Hi, I'm genderqueer assigned female at birth. I just had my first appointment with a plastic surgeon about chest/top surgery and it's bringing up feelings that are very hard to deal with. Since age 14, I've had really massive breasts, that fluctuate between 38DDD and 40F depending on my weight. Because of the size of them, my options for surgery are more limited. It kinda seems like there's no way to avoid a nipple graft because of the size of my breasts. I had hoped that I would be able to maintain nipple sensation because that is something I enjoy during sex and also because I always had my nipples.

I'm just really struggling with how to cope with all of these feelings. I'm glad I opened up the door to chest surgery and was honest with myself about the extent to which my chest bothers me and has. I just can't help but feel like either I keep the giant tumors under the nipples so I can still feel my nipples OR I finally rid myself of these strange skin flaps and just take the loss of nipple sensation as a consequence.

If anyone has any advice or suggestions, either on coping with the feelings or how to figure out surgery options please comment or message me! I'm really tired of talking to cis women about this because they usually just crack jokes about wanting my tits and that's NOT helpful.