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

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.

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

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.