Body Feminization Surgery

Welcome to our comprehensive guide on body feminization surgery, where we explore the transformative procedures available to help individuals achieve their desired feminine aesthetics. Our expert team is here to provide you with valuable insights into the various aspects of this surgical journey.

Understanding Body Feminization Surgery

What is Body Feminization Surgery?

Body feminization surgery, also known as male-to-female (MTF) body contouring surgery, encompasses a range of procedures designed to help transgender women and individuals assigned male at birth (AMAB) align their physical appearance with their gender identity. This transformative process can include various procedures tailored to address specific areas of the body.

The Importance of Body Feminization Surgery

For transgender women and individuals on the transgender spectrum, body feminization surgery plays a crucial role in their gender affirmation process. It offers an opportunity to align their physical features with their self-perceived identity, helping to alleviate gender dysphoria and boost overall well-being.

Available Procedures

1. Breast Augmentation

Breast augmentation is a popular procedure that involves the enhancement of breast size and shape. This can be achieved through the use of breast implants or fat transfer techniques, depending on individual preferences and anatomical considerations.

2. Body Contouring

Body contouring procedures aim to enhance feminine curves and proportions. This may involve liposuction to remove excess fat from areas such as the waist, hips, and abdomen, or fat transfer to enhance the curves of the buttocks or hips.

3. Facial Feminization Surgery

Facial feminization surgery (FFS) focuses on reshaping the facial features to create a more feminine appearance. This may include procedures such as rhinoplasty (nose reshaping), brow lift, jaw contouring, and lip augmentation, among others.

4. Voice Feminization Surgery

Voice feminization surgery is an option for individuals seeking to modify their voice to a higher pitch that aligns with their gender identity. This procedure is often combined with speech therapy to achieve more natural-sounding results.

5. Genital Reconstruction Surgery

Genital reconstruction surgery, also known as vaginoplasty, is a complex surgical procedure that involves creating female genitalia. This transformative surgery can play a significant role in aligning an individual’s physical body with their gender identity.


Body Feminization Surgery: Achieve Your Ideal Body Shape with Trunk Liposuction and Buttocks Augmentation

The Power of Hormones: Estrogen and Testosterone

Estrogen and testosterone play crucial roles in shaping the physical characteristics of our bodies. While both hormones are present in males and females, females naturally have higher levels of estrogen. This hormone is responsible for feminine traits such as breasts, reduced body hair, and the distribution of fat in specific areas. For instance, genetic women tend to store body fat in their hips, thighs, and buttocks, resulting in an attractive waist-to-hip ratio of 0.7. On the other hand, genetic men tend to carry weight around the waist and abdomen, resulting in a less desirable waist-to-hip ratio of 0.9.

For some transwomen, hormone therapy can help shift the distribution of body fat and create a more feminine body contour. This approach is particularly effective for those who begin transitioning in their teens or early twenties, as they haven’t been exposed to significant levels of testosterone over the years. However, older transwomen or those seeking a highly defined hourglass shape may require additional interventions, such as body feminization surgery, to achieve their desired results.

Defining Characteristics of the Female Form

There are three defining characteristics of the female form that contribute to its allure: breasts, round buttocks, and a low waist-to-hip ratio. Among these, buttocks augmentation, often referred to as the “Brazilian butt lift,” is a preferred procedure for achieving a shapely and feminine backside. In contrast to the male buttocks, which typically lack projection and exhibit more fat in the flank areas, female buttocks tend to be rounder, fuller, and possess an elegant “s-curve” silhouette.

The Brazilian butt lift procedure offers a natural and less invasive approach to buttocks augmentation through fat transfer. During the surgery, fat is first removed via liposuction from an area where it is unwanted, such as the waist. The extracted fat is then purified and carefully injected into the buttocks to enhance their shape, projection, and overall appearance. By using the patient’s own fat, the Brazilian butt lift ensures safe and beautiful results.

Safe and Effective: Brazilian Butt Lift Procedure

The Brazilian butt lift is considered a very safe procedure with a low risk of complications. In fact, it is often performed using conscious sedation, which allows the patient to remain awake but relaxed during the surgery. The fat transfer technique utilized in the procedure offers a safe enhancement option with natural-looking results. The surgeon removes fat from the waist area through trunk liposuction, refining the waistline and creating a more feminine contour. The extracted fat is then carefully injected into the buttocks, providing the desired volume and shape.

During the recovery period, patients may experience temporary swelling, bruising, and discomfort. It’s important to note that some of the injected fat may be reabsorbed by the body, which is why surgeons may slightly “overfill” the buttocks to compensate for this effect. While serious complications are rare, potential risks include bleeding, fluid build-up, infection, or scarring. It’s worth mentioning that very thin patients may not have sufficient body fat for transfer, in which case silicone implants could be a more suitable option. Your surgeon will guide you in determining the best approach based on your unique anatomy.


MTF Body Surgery

Achieving the Perfect Waist-to-Hip Ratio with Trunk Liposuction

Trunk liposuction is a preferred procedure for achieving an ideal waist-to-hip ratio and creating a tapered waistline with feminine curves. This technique involves removing unwanted fat from various areas, such as the waist, abdomen, “love handles,” and mid/lower back, resulting in a more streamlined and contoured silhouette. Similar to buttocks augmentation, trunk liposuction is a safe procedure that can be completed within an hour, often using only light sedation and local anesthesia.

During the procedure, tiny incisions are made in the targeted areas, allowing the surgeon to gently suction out the unwanted fat. If desired, the extracted fat can be transferred to the buttocks as part of a Brazilian butt lift. The recovery period for trunk liposuction is generally minimal, with most patients able to resume light activities within a few days and return to work within one week. Although serious complications are rare, potential risks include fluid build-up, infection, blood clots, or nerve damage. To ensure the best possible outcome, it’s crucial to choose a highly skilled and experienced surgeon for your trunk liposuction procedure.

The Surgical Journey

Consultation and Evaluation

The first step on the surgical journey is to schedule a consultation with a skilled and experienced gender-affirming surgeon. During this consultation, the surgeon will assess your unique needs, discuss your goals and expectations, and evaluate your overall health to determine your eligibility for surgery.

Preparing for Surgery

Once you have decided to proceed with body feminization surgery, your surgeon will provide you with specific guidelines to prepare for the procedure. This may include lifestyle modifications, pre-operative tests, and discontinuation of certain medications to ensure a safe surgical experience.

The Surgical Procedure

Body feminization surgery is typically performed under general anesthesia in a fully accredited surgical facility. The duration and complexity of the procedure will depend on the specific combination of surgeries being performed. Your surgeon will tailor the surgical plan to address your individual goals and needs.

Recovery and Aftercare

Following surgery, a period of recovery and healing is necessary. Your surgeon will provide detailed post-operative instructions to promote optimal healing and minimize the risk of complications. It is crucial to follow these guidelines and attend all scheduled follow-up appointments to ensure a smooth recovery process.


Body feminization surgery offers a transformative opportunity for transgender women and individuals on the transgender spectrum to align their physical appearance with their gender identity. Through a range of surgical procedures, it is possible to achieve the desired feminine aesthetics and alleviate gender dysphoria. If you are considering body feminization surgery, we encourage you to consult with a skilled and experienced gender-affirming surgeon who can guide you through this empowering journey.

Visit the Dr.MFO Instagram profile for examples of successful MTF Body Feminization Surgery