Q: Dr. Eppley, I am interested in transgender buttock implants. I’m looking for assistance in achieving an hourglass figure, fat transfer and/or liposuction are not an option as I have always had minimal body fat. I know that some surgeons do not like to operate on transgender women. I am transgender, and have lived “full time” for more than 15 years. In this time I have worn padding to give the effect that i am looking for. The result is that I hate my naked, boyish hips and behind. I would like someday to be able to not have to wear padding and just have the body I have always desired. It doesn’t have to be perfect. I’m not expecting rainbows and unicorns, but I don’t think I am asking for the moon, either. Can you help me? thank you
A: With a thin straight body you are correct in that only implants can potentially make positive buttock and hip changes. Usually both buttock and hip implants are needed as buttock implants don’t extend to the hips and vice versa. I would be interested to see what amount of padding you use to create the optimal augmentation effects. Knowing what type of buttock enlargement change you are looking for will determine whether your buttock implants should be in the intramuscular or the subfascial location.
Most transgender buttock implants are often done in the intramuscular location since the amount of buttock enlargement desired is usually not extremely large.
Dr. Barry Eppley