Hormones and surgery are the only ways of growing breasts safely. The appearance of women's breasts in some regions is partly dependent on hormones during puberty and pregnancy. Trying to get a larger breast by force can cause some serious medical issues. If you are worried about your body, it's important to talk to a plastic surgeon for safe and honest guidance.

It is usually not recommended to get top surgery at 13. One should atleast be 18 years of age to get top surgery. 

Starting the Opill birth control for breast enlargement can be risky. Use of birth control pills for a long time can cause problems such as high chances of blood clots, weight change, and emotional state. The hormone progestin in the pill can affect my levels of hormones. There are also claims that birth control pills made of progestin can affect the production of hormones. Consult your healthcare provider to make a safe decision and avoid risking negative consequences. 

For someone who is 48 years old and seeking to transition from male to female, it's important to consult with an endocrinologist before starting any hormone therapy. They will guide you on the appropriate medications and dosages based on your specific needs. 

If you don't take testosterone or undergo top surgery, you can still build your pecs by lifting weights. Pecs, short for pectoral muscles, can grow with exercises like chest presses and push-ups, which target these muscles. Pace yourself, use the correct form, and be consistent with your workouts. Your pecs can still develop even without testosterone.

Going from girl to boy occurs when pe­ople take hormones and have­ operations. The total cost depe­nds on what treatments are chose­n. After, problems could be infe­ctions, scars, and fertility changes. Talking to a transgende­r doctor regarding options and risks is crucial.

It is a common thing for lots of people­ to feel they do not be­long to the gender the­y were given at birth. This is calle­d gender dysphoria. The signs might include­ feeling weird about your body, clothe­s, or pronouns people use for you. This happe­ns because your gende­r identity does not match the se­x you were marked at birth. Spe­aking to a therapist who gets gende­r identity can help you in finding ways to feel good and supporte­d. 

The time and cost of transitioning from female to male (FTM) or gender reassignment surgery vary for each individual. Medical transition may involve hormone therapy and surgeries like top and bottom surgery. The effects of hormone therapy can be noticeable within months but may take years to see significant changes. Social and legal transitions are also part of the process. The overall cost can differ based on chosen options. Visit a medical professional for advice and support.
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Transgender women who have had hormonal treatment and/or surgery may notice a drop in sperm count and fertility as a side effect of the process. But this scenario, when became the case, is an exception. Effective relationships between transgender women who wish to have a baby and a reproductive endocrinologist or fertility specialist are of utmost importance as they will provide them with advice and the needed support.

It seems like you may be going through some changes about turning into the opposite sex. Understand that these changes are complicated and might need some medical interventions. You might require different amounts of hormones to help you through the process. Talk about what is bothering you and your symptoms with a doctor who can help you figure out the best way forward.

For transgender individuals, hormone therapy can often help reduce facial hair growth. It's important to consult with an endocrinologist, who specializes in hormone-related conditions, for personalized advice and treatment options. They can guide you on the best course of action tailored to your needs.

The main surgical procedures for male to female gender reassignment include vaginoplasty, breast augmentation, and facial feminization surgery. Vaginoplasty is creation of a neovagina and breast augmentation ie. insertion of breast implants to create a feminine chest. Facial feminization includes rhinoplasty, brow lift, and cheek augmentation procedures to create a more feminine facial appearance.

Gender reassignment surgery cost varies depending on the type of transition. For male to female transition, the cost ranges from $2,438 to $6,095. For female to male transition, the cost falls between $4,876 and $9,752. 
For more detailed information about the cost check this page - Gender reassignment surgery cost

The cost of gender-affirming treatment for transitioning from male to female varies widely, depending on the specific medical procedures required, location, provider expertise, and insurance coverage. It's essential to consult with a transgender surgeon for detailed estimates and to check insurance policies for coverage details.

Gender reassignment surgeries are of complex nature and you need to see a specialist. I suggest finding a skilled gender confirmation doctor that could talk about the operation, possible risks, and potential results. They can also guide on pre-operative preparation and post-operative care. It’s important to an informed decision and to select a surgeon who has experience and expertise in this field.