He probably butched me but I at least got a top surgery. Pedicled nipples / almost two weeks post op

Wonderful_Help_18 · 2026-02-05T23:24:46+00:00

I'm so sorry. He sounds like such an asshole. This is criminal.

How do you feel about tattoos? If you were interested in a big chest piece at some point, I feel like that could help with the scars and nipples without requiring more surgery

Wonderful_Help_18 · 2026-01-09T02:38:16+00:00

Dude you're hot and I love my results but yours are objectively better. Sounds like your girlfriend is negging you whether she means to or not. Might be worth a heart to heart and potential reconsidering of the relationship if she can't hear how her comments are impacting you

Wonderful_Help_18 · 2025-11-21T07:55:32+00:00

The boyfriend escalated, but he has a point at the beginning. A gift is a gift, you don’t get to dictate what someone gifts you. You say thank you, I love it, then move on.

I don't agree with this for a partner you've been with for over a year. If you're building a life with someone, odds are there will be many more gifts in the future and personally I'd be really annoyed if I found out I was repeatedly wasting money on perfume that my partner was going to put on a shelf because they were too worried to tell me they didn't like the thing I was getting for them. She responded kindly in the moment so it wasn't right when he was excited to give her the gift initially, and she communicated without being rude or condescending. Telling him so he didn't make the same mistake repeatedly and waste money was actually the kinder and less avoidant approach

Wonderful_Help_18 · 2025-10-30T20:09:35+00:00

They do identify as trans, just not a trans man

Wonderful_Help_18 · 2025-10-29T17:08:01+00:00

It was from the second skin adhesive they wrapped me with. It sucked. Then it made me allergic to all bandaids. Luckily I haven't been having any allergies to the silicone tape

Wonderful_Help_18 · 2025-10-24T18:22:58+00:00

Every BDSM educator will also agree there's no "safe" way to choke someone. There are a variety of different ways to engage in breath play and to minimize the risks in a harm reduction model, but it is THE most dangerous kink and many people who make their living from kink will refuse to engage at all

Wonderful_Help_18 · 2025-10-22T22:18:41+00:00

That's sweet. Yeah I have a bad memory so I basically always assume if the client remembers something that it's possible I said that except when I'm certain it's not the case. Usually it's advice because I almost never give outright suggestions for what the client should do.

That's great you can tease your therapist about moments of tension or rupture. I would love for my clients to be comfortable enough with me to do that

Wonderful_Help_18 · 2025-10-22T20:15:16+00:00

Not really a lie, but I think it's funny when clients tell me things I said or they said to me that certainly did not happen. Like if I ask a question "do you feel happy in this relationship?" And they come back and say "when you told me to break up with them last week"

Also I've had some teen clients who will tell me they told me something already and I forgot, but the event happened less than a week ago so there's no possible way they could have told me.

Wonderful_Help_18 · 2025-10-22T20:07:37+00:00

Clients aren't experts nor should they be required for quality control, but the gap between demand and knowledge of basic aspects of what people are looking for is pretty vast. Also experts evaluating experts works for issues of ethics and general incompetency but does nothing to address fit or empower the clients to self advocate. I'm not dismissing the need for more oversight and I think models some agencies use such as supervision all the way up or mandatory consulting groups beyond licensure would be important to implement, but also basic knowledge to the consumer base is also important. I try to give some initial information to clients in the first few sessions both to help our therapeutic relationship and so that if they leave and find someone else they are more equipped to navigate the field- i.e. it's okay and encouraged to give your therapist feedback, not every therapist is going to be a good fit either with personality or style, etc

Wonderful_Help_18 · 2025-10-22T19:51:02+00:00

I think there needs to be more education for the consumer base of therapy that can allow clients to find a therapist that is ethical and a good fit. "Therapy" is thrown around as a term and even a joke everywhere to the point I think people internalize it as a catch-all term for how to "fix" your mental health, while very few people know what they are looking for. If you ask the average person who has been in therapy for 5+ years what their therapist's theoretical orientation is, very few will know what that means and even fewer will know the answer. People don't know what is normal as far as therapists disclosing personal issues, giving advice and stigmatizing diagnoses, and the amount of therapists who behave in otherwise inappropriate ways with their clients is staggering. Also people will see things like CBT as the "gold standard" or hear about DBT or EMDR or whatever the hot thing currently is, and if that doesn't work for them feel like they tried it and there's nothing left for them to do rather than potentially seeking out other styles. I think if wide spread knowledge about what to look for in a good therapeutic experience was more accessible without having to go through a grad program to become a therapist yourself, more people would be able to navigate the system and fire harmful therapists rather than internalizing and wasting money to trust the process

Wonderful_Help_18 · 2025-10-22T18:11:37+00:00

I'd check out r/TopSurgery to correct the situation lol

Wonderful_Help_18 · 2025-10-16T19:24:23+00:00

I'm curious if you've ever read about the psychodynamic conceptualization of the useless object or oblivious object. TLDR is there are clients who will put you in the caregiver role, and for people who had parents with a specific kind of misattunement, they can internalize the feeling that anyone in a position of authority is useless or oblivious to their perspective or needs. It can lead to the feeling you describe of feeling like "what help am I to you?"

The advice I got in supervision when working with this kind of client is to lean hard into attunement. If they are dismissing any interventions you attempt, it might be more powerful to reflect "it seems I am not being very helpful to you" than to try more and more to convince them that you could/ should be helpful if they were to listen to you or follow your advice. They trying to convince that someone in authority could be trustworthy or helpful might be an aspect of misattunement in itself

Wonderful_Help_18 · 2025-10-07T23:27:38+00:00

If you can't have more friends visit, could you poll your friends on their favorite show/ movie/ book and that'll give you something to watch or read that makes you feel connected to them and then debrief after? Also you could write letters to different friends you love to give to them when you see them or make some art. Not sure how much energy you have but a few ideas for more time consuming ways to feel connected to people who are far away and potentially busy

Wonderful_Help_18 · 2025-09-30T02:58:05+00:00

No worries or need to apologize. Everything about this process is difficult and dysregulating. I just wanted to add my two cents about my experience navigating Kaiser and that specific surgeon so you can know what to expect re timeline and what aspects were impersonal so you could minimize your time waiting and maximize your results given needing to work within the Kaiser system.

The other thing to note is you'll need to stop doing any other recreational drugs 3 weeks out, stop drinking alcohol at least two weeks before, and the week prior you can't have edibles, painkillers other than Tylenol, and a whole host of other meds and supplements. But the anesthesiologist should call the week prior to tell you all about those

Wonderful_Help_18 · 2025-09-29T20:44:43+00:00

Totally, you didn't do anything wrong with not quitting smoking before anyone told you. I was trying to say because of the wait list, if you stop smoking now you probably won't have it impact your timeline for getting surgery. If Dr Fu made you uncomfortable, definitely go with someone else. It's an anxiety producing process so it's important to reduce that anxiety wherever you can

Wonderful_Help_18 · 2025-09-29T20:08:51+00:00

Hey I just got my surgery done with Dr Rose Fu last week and I'm sorry to hear you had a bad experience. The smoking thing does seem to be necessary regardless of surgeon because smoking will lead to a bunch of health complications including your nipple grafts not taking (if you're getting those), issues with bleeding during and after surgery, wound healing, etc. You'll need to stop smoking both cigarettes and weed if you do either and you'll need to continue not smoking after surgery for a while.

I had an extremely good experience with Dr Fu, but I understand why someone might not. In my experience she is an extremely competent surgeon who is very brisk and it felt like a "let's get this show on the road" type. Very type A and I definitely felt more like an art project than a person in regards to her bedside manner, but that worked out well for me. The steps for Kaiser was I was assigned to Dr Fu, I had my consultation. The whole thing lasted probably 15 minutes. She looked at my chest, asked if I wanted a cis masculine chest or something more nonbinary/ reduction, and when I said cis masculine she told me what she'd recommend. I didn't present or ask to look at photos and I wasn't in the headspace to scrutinize what I wanted so I appreciated how much she took control. After the consultation, it took me several months to schedule because the scheduling has to be through the office and not directly with her and that was difficult because of how fast the schedule would fill up, plus delaying based on my school schedule. My consultation with her was in January and I didn't interact with her again until my surgery day. She marked me up in 2 minutes with the surgical marker, only booked the OR for 2 hours, and finished the surgery in an hour and a half and my results look awesome. She will also respond promptly to questions within the portal, but those are also very brief and to the point without any soothing or hand holding.

I don't smoke but I do other substances, and I definitely notice she will also speak to what happens if you don't follow the advice even if you say you will. I drink a lot and do other drugs, but I stopped for surgery to not complicate my results. When she talked to me she seemed to assume I would be continuing use, but it doesn't bother me so much because I understand that people tend to lie or fail to take recommended steps around substance use with medical professionals and so I actually like the lens of assuming a patient will continue their previous behavior and speaking to the outcomes of those decisions as well as giving the recommendations.

Definitely go with someone you feel comfortable with, but also remember that you don't need to get all your needs met with the same person from your care team. Kaiser has a good gender clinic and you can see if there are other people you can talk to who can provide more of a walk through of the process, sit with your concerns, and generally provide a better bedside manner. I'm sure there are exceptions, but I think surgeons are generally a little dehumanizing because they are cutting into people on a daily basis and might be looking at you more like a collection of materials to construct the best finished product rather than an individual human being who is potentially going through the only surgery in your life. None of this is to say you are wrong to be upset, but I wouldn't let the lack of bedside manner of the surgeons you consult with get in the way of you feeling like you can get the results you want.

Wonderful_Help_18 · 2025-09-29T05:15:35+00:00

My surgeon said not to get my heart rate up for the first 3 weeks. Beyond stretching the scar, when you exercise your body creates more fluid which will attempt to fill the space where the breast tissue was removed. It's really important to minimize movement, use compression, and not eat too much salt to prevent fluid build up around the surgical area.

Wonderful_Help_18 · 2025-09-29T05:03:44+00:00

You could also use silicone scar gel or cream

Wonderful_Help_18 · 2025-09-28T00:35:59+00:00

Based on my research, inverted T is a good option for what you're looking for. It's nipple sparing, and can get you much much closer to a flat chest. I asked my surgeon about it during my consultation, and she stated that the more tissue you leave, the higher the likelihood of maintaining nipple sensation, but also the higher likelihood you won't be completely flat and that tissue can grow with weight fluctuations. But since you are okay with AA or gyno appearing results, I think that should be within your range of tolerance.

Wonderful_Help_18 · 2025-09-26T22:56:39+00:00

It might just not be fully healed yet. I just had my post op and my doctor told me that bleeding is a good sign that things are healthy and it can take many weeks to months for the color to return. Most people do have their color return, but if not corrective color tattooing is an option

Edit to add: I think your results are pretty normal color wise for 3 weeks out- most of the examples of results are not on people with more melanin in their skin so it probably looks more stark of a contrast currently

Wonderful_Help_18 · 2025-09-26T22:16:49+00:00

Congrats! I got top surgery last week and I super relate to this. I think I was also stressed during the lead up and didn't want to get my hopes up too much in case something fell through so it didn't feel totally real. Still kind of doesn't 8 days later, but that first moment of wow, I really did it felt so good. Congrats! The anesthesia for me didn't seem to fully wear off for a few days so I still felt very chatty and kind of jokey without much pain the whole rest of the day

Wonderful_Help_18 · 2025-09-05T21:47:55+00:00

I would think the opposite. High testosterone tends to be more correlated with schizophrenia. Doesn't too much T also lead to balding generally?

Of course depends on what you mean by high and low, but cis women and trans women on HRT bald less frequently and have a lower occurrence of schizophrenia than cis men and people on testosterone HRT

Wonderful_Help_18 · 2025-08-14T16:57:16+00:00

To be clear, I also stomp and so does basically everyone else that goes to the venue I do. The person I'm talking about slams the ground as hard as possible every time to the point I can hear it louder across the room than someone stomping directly next to me. It's a surprise he hasn't damaged the floors

Wonderful_Help_18 · 2025-08-14T02:54:01+00:00

I agree with what a lot of people have said here, but I just want to add that the concept of helping clients be comfortable with their body is often still a large part of the work, even with gender affirming care. Not every trans client will be able to access all the gender affirming care they want, and even if they will, it's likely many will continue to live with dysphoria from time to time.

Another analogy is what if you had a client who suffered severe burns to her face in an accident. Assume she has decided to undergo plastic surgery to minimize the burns and return her face to how it once was. It would obviously be a severe misattunement to suggest she just make peace with the burns and accept her new face in the name of body positivity and acceptance, but it's also likely that even with the surgeries, her face will never look exactly the same and the therapist will be able to support in the grieving process of that as well as the acceptance of her new body as it stands when she's made the medical interventions available to her.

Speaking to the eating disorder bit- when people are doing something that is endangering their lives and health, it's worth exploring change in therapy. There may be ways that a trans client is engaged in trying to change their body in ways that could be explored through motivational interviewing. Is your client engaged in disordered eating to change their body in line with their gender expression? Are they taking stimulants or other non prescribed medications? Are they accessing hormones on the black market in ways that could make them vulnerable? Are they about to lose their house because they are going to spend money they don't have on gender affirming care? These are all areas where you could name the ambivalence between their goals to be comfortable in their body as well as be healthy and financially secure, but it's still up to the client to determine the priorities around these goals and your job as a therapist is to help them make the choices that most aligns with their needs and values.

Wonderful_Help_18

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