San Francisco
2299 Post St. Suite 207
San Francisco, CA 94115
(415) 530-5335
Los Angeles
1317 5th St #300
Santa Monica, CA 90401
(310) 751-5886
Feminizing body contouring encompasses a range of gender-affirming procedures that can change proportions, add softness, and build more curves in the lower body. At Align Surgical Associates in San Francisco and Los Angeles, California, body feminization surgery may involve one focused procedure or a more extensive surgical plan to help you feel more comfortable in your body.
Feminizing Body Contouring Before & After
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VIEW PHOTOSWhat Is Feminizing Body Contouring?
Feminizing body contouring is a group of surgeries that can create a softer, curvier silhouette, particularly in the waist, hips, and buttocks. Depending on the procedures involved, feminizing body surgery may be performed in a single operation or multiple procedures staged over time.
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We lead with your goals and make decisions—together.
Your plan starts with what matters most to you, such as function, sensation, privacy, recovery realities, and your day-to-day life.
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We give honest recommendations.
We'll be transparent about what a technique can and can't reliably do for your anatomy and priorities, and we'll explain why we're recommending a particular approach.
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We treat the whole person.
We don't reduce care to a single concern or body area. We look at your goals, your comfort, and what's safest and most supportive for you overall.
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We prioritize privacy, dignity, and emotionally safe care.
We understand that many patients come in with complex past healthcare experiences and strive to create an environment where you always feel respected, welcomed, and seen at every step.
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We're built for gender-affirming care.
Gender-affirming surgery isn't a side offering at Align—it's our life's work.
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We evolve with the community.
Care and language change over time. We are dedicated to staying current, listening, and adapting.
Who Might Consider Feminizing Body Contouring?
Feminizing body contouring may be a meaningful option for transfeminine individuals, nonbinary patients, and other gender-diverse people seeking a refined silhouette with features such as a more defined waist, fuller hips, or rounder buttocks.
Feminizing Body Contouring by Region
Feminizing body surgery can involve one or more areas of the body. Your skin elasticity, available donor fat, prior surgical history, and overall body shape can all influence your body contouring options and the structure of your plan.
Torso and Waist
Liposuction may be used to reduce fullness in areas such as the abdomen, flanks, or back, while waist contouring may help create a narrower waistline and a more defined waist-to-hip ratio.
Abdomen
In select cases, abdominoplasty, or tummy tuck surgery, removes loose skin and soft tissue to recontour the abdomen and enhance body proportion. It is particularly helpful for patients with significant abdominal skin laxity or a history of major weight change.
Hips and Thighs
Depending on your anatomy and goals, fat transfer can add fullness to the hips or upper thighs, liposuction can refine the outer thigh contour, or a combination of techniques can create a smoother transition from the waist into the lower body.
Buttocks
Buttock augmentation may use fat transfer (in a procedure called a Brazilian butt lift) or implants to add fullness to the buttocks. Augmentation can build a rounder contour and enhance the relationship between the waist, hips, and buttocks.
Some surgeons "offer" gender-affirming surgery among many other services. For Align, it's the center of our life's work. Our 6 board-certified surgeons have committed themselves wholly to gender-affirming care and research. This means we aren't just helping patients reach their embodiment goals; we are helping to make their care better—better understood, better supported, and performed in the best way possible. Meet the specialists behind the transformations.
What Is Recovery Like After Feminizing Surgery?
Recovery after feminizing body contouring depends on which procedures are included and whether they are performed together or staged over time. Most patients should expect swelling, bruising, and activity restrictions as well as time wearing compression garments and caring for drains, when needed.
We will walk you through the healing timeline during your consultation, including what support you may need after surgery, when follow-up visits are likely to happen, and how recovery expectations may differ based on your treatment plan’s scope.
How Much Does Body Feminization Surgery Cost in San Francisco and Los Angeles?
Gender-affirming care, including body feminization surgery, is often covered by insurance. If you are using insurance, we will guide you through the authorization process and what to expect.
If you prefer to pay out of pocket, we will give you a personalized quote based on your specific surgical plan.
Travel planning can involve a lot of moving parts, especially when you're coordinating around surgery. If you're coming to Align from outside the Bay Area or Los Angeles, we have resources specifically for you.
Risks and Considerations
As with any surgery, feminizing body contouring carries risks, such as bleeding, infection, scarring, healing concerns, contour irregularities, asymmetry, and possible changes in sensation. Combined procedures may also involve a longer or more complex recovery than a less extensive surgical approach.
Feminizing Body Contouring FAQ
Is feminizing body contouring one surgery or a combination of procedures?
Feminizing body contouring can involve one or more procedures, depending on your treatment plan. Our board-certified surgeon will work with you to discuss your options and determine the approach that best aligns with your embodiment goals.
Can feminizing body contouring use liposuction and fat transfer together?
Yes. In many cases, liposuction and fat transfer can be combined in a single plan, with fat removed from one area and transferred to another to achieve targeted volume.
What kind of recovery should I expect if multiple procedures are combined?
Recovery is often more involved when multiple procedures are combined. Most patients should expect swelling, bruising, activity restrictions, and a healing process that may be more complex than recovery from a single focused procedure.
When To See a Feminizing Body Contouring Specialist in San Francisco and Los Angeles
We recommend booking a consultation if you are considering feminizing body contouring and want guidance on which areas to prioritize. We are a safe place for you to discuss your goals and explore whether one or more procedures may be appropriate and whether your plan would be better handled in one stage or several.
Explore Your Feminizing Body Contouring Options
When you’re ready, we’re here to help. Request an in-person or virtual consultation using the online form or call Align Surgical Associates to get started. We are proud to offer body feminization surgery for San Francisco and Los Angeles patients, as well as individuals traveling from outside California.
San Francisco Office: (415) 530-5335
Los Angeles Office: (310) 751-5886
Feminizing Body Contouring Providers
Reviewed for medical accuracy by Breanna Y. Jedrzejewski, MD
Further reading:
- Feminizing surgery – Mayo Clinic. (n.d.-c). https://www.mayoclinic.org/tests-procedures/feminizing-surgery/about/pac-20385102
- Body Feminization Surgery – Worth it? MTF Body Contouring Explained. (n.d.). MTFsurgery.net. https://www.mtfsurgery.net/body-feminization.htm
- Standards of Care 8 | WPATH. (n.d.-d). https://www.wpath.org/publications/soc