Transgender men may begin testosterone therapy to create broader shoulders, a larger chest, increased muscle mass, increased bone mass, a deeper voice, and facial and body hair growth. Despite the positive effects of hormone therapy, changes in body fat redistribution caused by HRT can sometimes not be enough to combat feelings of gender dysphoria. Body masculinization, also known as man-sculpting, involves sculpting the body with the use of liposuction or fat grafting to take away features that may appear more feminine. Patients assigned male at birth more commonly store weight in their upper body, especially around the waist and abdomen whereas patients assigned female at birth store weight in their hips, buttock and thighs creating a more hour glass shape. Contouring these areas will bring the proportions of a more masculine figure which entails a squared or V-shaped torso. During your consultation, Dr. Stiller will discuss your goals and help create a surgical plan to reach them.
Liposuction involves removing fat tissue from areas of the body that trigger your gender dysphoria. For many transgender men this means creating more masculine physique that involves creating a more concave shape to the buttock or a square shape to the hips. If needed, patients may also use fat grafting, or fat redistribution, as a way to help shape the body.
While every patient is entirely different, below areas commonly considered for body masculinization:
With liposuction, multiple areas can be treated at once to give you the shape you desire. With over 15 years of experience in gender affirming surgery, Dr. Stiller will be able to help achieve what you are looking for to better match your gender identity. Dr. Stiller encourages patients to look through before and after's or bring pictures themselves to make sure their goals are met.
After liposuction, patients are required to wear a compression garment for 4 weeks. Following the procedure, you will notice bruising and swelling to the areas along with moderate pain which can be treated with the pain regimen given by Dr. Stiller. Discomfort usually dissipates after 1 week while swelling can fluctuate for months depending on the amount of liposuction. All in all, patients do very well after their liposuction procedures with full results usually seen at 3 months.