02.04.2019 | Category, Cosmetic Surgery

Transgender surgery includes surgery for male-to-female transition and female-to-male transition.  

Male-to-female transition includes breast enhancement, facial feminization procedures, and body contouring procedure.  Patients on female hormone have enlarged breast tissue, but in general, the enlargement is not sufficient enough to provide female figure.  Breast enhancement procedures are the similar to general breast augmentation, although skin tends to be tighter for a longer period of time.  

Facial feminization includes contouring the forehead bones, altering the hairlines, contouring of the cheek bone, and reduction and refinement of the jaw bone including chin.  The goal is to provide softer appearance to the facial features, giving more feminine appearance.  Removal of buccal fat pad reduces cheek fat to give thinner apparance.  Rhinoplasty may need to be added to further augment the effect.  In some patients, Adam’s apple is more prominent, and this may need to be taken down to soften the neck contour (chondrolaryngoplasty).  

Body contouring procedures includes typically liposuction of the trunk and back, giving more narrow appearance of the waist line, while injecting the fat to the buttock areas to give curvy appearance.  

For female-to-male transition, most commonly we provide breast removal (mastectomy) to give male appearing chest.  Often, nipples need to be moved and grafted to give normal appearance.   Facial procedures for female-to-male transgender may include augmentation of cheek, or chin, or jaw, although these procedures are less common.  

Some of these procedures may be considered cosmetic, and may not be covered by your insurance carrier.