How to have more feminine breasts? (Photos)

Question

Hi, I'm a 32 year old cross dresser who has natural 38-40b-c breasts and would love if they looked more feminine. Any advice or ideas would be great thanks. I want them to look more like the second pics, I can upload a pic of me just now my bra if it would help, thanks

David Dellinger, DO, FACOS · Answer

Certainly there is no reason why you could not achieve a more feminine appearance to your breasts. Your best option would be the to discuss your goals and desired outcome with a board certified plastic surgeon that has experience in MTF breast surgery.

Josef Hadeed, MD, FACS · Answer

Breast implants can help you to obtain fuller, rounder breasts but a consultation with a board certified plastic surgeon would be necessary.

Tom J. Pousti, MD · Answer

Thank you for the question and picture.

Despite good intentions, online consultants will not be able to provide you with meaningful specific advice. Ultimately, in person consultation with well experienced board-certified plastic surgeons will be necessary. Careful measurements, dimensional planning, and careful communication will be key.

Generally speaking, the best online advice I can give to transgender patients who are considering breast augmentation surgery ( regarding breast implant size/profile selection) is:

1. Concentrate on choosing your plastic surgeon carefully. Concentrate on appropriate training, certification, and the ability of the plastic surgeon to achieve the results you are looking for. ***Ask to see lots of examples of his/her work.

2. Have a full discussion and communication regarding your desired goals with your plastic surgeon. This communication will be critical in determining breast implant size/type/profile will most likely help achieve your goals.

In my practice, the use of photographs of “goal” pictures (and breasts that are too big or too small) is very helpful. I have found that the use of words such as “natural” or "C or D cup” etc means different things to different people and therefore prove unhelpful.

Also, as you know, cup size varies depending on him who makes the bra; therefore, discussing desired cup size may also be inaccurate.

3. Once you feel you have communicated your goals clearly, allow your plastic surgeon to use his/her years of experience/judgment to choose the breast implant size/profile that will best meet your goals. Again, in my practice, this decision is usually made during surgery.

I hope this (and the attached link, dedicated to transgender patient breast augmentation) helps.

James Fernau, MD, FACS - Account Suspended · Answer

Thank you for your question and photographs.Firstly, I would recommend scheduling a consultation with several board certified plastic surgeons to see what their protocols are on transgender patients. Every practice is different and one doctor may require a psychological clearance before surgery while another may not. In regards to your breasts, I feel that you would be a good candidate for a MTF breast augmentation to achieve your cosmetic goals. I usually recommend high profile Sientra implants, under the muscle, to create a round full result that looks natural, but tear drop implants are also an option if that is what you desire. Additionally, at my office we use Crisalix which is a virtual reality device that will allow you to view different sizes of implants and pick which best suits your desires. As the only board certified plastic surgeon in Pittsburgh offering this virtual reality imaging system, we have a 100% satisfaction rate. Crisalix is truly a unique experience for our patients as they can view themselves using virtual reality goggles and can instantly visualize their own breasts changing in size and shape with all of the various brands, sizes and shapes of breast implants. Thus, our patients leave the consultation feeling confident with the size of the implant they chose. I hope this helps.Best of luck in your endeavors!Sincerely,

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

James Fernau, MD, FACSBoard Certified ENTBoard Certified Plastic SurgeryMember of ASPS, ASAPS, ISAPS, The Rhinoplasty Society, AAFPRS, OTO/HNS, ASLMS, International Federation for Adipose Therapeutics & Science

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