GENDER AFFIRMING SERVICES
We have many Gender Affirming services available to Linea Cosmetic Surgery clients. Please look through the material below for more information on what services and procedures we can offer.
If you need more detailed information please call us at (208) 875-2211, or fill out our form at the bottom of this page.
The goal of the surgery is to reduce the thyroid cartilage to achieve a more feminine neck. Removing too much cartilage can negatively impact the vocal cords and cause your voice to be distorted. The surgeon makes a small incision beneath your chin or right above the Adam’s Apple, in a natural fold on your neck. Through the incision, the bulge of thyroid cartilage is shaved down to create a smoother, feminine surface. This procedure often requires a relatively short amount of time in the operating room.
Silicone chin Implants are one of the most commonly used implants for chin augmentation. They are soft, smooth, flexible and come in different shapes and sizes. They do not incorporate (stick) to the surrounding tissues, so the pocket must be made precisely.
An incision is made either under the chin or inside the lower lip, a pocket is made and the implant placed into the pocket. Some chin implants are fixed to the mandible, while others are held in place by the pocket itself.
Combined implants or malar/submalar combination, are an extended implant intended to augment both the midface and the cheek bones. The surgeon will usually make an incision in the upper mouth near the top of the gum line and slide the implants into place. Another method is to make an external incision near the eye. Cheek implant surgery is performed under sedation or general anesthesia and takes about one to two hours.
Depending on the desired result, some bone and cartilage may be removed, or tissue may be added. After the surgeon has rearranged and reshaped the bone and cartilage, the skin and tissue is re-draped over the structure of the nose. A splint is placed outside the nose to support the new shape of the nose as it heals. This surgery is usually an outpatient surgery and performed under sedation.
The typical male forehead has a prominent brow bone that is often flat or even slopes backward to some degree while a female has a rounder smoother and more vertically oriented forehead which is much more desired.
This type of cosmetic facial enhancement does not necessarily augment the lip, but helps to elevate the upper lip area to make it appear larger.
The procedure itself involves minor incisions either underneath the nostrils, just above the upper lip line, or at the corner of the mouth, depending on the goals and specifics with surgery.
- Enhancing smaller breasts
- Restoring breast volume from weight loss
- Correcting asymmetric, uneven shaped breasts
- Improving the shape and contour of sagging breast, this is usually combined with a breast lift or mastopexy
- Reconstruction after breast removal from cancer, trauma, or hereditary defects
Transgender fat injections can be useful in helping you reshape your body, giving you the appearance you desire.
1. Bilateral Mastectomy with Free Nipple Grafts – This technique allows the removal of essentially all of the breast tissue and excess skin and allows for the proper placement and downsizing of the nipples. This technique is utilized most frequently because the majority of patients present with a combination of excess skin and a naturally low nipple position. This technique leaves a scar on each side of the chest. In order to make the scar less apparent, we place the scar along the lower border of the pectoral muscle fold. The nipple-areolar complex is downsized and placed as a graft in the appropriate location. A special medical dressing stays on the nipple graft for one week.
2. Peri-areolar Subcutaneous Mastectomy / Keyhole Incision – The peri-areolar, or ‘keyhole’, technique consists of breast tissue removal through a small incision around the nipple. This technique carries the advantage of significantly reduced scarring. However, a relatively small number of patients are actually good candidates for this technique. The suitable candidate for this type of mastectomy is typically the young, slim patient with a small amount of breast tissue, no excess skin, and a nipple position that is suitable and does not require repositioning.
3. Mastectomy Combined with Liposuction – The goal for liposuction of the breast is simple. This technique is used to improve the patient’s physical appearance by removing as much fat as possible while avoiding any damage to skin or muscles. With this technique there is minimal postoperative pain, rapid postoperative recovery, quick return to normal activities, and virtually no scaring.
4. Mastectomy with Dermal Pedicle Flap –A dermal pedicle flap is a flap consisting of the full thickness of the skin and the subcutaneous tissue, attached by tissue through which it receives its blood supply. This technique leaves a scar on each side of the chest along the lower border of the pectoral muscle fold. The nipple-areolar complex is downsized and placed through a new opening in the appropriate location and sutured in place.
5. Double Incision Mastectomy – The double incision mastectomy is designed for persons with larger or overhanging breasts. The advantage of this procedure is greater precision in nipple size, nipple position and scar placement. The disadvantage is the scar. During this procedure, the skin on the chest is opened along two horizontal incisions, at the top and bottom of the pectoral muscle. The techniques for treatment and placement of the nipples with the double incision method vary.
Depending on the technique that is the best suited, the original nipples may be completely removed, trimmed to a smaller size, and are then grafted onto the chest in a higher, more aesthetically-male location. Or a “pedicle” technique, wherein the nipples are left partially attached to the body via a stalk of tissue. They are then repositioned in a more aesthetically-male location, while their connection to the body via the pedicle stalk remains intact. They may or may not be trimmed to a smaller size. The pedicle option is sometimes chosen in an attempt to maintain sensation in the nipples.
6. Anchor Incision Mastectomy – This technique is best used with overly large or ptotic breast tissue. The incisions will surround the areola on its outer edge. Then, the incisions continue down the midline of the breast below the nipple and across the inframammary crease. The placement of these incisions allows the reshaping and re-sculpting of the entire breast especially in overly large breasts that will have an increase in excess skin.
We typically do not perform this surgery at the same time as a mastectomy to preserve blood supply to the nipple.
Although unusual, every surgical procedure as potential risks and complications. Below is a list of potential risks/complications of liposuction:
- Bleeding-As with any surgery, bleeding is a risk. This may form a blood collection called a hemotoma and may require drainage. It is important to discuss any history of excessive bleeding of family history of bleeding.
- Infection-Infection is relatively uncommon. Antibiotics will be given to you during the surgery and will usually be taken after the surgery
- Asymmetry-There may be asymmetry in some areas.
- Contour irregularities
- Bleeding- As with any surgery, bleeding is a risk. This may form a blood collection called a hematoma and may require drainage. It is important to discuss any history of excessive bleeding or family history of bleeding.
- Infection- Infection is relatively uncommon. Antibiotics will be given to you during the surgery and usually will be taken after the surgery.
- Scar- Usually 1cm or smaller in size.
- Asymmetry- There may be asymmetry in some areas.
- Pigmentation change of skin is possible
- Irregular contour may occur
- Not all fat transfers – some of the fat will disappear
- Numbness or sensation changes of the skin
- Some patients will require additional surgery
Labiaplasty or aesthetic vaginal surgery, is a surgical procedure that will reduce and/or reshape the labia minora – the skin that covers the female clitoris and vaginal opening. In some instances, women with large labia can experience pain during intercourse, or feel discomfort during everyday activities or when wearing tight-fitting clothing. Others may feel unattractive, or wish to enhance their sexual experiences by removing some of the skin that covers the clitoris. The purpose of a labiaplasty is to better define the inner labia. During this procedure the urethral opening can be redefined, and if necessary improvements to the vagina may be made. The problem can be caused by genetics, sexual intercourse or difficulties in childbirth.
Fat grafting involves removing fat cells from the lower abdomen, hips, or lower back and injecting the skin of the mons pubis and labia majora. The fat fills the pelvic triangle giving a much more youthful and soft appearance.