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Q&A WITH DR. DANIEL JACOBS: What about top surgery and possible future pregnancy and chestfeeding? At The Gender Confirmation Center we know that gender is a spectrum and how folks physically identify with their body varies. Some transmasculine folks may not want to get any gender affirming surgeries, some may want to right now, or some might be waiting for the moment that feels right to them. There is no right or wrong way to align into the person you know that you are. In order to define what you want out of your gender alignment, it’s important to know that fact prior so you can identify what decisions you’d like to make. Maybe one of the decisions you’re weighing out is chestfeeding. "Chestfeeding" refers to transmasculine or non-binary transmasculine or gender expansive folks and the act of feeding a baby or child at the chest. There is some content out there regarding chest feeding and some of it is scientifically incorrect or misleading. Our intent is to inform you as well as manage expectations when approaching top surgery that can (or will) alter the function of your chest. AN INTRODUCTION TO "CHESTFEEDING" There are many other ways transmasculine folks may refer to this process. You may have heard of the terms "infant feeding," "lactating," "nursing," or "breast feeding." We’ll be using the term "chestfeeding" but are in no way denoting that this is the "correct" term to use as everyone’s experience and vocabulary varies. We encourage folks to find the words that make them feel safe and comfortable in relating to the topic at hand. SIMPLY PUT: CAN I CHESTFEED? Pre-op: If you are "pre-op" (meaning you haven’t had top surgery) you will be able to chestfeed (breastfeed). Post breast-reduction: You might be able to chestfeed, but there is a good chance you will have to supplement with formula. Post-op after a full top surgery (FTM/FTN mastectomy): Though there are definitely anecdotal cases of people who can chestfeed after some types of top surgery, you should definitely not count on this, and for sure it will not be possible after procedures other than aggressive breast reduction and possibly buttonhole/inverted T. IS IT POSSIBLE TO CHESTFEED (BREASTFEED) AFTER HAVING TOP SURGERY? The glands and ducts responsible for milk production will be removed from your body during surgery. This means that you will no longer be able to produce milk. There may be a small amount of glandular tissue left behind, but this will not be enough to produce milk. Also, if you have free nipple grafting, which is common for medium-to-large chest sizes, your nipples will no longer be connected to any milk ducts, so the production of milk will be impossible for this reason. This is an important consideration to take into account if you are considering future pregnancy. Though there are definitely anecdotal cases of people who can chestfeed after some types of top surgery, you should definitely not count on this, and for sure it will not be possible after procedures other than aggressive breast reduction and possibly buttonhole/inverted T. IS IT POSSIBLE TO CHESTFEED AFTER BREAST REDUCTION? You might be able to chestfeed, but there is a good chance you will have to supplement with formula delivered to the baby via baby bottle or an "at-chest" supplementer. The use of an at-chest supplementer is a wonderful way to feed your baby if you’re unable to produce all the milk the baby or child requires. It’s reflective of the "nursing relationship" in the way that it doesn’t require the baby latching on to any artificial nipples, such as bottle nipples. WHAT OTHER ONLINE RESOURCES ARE THERE ABOUT CHESTFEEDING? A transman’s blog focusing on chestfeeding: http://www.milkjunkies.net. This is a wonderful way to connect with other folks in the community who are chestfeeding. There’s also a Facebook group: Birthing and Breastfeeding Transmen and Allies _____________________________________________________________________ For more educational resources about chestfeeding/breastfeeding before and after top surgery: genderconfirmation.com/blog/transmasculine-pregnant/ genderconfirmation.com/blog/chestfeeding/ To book a consultation with Dr. Jacobs or with another GCC surgeon: genderconfirmation.com/consultation-request/ Please visit our website: genderconfirmation.com ⠀ #DrMosser #DrFacque #DrLey #DrDanielJacobs #topsurgery #genderconfirmationcenter #trans #transgender #transisbeautiful #sanfrancisco #AllGender #GenderAffirmingCare #TransCare #transproud #Transpride #transgenderlife #transgendersurgery #nonbinary #nonbinarysurgery #breastreduction #chestfeeding