Trans Women

Enhance Your gender affirmation

The team at Post Street Surgery Center, led by Dr. Thomas Satterwhite, supports all trans women in their journeys towards gender affirmation. We provide a wide range of reconstructive and cosmetic procedures that replace traditionally masculine features and qualities with traditionally feminine qualities. Dr. Satterwhite conducts incredibly comprehensive consultations with each individual to understand their unique goals and concerns, allowing him to curate a personalized surgical plan. We aim to externalize your innate identity while adhering to your unique expectations.

Body Feminization

Body feminization is a contouring procedure that helps MTF patients achieve a feminine-appearing figure with beautifully soft curves. Fat grafting, the practice of transferring unwanted fat tissues from one area of the body to another, is one of the most essential methods used for body feminization. It allows us to extract unwanted fat tissues from the abdomen and transfer them to the breasts, buttocks, and other desired areas. Brazilian butt lift is one of the most common methods involved in body feminization, allowing trans women to achieve a curvaceous rear end profile.

Body Feminization Include:

  • Fat grafting
  • Liposuction
  • Brazilian but lift
  • Abdominoplasty (tummy tuck)
  • Brachioplasty (arm lift)
  • Medial thigh lift

“I am just absolutely happy! Ever since I had my Gender Confirmation Surgery, I can't stop smiling. It’s all thanks to Dr. Satterwhite and his staff! I'm forever grateful! You all mean thee world to me! Thank you so much!"

Facial Feminization

Facial feminization is a collection of procedures that help MTF patients achieve a feminine face with soft angles and delicate features. Each procedure is individually curated to address your specific goals while blending naturally with your existing anatomy, creating an outcome that still looks like you while externalizing your innate identity. Facial feminization often includes forehead contouring hairline advancement, rhinoplasty, eyelid surgery, and other procedures to address all traditionally masculine aspects of your facial appearance. Liposuction is often used to redistribute the fat tissues to create a softer and more curvaceous appearance.

Facial Feminization Includes:

  • Hairline advancement
  • Forehead contouring
  • Lip lift
  • Lip augmentation
  • Chin adjustment (genioplasty)
  • Tracheal shave
  • Fat transfer
  • Frontal sinus setback
  • Rhinoplasty
  • Mandible (jaw) contouring
  • Neck liposuction

Genital Surgery

Genital surgery, also known as bottom surgery, refers to procedures that augment a trans woman’s lower body to facilitate optimal congruence with their innate identity. Vaginoplasty is the standard genital surgery for patients who want a fully-functioning vagina without retaining the phallus. However, we also provide non-standard procedures for outcomes that adhere to your specific goals and expectations. Genital surgery is a broad term that includes various techniques and outcomes — your surgeon will walk you through all your options to collaboratively curate the ideal surgical plan.

Genital Surgery Includes:

  • Orchiectomy (testicle removal)
  • Scrotectomy (scrotum removal)
  • Penectomy (penis removal without vaginal reconstruction)
  • Vulvoplasty (shallow vulva construction)
  • Vaginoplasty (fully-functional vaginal reconstruction)
  • Phallus-preserving vaginoplasty (vaginal reconstruction while preserving the phallus)
  • Labiaplasty (reconstruction of a distinct labia minora)

Breast Augmentation

Breast augmentation, also known as chest feminization or top surgery, is a procedure that helps trans women achieve a more feminine-looking torso. This involves contouring the chest with silicone or saline breast implants, allowing the patient to achieve their desired cup shape and size. Undergoing a breast augmentation involves making several choices, such as the implant size, material, pattern, placement, incision style, and the possibility of fat grafting. Your surgeon will highlight all your options to guide you towards the ideal breast augmentation technique for your specific needs.

Please schedule an appointment at Post Street Surgery Center, San Francisco, to discuss your male-to-female gender affirmation goals and options.

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