Bruce Jenner: From Olympic Champion to Woman

Bruce Jenner’s visible changes keep media on the go already for a long time. It was rumored, it was denied. Now the secret is out: The Olympic champion of 1976 turns into a woman. In front of the camera the former track athlete confessed his transsexuality, which accompanied him throughout his whole life but which he has, however, hidden for so long.

His ex-wife Kris Jenner probably suspected it after she had caught him out several times in lingerie and women’s clothing at home. In Keeping Up with the Kardashians, a reality TV show in which Bruce appears together with Kris and her daughters it was possible to recognize a feminization step by step – his hair has become longer and longer, his nose got more and more narrow. In a TV interview with the American broadcasting station ABC Bruce now revealed: “My brain is much more female than male. It’s hard for people to understand that. But that’s what my soul is.”

In order to finally turn his “female soul” to the outside the ex-track athlete already endured a lot. In the beginning he was suspected to be “surgery-addicted” like Michael Jackson – now we know what really is behind. What was disclaimed vehemently back then is now supported actively by his family. Stepdaughter Kim Kardashian even proves her support publicly by posting strengthening statements regarding her stepfather’s transformation via Twitter. And even his 88-year-old mother Esther emphasizes that she doesn’t have a problem with his transsexuality.

To fulfill the desire for a female body and to help Mother Nature along a hormonal change to female conditions is necessary. Female sex hormones, estrogens, are responsible for breast growth in women and lead to a change of the body composition, so that more fat is stored. At such a hormonal change it is advisable to administer bioidentical hormones, which correspond to human hormones in chemical structure and therefore have a favorable side effect profile compared to artificial hormone preparations.

Bruce himself says that he is looking forward to transforming ultimately to a transwoman. The transformation should be finished during the year 2015. Recently 65-year-old Bruce dared to do the big step of a breast augmentation – a desire which is shared by many other transgender persons.

Bruce underwent an augmentation with silicone implants. Indeed many transgender persons wish for a female body, which is on a par with their “female soul” in regard to naturalness, and so entirely consists of the body’s own tissue. Therefore a breast augmentation with autologous fat or stem cell-enriched fat comes into consideration.

To make enough space for the fat that should be injected to enlarge the breast, pre-stretching of the breast is almost always necessary beforehand because in transgender persons the breast tissue is usually very tight. This can be achieved by frequent injections of saline solution or by wearing suction bra (e.g., Brava System). If fat depots are once more highly developed due to the administration of female hormones enough fat for a breast augmentation with autologous fat and stem cells can be harvested.

The process of breast augmentation with autologous fat and stem cells is performed on an outpatient basis under local anesthesia. After the required amount of body fat is obtained by the means of liposuction with thin microcannulas it is implanted into the breast either with or without stem cell enrichment.

Because Bruce wants his metamorphosis to be accompanied by the camera the whole world is offered the opportunity to be involved. Numerous viewers from all over the world are curious to follow the gradual transformation of the decathlon winner to a real woman with great interest.

DDr. Heinrich, MD

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