Gender Affirming Body Contouring and Physical Transformation in Transgender Individuals

Abstract

There is a subset of transgender individuals, who after having undergone gender affirming surgeries want body contouring so that the overall body shape is congruent to the body image. Hormonal therapy can bring about a considerable change in the physical transformation. However, there is an increase in requests for specific body contouring procedures because of increased awareness in the society.

There are significant differences between the skeletal as well as soft tissue characteristics of male and female body. Body contouring in transgender individuals can be achieved by altering the skeletal structure or the overlying soft tissues or combining both. In this article, we discuss body contouring as an adjunct to gender affirming surgeries, in both male to female and female to male transgender individuals.

Keywords

body contouring - transgender - shoulder feminization

Publikationsverlauf

Artikel online veröffentlicht:
23. August 2022

• References

• 1 Colebunders B, Brondeel S, D'Arpa S, Hoebeke P, Monstrey S. An update on the surgical treatment for transgender patients. Sex Med Rev 2017; 5 (01) 103-109
• 2 Olson-Kennedy J, Cohen-Kettenis PT, Kreukels BP. et al. Research priorities for gender nonconforming/transgender youth: gender identity development and biopsychosocial outcomes. Curr Opin Endocrinol Diabetes Obes 2016; 23 (02) 172-179
• 3 Weinforth G, Fakin R, Giovanoli P, Nuñez DG. Quality of life following male-to-female sex reassignment surgery. Dtsch Arztebl Int 2019; 116 (15) 253-260
• 4 Kraemer B, Delsignore A, Schnyder U, Hepp U. Body image and transsexualism. Psychopathology 2008; 41 (02) 96-100
• 5 Wesp LM, Deutsch MB. Hormonal and surgical treatment options for transgender women and transfeminine spectrum persons. Psychiatr Clin North Am 2017; 40 (01) 99-111
• 6 Stoudt HW, Damon A, McFarland R, Roberts J. Skinfolds, body girths, biacromial diameter, and selected anthropometric indices of adults: United States. National Center for Health Statistics. Vital Health Stat 1960–1962; 11 (35) 23-27
• 7 Bellemare F, Jeanneret A, Couture J. Sex differences in thoracic dimensions and configuration. Am J Respir Crit Care Med 2003; 168 (03) 305-312
• 8 Davison SP, Clifton MS, Futrell W, Priore R, Manders EK. Aesthetic considerations in secondary procedures for gender reassignment. Aesthet Surg J 2000; 20 (06) 477-481
• 9 Smith FW, Smith PA. Musculoskeletal differences between males and females. Sports Med Arthrosc Rev 2002; 10 (01) 98-100
• 10 Singh D. Adaptive significance of female physical attractiveness: role of waist-to-hip ratio. J Pers Soc Psychol 1993; 65 (02) 293-307
• 11 Jones PR, Hunt MJ, Brown TP, Norgan NG. Waist-hip circumference ratio and its relation to age and overweight in British men. Hum Nutr Clin Nutr 1986; 40 (03) 239-247
• 12 Elbers JM, Asscheman H, Seidell JC, Gooren LJ. Effects of sex steroid hormones on regional fat depots as assessed by magnetic resonance imaging in transsexuals. Am J Physiol 1999; 276 (02) E317-E325
• 13 Roberts III TL, Weinfeld AB, Bruner TW, Nguyen K. “Universal” and ethnic ideals of beautiful buttocks are best obtained by autologous micro fat grafting and liposuction. Clin Plast Surg 2006; 33 (03) 371-394
• 14 Morrison SD, Wilson SC, Mosser SW. Breast and body contouring for transgender and gender nonconforming individuals. Clin Plast Surg 2018; 45 (03) 333-342
• 15 Brown JE, Potter JD, Jacobs Jr DR. et al. Maternal waist-to-hip ratio as a predictor of newborn size: results of the Diana project. Epidemiology 1996; 7 (01) 62-66
• 16 Del Vecchio D, Wall Jr S. Expansion vibration lipofilling: a new technique in large-volume fat transplantation. Plast Reconstr Surg 2018; 141 (05) 639e-649e Erratum in: Plast Reconstr Surg. 2018 Jul;142(1):295. PMID: 29465484
• 17 Figueiredo GSL, Tamaoki MJS, Dragone B. et al. Correlation of the degree of clavicle shortening after non-surgical treatment of midshaft fractures with upper limb function. BMC Musculoskelet Disord 2015; 16: 151
• 18 Nordqvist A, Redlund-Johnell I, von Scheele A, Petersson CJ. Shortening of clavicle after fracture. Incidence and clinical significance, a 5-year follow-up of 85 patients. Acta Orthop Scand 1997; 68 (04) 349-351
• 19 Cole PA, Dyskin E, Dugarte AJ, Hesse D. Open reduction and internal fixation of a middle-third clavicle fracture with a superior plate. JBJS Essential Surg Tech 2017; 7 (02) e16
• 20 Ferreira LM, Ferreira PEN, Bernardes ABS. et al. Aesthetic contouring of the chest wall with rib resection. Aesthetic Plast Surg 2021; 45 (03) 1099-1104
• 21 Israel GE, Tarver II DEI. . (1997). Transgender Care: Recommended Guidelines, Practical Information, and Personal Accounts. Philadephia, PA: Temple University Press;
• 22 Singh D. Female judgment of male attractiveness and desirability for relationships: role of waist-to-hip ratio and financial status. J Pers Soc Psychol 1995; 69 (06) 1089-1101
• 23 Hoyos AE. High definition liposculpture. Presented in the XIII International Course of Plastic Surgery, 2003, Bucaramanga, Colombia
• 24 Saad AN, Pablo Arbelaez J, De Benito J. High definition liposculpture in male patients using reciprocating power-assisted liposuction technology: techniques and results in a prospective study. Aesthet Surg J 2020; 40 (03) 299-307
• 25 Sukumar S, Mittal R, Kalra S. Transgender medicine in primary care. J Pak Med Assoc 2020; 70 (10) 1862-1863