Can I Do Full Body Feminization?

Q: Dr. Eppley, Hello, I would like to ask for your professional guidance regarding several anatomical concerns that affect my self-image. In different areas of my body —the sides of my wrists, my elbows, shoulders, knees (especially when I bend them), kneecaps, hips, and ankles— I have very prominent and angular bony contours. They create sharp outlines that make me feel uncomfortable with my appearance. I have taken X-rays, and they show that these protrusions are superficial bony thickenings, not part of the essential structure of the bones. They are located on the sides and are not related to muscle or tendon attachment. I would like to know if there are safe procedures to reduce or smooth these bony surfaces without harming the surrounding tissues. I’m not looking for dramatic alterations, just a refinement that helps me feel more at ease with my body. Additionally, I am interested in the possibility of: • A thoracic width reduction. • A reduction of the mastoid bone to make it smaller and shorter, in order to achieve a slimmer and narrower neck. • Shoulder reduction, including scapular contouring or shaving. • And I would also like to know whether it is possible to safely reduce or shave the acromion. I am also seeking a full-body feminization, and I am very open to exploring any medically safe options that could help me reach that goal. I would greatly appreciate your guidance on the feasibility of these procedures, the techniques involved, and the potential risks. In addition to that, I would like to have craniofacial feminization surgery with the doctor, that is, to reshape my face and skull to make it more feminine and smaller. I know all this may seem unusual, but I am starting my transition and I am not willing to leave anything behind. Please let me know what type of photos and from what angles you need, and I will send them automatically. Thank you very much for your time.

A: While I fully understand what you are trying to accomplish, of all the body areas you have mentioned only the shoulder reduction with scapular shave is a current viable treatment option.

The face, however, is a different matter as there are many established and effective facial feminization procedures.

Dr. Barry Eppley

World-Renowned Plastic Surgeon