Gender Affirming

Question 1

chest binding

Answer 1

used to compress breast tissue in order to create a flatter appearance of the chest

Question 2

concerns with the use of binders

Answer 2

Question 3

proper binder use

Answer 3

wear correct size
avoid elastic bandages, duct tape, plastic wrap
remove when sleeping
limit to 8-12h a day

Question 4

clinical implications of binder use

Answer 4

HCP should regularly assess physical outcomes and mental health benefits
asses binding practice
compare binding to benefits reported by pt
use clinical judgement to prioritize symptoms and engage in shared decision making

Question 5

gender affirming top surgery

Answer 5

removal of breast tissue
masculinizing
uses special techniques to contour and reduce chest wall, position nipple and minimize scarring

Question 6

breast cancer surgery

Answer 6

mastectomy
done if cannot be treated with breast-conserving surgery

Question 7

goals of rehab

Answer 7

limit scarring

Question 8

goals of rehab - post-op

Answer 8

2 surgical drains
compression vest

Question 9

goals of rehab- first 6-10 wks

Answer 9

avoid lifting arms above 90deg flex and ABD
do not push, lift, pull things greater than 5lbs

Question 10

goals of rehab- wearing binder

Answer 10

help decrease pulling = better scar healing

Question 11

scar mob

Answer 11

can start approx. 6-8 wks post-op

Question 12

scar desensitization

Answer 12

increase sensory input in a hypersensitive area
1-8min, 4-8x a day
begin once incision has healed
start soft and light to rough

Question 13

scar desensitization examples

Answer 13

Question 14

aggressive massaging can

Answer 14

wider scars or create keloids