Of course! I can’t easily source right now but I am more than happy to provide further info when I am not at work and on mobile. Unfortunately, like a lot of trans healthcare, a lot of what we know about binding is anecdotal and word of mouth. BUT permeneant damage can include:
-Musculoskeletal damage. Binders are indiscriminate compression tools; they can’t flatten the chest without applying pressure every other anatomical structure underneath including the spine, ribs, lungs and heart. Many people who bind experience chronic back pain, shoulder pain, sharp stabbing chest pains, permeneantly decreased lung capacity, literal spine deformation, etc etc.
-A continuation of the above but the ribs are actually jointed bones. Their ability to flex is absolutely vital to their ability to withstand trauma and protect your vital organs. Imagine the damage that would be done to your elbow if your bent your arm to full flexion and then tightly bound it closed like that, for six, eight, twelve hours per day, every day, for weeks or months or years. And you don’t NEED a functioning arm to live!
-Tissue atrophy. Forcing chest tissue to lay in an unnatural way can and will change the way that tissue looks, even to risk of atrophy. Some people who bind and only moderately dislike the way their chest looks find that they HATE the way it looks after binding for a period of time. Tissue atrophy can also make top surgery more difficult in the future, and increase the risk of complications like nerve damage.
-Worsened dysphoria. Once someone starts binding and becomes accustomed to seeing themselves with a flat chest, it can be much more difficult to see yourself without one, and dysphoria that much more intolerable. You can imagine the psychological feedback loop of binding more in response.
The typical safety measures passed around about binding are harm REDUCTION measures and should not be advertised as making binding “safe.” Binding is not safe. It is a very serious health decision with long term consequences and should be treated as such. That doesn’t mean it’s the wrong decision, but it should not be considered the DEFAULT decision for chest dysphoria which is frankly how it’s currently treated.
