Transition
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===Prevent or undo breast development=== <!--T:98-->
<!--T:99-->
{{main|top surgery}}
<!--T:100-->
Some nonbinary people want or prefer to have a flat, masculine chest. For transgender children and teens, going on a prescription medicine called [[puberty blockers]] can postpone or pause puberty, which prevents or reduces the amount of breast growth they would have. The effects of puberty blockers are temporary, so breast growth will resume whenever the person stops taking that medicine. For people who have already had breast growth, going on [[masculinizing hormone therapy]] such as [[testosterone]] may reduce breast size just a little bit, if at all, but it does not get rid of breasts. There are also nonbinary people who go on [[feminizing hormone therapy]] in order to get other body changes that they want, but who do not want breasts. Wearing a well-fitted sports [[bra]] or [[binding|binder]] can reduce how large the breasts look, and temporarily make a flat, masculine chest shape. The only way to permanently get rid of breasts is through surgery. Surgery to take away the entire breast is called mastectomy. For transgender men and transmasculine people, mastectomy is also called masculine chest reconstruction, to emphasize that they don't see it as a loss, but as fixing a problem.
==== Mastectomy or masculine chest reconstruction ==== <!--T:101-->
<!--T:102-->
{{main|mastectomy}}
<!--T:103-->
Mastectomy for trans people is not as painful or traumatic as mastectomy to remove breast cancer or lumps, because the latter usually has to remove lymph nodes. For trans people, mastectomy is a short, single-stage procedure done under general anesthesia at a cosmetic surgery clinic or hospital. The patient goes home the same day. The recovery process depends on which method for mastectomy the patient had.
==== Breast reduction ==== <!--T:104-->
<!--T:105-->
{{main|top surgery}}
<!--T:106-->
Some transgender and/or nonbinary people have larger breasts than they want. If the temporary methods such as sports bras and binders do not meet their needs, then they may prefer to get surgery to reduce the size of their breasts. The variety of methods for breast reduction are very similar to those for mastectomy described above. Larger breasts or those that need to go down more sizes will be reduced by the T-anchor method. Breasts that only need to be a little smaller can be reduced by the peri-areolar or keyhole method. Breast reduction is also commonly sought by men and women who seek a smaller breast area for a variety of reasons.<ref>{{cite book|title=Gender: Ideas, Interactions, Institutions|last1=Wade|first1=Lisa|last2=Marx Ferree|first2=Myra|year=2014|publisher=W. W. Norton & Company|page=23}}</ref>
==== Preventing breasts from developing ==== <!--T:107-->
<!--T:108-->
Some nonbinary people who have not yet developed any breasts already know that they do not want to have any. If they can prevent their breasts from developing in the first place, then they will not have to get surgery to remove them. If someone knows that developing breasts would be a significant source of distress ([[gender dysphoria]]), then preventing breast development can be better for their longterm mental health.
* [[Breast ironing]] is a non-surgical procedure that attempts to destroy the breast bud, so that breasts cannot develop.
* For children and teens, [[puberty blockers]] can postpone or temporarily stop the development of breasts for as long as they are on that therapy.
* For people who are on the female-to-male spectrum, or whose bodies do not naturally produce much testosterone: taking [[Testosterone]] or otherwise being on a [[masculinizing hormone therapy]] can prevent or temporarily stop the development of breasts, for as long as they are on that therapy.
* For people on the male-to-female spectrum, or people whose bodies do not naturally produce much estrogen, some types of [[feminizing hormone therapy]] make it possible for someone to have a feminine appearance without developing breasts.
===Prevent or undo breast development=== <!--T:98-->
<!--T:99-->
{{main|top surgery}}
<!--T:100-->
Some nonbinary people want or prefer to have a flat, masculine chest. For transgender children and teens, going on a prescription medicine called [[puberty blockers]] can postpone or pause puberty, which prevents or reduces the amount of breast growth they would have. The effects of puberty blockers are temporary, so breast growth will resume whenever the person stops taking that medicine. For people who have already had breast growth, going on [[masculinizing hormone therapy]] such as [[testosterone]] may reduce breast size just a little bit, if at all, but it does not get rid of breasts. There are also nonbinary people who go on [[feminizing hormone therapy]] in order to get other body changes that they want, but who do not want breasts. Wearing a well-fitted sports [[bra]] or [[binding|binder]] can reduce how large the breasts look, and temporarily make a flat, masculine chest shape. The only way to permanently get rid of breasts is through surgery. Surgery to take away the entire breast is called mastectomy. For transgender men and transmasculine people, mastectomy is also called masculine chest reconstruction, to emphasize that they don't see it as a loss, but as fixing a problem.
==== Mastectomy or masculine chest reconstruction ==== <!--T:101-->
<!--T:102-->
{{main|mastectomy}}
<!--T:103-->
Mastectomy for trans people is not as painful or traumatic as mastectomy to remove breast cancer or lumps, because the latter usually has to remove lymph nodes. For trans people, mastectomy is a short, single-stage procedure done under general anesthesia at a cosmetic surgery clinic or hospital. The patient goes home the same day. The recovery process depends on which method for mastectomy the patient had.
==== Breast reduction ==== <!--T:104-->
<!--T:105-->
{{main|top surgery}}
<!--T:106-->
Some transgender and/or nonbinary people have larger breasts than they want. If the temporary methods such as sports bras and binders do not meet their needs, then they may prefer to get surgery to reduce the size of their breasts. The variety of methods for breast reduction are very similar to those for mastectomy described above. Larger breasts or those that need to go down more sizes will be reduced by the T-anchor method. Breasts that only need to be a little smaller can be reduced by the peri-areolar or keyhole method. Breast reduction is also commonly sought by men and women who seek a smaller breast area for a variety of reasons.<ref>{{cite book|title=Gender: Ideas, Interactions, Institutions|last1=Wade|first1=Lisa|last2=Marx Ferree|first2=Myra|year=2014|publisher=W. W. Norton & Company|page=23}}</ref>
==== Preventing breasts from developing ==== <!--T:107-->
<!--T:108-->
Some nonbinary people who have not yet developed any breasts already know that they do not want to have any. If they can prevent their breasts from developing in the first place, then they will not have to get surgery to remove them. If someone knows that developing breasts would be a significant source of distress ([[gender dysphoria]]), then preventing breast development can be better for their longterm mental health.
* [[Breast ironing]] is a non-surgical procedure that attempts to destroy the breast bud, so that breasts cannot develop.
* For children and teens, [[puberty blockers]] can postpone or temporarily stop the development of breasts for as long as they are on that therapy.
* For people who are on the female-to-male spectrum, or whose bodies do not naturally produce much testosterone: taking [[Testosterone]] or otherwise being on a [[masculinizing hormone therapy]] can prevent or temporarily stop the development of breasts, for as long as they are on that therapy.
* For people on the male-to-female spectrum, or people whose bodies do not naturally produce much estrogen, some types of [[feminizing hormone therapy]] make it possible for someone to have a feminine appearance without developing breasts.