Trans YouTuber Ryan Cassata on top surgery scars, recovery and how it saved his life

Transgender YouTuber Ryan Cassata reveals his chest after top surgery (PinkNews)

Transgender YouTuber Ryan Cassata has opened up about his top surgery scars, tips for recovery and how it saved his life.

Cassata, a trans man, found top surgery to be key to dealing with the gender dysphoria he was experiencing. He said, for him, it was a ā€œdo or die thing.ā€

ā€œTop surgery is important to many people because it relieves a horrible thing called gender dysphoria,” he told PinkNews.

However, he warned that it is not for everyone and that you should be sure itā€™s the right step for you.

ā€œIf youā€™re worried about or considering top surgery, I would say definitely explore,” he advised.

ā€œItā€™s a surgery you should only get if youā€™re 100 percent certain about itā€”I think that about any surgery.”

Do you have to be on testosterone to get top surgery?

ā€œThe biggest myth that I always get isā€”and I thought this tooā€”that Iā€™m not on testosterone, so I was like: ā€˜Is my breast tissue going to grow back?ā€™” Cassata told PinkNews.

ā€œThat was my first question but the doctor said: ā€˜No way, we remove like 96 or 97 percent of the breast tissue so itā€™s impossible for it to grow back.ā€™

ā€œNow itā€™s been seven years and Iā€™ve had no regrowth at all.ā€

What are the different types of top surgery?

Cassata had “a double mastectomy so the doctor removed my breast tissue and made my chest flat.”

He described it as “the reconstruction of a stereotypically-looking female chest to a stereotypically-looking male chest.”

Again, he advised exploring all the options available.


ā€œTalk to many doctors, look at peopleā€™s results on Instagram, talk to people, explore and only get it if youā€™re 100 percent sure,” he said.

Top surgery: Before and after

For Cassata, undergoing top surgery allowed him to pass as a trans man and be able to be himself in relationships, making a huge difference to his mental health.

ā€œI had extreme gender dysphoria so before I got top surgery everything was difficult, from putting on a shirt in the morning to giving someone a hug,ā€ he explained.

ā€œIt wasn’t even a decision, it was something that I had to do in order to survive.

ā€œSince I got top surgery my life completely shifted. I was able to dress more like myself, have romantic relationships, everything became more comfortable for me.ā€

Top surgery scars

Seven years after having the operation Cassata said he has recovered and is much happier.

ā€œMy scars have faded a lot [and] everything is the way it should be,ā€ he said.

Watch the video above on PinkNews’ YouTube channel to hear more about Ryan’s top surgery journey.