Five years ago today I woke up elated and afraid. Elated because I was getting top surgery! Afraid because I was getting top surgery.
I suspect the joy is a little easier to understand. From the moment I hit puberty the first time, I loathed the way my upper body looked. Initially I denied the changes that occurred right under my nose; once I finally acknowledged them, I refused to step out of the house in anything other than a tight sports bra. When my costume for the musical during my sophomore year didn’t allow for that, I wore a tight tankini instead. I tried wearing traditional bras a couple of times, but I hated how they felt and how they made me look. When I hit college and began Transitioning, I switched to Ace bandages for a while (not one of my brighter ideas) before finally purchasing several binders. Essentially a double-layer spandex undershirt, these garments flattened my torso even more than the sports bras had, letting me “pass” as a man when I wore clothes. I also bought a special binder made of swimsuit material for the summers, so I didn’t have to fight with a girl’s one-piece suit anymore. As long as I wore clothes, I was somewhat comfortable in my body. But that wasn’t enough. I remembered times as a kid when I ran around with no shirt on. I remember closing my eyes in the shower when my body began changing, and training myself to not look below shoulder level in mirrors if I didn’t have at least a bra on. The binders may have been a help, but they also added two very tight layers under my normal clothes, which meant I overheated even more easily than I always had. And I wanted back the feeling of freedom I had as a kid, when I felt more comfortable in my own skin.
From the moment I realized that I had to Transition to keep going, I wanted top surgery. For an assigned-female-at-birth (AFAB) individual like me, that means I would basically get a mastectomy. It’s not something every trans person wishes for, or can afford. But I knew that for me to be truly happy I needed it. The biggest question became when, as most insurance companies at the time didn’t cover ANY costs related to the procedure. So I kept working, kept saving, and did research. I learned about the different types of top surgery: Depending on how large your chest was pre-operation, the surgeon might opt to do “keyhole” surgery or a bilateral mastectomy with nipple grafts. The former procedure leaves less visible scars, because the incisions are made in the nipples. It also works best for folks who are no larger than an A or small B cup. I realized pretty quickly that I’d likely end up having the second procedure.
Spring of 2012 brought with it that long-term substitute teaching job, and with it, a large paycheck. As soon as I realized just how much money I’d have by the end of the semester, I kicked my surgery research in to high gear, because there was a very good chance I could have the procedure done that summer. After looking at costs and reviews, I scheduled my procedure with Dr. Medalie in Cleveland. And the countdown to 25 June began.
Even with how excited I was when I woke up that day five years ago, I was also a little afraid. As much as I disliked it, my body was still a known quantity, and had been for years. I’d never had surgery like this before; what would that be like? I’d seen a video on Dr. Medalie’s web site of the procedure, so I knew exactly what was about to happen. How much was it going to hurt? And what if, after all of this, I wasn’t happy with the results? What then?
Dr. Medalie performs this surgery as an outpatient procedure, so I didn’t spend any time in a hospital. I arrived at the surgery center a couple of hours before the procedure, and was back in the hotel room by early evening. The next few days proved to be the biggest trial of my whole Transition: The dressings on my chest and drains in my sides made moving around too much painful, and I couldn’t really move my shoulders. The drains also meant I had to sleep on my back (NOT my preferred sleeping position). I forced myself to relax as much as possible and spent the week catching up on sci-fi TV shows.
One week after the surgery, the drains came out, the dressings came off, and I got to see the new me. My first look didn’t do much to dispel my previous fear: The grafts and incisions were still in the early stages of healing, my skin was prickly with re-growing hair (my chest was shaved prior to surgery), and patches of yellow and orange showed where I’d been swabbed with iodine during the procedure. But over the next few weeks, as I exercised and stretched and got back to the business of living my life, I realized that the fear had proved unfounded.
Five years later, I have no concerns about how my chest looks. Regular exercise has allowed me to build a decent amount of muscle; between that and my body hair the scars of my surgery are a little hard to see unless you know what to look for. I no longer wear multiple layers of clothes to hide my shape, only for comfort. The first time I went swimming in just trunks ranks as one of the happiest days of my life. In many ways, five years ago today marked the start of ME.