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Body Feminization Combining Large-Volume Fat Grafting and Gluteal Implants
Daniel Del Vecchio1, Miguel G Bravo1, Veronika Mandlik1
1From Back Bay Plastic Surgery and the Cirumed Clinic.
Plastic and Reconstructive Surgery
|March 21, 2022
Summary
Fat grafting to the buttocks offers improved body contouring for transgender patients. Combining fat transfer with implants yields superior waist-to-hip ratios, enhancing feminization outcomes.
Area of Science:
- Plastic surgery
- Body contouring
- Gender-affirming care
Background:
- Increasing popularity of buttock fat transfer in cosmetic surgery.
- Emergence of unique patient subsets, including transgender individuals.
- Need for tailored surgical approaches in gender confirmation procedures.
Purpose of the Study:
- To evaluate outcomes of large-volume fat transplantation for body feminization.
- To assess the efficacy of combined fat grafting and gluteal implants in transgender patients.
Main Methods:
- Prospective observational study of 36 male-to-female transgender patients.
- Procedures included large-volume fat transplantation to the buttocks, with or without silicone implants.
- Data collected on surgical techniques and patient outcomes.
Main Results:
- Mean waist-to-hip ratio improved from 1.11 to 0.81 post-surgery.
- Fat transfer alone resulted in a ratio of 0.88.
- Combined fat transfer and implants achieved a ratio of 0.75.
Conclusions:
- Transgender patients require specialized surgical skills and strategies for optimal results.
- Composite approaches using both implants and fat grafting enhance waist-to-hip ratio.
- Tailored surgical techniques are crucial for successful body feminization outcomes.
