Bind Safe. Be Safe.

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What is chest binding?

Chest binding is used to give the appearance of a flat chest by compressing chest tissue with constrictive materials, such as a tight top called a ‘binder’.

For some trans and non-binary people, their chests are a source of gender dysphoria, as they’re a visual reminder of a person’s birth-assigned sex (1). Binding can reduce gender dysphoria and improve mental health, but it can also cause negative physical health symptoms if done incorrectly (2).

Binding is for anyone, but it can be particularly useful for trans, non-binary, and gender diverse* folk who do not want their chest to look feminine and who may want to have a more androgynous or masculine gender expression.

Binders can be one way to help someone safely express their gender identity.

*Gender diverse is an umbrella term referring to people who do not have a binary gender identity (woman or man) and may be described as nonbinary, gender non-conforming, genderqueer, gender fluid, or even bigender.


Choosing Your Style

People bind in many different ways: some people wrap their chests with elastic bandages, some wear a sports bra, neoprene or athletic compression wear, or layer several sports bras or shirts. Others wear commercially-available binders specially designed for this purpose (2).

Binders generally look like singlets or tank tops that are made out of a combination of tough and stretchy material. They come in a variety of styles and colours. Different designs suit different people and bodies; it is best to try a variety of options and see what feels best for you personally. Below are some examples to consider:

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Full-length binders are considered compression tank tops and can help compress your chest as well as your stomach. They offer more support from your shoulders, which can be beneficial if you are larger chested.

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Half-length binders (often referred to as a “tri-top binders”) are often more breathable/comfortable in warm weather.

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A sports bra without padding has a similar effect to binders and is often preferred for physical movement.

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Swim binders are made out of waterproof material that stay opaque in all conditions. You can also swim in a regular binder.


Finding Your Size

When taking measurements, take them over a shirt, without a bra or a binder on already.

  1. Take a snug measurement of the fullest part of your chest.

  2. Measure underneath your chest, where the crease is.

  3. Add those two measurements together (1 + 2) and divide the sum by two and that is your binder size.

    (1 + 2) ÷ 2 = Binder Size

*Make sure to double-check and follow instructions provided by the brand of your binder, as some brands may require a different method of measurement for sizing.

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Wearing & Caring

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Putting on Your Binder

When trying on a binder for the first time, it is highly recommended to have a trusted person around in case help is needed.

Option 1: Overhead - Put your binder on over your head like a t-shirt. Put your arms through the armholes and pull it down over your chest, trying not to let it roll up on itself.

Option 2: Step into it - While holding the shoulder straps, step into the neck hole as if you are putting on a pair of pants. Pull the binder up and slip your arms through the armholes.

 
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Look & Feel

1. A binder will feel tight the first time, but you should be able to breathe comfortably when first trying one on. If not, go up a size. Although binders will loosen a little with wear, it is better to go up a size and still get the same effect without causing your body harm. Plus, you can always drop a size in the future. Take deep breathes and start by wearing it only for 1-2 hours a day as your body gets used to the compression. Only bind for 8-12 hours at a time maximum and never sleep in your binder. Take a binder break every few days.

2. Using a mirror, try to flatten your chest towards the armpits, this will help create a pec-like appearance. It is important to ensure the nipples are not binded in a downward position, as it can cause damage to the tissue and skin. This could negatively affect the result of future top surgery.

 
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Removing Your Binder

Option 1: Lift the should straps and pull upwards until the compression reaches your neck. Continue to pull yourself out of your binder.

Option 2. Grabbing from the bottom of the binder, pull it up and over your head inside out.

After removing your binder, make sure to stretch out your arms, shoulders, chest, and back to loosen any tightness, and be sure to take a few deep breaths and cough to clear out any possible fluid build-up in your lungs.

 
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Caring for Your Binder

  1. Wash your binder every 2-3 days or every day if you are sweating or wearing it daily. For most binders, it is best to hand wash with soap and warm water. Hang it up to dry and avoid using the dryer as it will shrink and damage it.

  2. Bodies change over time and your binder may become loose or damaged through wear and tear. Be sure to re-evaluate your binder to ensure you have a correct fit.

  3. It’s a good idea to carry a sports top with you in case you are out and need to take your binder off, this way if you need to change you have a spare option.

 

More resources on this topic:

Bind Safe is an informational hub and educational video series promoting safe binding practices, education around the basics of gender dysphoria, and additional resources for youth, parents, medical professionals, and allies.

In this binding tutorial, Kyra walks us through some crucial binding information, including:Different kinds of bindersHow to measure yourself for a binderHow to put on a binderAdditional tips on how to bind safely

In this binding tutorial, Kyra walks us through some crucial binding information, including:

  • Different kinds of binders

  • How to measure yourself for a binder

  • How to put on a binder

  • Additional tips on how to bind safely

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NOTE: The material included on this webpage does not constitute medical, or other professional advice or opinion. All information, including text, graphics, images, videos and any other material, including any links to such materials, are provided for informational and educational purposes only, and are not intended to substitute for professional medical advice, diagnosis or treatment.

Always seek the advice of a physician or other qualified healthcare provider with any questions regarding a medical condition. Never disregard or delay seeking professional medical advice or treatment because of something you have seen or read online.


Risks & Side Effects of Binding

People who bind their chest more frequently (every day) and wear their binder for longer duration are more likely to experience negative symptoms. For this reason, taking days off between binding may help decrease this risk. Long term binding (over years) was also more likely to be associated with negative symptoms, particularly skin, tissues, and musculoskeletal problems (2). People with larger chest tissue were more likely to experience skin and soft tissue issues (2). If a patient intends to get top surgery (a procedure to reduce or remove breast tissue), binding frequently can affect skin elasticity and may impact surgery outcomes (4,5). 

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Signs to Take a Binding Break:

  • Chest pains/difficulty breathing.

  • Numbness, tingling. Overheating; dehydration.

  • Skin rash, irritation, sores.

  • Back pain, soreness.


Youth Chest Binding

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Chest binding can often begin in adolescence as an avenue to further explore gender identity.

Although there is no known paediatric “safe age” to start binding, a recent study was conducted wich enrolled 1,800 assigned female at birth or intersex individuals who had ever used chest binding (6). In this survey (“The Binding Health Project”), more than one-half (56%) of participants had begun binding by age 21, and 30% had begun by age 18 (6).

Although many symptoms of binding emerge quickly, others can take years to develop. For youth, access to puberty blockers may delay the initiation of binding and prevent binding-related side effects to emerge. Although binding is often critical for mental health, negative physical side effects, ranging from chronic pain to rib fractures, are also common (6).

🔗 Click here to read more about this survey


Healthcare & Chest Binding

The 2017 study found that almost 9 in 10 people experienced at least one negative effect from binding, and 8 out of 10 felt that it was important to discuss binding with a healthcare provider. However, only 3 in 20 (15%) sought medical care for binding-related health issues (3).

Over half of the participants report that their healthcare practitioner is aware that they bind their chests, but among those, less than half actually discussed their binding practices with their provider. People who felt safe and comfortable about starting a conversation about binding, were more likely to seek help for any negative binding side effects (3). This highlights the disparity between the healthcare that transgender and non-binary people need, versus the healthcare that they have access to or feel safe to pursue.

NOTE: The material included on this webpage does not constitute medical, or other professional advice or opinion. All information, including text, graphics, images, videos and any other material, including any links to such materials, are provided for informational and educational purposes only, and are not intended to substitute for professional medical advice, diagnosis or treatment.

Always seek the advice of a physician or other qualified healthcare provider with any questions regarding a medical condition. Never disregard or delay seeking professional medical advice or treatment because of something you have seen or read online.


Inclusive Healthcare

“Bind Safe” is an educational video series and downloadable PDF to promote safe binding practices, education around the basics of gender dysphoria, and additional resources where both youth and parents can seek support. “Bind Safe” is an informational hub and educational video series promoting safe binding practices, education around the basics of gender dysphoria, and additional resources for youth, parents, medical professionals, and allies. Thank you to the Community One’s Rainbow Grant for their support in making this project possible. Visit www.bindsafe.ca to learn more!

Dr. Tehmina Ahmad shares an emotional story about the medical community failing to provide a safe space for a trans patient, and why she decided to go into medicine. Content warning: this video contains mentions of transphobia, and assault.

“Bind Safe” is an educational video series and downloadable PDF to promote safe binding practices, education around the basics of gender dysphoria, and additional resources where both youth and parents can seek support. “Bind Safe” is an informational hub and educational video series promoting safe binding practices, education around the basics of gender dysphoria, and additional resources for youth, parents, medical professionals, and allies. Thank you to the Community One’s Rainbow Grant for their support in making this project possible. Visit www.bindsafe.ca to learn more!

Dr. Thea Weisdorf describes her personal journey the self-education that was needed to better provide a safe and supportive space for her trans patients, and their families.

“Bind Safe” is an educational video series and downloadable PDF to promote safe binding practices, education around the basics of gender dysphoria, and additional resources where both youth and parents can seek support. “Bind Safe” is an informational hub and educational video series promoting safe binding practices, education around the basics of gender dysphoria, and additional resources for youth, parents, medical professionals, and allies. Thank you to the Community One’s Rainbow Grant for their support in making this project possible. Visit www.bindsafe.ca to learn more!

Kyra, Dr. Tehmina Ahmad, and Dr. Thea Weisdorf discuss the importance of trans care, and the need for more inclusive education within the medical community.

 

References:

  1. Dutton L, Koenig K, Fennie K. Gynecologic care of the female-to-male transgender man. J Midwifery Womens Health. 2008 Jul-Aug;53(4):331-7.

  2. . Peitzmeier S, Gardner I, Weinand J, Corbet A, Acevedo K. Health impact of chest binding among transgender adults: a community-engaged, cross-sectional study. Cult Health Sex. 2017 Jan;19(1):64-75.

  3. Jarrett BA, Corbet AL, Gardner IH, Weinand JD, Peitzmeier SM. Chest binding and care seeking among transmasculine adults: a cross-sectional study. Transgend Health. 2018 Dec 14;3(1):170-178.

  4. QMunity. I heart my chest: a chest health resource for trans* folk. Vancouver, 2014 Dec. Available from: http://qmunity.ca/wp-content/uploads/2015/03/IHeart_My_Chest-_English_version.pdf

  5. Monstrey S, Selvaggi G, Ceulemans P, Van Landuyt K, Bowman C, Blondeel P, Hamdi M, De Cuypere G. Chest-wall contouring surgery in female-to-male transsexuals: a new algorithm. Plast Reconstr Surg. 2008 Mar;121(3):849-59.

  6. Sarah M. Peitzmeier, John Silberholz, Ivy H. Gardner, Jamie Weinand and Kimberlynn Acevedo. Time to First Onset of Chest Binding–Related Symptoms in Transgender Youth. American Academy of Pediatrics, 2021 Feb. Available from: https://pediatrics.aappublications.org/content/early/2021/02/03/peds.2020-0728?fbclid=IwAR2WoAG5z4IaLc9rb4-LLxCeN45yHNj7616ThN3L_ets9YpjqGkoMoanbCw