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Pre-Operative Assessment and Goal-Setting for Gender-Affirming Body Contouring: Feminization

Pre-Operative Assessment and Goal-Setting for Gender-Affirming Body Contouring: Feminization This article is an introduction for those interested in gender-affirming body contouring to demasculinize, feminize and/or androgenize their body shape. The procedures we offer are commonly referred to as body feminization surgery (BFM), hip dip fat transfer, buttock lift surgery, transgender BBL, and MTF transgender body sculpting, liposuction, and fat transfer. We discuss the common body types or shapes produced by estrogenic puberty–hourglass, rectangular, pear and apple–as reference points to demonstrate how liposuction and fat transfer procedures can alter a patient’s body frame. In order to reduce the physiologic changes that occur during and after puberty, trans women and nonbinary people …

Pre-Operative Assessment and Goal-Setting for Gender Affirming Body Contouring: Masculinization and Androgenization

Pre-Operative Assessment and Goal-Setting for Gender Affirming Body Contouring: Masculinization and Androgenization This article is an introduction for those interested in gender affirming body contouring to de-feminize, masculinize and/or androgenize their body shape–sometimes referred to as body masculinization surgery (BMS). We discuss the common effects of an estrogenic vs. androgenic puberty on bone structure and soft tissue–such as overall body shape, upper vs. lower body fat ratios and hip to waist ratios–to explain what gender-affirming liposuction can accomplish. We hope this information will help patients craft realistic goals and have more informed conversations with our surgeons about relieving gender dysphoria and achieving gender euphoria through body contouring the thighs, hips, …

Gender Affirming Facial Surgery for Non-Binary Patients

Gender Affirming Facial Surgery for Non-Binary Patients This article is an overview of how the techniques of Facial Masculinization and Facial Feminization Surgery (FMS and FFS) can be incorporated into Gender Affirming Facial Surgery for non-binary patients. Gender Confirming Facial Surgery and Gender Affirming Facial Surgery are both umbrella terms commonly used in the field of gender confirmation surgery to refer to the vast array of reconstructive facial surgery options that can be used to help achieve gender euphoria. We go over how the unique needs of gender expansive, gender fluid and androgynous-identifying patients can be made through hairline, forehead,  cheek, nose, jaw, chin and adam’s apple surgery. What is …

Gender-Affirming Hair Removal

Gender Affirming Hair Removal Hair removal is a critical medical intervention for many trans, non-binary, and gender expansive people. Hair removal is used to remove the amount of hair on targeted parts of the body, commonly including the face, torso, arms, and legs. It is often used to prepare for bottom surgery and/or to reduce hair that causes gender dysphoria or gender incongruence related to hair growth. Hair Removal at The Gender Confirmation Center The Gender Confirmation Center exclusively offers laser hair removal (LHR) in our office but can provide outsider referrals for electrolysis hair removal (EHR) treatments. Although we’re unable to offer electrolysis, the information below may help inform …

Talking With Schools About Your Transgender Child

Talking With Schools About Your Transgender Child Often, school can be a daunting place for transgender, non-binary, gender-expansive, or genderqueer young people. Navigating a gender transition and informing schools, teachers, and administrators might be an important part of your child’s process. Throughout this page you will find resources to move these important conversations forward and further help you and your child with this process. The language of this page is directed at parents of transgender young people in K-12 schools, but this can also be helpful for educators, school staff, and trans youth who might want to go about navigating a gender transition at schools on their own. Occasionally, trans …

Explaining Your Child’s Transgender Identity to Others

Explaining Your Child’s Transgender Identity to Others If your child or another young person in your life recently came out as trans, non-binary, or gender expansive, you might have questions about how to navigate their gender transition. There is a lot to think about, and this page will help answer some questions around how to talk to family and friends about your child’s trans identity. To see our FAQ on trans identity and youth, click here, and to find more resources aimed at supporting parents and family like yourself, click here. An important first step is having an honest conversation with your young person about what they want and need …

Nonbinary Gender Affirming Body Contouring

Nonbinary Gender Affirming Body Contouring This article is an introduction to the options for gender affirming body contouring, also referred to as transgender body sculpting, that are available to non-binary and gender expansive patients. We start with a discussion of conventionally “masculine” and “feminine” body shapes to address how liposuction and fat grafting in our state-of-the-art San Francisco facilities–whether trunk liposuction, a BBL, hip dip fat transfer or more–can be used to meet your specific body goals. By strategically using the techniques of “body masculinization surgery” and “body feminization surgery”, we hope to provide models for patients who wish to create more androgynous or gender fluid body shapes through surgery. …

Changing your gender marker to Non-Binary

Changing Your Gender Marker to Non-Binary What is a gender marker?  All people born in the United States are assigned a sex at birth, which is then reported on all identifying documents. The category “gender marker” or “sex marker” refers to the sex the baby is assigned by a doctor based on their chromosomes and the appearance of genitals. Usually, the baby is assigned an M for male or an F for female, and this is what is put onto your official documents from birth. To learn more about the difference between assigned sex and gender identity, visit our informational page on misgendering. Continue reading to find out which states …

Transgender Voice Therapy

Transgender Voice Therapy Voice therapy can be a way for transgender, nonbinary, and gender expansive people to alter the tone and pitch of their voice if their voice causes them gender dysphoria, gender incongruence, or discomfort. Among other reasons, trans and non-binary people can use voice therapy to increase confidence and self-satisfaction in their communication style.  Voice therapy can be tailored to specific goals based on what feels most affirming and important to the individual. What is Transgender Voice Therapy?  Voice therapy encompasses a series of non-surgical interventions used to change key components of verbal speech.  With the help of a speech-language pathologist, communication therapy can help  alter the gender …

Are there support groups for family members or loved ones of transgendered individuals?

Support for Family and Loved Ones of Transgender Surgery Patients Supporting a transgender individual who is determined to seek gender identity satisfaction is a difficult, complicated, and often long-term undertaking. It requires love, understanding and a willingness to look past personal beliefs and traditional social conventions and preconceived moral or social attitudes. There are many resources that can be explored to find information and support for family, friends and partners of transgender patients undergoing a gender transition process. Begin by consulting the websites of national organizations established for the purpose of supporting this segment of the population:  Transgender Network (TNET), an arm of PFLAG (Parents, Families and Friends of Lesbians and Gays), a long-established national …

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