Transgender Teen Survival Guide

Asked by Anonymous

Ren says:

Estrogen / anti-androgens (are pretty good at what they do, I tell you what):

• boops of a decent size - I’ve heard up to B cups naturally!
• change in size of areolas (around your nipples) and usually more sensitivity
• softer skin!
• body hair growth lessens (although what’s already present requires electrolysis to remove); it also lightens up and becomes less dense
• fat distribution! you do get a pretty lovely-lookin’ waist-to-hip ratio :)
• less muscle mass, more fat (to make you softer)
• gonads & penis will be smaller
• less ejaculate and fewer erections (orgasms are not dependent on these things)
• you tend to smell nicer, actually! (and have a better sense of smell in general)
• less prominent veins

What they can’t do:

• reverse bone changes already established by puberty (total height, length of arms, legs, hands, feet, and width of shoulders and rib cage are all unaffected)
• but those things, as well as the width of hips, are not set in stone as long as there’s not been fusion yet! (usually happens between ages 18-25)
• puberty-established changes to the bone structure of the face, including the Adam’s apple
• can’t change a deep voice
• can’t remove facial hair entirely, just lessen it

Surgeries:

• breast augmentation (implants)
• facial feminization surgery (surgical changes for the nose, forehead, chin, jaws, cheeks, lips, ears, or eyes)
• chondrolaryngoplasty (AKA a tracheal shave - shaving down the Adam’s apple)
• orchiectomy (removal of gonads)
• penectomy (removing penis)
• vaginoplasty (creating a vagina)
• labiaplasty (creation of labia - those are the lips around the vagina)
• clitoroplasty (creation of a clitoris)
• abdominal lipoplasty (removing fat from the stomach - some transfeminine people choose to do this if their fat redistribution isn’t going too well)
• scalp surgery (treats “male”-pattern baldness)
• voice surgery (surgery on the vocal cords / surrounding cartilage - raises voice pitch)
• butt augmentation (what it says on the tin)

I’m not aware of any surgeries for shoulders or hips, or at least not mainstream ones! Here’s a good resource for surgery (warning for use of MTF) and here’s one for hormones (same warning).

I’m AFAB, so let me know if I’m missing anything, but there you have it!

Lee says:

Adding one more link: A Crash Course in Surgeries for Trans Women

Followers, feel free to add on!