Body feminisation
for trans women

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Body feminisation
for trans women

Body feminisation
Surgery designed to create a more feminine silhouette and harmonious body proportions

MADRID | ZURICH

The body feminisation procedures It constitutes an essential pillar within the surgical approach to gender affirmation. For many trans women, this type of procedure represents an important part of their process, as it allows them to align their body shape with their identity and improve the way they experience and perceive their bodies.

The goal of body feminization is to achieve a more harmonious silhouette, with a more defined waist and greater volume and definition in areas such as hips, buttocks and chest. This is achieved using modern surgical techniques and specialized technology that allow for precise and personalized body contouring.

At the clinic of Dr. Richard Fakin, These procedures are planned individually, taking into account each patient's anatomy, their expectations, and the overall proportions of their figure.

DURATION 60 – 240 minutes
DISCHARGE FROM THE CLINIC 1-2 days
RETURN TO WORK 10 days

DURATION 60 – 240 minutes
DISCHARGE FROM THE CLINIC 1-2 days
RETURN TO WORK 10 days

SOCIALLY PRESENTABLE 7 days
ANESTHESIA Sedation or general
FULL RECOVERY 4-6 weeks

SOCIALLY PRESENTABLE 7 days
ANESTHESIA Sedation or General
FULL RECOVERY 4-6 weeks

Indications

When can body feminisation be recommended?

Body feminisation may be considered when a person wishes to adapt their body shape to typically feminine proportions as part of their gender affirmation process. This type of surgery can help:

Increase the volume of hips or buttocks
Improve breast contour
Redistribute body volume to achieve a more harmonious silhouette

Individualised medical assessment allows us to determine which procedures are most appropriate according to each patient's anatomy and goals.

Surgical techniques

Liposuction and fat transfer: redefining body contours

The foundation of many body feminisation procedures involves extracting fat from areas such as the abdomen, lower back, or flanks, then processing it and injecting that fat into specific areas such as breasts, hips and buttocks.

This technique allows the redistribution of body volume and adapts the silhouette to more feminine contours, always taking into account the anatomical particularities and the objectives of each patient.

Current lipotransfer techniques improve the viability of the fat graft and improve long-term volume retention, contributing to natural and lasting results.

Feminising mammoplasty: creating a feminine contour

In many transgender women, hormone therapy can stimulate breast growth. However, this growth is not always sufficient to achieve the desired size or shape.

The Breast augmentation allows the breast shape and contour to be tailored using implants of different sizes, profiles and configurations, adapted to the anatomy and aesthetic expectations of each patient.

This is one of the most frequent procedures within body feminisation, as it contributes to reinforcing the female silhouette and improving the overall harmony of the body.

Gluteoplasty: female buttock enhancement

The Gluteoplasty allows you to increase the volume and projection of the buttocks, contributing to a more feminine and proportionate silhouette.

The increase can be achieved by fat transfer, through implants or with a combination of both techniques, depending on the anatomical characteristics of each patient and the desired result.

To achieve a harmonious contour, liposuction of the back and lumbar area is often part of the surgical planning, as it helps to define the waist and enhance the projection of the buttocks and hips.

Results and objectives of body feminisation

Body feminisation seeks to create a more harmonious and proportionate figure, adapted to the identity and anatomy of each patient.

The combination of procedures such as liposuction, fat transfer, mammoplasty or gluteoplasty allows for the modification of body volume distribution and the achievement of a silhouette more aligned with the goals of feminisation.

Beyond the physical transformation, these interventions can contribute significantly to the confidence, personal well-being and quality of life of many patients.

Testimonials

Naima – Part 1

Naima – Part 2

Alexis

Body feminisation:
Frequently Asked Questions

What does body feminisation surgery include?

Body feminisation can include various procedures designed to modify body proportions. Among the most common are liposuction to define the waist, fat transfer to augment the hips or buttocks, and breast augmentation to improve breast contour.

Can several body feminisation procedures be combined?

Yes. In many cases, it's possible to combine several techniques in a single procedure, such as liposuction, buttock augmentation, or breast augmentation. This allows for an overall improvement in body proportions and a more harmonious silhouette.

How long does recovery take after body feminisation?

Initial recovery typically lasts about 1 to 2 weeks, after which many patients can resume their daily activities. Full recovery can take between 4 and 6 weeks, depending on the procedures performed.

Are the results of body feminisation permanent?

When techniques like fat transfer using the patient's own fat are used, some of the transferred fat becomes permanently integrated into the tissues. However, the final result also depends on factors such as weight fluctuations or the body's natural aging process.

Is hormonal treatment necessary before body feminisation?

Many trans women undergo prior hormone therapy, as this can influence body fat distribution and breast development. However, the decision to have surgery is always made after an individualised medical evaluation.

Dr. Richard Fakin
Internationally recognised plastic surgeon

Dr. Richard Fakin is a Plastic, Reconstructive and Aesthetic Surgeon with extensive experience in gender-affirming procedures. He specialises in breast surgery, facial surgery and advanced body contouring procedures. His practice combines technical precision, aesthetic sensitivity and a deeply personalised approach to every procedure.

At his clinics in Madrid and Zurich, Dr. Fakin leads a highly professional and committed team of specialists who share the same philosophy: to provide medically rigorous care while maintaining a warm, compassionate approach. Each patient receives personalised support, from the first consultation through to postoperative follow-up.

As a boutique plastic surgery clinic, the approach is never standardised. The team takes the time to understand each patient's expectations, carefully assess their anatomy, and develop a surgical plan tailored precisely to their individual case. This personalised structure allows us to maintain the highest standards of quality, confidentiality, and attention to detail in every procedure. Dr. Fakin uses refined surgical techniques that prioritise safety, natural-looking results, and an optimised recovery process. Through meticulous planning and advanced technology, the clinic is able to achieve harmonious results that remain true to each patient’s identity.

Beyond surgical technique, the commitment of Dr. Fakin and his team is reflected in transparent, honest and personalised care, where each patient is treated with dedication and professionalism at every stage of the process.