Considerations for Body Contouring

By:  Dr. Breanna Jedrzejewski, Plastic and Reconstructive Surgeon

Everyone has the right to live as their most authentic selves. For transgender, non-binary, and gender diverse patients who desire it, we offer both feminizing and masculinizing procedures for the body. We will work with you on a personalized surgical plan to tailor your surgery to your unique body and goals.

What is body contouring?

Body-contouring surgery includes both body masculinization surgery (BMS) and body feminization (BFS) procedures. In both types of procedures, the goal is to reshape your body in a way that affirms your gender identity. Masculine bodies tend to carry more mass in the upper body, while feminine bodies carry it in the hips, buttocks and thighs.

Body masculinization can involve a series of procedures, including liposuction (hips, buttocks, abdomen, flanks, waist, and/or back), abdominoplasty, and pectoral implants or fat grafting to create a more muscular appearing chest. The ultimate goal of BMS is to bring body proportions closer to a squared or V-shape torso: a broader chest and shoulders and a slimmer waist. Body masculinization can oftentimes be done at the same time as top surgery.

Body feminization surgery (BFS) can involve breast augmentation (with fat or implants) and body contouring (with liposuction, fat transfer, and/or implants). The goal is to achieve a curvier, feminine silhouette.

What makes someone a good candidate for body contouring?

The best candidates for body contouring are individuals above 18 years old who are at a healthy, stable weight. By stable weight, we mean patients who are at their personal goal body weight and are not actively gaining or losing weight. Patients should ideally be non-smokers or at least quit smoking 4-6 weeks before their procedure.

We recommend for those undergoing BMS be on masculinizing hormones for at least a year if testosterone is being used as part of their treatment plan since it can affect musculature and fat distribution, which can help minimize needed surgical interventions.

What are the benefits and risks?

Body contouring can help you to feel more confident and secure about your appearance and may help you feel more comfortable in clothes. Taking this step can have tremendous social, psychological, emotional, personal, and professional benefits.

Though the surgeries are very safe and a vast majority of patients have good experiences, it is important that all patients considering surgery understand potential risks and complications. Some of these may include:

  • Anesthesia risks
  • Bleeding
  • Blood clots: deep vein thrombosis (DVT) and pulmonary embolism
  • Excessive or widened scars
  • Fluid accumulation
  • Infection
  • Numbness or other changes in skin sensation
  • Poor wound healing
  • Residual skin laxity or contour irregularity
  • Skin loss
  • Unfavorable scarring

To learn more about our body contouring procedures, see here.

Ready to start your surgical journey with us? Contact us to set up a consultation with one of our surgeons.

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