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Q&A WITH DR. SCOTT MOSSER: What are some potential consequences of losing weight after top surgery instead of before top surgery? HOW MIGHT WEIGHT FLUCTUATION CHANGE MY SURGICAL RESULTS? A patient’s weight can also have implications on their overall aesthetic results after surgery because large fluctuations in weight after the procedure can alter the appearance of the chest. Rapid changes in weight can alter the integrity of the skin and make it more prone to stretch marks or stretching of any post-surgical scars. Differences in weight can also impact healing times and return to normal activity after surgery. To avoid any unwanted changes in the aesthetic result after surgery, we recommend that patients demonstrate a stable weight for at least 3-6 months prior to surgery. In some scenarios, this may be longer. For patients undergoing an elective or medically monitored weight-loss or weight-gain journey, we recommend this be completed prior to surgery if appropriate. GETTING PHYSICALLY HEALTHY BEFORE CHEST RECONSTRUCTION TOP SURGERY The Gender Confirmation Center does not have a weight or BMI cutoff for folks who are considering top surgery, and it’s best to be at your healthiest prior to any surgery. Here are a couple ways our patients have been able to maintain a healthy lifestyle before and after surgery: Avoid Fad Diets: A ‘fad diet’ is a term that promises quick weight loss (usually through an unbalanced or unhealthy diet). An unbalanced diet means you’re usually cutting out one food group (or multiple), which means you could be losing out on important vitamins. A lot of these fad diets claim that you’re losing fat, but most likely you’re really losing water weight. Losing weight quickly may be appealing but can be dangerous for a number of reasons. A Balanced Diet: Focus on eating whole foods, vegetables, and fruit. If you’re currently using government assistance for food, you might want to look into your local farmers’ market. A lot of farmers’ markets have a service where you can use your EBT debit card in exchange for coins you can use at the vendors’ booths to buy food. An incentive for you would be that they double your money; if you withdraw $10, they’ll give you $20 worth of coins. A healthy diet that is balanced with vegetables, carbohydrates, and protein is the best place to start. Personal Trainer: Finding a trans friendly or trans-identified personal trainer can be a great motivator. If finances are a challenge, you can ask the personal trainer if they offer a sliding scale. Sometimes attending just one session is enough to gain some confidence in different exercises you can do on your own. If you don’t have these resources in your area, there are people who offer the same services online instead of in person. There are also hundreds of online videos you can follow along with. If you’re local to the Bay Area, previous patients of ours have used a personal trainer named Ace Morgan, who owns ‘Ace Morgan Fitness’. Workout Friend: Find a workout buddy! Transgender and nonbinary Facebook pages are a great place to start. If you feel too vulnerable posting first, try searching the group for keywords to see if anyone has made a similar post. Local trans meetups and support groups are a great way to connect with the community and can be mutually beneficial if someone is in the same boat as you. If you’re more of an introvert and all of this sounds overwhelming, sometimes a secluded walking path in nature is a great way to find some peace as well as exercise. Chest Exercises: For those who want more defined pectoral muscles after surgery, chest exercises can be helpful. Vitamins: Vitamins help your body heal, which is especially useful when recovering after surgery. Although some folks load up on micronutrients or natural supplements that are supposed to help with healing before top surgery, this isn’t necessary if you’re currently eating a balanced diet. It’s important to note that you have to limit your Vitamin E intake 7-10 days before your top surgery. _____________________________________________________________________ For more information about weight fluctuations after surgery: genderconfirmation.com/blog/body-mass-index/ For more information about physical and emotional health before and after surgery: genderconfirmation.com/preparation-ftm-top-surgery/ genderconfirmation.com/emotional-physical-reactions/ If you would like to schedule a consultation with Dr. Mosser 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