Will Iliac Crest Reduction Give Me A More Masculine Physique?

Q: Dr. Eppley, Hello I am interested in potentially having a consultation with Dr. Eppley about Iliac crest reduction surgery and/or shoulder winding surgery. I am a FTM trans man and my main concern is the width of my pelvis which I would like to reduce if viable. However to balance I wouldn’t be against widening my shoulders at the same time but it is not necessary. My priority remains the reduction of my iliac crest to help create a more masculine physique.

A: Thank you for sending your pictures. By your own description your priority is iliac crest reduction which could largely be done through your existing ends of the tummy tuck scars…. Which I assume his what that scar is from. While they would have to be extended a little bit it would not add a lot of extra scar burden. Given that your priority is the iliac crest reduction that should be the procedure you do. While shoulder widening is an option it’s recovery is substantially greater than that of iliac crest reduction. Thus it takes a patient whose major priority is shoulder widening to undergo it.

While not a recognized female to male body contouring surgery iliac crest reduction for the wider and more low angled female pelvis is a logical structural body procedure given your objectives. But I would need to see some hip pictures to determine your candidacy for the procedure.

Dr. Barry Eppley

World-Renowned Plastic Surgeon