Transition Update: FFS Revision

Hey everyone,
So... it's this time again. I'm having to take a little break for a few weeks because I'll be lying in a hospital bed somewhere in Spain again. I'm frustrated with having to get FFS done a second time, but, unfortunately, it is actually necessary.

You see, while I'm extremely happy with the result of all prior surgeries, and really not being clocked anywhere anymore, something went wrong with my rhinoplasty, and thus my nose is... kind of broken a little. You can't really see it from afar, but during last year's surgery, it appears that they removed a little too much cartilage, which has prevented my nose from healing correctly and, instead, has caused a 'dent' right in the middle. While it's aesthetically unpleasant, but not world-shattering, it also makes it difficult to breathe, and thus also affects the sense of smell. Not to mention that they said if this remains untreated, the whole nose might just... collapse at some point. So... this is a necessary surgery.

Now, the surgeons are working for free on my nose, but I still have to pay for the hospital, accommodations, anesthesia, and other expenses. It also moves back my other planned surgeries by about six months since it's not recommended to keep getting general anesthesia all the time without pauses. So... I thought, why not add some other procedures that I was going to get done at some point anyway, and save myself the cost of anesthesia and accommodations for those.

So this surgery will also include a bullhorn liplift and a breast augmentation. I'm mostly stressed about the breast augmentation, since it is kind of scary how the choice of the implant affects body shape. I know this might seem ironic considering the games I make, but I'm worried about them becoming too big. You know... the games are just fantasy, not something I want to actually happen in real life. Well.. I guess I need to learn to let go and let the doctors do their work.

So what does this mean for the upcoming schedule? Obviously, the next patch will take a little longer. I'll be in Spain with Facial Team for about two weeks. Last time, I remember growling that I'll surely be back to work the next day, and then I crashed so hard and recovery took at least three weeks longer than that. But (!) this surgery will be quite a lot shorter and less invasive, so I doubt I'll be out for as long. That said, breast augmentation has a big effect on being able to move the arms, and I won't even be allowed to drive for about a month after. So maybe it'll affect my ability to work? I honestly can't tell.

During this time, as always, I have commissioned some side content for you all to enjoy. And while I don't want to spoil much, this next one is probably my favourite story ever. It feels like the author looked right through my soul and into the deepest depths of desires and needs. So I really hope you'll all enjoy this one. It is coming on September 1st.

I hope you all realize that these procedures are not 'by choice' but are happening in order to reduce gender dysphoria (and would even be paid for by health insurance if I were to do them in Germany).

Speaking of health insurance, I recently got the confirmation that they'll be paying for all gender-affirming surgeries (made in Germany) going forward. I'm now on a waiting list for the big, scary genital reassignment surgeries with Morath & Schöll (one of the best known surgeons in Germany), and that'll take... at least 18 more months. Not to mention that it already took a whole year to get a consultation appointment that I need to enter the waitlist, huh? Additionally, the health insurance took an extra five months to process the application. Well, we can't have trans people undergoing surgeries without having a long time to come to terms with themselves. There is, however, a chance that I'll be able to get the first part of it (just the orchiectomy) in January already, so that I can stop taking the worst of the medication (Androcur).

So... there you have it. All the latest news in my world of gender transition. If you have any questions, I'm always happy to answer them on Discord. We do have an extra channel for all gender questioning peeps. You can access it by getting pronoun roles.

I hope you have a nice month while I recover, and I'll write to you soon.

Best,
Kim