Pour finir en se basant sur des données non-imaginaires (mais sans faire de revue de la littérature complète il est 5h du matin), on a des données[5] qui montrent une absence de différence dans les taux de complications et de réopération après une mammectomie entre les personnes qui utilisaient un binder et celles qui n'en utilisaient pas.
De quoi être rassuré·e et binder en paix 💖

P.S. : C'est aussi valable pour les personnes transfem/sous estradiol en général, porter un binder n'empêche pas la poitrine de se développer et ne l’abîme pas. Que ce soit un port occasionnel pour ne pas s'outer à sa famille, un port fréquent parce que parfois on préférerait avoir un torse plat, ou toute autre raison, y'a pas d'inquiétude à avoir.

Sources

[1]: Gender-affirming chest surgery: a prospective series of 155 consecutive cases of double incision mastectomy. Vico PG et al., 2024. https://doi.org/10.1097/GOX.0000000000006343

[2]: Female-to-male transgender chest reconstruction: a large consecutive, single-surgeon experience. Berry MG et al., 2012. https://doi.org/10.1016/j.bjps.2011.11.053

[3]: Ovarian, breast, and metabolic changes induced by androgen treatment in transgender men. Pirtea P et al., 2021. https://doi.org/10.1016/j.fertnstert.2021.07.1206

[4]: Standards of care for gender identity disorders. 6th ed. Harry Benjamin International Gender Dysphoria Association, 2001. https://doi.org/10.1300/J056v13n01_01

[5]: Female-to-Male Gender Affirming Top Surgery: A Single Surgeon’s 15-Year Retrospective Review and Treatment Algorithm. McEvenue G et al., 2018. https://doi.org/10.1093/asj/sjx116
Sur le sujet voir aussi, même si ça relève de l'avis d'expert et donc d'un niveau de preuve plus faible : Guide to Binding Your Chest Safely Before Surgery | Gender Confirmation Center

Generally speaking, binding will not cause problems with your surgical plan. Binding over a long period of time can alter your skin’s natural elasticity, which may have some minor effects on your final cosmetic results. Your surgeon will be able to help you formulate realistic surgical expectations following a consultation. If your current method of chest binding has caused skin breakdown (sores), you will need to wait until these sores have healed properly before undergoing chest reconstruction top surgery.

#binding #binder #topsurgery #mammectomie #trans #research

In case anyone wants to know what dog ears are, this sort of shows you where, though it's not a view where the name makes sense.

It's edge of this scar, under my arm, where it doesn't lay flat - it forms an odd dimple when I'm standing up that resembles the triangle of a dog's ear. A technique for treating scars, including dog ears, is through tattoos. The needle breaks up scar tissue, and many people find their scars lay flatter after.
#TopSurgery #scars 🏳️‍⚧️