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Updated: Jan 15, 2026

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Body Contouring in Gender-Affirming Care.

Margaret Wang1, Raúl M Manzaneda Cipriani2, Barry Eppley3

  • 1Johns Hopkins School of Medicine, Baltimore, MD, USA; Brown University, Providence, RI, USA.

Clinics in Plastic Surgery
|October 15, 2025
PubMed
Summary
This summary is machine-generated.

Gender-affirming body contouring is gaining popularity to align physical appearance with gender identity. This review covers surgical techniques for torso and extremity modifications in transgender individuals, addressing a gap in current literature.

Keywords:
Body contouringGender-affirming surgeryRib remodelingShoulder narrowingTorso feminizationTorso masculinization

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Area of Science:

  • Plastic Surgery
  • Gender Affirming Care
  • Body Contouring

Background:

  • Body contouring procedures are increasingly sought in gender-affirming care.
  • Torso and lower extremities are common sources of gender dysphoria.
  • Existing literature on non-chest body contouring for transgender patients is limited.

Purpose of the Study:

  • To explore the role of non-chest body contouring in gender-affirming care.
  • To review current surgical techniques for transgender patients.
  • To address the lack of literature in this specific area.

Main Methods:

  • Literature review of existing surgical techniques.
  • Exploration of concepts in torso feminization and masculinization.
  • Discussion of skeletal modification and extremity masculinization.

Main Results:

  • Non-chest body contouring plays a significant role in gender affirmation.
  • Current techniques are often adapted from cis-gender procedures.
  • Specific techniques for torso and extremity modification are discussed.

Conclusions:

  • Non-chest body contouring is a vital component of gender-affirming care.
  • Further research and specialized techniques are needed for transgender populations.
  • Addressing gender dysphoria in the torso and extremities can improve congruence.