Queering Medicine - Chest Binding (2024)

Recommendations for Binding or Taping Your Chest Safely

Many trans, non-binary, genderqueer, and agender people experience chest-related dysphoria, and some choose to use tape or a binder to flatten their breasts. Binding can have significant benefits to mental health and mood, and is associated with improved well-being and quality of life for those that experience dysphoria related to their chest.

General Safety Information for Chest Binding and Taping

  • Binding (by wearing a binder or using tape) can have a range of potential side effects, but binding less often and taking breaks, as well as binding less tightly, can lessen these side effects. Common side effects include rib, chest, shoulder, and back pain; overheating; coughing; and skin irritation.

  • If you experience any side effects, consider taking a break from binding or binding less often, and consult a doctor if side effects become serious. If you live in the Lansing area are concerned that your doctor isn’t queer-affirming or doesn’t understand trans issues, reach out to queeringmedicinelansing@gmail.com and we will try to connect you with a doctor who can help.

  • It’s important to take break days (for example, on the weekends) when you don’t bind.

  • People with larger chests are more likely to have skin issues, including scarring, excess skin, and rashes.

  • There is no evidence that chest binding increases the chances of catching COVID-19, but binders may worsen symptoms and increase complications and risk of death for those that have the disease. If you have symptoms of COVID-19, avoid binding until you recover.

General Tips for Binding and Taping

  • Binding is intended to make your chest flatter, but not totally flat. A completely flat chest is generally an unrealistic goal and isn't consistent with typical body proportions (even for cis men).

  • When evaluating how you look when binding, look at yourself in a mirror. Looking straight down gives a distorted view, and is from a perspective that others don't have.

  • Your chest’s overall appearance is dependent on the shirt you wear as well as other factors, and you may prefer a binder in some clothes/scenarios and tape in others.

Binders

There is a lot of good information about binders online, but you should still be careful about trusting what you read. This page is good and comprehensive:

Critical Safety Information for Binders

  • Get a binder from a reputable company, like gc2b (https://www.gc2b.co), underworks (https://www.underworks.com), and shapeshifters (https://www.shapeshifters.co) (gc2b and shapeshifters both have instructions and tips on their sites, and it might help to read a few examples, not just one).

  • Never wear a binder for more than 8 hours at a time, and take breaks if you can.

  • Never size down. If it's hard to breathe, the binder is too tight/small.

  • Take break days (for example, on the weekends).

  • Never exercise in a binder. A sports bra is much safer and you need to prioritize safety. Avoid strenuous physical activity while wearing a binder.

  • If you have any concerns about potential side effects or risks related to taping, talk to your doctor.

Helpful Tips for Binders

  • If you're small-chested, try wearing two shirts (e.g., a cami-style tank top under a regular shirt) instead of a binder or tape.

  • The Salus Center is a great local resource, particularly the Transmasc Support Group (nonbinary folks are welcome!), and you may be able to get a binder directly from Salus.

Taping

It can be difficult to find good information about taping online, but these three pages are helpful:

Critical Safety Information for Taping

  • Only use tape that is designed to stretch and to be applied to skin. If the tape doesn't stretch, you face the same issues as wearing a binder too long (see below). Athletic/kinesiology tape should be used (KT Tape and TransTape work well). Never use duct tape or other types of tape: You will get hurt.

  • Don't fully stretch the tape when you apply it (stretch it around halfway). This gives the tape the flexibility to not restrict your chest dangerously. Keep in mind that the tape is already slightly stretched on the roll before you take the backing off.

  • Don't wrap the tape around your entire chest. Leave room for it to expand when you breathe and move, etc.

  • The tape is designed to stick strongly and stay on for days, so take it off very carefully or you'll hurt your skin. Taking it off in the shower helps, but rubbing baby oil into the tape first and letting it sit for around 10 minutes before getting in the shower works magic.

  • You can wear binding tape for a few days at a time without removing it, and you can exercise and shower with it on. Try to give yourself a break between binding sessions to be on the safe side (for example, leave it off for the weekend or overnight before putting on new tape).

  • Either protect your nipples with something (so that the tape doesn't stick directly to them) or be very careful with them when you remove the tape.

  • If you have any concerns about potential side effects or risks related to binding, talk to your doctor.

Helpful Tips for Taping

  • Watch a few example videos before putting it on yourself.

  • It may be easier to put it on while laying down on your back, so that things fall naturally into a flatter starting shape.

  • It may help to try putting tape on a test patch before using it to bind your chest, to make sure you don't have an allergic reaction to the adhesive.

  • Taping is generally more effective for people with smaller chests (tape has less flattening power than a binder).

Authors/Contributors

  • Danny Feldscher (they/them)

  • Grey L. Pierce (they/them)

  • Wyatt Shoemaker (he/him)

Chest binder image: Genusfotografen (genusfotografen.se) & Wikimedia Sverige (wikimedia.se) / CC BY-SA

Queering Medicine - Chest Binding (2024)

FAQs

How effective are chest binders? ›

Unless you have a very small chest to start with, binders won't make all of your breast tissue disappear. They will, however, help redistribute your breasts more evenly so your chest appears flatter.

What happens if you wear a chest binder for too long? ›

How often can you bind your chest, and when? Here are some important tips to stay healthy and comfortable. Only bind for 8 to 10 hours at a time. Even the best binders can cause bruises or sores if you wear them too much.

What are the results of chest binding? ›

Side effects of binding

Most common: back pain, overheating, chest pain, shortness of breath, itching, bad posture, shoulder pain. Despite these health concerns, most people still bind due to the positive effects on mental health and quality of life.

Does chest binding reduce breast size? ›

Binding involves wrapping material tightly around the breasts to flatten them. It will not shrink breast tissue or prevent the breasts from growing, but binding can help the breasts look smaller and may make a person feel more comfortable.

Do binders work on C cups? ›

Yes, as long as it is the right size and a proper binder from a safe and reputable company. You can bind at pretty well any size however it may not be as effective for someone with a larger chest. I take a 38D or sometimes a 38DD.

Do sports bras work as binders? ›

As an alternative to a dedicated binder, a good sports bra with high compression can serve as a binder. Sports bras won't provide as much compression as a binder but can be a stepping stone to binding later.

Is it bad to sleep with a chest binder? ›

One of the most important binder-safety tips is to never wear your binder when you're sleeping. At night, the lungs need space to move properly which is why you shouldn't bind at night. If you find it too confronting to sleep without a binder, perhaps wear a big T-shirt or a sports top.

What's the longest you should wear a binder? ›

You should avoid wearing a binder for more than 8 hours. For people under 18, we recommend taking it off after 6 hours. If you have to wear it for longer than this, we suggest going to the bathroom or another private space and removing your binder for 5 – 10 minutes to stretch out your muscles and chest.

What is an alternative to chest binding? ›

A new, safer alternative to chest binding is the use of a compression top. Compression tops are built from gentler fabrics than most other binders on the market right now. Compression tops are designed to compress the chest in a gentler fashion to help improve overall comfort, safety, and movement capabilities.

Is chest binding reversible? ›

Chest binding or 'binding' is a practice used by many trans and nonbinary people assigned a female sex at birth to achieve a flatter chest contour and affirm their gender. Binding allows individuals to affirm their gender in a temporary, reversible way.

What are the cons of wearing a chest binder? ›

A person should always bind for under 8 hours per day, ideally taking breaks from their binder throughout the day. Wearing a binder for extended periods can cause skin irritation, breathing problems, or back pain.

Does binding destroy breast tissue? ›

Health risks related to binding

In extreme cases, breast tissue can become permanently damaged,” she says.

What is the safest binding option? ›

Binder/medical compression shirt

Binders are the safest and most recommended way to bind. Binders can be just for the chest, or full torso to reduce the size of hips.

Does binding cause sagging? ›

If you wear a binder much, it causes the breast tissue to migrate into a different position. You can end up with very saggy breasts. Nobody has done a study on how quickly this happens. (Some bloggers suggest maybe a year, maybe several years, depending on how often you bind.)

What are the long term effects of chest binding? ›

That said, even a dedicated binder is not without risk, and binding improperly or for too long can lead to chest and back pain, rib bruising and fractures, shortness of breath, overheating, and skin damage. Peitzmeier S, Gardner I, Weinand J, Corbet A, Acevedo K.

Is TransTape safer than binders? ›

TransTape not only provides the user with high quality materials and natural ingredients, it provides a safe alternative to restrictive chest binders.

How long should a chest binder last? ›

The general guideline for binder replacement is every 6 to 9 months, or after approximately 90-150 wears. This timeframe ensures optimal performance and hygiene. TOMSCOUT binders, known for their durability, might even exceed this general lifespan if cared for properly.

Do chest binders restrict breathing? ›

Wearing binders that are too tight can cause underlying tissue and muscle damage, prevent free movement, and even restrict a person's ability to breathe. There haven't been many studies about the health effects of binding, so it's important to listen to experiences of others, and to talk to your healthcare provider.

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