Body Feminization

An important part of the male-to-female (MTF) transition is the feminization of the body. Because the male body ratios and proportions are very different than that of a female, the figure must be minimized and sculpted precisely, with skill and the eye of an artist. Dr. Sajan will focus on various key areas of your figure to help you achieve a slim, hourglass silhouette.

Body feminization is a series of medical procedures that are customized for a transgender person to help them achieve a feminine, attractive hourglass figure in order to reach congruence between the inner and outer self. Dr. Sajan will help sculpt a narrow waist, more shapely and curving hips and buttocks, and an overall feminine body appearance.

Dr. Sajan uses liposuction and fat transfer to the sculpt feminine shape his MTF patients desire. To minimize trauma and reduce recovery time, he uses power-assisted liposuction and J plasma techniques to achieve the following:

• Remove fat in areas where males traditionally carry fat
• Transfer fat to the hips and buttocks to create a curving, attractive contour
• Sculpt a slimmer, more narrow waist
• Create a slim hourglass figure

Good candidates for body feminization would like to complete their transition and achieve a slimmer, curving, and more feminine appearance. To determine your candidacy, Dr. Sajan uses the guidelines established by the World Professional Association for Transgender Health (WPATH). Ideal candidates for body feminization meet the following general requirements:

• Are in good health physically and mentally
• Are of age to consent to the body feminization procedure
• Have a positive outlook and realistic goals for what can be achieved with body feminization
• Fully understand what to expect from the body feminization procedures and have had a complete consultation with Dr. Sajan
• Have suffered from persistent gender dysphoria

Consultation

Dr. Sajan will begin with a thoughtful, thorough consultation to understand your body transitioning goals and ideals, your concerns, and your medical history. He will examine your body, skin, and muscle tone, and ask about any drug sensitivities, your lifestyle, and daily habits.

Once the consultation is complete, Dr. Sajan will develop a surgical plan customized specifically for your needs to help achieve your aesthetic goals. Your surgical procedure will vary based on what the surgical plan is for you exactly.

Procedure

In general, your body feminization procedure will begin with general anesthesia. To achieve the slim, hourglass figure that is widely regarded as the classic sign of feminine beauty, Dr. Sajan will design the ideal waist-to-hip ratio, which is determined by dividing your waist measurement by your hip measurement.

Dr. Sajan will perform gentle liposuction in the waist area. He will begin with a micro-incision, insert a fine tube called a cannula, and use high-definition liposuction to remove fat from your midsection in order to sculpt the slim, small waistline you want. He will then purify and cleanse this fat so that it can be transferred into the buttocks and hips.

Dr. Sajan will inject your body fat at strategic points throughout the buttocks and hips, creating a more curving, rounded, feminine contour. Breast augmentation with fat transfer can be a part of this procedure, if your breasts haven’t already been created with implants.

During your initial recovery period, you will wear a compression garment to reduce swelling and support the relocated fat tissue. Expect that there will be bruising and swelling in the donor and recipient sites. You will likely want to spend the first few days of the recovery period resting, but do be sure to begin walking around the house as soon as possible to promote healing.

Patients usually return to work after about one week. Do not engage in strenuous exercise or heavy lifting for several weeks until the healing process is complete.

The new, feminine body contours will be noticeable almost immediately. As the swelling reduces, your results will continue to become increasingly evident over the following weeks.

Body feminization includes a number of benefits, including the following:

• A sculpted, slimmer waistline
• A feminine, hourglass figure
• The alignment of your outer self with your true inner self
• Improved self-confidence and a greater quality of life
• Natural-looking results