Can body sculpting be done on a skinny person?

Question

I’m transgender (female-to-male / neutral) and really strongly want a body sculpting procedure done to make my hips, buttocks and upper thighs less prominent. I feel like they aren’t evenly proportioned to the rest of my body and it affects my life a lot. I’m very skinny everywhere else on my body, its just my lower half being so feminine. Are there any procedures that could be done? I’ve attached images as well.

Jason Emer, MD · Answer

a third of my patients are trans and athletic, you need to see soeone who offerse antiaging and wellness along witht athlettic sculpting.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Arian Mowlavi, MD, FACS (license on probation) · Answer

There doesn't seem to be a lot of fat in any of these regions. You are encouraged to consult a board certified plastic surgeon to discuss your cosmetic goals in person. That being said, high defintion VASER liposuction may be the best option. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

thank you for posting good pictures.
Based on those your femininity is primarily based on your skeletal structure. In particular your pelvis and narrow waist.
I don’t know where you are in regards to hormone balance but I’m guessing Increased testosterone with time could push for more visceral fat and slightly more mid girth fat distribution.
 there really isn’t enough fat on your body to make a significant difference in overall shape compared to your skeletal structure.
It may in fact be your natural lean stature that shows a more genotype feminine frame.
Especially if hormone transitioning has already started.
Testosterone and or female blocking hormones will not change bone structure but can alter fat distribution to some degree.
That by itself may not warrant going down that road. The whole topic is obviously complex and far beyond a brief answer on real self.
Liposuction will have a fairly low impact but could be done to create a straighter more masculine shape.
Consider that lower extremity Liposuction does pose a risk of having contour irregularities if done by a provider who doesn’t have sufficient skill or experience I question if it’s worth doing.
If you find a truly experienced talented plastic surgeon  and you’re OK with very subtle changes then it may be very reasonable to have Liposuction with without fat transfer.
People vary immensely in the amount of change required to justify a surgical intervention.
Best,
Mats Hagstrom MD

Can body sculpting be done on a skinny person?

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Can body sculpting be done on a skinny person?

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