fracture

hey y'all, i have my bottom surgery consult on tuesday, for metoidioplasty, specifically. at the moment, i'm not interested in pursuing phalloplasty, although i'm not taking it off the table entirely, it's for a later time

the doctor i will be consulting with is dr jonathan keith in new jersey

i wanted to give y'all the opportunity to post any questions you might have about it. i might be able to answer myself, but if not, i will try to ask the doctor as well

for full context, i don't expect to schedule the surgery coming out of this appointment.

• i am going to ask about the potential of HGH treatment to improve bottom growth, as one clinic in south korea is pursuing (https://www.urodoc.co/ftm-metoidioplasty.htm)
• i also plan to ask about options for reduction of the labia majora, because that's a big concern i have with my body, specifically
• additionally, i will ask about how a theoretical phalloplasty following metoidioplasty would work
• finally, i will also ask about urethral lengthening without vaginoplasty (my preferred option), although i expect the doc will confirm what the research says about the heightened risk of urethral fistula post surgery. i'm also not sure that it's something i'd want, as i think my typical ejaculation volume would be... inconvenient for sex, to say the least

also on my list, but not strictly about the surgery, is asking about the anatomy of the arterial structures that feed the clitoral cavernosum bodies (i know their penial analogues and can find decent diagrams, but finding the equivalent clitoral diagrams is challenging)

i will write a follow up post with this information, as well as my general experience at the appointment, after it happens on tuesday (probably wed or thurs)

i got top surgery (double mastectomy) like 3.5 years ago now. i stuck to massaging my scars because i didn't actually want to reduce the appearance of my scars (idk why i was worried about this, they're fucking massive LOL). i was more concerned with blood flow / nerve functionality than appearance

however, that was 3.5 years ago and, due to some unrelated scarring (i scar like a mfer (i keloid a lot)), i got recommended to get some silicone tape, so i was like, what the hell, i'll put it on my top scars too

i also got nipple grafts, so i've been putting it on the edges of my nipples as well (i've noticed they're scarred quite badly on the outside)

note that my skin seems to be allergic to the glue in standard adhesives, so i've actually been using silicone gel, just applied topically twice a day, instead of silicone tape / strips (i'm also using a lot, so it would be a lot of tape to put on / take off / clean every day... the gel you just wash off)

it's a really good excuse to be shirtless more often during the day, and the results have been pretty promising thus far, 2 weeks in. my scars already feel a lot softer. i think the gel has also been helping things get cleaned out... my scars have been a little prickly and itchy, which is generally a good sign for that happening. so you might consider it for helping restore your blood flow / nerve functionality as well

also cool that it's still working after this many years... i guess 3.5 years is a lot to some people, but not a lot in the absolute scale of things

just something for y'all to think about. i've heard it does help reduce the appearance of scars, if that's something you want (i think they look badass, so i'm tryina show em off)

for the science of how this works, from what i've found, we can consistently reproduce the effects of softening / reducing scars, but we have no actual idea how it works LOL. so that's kind of interesting

have you gotten top surgery? what kind, and did / do you use silicone for treating the scars? if you haven't gotten top surgery, is this something you'd want to do?

(additional note: i'm not sure how long you need to wait after getting top surgery to apply the silicone tape/gel, but i would check w/ your doc and wait till they're fully healed at the very least)

when it gets difficult to get gel out of the pump, i was tossing the bottle. but because of laziness, i left an old bottle for a day, and i noticed that it actually can generate enough pressure to pump more testosterone since i had left it alone for that long

so if you keep your low bottles of testosterone gel, you can get one pump out of them per day for longer than you might think they're empty, and extend the lifespan of your testosterone gel for a little while

*dependent on if your testosterone gel bottles work the same as mine

obligatory reminder that gel is just as good as injected :)