How to create hips for transgender woman?

Thank you for this excellent question. Widening the hips is extremely important in body feminization sugery. Goal is to achieve a curvy and feminine body shape. Many male to female transgender patients are slightly short of suitable subcutanous donor fat.For these patients, I have made excellent experience with composite surgery, i.e. combining an intramusucular silicone buttock implant with hip expansion fatgrafting to the hips.This way, projection can be achieved with a silicone implant and hip expansion fatgrafing provide roundness.This is an excellent option for male- to- female transgender patients.

The most effective approach for creating true hip augmentation is with the placement of a solid silicone hip implant. Whether it is placed below the fascia or on top depends in the exact hip location and the size of the implant.