How does a transgender patient achieve large hips and buttocks? (Photo)

Question

I am starting my MTF transition soon. One of my main concerns is hips and buttocks development. For me, the ideal figure would be having wide hips and a large butt. I have seen many transwomen online with these results but don't know what procedures they pursue in order to achieve them. Which are they? And more importantly, are they safe? Attached is an example of what I am looking for.

Parin Tatsanavivat, MD · Answer

Dear Ahumanfoil,Your ideal figure is wide hip and large butt. Filler injections, gluteal implants, and lipofillings are the main procedures to enlarge the hip and buttock with adjuvant of waist liposuction or rib narrowing to reduce the core and make the hip look bigger. Avoid Filler injection, but the rest of the methods depend on your need. From the picture that you sent, the lady has a tiny waist and a significant hip. You can see yourself in the mirror and compare with her to know what you need to get her shape. Is enlarge the hip enough? (lipofilling, gluteal implant, or both will do the trick), or do you need a smaller waist too? (smaller waist may require liposuction of the abdomen or narrowing of the rib), then consult a plastic surgeon to see what procedure you should have to get what you want. Lastly, rib narrowing is more aggressive, and few surgeons have experience in it, so discuss with your surgeon before making up your mind.

Jaime Campos Leon, MD · Answer

Hello, thanks so much for your inquiry. First of all, congratulations in pursuing your dreams! You would need to send some pictures in order to find out if you have enough fat donor areas in order to graft them into your hips and buttocks, so we can create a beautiful hourglass shape that is so appealing! If it is not your own fat or implants, it might not be safe, be carefulPlease make sure that you and your surgeon are on the same page. Don't forget to discuss all your concerns, options and expectations thoroughly. Have a safe and pleasant PS Journey! 
Respectfully, 
Dr. Jaime Campos-Leon 
Board Certified Plastic Surgeon
Tijuana BC Mexico
IG: drcamposleon

Barry L. Eppley, MD, DMD · Answer

If you have enough fat to harvest, fat injections would be the initial approach. If not enough fat or fat injections that have failed to provide adequate volume, buttock and hip implants would be needed.

Millicent Odunze Geers, MD, MPH · Answer

Are the postsurgical transwomen photos you are reviewing actual before and after photos from a plastic surgeon? Or are they photos by people on Instagram, Pinterest, Snapchat, Facebook, etc. that have likely been heavily airbrushed, filtered, or photoshopped? First step is to find a plastic surgeon who does this type of surgery and to review actual before and after pictures that have not been adulterated. Before and after photo review is necessary because what one starts with influences what one ends with. Best of luck!

How does a transgender patient achieve large hips and buttocks? (Photo)

Answers (4)

Answer: Review Real Before And After Photos

Answer: Review Real Before And After Photos

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Everything you need to know about Transgender Body Contouring

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How does a transgender patient achieve large hips and buttocks? (Photo)

Answers (4)

Answer: Review Real Before And After Photos

Answer: Review Real Before And After Photos

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Recommended reading

Everything you need to know about Transgender Body Contouring

Our mission is to create a world where every investment in modern beauty is Worth It.