Preferred donor areas for fat harvesting are the abdomen, flanks, waistline, and lumbosacral area. Have suggested few characteristics of an ideal buttock shape, consisting of a gentle inward sweep of the lumbosacral area and waist, a feminine gluteal cleavage as the buttocks separate superiorly and inferiorly, maximum prominence in the middle and upper buttock, minimal intragluteal crease with no ptosis below this line. Owing to the more intra-abdominal deposit of fat due to testosterone, transgender individuals have less available fat deposits for fat grafting and liposuction compared with cisgender individuals.Ĭreating a feminine WHR involves creation of a waistline by liposuction of the waist and augmenting the hip diameter by fat grafting. Though liposculpturing in male to female transgender individuals is ideally performed after at least a year of hormone therapy to give time for fat redistribution, there are a subset of individuals who does not have a substantial change in the body habitus or who are not candidates or unwilling to take hormonal therapy. Unlike genital or breast surgeries, World Professional Association for Transgender Health (WPATH) Standards of care doesn't specify definite criteria that must be met to undergo body contouring. In this article, we discuss body contouring as an adjunct to these surgeries in both male to female and female to male transgender individuals. There is still a subset of individuals who after having undergone gender affirming surgeries still want improvement of the body contour so that the overall body shape is congruent to the body image. The usual sought-after masculinization surgeries are chest masculinization surgery (top surgery), metoidioplasty, phalloplasty, and hysterectomy. The various gender affirming surgeries sought after by transwomen are orchiectomy, vaginoplasty, breast augmentation, facial feminization, and reduction thyroid chondroplasty with or without voice change. Reducing insecurity and improving self-perception of attractiveness and self-confidence. Studies have shown that gender reaffirming surgery has a positive effect on life satisfaction and quality of life, There is an increase in gender incongruent individuals seeking gender affirming surgeries, requesting more specific surgeries at a younger age. ![]() ![]() Recently, there has been an increased awareness as well as better acceptance of gender incongruent individuals in the society.Īccordingly, gender affirming surgeries have grown in volume and finesse in the recent past as a result of better awareness in addition to the efforts of various organizations.
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