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Julia and Bia show a breast shape common in transsexual women who started hormones after puberty but have not had breast augmentation. Breast growth can often be enhanced by use of an appropriate progestrogen, causing a more natural breast shape to form with lactative and ducting tissue as well as the fatty tissue laid down by oestrogen treatment. I have attempted to classify using the Tanner stage, this system can be hard to apply to the breasts of transsexual women and my grading can be debated in several cases. Oestrogen stimulates breast growth by acting on the mammary tissue. Please contact me if you know that any are not transsexuals, or if they have had breast augmentation.

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Dayana. Age: 26.
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Julia and Bia show a breast shape common in transsexual women who started hormones after puberty but have not had breast augmentation.

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Mya. Age: 23.
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Transsexual women must examine their breasts regularly for signs of problems. Sarah, a 24 year-old transgirl after 10, 17 and 26 months on hormones. As testosterone secretion increases this function is lost. As a tubular breast consists primarily of just fatty tissue, milk production and breast feeding can be problematic — although of course this is very rarely relevant for transsexual women. In the long term the differences will mostly even out, but even in mature genetic women there is often a quite visible difference in size and shape between the left and right breasts when a calm and well-lit study is made of them. In the absence of pregnancy the gland maintains this structure until menopause.

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