underneath, to be able to look down and see a flat chest, to be topless on hot days to cool down and more importantly, to be free of the breasts that have caused me so much pain and dysphoria since the day they began growing.
I have already seen two surgeons regarding top surgery in 2012. Surgeon A said DI would be the only available method for me as I have large breasts and losing weight would change the shape of my abdomen but not my breasts. Surgeon B said I have a choice between his method or DI. His method is a horizontal line on either side of the nipple and around the nipple - only I would need to (happily) lose weight so my angle of my nipples point forward instead of the tilting downward. I also noticed the description of the Surgeon B's method is similar, if not the same method as Megan Hassall's technique in Sydney. I was surprised that Surgeon B mentioned his method, it sounded like a combination of both peri-areolar and DI technique(?) He assured me that there is minimal scarring but it is ultimately up to me whether I would like go with his method or the regular DI. I have nothing against DI technique but holy snapping turtles, minimal scarring? Yes please!
There was also a third surgeon that my gender psychiatrist wrote on his list for me but I only picked the first two to consult as he encouraged seeing two would give me a better idea of which surgeon I would like to go with, so I figured, since I am losing weight, why not see the third surgeon in the mean time, gather their opinion, quotes and compare all three together...? As of right now, Surgeon B is one I would likely go with but I feel it's always a good idea to shop around more!
What do you guys think? Is it concerning or not at all odd that Surgeon B says I can have his method done if I lose weight whereas Surgeon A said DI is the only method suitable for my size...?
P.S. Is it shallow of me... that while my main interest is having a flat chest, that I care about the nipple placement, such as the symmetry? The thought of waking up from surgery and finding I have lopsided nipples terrifies me but I think I could handle lopsided nipples over losing them completely. Thoughts? Am I just being too vain or is this a common fear?
Kind regards,
Jacey