r/Reduction Apr 04 '21

Mod Message (Mod Use Only) Check here for the Master List of Surgeons and for answers to Frequently Asked Questions!

348 Upvotes

Hey everyone!

We have had many requests for some kind of megathread where users can list their surgeons and their personal experiences so others can use the info. This would be great, but unfortunately there are only two spots for stickied posts on the subreddit. In order to get around this, I have made a Google Doc that should be able to be edited by anyone. It is pretty basic, but I ask that you don't change any formatting without asking! Please add in your surgeons and your experiences, rate, review, whatever you'd like to say according to the instructions and the sample entry of my own. I will go ahead and say that right now the list is entirely USA-centric, but there is a section for those from other countries to add in their info! It is just a bit bare bones since most of our users are from the US. Here is the link to the doc: https://docs.google.com/document/d/1NPypc2CDJspdED4MoTEcBqLEs_pWN5QW-BqJYmjXTJE/edit?usp=sharing

Please check our subreddit FAQ and try searching the subreddit before posting a question! Your question may already be answered.

Also, here is a link to a helpful video made by a plastic surgeon who frequents our community! Check it out for some answers to common questions you may have.

Have an opening at the intersection of your T-Zone incisions? Here is a great video talking about “triple point healing”

HAVING AN FNG? Here is a good infographic of the FNG healing timeline!

CURIOUS ABOUT DIFFERENT INCISION TYPES? Here is a good infographic on how a handful of incision types actually look.

GET YOUR COVID VACCINE. It does not cause symptoms that will affect the outcome of your surgery. Get the shot.

Your surgeons office or insurance may be denying you based on body mass index… here are articles about BMI and why it’s kinda garbage. Don’t be afraid to appeal or find other surgeons if they keep pushing a BMI narrative when you are otherwise perfectly healthy and happy with your weight.

A good article on why BMI is a terrible measure of health.

A good article on why using BMI is racist/contributed to medical racism.

Another article on the racist history of BMI.

Recently published (2023) article referencing a study that showed that top surgery on high BMI individuals had “negligible” effect on serious complications and only a very small correlation of minor complications.

Non-binary, gender nonconforming, or questioning gender and wondering if a reduction or top surgery might help? Check out some of these links.

A link to a good site that might help increase your understanding of being non-binary if you’re questioning.

A link explaining gender nonconforming and how aesthetic expressions play into being GNC.

I think this link is very helpful for understanding non-binary folks and surgeries!

This website is great for finding surgeons willing to do radical reductions in the US, it’s geared toward transmasc folks but the surgeons in the sidebar can be searched by state and top surgeons also do radical reductions! They also are very aware of what you need to get insurance to cover surgery for gender affirming reasons.

Questions about nutrition? Check out this link:

What should I eat after surgery? Here’s a really good article about it.


r/Reduction Aug 07 '23

Mod Message (Mod Use Only) What to do about creeps, how to access the creeplist, photo stealing, and how to manage harassment on other platforms

37 Upvotes

If anyone messages you after you post here, check the creep list before responding!!

The creep list can be found in the sidebar (or the About tab if you’re on mobile) under "Info and FAQ." I am also linking it in this post in case people are having trouble finding it.

Here is the list: https://www.reddit.com/r/reduction/wiki/creeplist

If anyone messages you after you have interacted in any way on this subreddit, please cross reference their username with the creep list. If anyone comments something weird, posts something a bit off, or is just a creep please report the comment or post and we will address it.

INSURANCE SCAMMERS: if anyone messages you trying to get you to buy any kind of insurance please tell us the username and report the message! These people are not selling legitimate policies and are actively scamming people!

A few notes: as this is available, we ask that users don't make any posts to call out anyone. We also ask that you keep us super up to date with any new creeps that come around so we can ban them and add them to that list. We depend on you for reports on posts, comments, and messages! It helps us a lot when you all are involved :)

If someone messages you REPORT THE MESSAGE for harassment so admin can deal with that user. Please do not post about it on the subreddit, it just gives these disgusting maggots attention they want but don’t deserve.

To report chats, simply hold down on the message (or right click if on desktop) and an option to report will show up! You can do this without accepting the chat. Please report the message, then do not accept the chat, then block the person.

It has recently come to our attention that there’s a website encouraging users to steal pictures from here to post there and make fun of/“mourn” the “loss” of tits. Fucking disgusting. This is NOT legal. IF YOU ARE CONCERNED THAT YOUR PICTURES ARE BEING REPOSTED ON PORN SITES OR OTHER HARASSMENT SITES please refer to this post for instructions for how to request a take down of your pictures: https://www.reddit.com/r/Reduction/s/09OD4OySlM


r/Reduction 12h ago

Celebration It's done 🎉 4kg removed!

39 Upvotes

I cannot describe my happiness. Just got discharged and back home. I will share photos next week after my 1 week post-op appointment.

I was a 34J (UK), my surgeon did a free nipple graft and lots of side lipo. He said he removed approximately 2kg off each breast. I had drains in me that were removed before I got discharged. I'm on a lot of medication that's helping control my pain. I have foam dressing on that I cannot get wet until removed.

Private, London Clinic, Mr Paul Harris - gave up after years of attempting to do it on NHS and constantly told me my BMI needs to go below 27, so I used up my savings.

Best decision ever. Excellent surgeon and hospital. I know it's a long road to recovery but I'll take it day by day. It feels like a new chapter in my life.

Thank YOU to this subreddit that I've been following for years.


r/Reduction 3h ago

Advice (NO MEDICAL ADVICE) Reduction before top surgery?

4 Upvotes

Hey all, my name is Silas and I’m 30FTM. Due to bmi limits in my state, nowhere that takes my insurance will even consider me for top surgery. I’m not 100% sure of my chest size but last I checked I was bigger than a 44DDD. I’m considering getting a reduction first so I can eliminate back pain and make it possible to exercise more efficiently so I can get my bmi down below the limit.

Is this a bad idea? To anyone’s knowledge would this prevent me from getting top surgery down the line? And lastly, how small can one go with a reduction surgery?


r/Reduction 31m ago

Advice (NO MEDICAL ADVICE) insurance BS

Upvotes

I've recently decided to try to get insurance to cover a reduction. I'm in the very early phases. Thankfully, I have a history of neck/back pain all documented in my medical record. I've decided to pursue physical therapy since I've read insurance usually requires this. The BS is that my insurance only pays 60% AFTER I meet my $4,000 deductible. Who can pay that? For physical therapy!? I hate US Healthcare.


r/Reduction 2h ago

Advice (NO MEDICAL ADVICE) Beginning process

2 Upvotes

I after many years have decided I want/ need a breast reduction. I've already had back surgery. I have shoulder and chest pain and can't find bras that remotely hold them up. Not to mention the struggles with body dysmorphia. My question I guess is what steps did you take to get insurance to cover it?


r/Reduction 9h ago

Advice (NO MEDICAL ADVICE) If you got pregnant after your breast reduction, how did pregnancy affect your breasts?

6 Upvotes

Hi! I had a reduction almost five years ago (34GG down to 34D). I’m thrilled with the results. And I’m pleased I did it when I did, even in the knowledge that I probably wouldn’t be able to breastfeed. Now I’m in a different phase of life and my fiancé and I are likely to want children in the next couple of years.

If you’ve had a breast reduction before pregnancy, how did it affect your breasts during pregnancy? Did your breasts grow by much, or not? For reference - I will not be breastfeeding.

Thanks!


r/Reduction 8m ago

Medical Question (Ask medical professionals first!!) Downsizing Implants with Breast Lift (mastopexy)

Upvotes

Hi! Reddit recommended I move my post here:

Ten years ago I did an implant exchange from 400 cc to 700cc and they are way too big and cause significant back pain. My goal was to close the wide gap between my breasts which we accomplished, but it was not worth the physical toll these implants took on my body.

I am downsizing my 700cc HP cohesive gel implants to either 385 or 415 HP soft touch implants in November. Also having breast lift with mesh.

I am 5”9 155lbs-160lbs and worried about having a large gap between breast like I had\* with my first set of 400cc HP Implants.

?: Has anyone undergone similar downsizing?

?: Does the lift help reposition the nipple and breast? Or will my breast gap be just as wide as it was with my first implants even though I was much fitter (developed chest muscles) and weighed less the first time around?

My surgeon says the gap will be wider than it is now but “shouldn’t be too wide”. Which makes sense to me, but I’m struggling to visualize.

More possibly relevant info: I was told my frame is too narrow for moderate profile implants by 3 surgeons. Also had fat grafting done with the 700cc implants. I am not sure how much, or exact placement but I believe it was to help with cleavage and cushion one nipple that I’d lost feeling in.

Thanks in advance for your an answers. I know downsizing is the right choice for me, I’m just trying to set realistic expectations of the outcome so I can prepare mentally.

\*Edited for typos and readability.


r/Reduction 18m ago

Advice (NO MEDICAL ADVICE) Must haves for surgery

Upvotes

I am having a breast lift with gala flex and a small reduction on one breast do to sizing .. as well as lipo on stomach and flanks ..

Looking for recommendations, must haves , advice , on what I could use for recovery .. anything will be appreciated .,Thank you


r/Reduction 20m ago

Advice (NO MEDICAL ADVICE) Switching Insurances after denial?

Upvotes

I’m looking for advice on a site-of-service denial and whether switching insurance would make sense.
I had a breast reduction authorization submitted through my current insurance, Blue Cross Premera, at the end of May. Two days later, it was denied because of the site of service. My insurance wanted the procedure to be performed at an ambulatory surgery center (ASC) instead of a hospital setting.

When I contacted insurance, they explained that if the surgeon did not have ASC privileges, or if there was a medical reason the surgery needed to be performed in a hospital, the provider could submit additional documentation or appeal the decision. My surgeon doesn’t work out of an ASC, only a hospital so I thought a peer-to-peer could be done to reverse the decision. I’m young and healthy and don’t have any major health issues aside from the constant pain, strain, and recurring rashes caused by my breasts.

However, my surgeon’s office was not willing to appeal, do a peer-to-peer review, or submit additional documentation. They instead provided an out-of-pocket quote, so I decided to move on and look into other options.

I have another consultation scheduled with a different hospital-based surgeon soon. I have found that this surgeon may perform surgeries at an ASC, but I am not completely sure if that would be the location used in my case. I was waiting maybe to see what would be said at the consultation before switching.

My employer’s open enrollment is coming up soon, and I have the option to switch from Blue Cross Premera to Cigna. From what I can tell, Cigna has similar medical necessity requirements, but I have not seen the same ASC site-of-service issue.

Would you stay with the current insurance and see how the new surgeon handles the authorization process, or would you switch insurance to avoid potentially running into the same site-of-service issue again?

I’d appreciate any insight!


r/Reduction 24m ago

Advice (NO MEDICAL ADVICE) How do you guys deal with delays?

Upvotes

I was originally scheduled for surgery July 2, got a call a week before the date that “something urgent came up” and got rescheduled for July 30. Got a call today with the same thing - but this time I didn’t even get a next date. Just that they would call me in a couple of weeks to schedule.
I know that things happen and this is an elective surgery but it’s just so heartbreaking, ya know?
I planned my life and my work around this… and paid for the surgery too (or part of it, as part is covered by insurance)

So ya, anyone who’s been in a similar situation?
Feel free to share some cute photos of your pets in the comments 🙃💕


r/Reduction 24m ago

Advice (NO MEDICAL ADVICE) 8/27 surgery lift

Upvotes

I am having a breast lift with gala flex as well as a little reduction on one breast to fix it not being even , I will have lipo on my Stomach and Flanks as well.

does anyone have recommendations for what I would need or must haves , what was helpful for,recovery ? Any thing would be helpful ! Thanks