Transgender men who cannot afford the surgical procedures necessary to
make a full transition from male to female have been resorting to
health-jeopardizing procedures under the hand of untrained, unskilled “pumpers”
who promise to inject feminizing silicone throughout their bodies. The silicone
is able to produce curves and softness that is coveted by these transgender
males, but the injections take a hefty toll on these women’s lives and their
health. Though sometimes they produce the desired results, often transgender
women experience devastating side effects that make them wish they had never
had the injections.
Transgender individuals are not able to access health insurance to
help them make a transition from male to female or vice versa. But often these
people are desperate to make their appearance match their gender identity on
the inside. As a result, there is now a black market for transgender males to
become more feminine using silicone injections. Typically, doctors recommend
that silicone be used within enclosed implants, but the pumpers who serve the
transgender community inject loose silicone directly into the body. Medical
grade silicone can be difficult for pumpers to obtain, so often these people
will resort to using other substances like industrial grade silicone,
fix-a-flat, or cooking oil instead. Loose silicone of medical or industrial
grade can migrate to other areas of the body, causing disfigurement and
scarring.
The main reason why transgender women will seek out pumpers rather
than going to qualified medical doctors is because they simply can’t afford the
tens of thousands of dollars that it costs to make a full transition to the
female gender. Men who want to become female have to endure multiple surgeries
and injections of female hormones in order to take on a more feminine
appearance. There are a multitude of different procedures that can help
feminize masculine features. For example, transgender women will often have
their hairline moved down, a forehead lift, chin work, and a rhinoplasty to
feminize their facial features. Lip augmentation is also often recommended. All
of these surgical procedures are performed in addition to breast augmentation
and genital reconstruction. The price tag is currently at about $70,000 and
most transgender women living in the United States simply can’t afford it. Many
transgender women will use pumpers to at least achieve a more feminine
appearance even though they can’t afford hormones or any of the other bells and
whistles that are possible with transgender surgery with a qualified and board
certified plastic surgeon.
Some experts estimate that 22 percent of all transgender women in New
York have used a pumper’s services to create a more feminine appearance. Unfortunately,
many pumpers have used alternatives to medical grade silicone, or cut the
medical grade silicone with baby oil or Crisco to cheapen the procedure and
make a bigger profit. Often, they perform their injections in unsterile
environments like a hotel rooms, sometimes inviting ten or twenty other
transgender women to have the same procedure done at the same time. Silicone
injected into the bloodstream by accident at one of these parties can cause a
variety of different autoimmune disorders as well as respiratory distress and
death. But as long as the cost of transgender surgical procedures remains
exorbitant and inaccessible as a result of insurance regulations, pumpers will
still be able to make a profit even despite the potentially deadly
consequences.
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