Week 45: If you could talk to your 18-year-old self about this… what would you say?
Hindsight is 20/20.
What advice would you give your younger self about BA, body confidence, or self-acceptance?
Hey everyone,
I wanted to open up a discussion about something that doesn’t always get talked about enough after breast augmentation: incision scar healing.
For those of you who have had BA, revisions, or are still in recovery, what did your surgeon recommend for helping your incision scars heal the best?
I know every doctor has their own instructions, and nobody should be putting anything on an incision until it is fully closed and cleared by their surgeon. But once you were cleared, what did your doctor suggest?
A few things I’m curious about:
I think this could help a lot of guys who are preparing for surgery or still healing. Scars are part of the journey, but good aftercare can make a difference.
As always, follow your own surgeon’s instructions first, but I’d like to hear what your doctors suggested and what worked for you.
Let’s clear up a question that pops up sometimes: does a cis guy need a psychiatrist letter to get breast implants?
From what I’ve seen and from my own experience, there is no blanket rule across the USA that says, “You’re a man, so you must get psychiatric approval before breast augmentation.” That is not how it works across the board.
Usually, it comes down to the surgeon, the clinic, the hospital, insurance, or just the surgeon’s own comfort level with doing breast augmentation on a male patient. Some surgeons may ask for a mental health letter because male breast augmentation still isn’t something every surgeon deals with every day.
My surgeon did not require or even bring up anything about a psychiatrist, therapist, or psychologist letter. What he did want to know was my why. Why did I want breast implants? Why was this important to me? Had I thought it through? Was I doing it for myself? And honestly, I think that is fair. A good surgeon should want to understand your reason.
Now, I guess if someone could not answer that well enough, or if the surgeon felt like the person had unrealistic expectations, maybe they might ask for a letter. Who knows? Every surgeon is different. But in my case, it was never required or even brought up.
They may want to make sure you understand what you’re getting into: the surgery itself, the risks, recovery, long-term commitment, cost, possible future revisions, bras, clothing changes, and how it may affect your day-to-day life.
Honestly, I can understand a surgeon wanting someone to have realistic expectations. Breast implants are not something you decide on overnight or rush into without thinking it through.
But there is a big difference between a surgeon being careful and a surgeon acting like something is wrong with you just because you are a cis guy who wants breasts.
Wanting breast implants as a man does not automatically mean you are confused, broken, unstable, or transitioning. Some men are trans. Some are nonbinary. Some are cis guys who simply want breasts. Everyone’s path is their own.
For me, I still identify as a guy. My breast augmentation was about feeling better and more comfortable in my own body. It was not about changing who I am or doing it for attention. It was personal.
If a surgeon asks for a psychiatrist letter, don’t just nod along. Ask them directly:
“Is this something you require from all breast augmentation patients, or only because I’m male?”
“Is this your personal rule, the clinic’s rule, the hospital’s rule, or an insurance requirement?”
“Do you need a psychiatrist specifically, or would a therapist or psychologist letter be accepted?”
“How will this letter actually factor into your decision to do my surgery?”
Their answers will tell you a lot.
A good surgeon should treat you with dignity and respect. They should be able to explain their reasoning clearly. If they are doing it to make sure you are informed, stable, and ready, that may just be part of their process. But if they act like wanting breasts as a man automatically makes you mentally unwell, that would be a red flag to me.
At the end of the day, this is your body and your decision. Take your time. Do your homework. Think it through. Be honest with yourself. Make sure you understand the risks and everything that comes after surgery.
Bottom line? Being a cis guy who wants breast implants does not automatically mean you need psychiatric help. Sometimes it just means you are finally being honest with yourself about what feels right for your own body.
Hi everyone
How long should I wait until I go bigger? Im deffo gunna wait a year but wondering how long everyone else waited.