Enhance your natural shape with body contouring tailored to transgender and gender-diverse individuals. At Transitions, our board-certified plastic surgeons—Dr. Leif Rogers and Dr. Walter J. Joseph—specialize in gender-affirming body sculpting techniques to align your physical appearance with your identity, helping you feel more confident and beautifully you.
Align your body with your true identity
Body contouring refers to a set of surgical procedures that reshape, refine, or enhance your body’s natural silhouette. For transgender and gender-diverse individuals, these procedures are often part of a gender-affirming journey—helping align your external appearance with your inner sense of self. Whether you’re seeking a more traditionally masculine, feminine, or nonbinary form, body contouring offers personalized solutions to meet your goals.
At Transitions, our surgeons use advanced techniques to sculpt areas such as the chest, waist, hips, buttocks, shoulders, and back. Common gender-affirming procedures include liposuction, fat grafting, hip or gluteal implants, clavicle lengthening or shortening, rib remodeling, and scapula shave. Each treatment is highly customized to your anatomy, preferences, and aesthetic vision for results that feel authentic to you.
Body contouring can address these concerns:
- A waistline that feels too wide or undefined
- Lacking curves or volume in the hips or buttocks
- Having prominent ribs or shoulders that appear too broad
- Feeling discomfort with body proportions that don’t match your gender identity
- Desiring softer contours or more traditionally feminine body lines
- Seeking more angular or traditionally masculine features
- Stubborn fat deposits that don’t respond to diet or exercise
- Wanting symmetry or balance in overall body shape
- Feeling self-conscious in fitted clothing or swimwear
Do I qualify for body contouring?
You may be a good candidate for body contouring if you’re a transgender or gender-diverse adult seeking to refine your physical form in a way that better aligns with your gender identity. The ideal candidates for body contouring are generally in good physical health, have realistic goals, and are at or near a stable body weight.
During your consultation at Transitions, our surgeons will take time to understand your gender journey, aesthetic goals, and medical history. They’ll perform a detailed physical evaluation to determine the safest contouring options for your body. Whether you want a more traditionally masculine, feminine, or androgynous look, we’ll work with you to design a plan that honors your identity and supports your transition plan.
What are the benefits of body contouring?
Body contouring allows you to harmonize your external appearance with how you feel inside. Whether seeking subtle refinements or dramatic reshaping, these procedures can help you feel more confident and aligned with your gender identity. Advantages of body contouring include:
- Creating a more traditionally masculine, feminine, or androgynous body shape
- Enhancing curves or definition in targeted areas like the hips, buttocks, chest, or waist
- Reducing areas of stubborn fat that don’t respond to diet or exercise
- Improving symmetry and balance across your silhouette
- Helping clothing fit more comfortably and flatteringly
- Supporting your overall gender-affirming journey
- Boosting confidence and self-image in daily life and social settings
Choose your ideal body contouring technique/s
Body contouring aims to help you achieve the body proportions that affirm your gender identity. Whether you’re seeking a softer, more traditionally feminine shape or aiming for a more angular, masculine form, our surgeons will guide you through the most effective combination of techniques for your unique goals.
Clavicle lengthening
Clavicle lengthening is a specialized procedure that extends the collarbones to create broader shoulders—often desired by individuals seeking a masculine upper body. During the procedure, the clavicle is surgically cut, and a device is implanted to gradually separate the bone over time. This controlled bone growth increases shoulder width, leading to a V-shaped torso.
Clavicle shortening
For individuals pursuing a more feminine or narrower shoulder contour, clavicle shortening is possible. This procedure involves removing a small section of the clavicle and securing the remaining bone ends, effectively reducing shoulder width. Clavicle shortening can soften the appearance of the upper body and contribute to a more delicate, hourglass shape.
Fat grafting
Fat grafting involves removing fat from areas where it’s less desired—such as the abdomen or thighs—and transferring it to areas like the hips, buttocks, or chest. This dual-purpose technique sculpts the donor site while adding natural volume and softness to targeted areas. It’s a popular option for feminization, allowing for subtle reshaping without implants.
Gluteal augmentation (buttock implants)
Gluteal augmentation with implants enhances volume, projection, and contour in the buttocks. This procedure is particularly beneficial for individuals who desire more dramatic curves or who don’t have enough body fat for fat grafting. This procedure is frequently chosen by transfeminine individuals seeking a fuller, more traditionally feminine lower body.
Hip implants
Hip implants help create a curvier silhouette by adding volume to the hips and outer thighs. Like buttock implants, they’re an excellent option when fat grafting isn’t sufficient or desired. The implants are carefully contoured to match your anatomy, providing long-lasting enhancement that supports a balanced appearance, often as part of a feminization strategy.
Liposuction
Liposuction removes excess fat from specific areas—such as the abdomen, flanks, thighs, and back—to sculpt a more traditionally feminine silhouette. By slimming these regions, liposuction enhances the appearance of curves and creates a smoother transition between the waist, hips, and thighs. It’s often combined with fat grafting for comprehensive feminization.
Pectoral implants
Pectoral implants enhance chest definition in individuals seeking a more muscular, masculine appearance. The implants are placed beneath the chest muscle, creating a natural-looking volume and shape where chest development may be limited by body type. This option is great for transmasculine individuals who want to build a broader, more sculpted chest contour.
Rib remodeling
Rib remodeling helps reduce waist circumference and enhance the appearance of curves in transfeminine individuals. This procedure involves reshaping or removing portions of the lower ribs to create a narrower waist and a more exaggerated hourglass figure. When combined with hip or buttock enhancement, it can dramatically shift body proportions.
Scapula shave
A scapula shave reduces the prominence of the shoulder blades to create a smoother, less angular back contour. This technique is often selected by transfeminine individuals who desire a softer, less athletic appearance. By subtly reshaping the back profile, the scapula shave contributes to a more traditionally feminine posture and silhouette.
The day of your body contouring surgery
On the day of your body contouring surgery at Transitions, you’ll arrive at our in-house surgical facility, where our team will guide you through final preparations. After reviewing your surgical plan and answering any last-minute questions, your surgeon will mark the targeted areas. You’ll then receive anesthesia to ensure a safe, comfortable procedure from start to finish.
Depending on your customized treatment plan, your surgery may involve liposuction, fat grafting, implants, bone reshaping, or a combination of techniques. Each step is performed meticulously to create a natural-looking result aligned with your goals. Most procedures take several hours, and once complete, you’ll be moved to our recovery suite.
Your recovery experience after body contouring
After your body contouring, you’ll recover in our private, on-site facility with medical staff available to support you around the clock. You can expect swelling, bruising, and soreness in the treated areas, which is normal and temporary. Compression garments may be provided to help reduce swelling and support healing. Pain is typically manageable with prescribed medications, and most patients are up and walking within a day.
Your surgeon will give you detailed aftercare instructions, including how to care for incisions, when to shower, and when to resume daily activities. Depending on the procedures performed, you may need to limit strenuous movement for several weeks. Most patients begin to see visible improvements as swelling subsides. We’ll schedule follow-ups to monitor your healing and ensure your results are progressing beautifully and in line with your vision.
Transition into your authentic self...
Transitions is a luxury surgical practice committed to helping transgender and gender-diverse individuals feel at home in their bodies. Our board-certified plastic surgeons use advanced body contouring techniques to sculpt, refine, and enhance your natural shape with artistry. Schedule your consultation for body contouring in Pasadena or Beverly Hills and take the next step toward your authentic self.
Redefining
Gender-Affirming
Care & Aesthetics
Transitions: Where Your True Self Emerges
BEVERLY HILLS: 310.860.8915PASADENA: 626.537.3737
