Providing Transgender Patients With Compassionate Care

At AMG Plastic Surgery in Herndon, VA, we understand how important it is for patients to feel comfortable and proud of the skin they are in. We are pleased to offer gender affirmation surgery to help our transgender and non-binary patients transition to their chosen gender identity. While this surgery is not required for patients to transition, the majority of patients who undergo these procedures report an improved quality of life and better mental health. According to the Cleveland Clinic, 94% to 100% of patients are satisfied with their results.

The stigma and discrimination that many transgender and non-binary people face can make it difficult to seek care. Our team fosters a safe, empathetic and judgment-free environment, so you can feel comfortable and confident throughout every step of the treatment process.

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Gender Affirmation Surgery In Herndon, VA

Gender affirmation surgery, also known as gender confirmation surgery, is a set of procedures that help transgender patients physically transition to their chosen gender identity. The types of procedures vary depending on your specific needs and desired results. Examples of these procedures include facial surgery (changing the facial features such as the nose, chin, cheekbones, etc. in order to appear more masculine or feminine), “top” surgery (reducing or increasing the size of the breasts and chest) and “bottom” surgery (reconstructing the sex organs). At AMG Plastic Surgery, we are pleased to offer “top” or chest surgery and body contouring to help patients achieve a more masculine or feminine look that aligns with their gender identity.

Gender Affirming “Top” Surgery

“Top” surgery, also known as chest surgery, removes, enhances and/or reshapes the breast tissue in order for patients to achieve a more masculine or feminine look. There are several different approaches to this procedure based on the patient’s desired results and unique needs.

Some mastectomy techniques for transgender men include:

  • Liposuction incision

    Liposuction is typically combined with other surgical incisions to remove excess tissue. However, for patients with small breasts, small liposuction incisions can be used to remove breast tissue with minimal scarring.

  • Double incision

    This incision works best for patients with larger breasts. One incision is made at the top of each breast to remove tissue and skin, then a second incision is made to reposition the nipple.

  • Keyhole incision

    Best for patients with smaller breasts, this incision is made under the areola to remove tissue.

  • Mastectomy with free nipple grafting

    During this procedure, Dr. Ghaznavi will remove all of the breast tissue, excess skin and nipples. The nipples will then be resized and replaced so that they are proportionate to the new breast size.

For transgender women, we offer a couple of surgical options to enhance the size of their breasts. These include:

  • Breast augmentation

    This procedure enlarges the breasts using implants. Patients can select a specific implant material, shape, size, surface and projection based on desired results.

  • Breast fat transfer

    Rather than using implants to enlarge breasts, this procedure involves taking fat from an unwanted area of the body and injecting it into the breasts.

Body Contouring

In addition to chest surgery, we are pleased to offer body contouring. There are several ways that feminization or masculinization can be achieved by adjusting fat distribution and body shape. Some surgical techniques include:

  • Fat transfer

    Fat transfer, also known as fat grafting, allows Dr. Ghaznavi to take fat from an unwanted area and place it in an area that may feminize the body. Fat can be transferred to the buttocks, also known as a Brazilian butt lift, the hips, the thighs and more.

  • Liposuction

    To give the body a more masculine appearance, fat can be removed via liposuction from more traditionally feminine areas, such as the hips.

  • Body implants

    Body implants can be used to give the body a more toned and masculine appearance. Implants can be inserted into areas where the patient may want to appear more muscular, such as the biceps, the pectorals and more.

Female to Male / Breast Reduction

How Many Procedures Can Be Done At Once?

The number of procedures performed at one time will vary based on a patient’s specific needs, desired results and their health. However, there are a few procedures that can be performed at the same time. During your consultation with Dr. Ghaznavi, he will be able to discuss if combining procedures is right for you.

Who Is A Good Candidate For Gender Affirmation Surgery?

Patients who undergo these procedures must meet both mental and physical health requirements. Most patients who seek gender-confirming care have been diagnosed with gender dysphoria—or the distress caused when one’s gender identity does not match their biological sex characteristics—by a mental health professional. In order to qualify for surgery, patients must have a letter of recommendation from a mental health professional that outlines why these procedures may be beneficial to the patient.

In addition to mental health requirements, patients must also be physically healthy before moving forward with surgery. During your initial consultation with Dr. Ghaznavi in Herndon, VA, he will review your medical history and conduct a physical exam to determine your eligibility for surgery. Dr. Ghaznavi may recommend lifestyle changes—such as temporarily quitting smoking or changing your diet—prior to undergoing this procedure.

To schedule a consultation at our Herndon, VA, office, please call us at (703) 239-3190 or request an appointment on our website.

How To Prepare For Surgery

Just like patients must meet both mental and physical requirements to be eligible for surgery, there are both emotional and physical levels of preparation before patients undergo their chosen procedure(s).

On an emotional level, patients must anticipate that they will need to mentally process their physical changes. While the patient satisfaction rate of gender-affirming procedures is very high, it is ultimately a life change that must be processed with the help of a mental professional or other members of the transgender or non-binary communities who have undergone similar procedures. Organizations such as the National Center for Transgender Equality and the Trevor Project are great resources to help facilitate patients’ transitions.

On a physical level, patients are expected to adhere to all pre-operative instructions as outlined by Dr. Ghaznavi. These instructions may ask patients to avoid certain medications, stop smoking or using tobacco, watch their diet and more. Additionally, it is important for patients to arrange for someone to drive them home after their procedure and to take care of them in the following days.

To schedule a consultation at our Herndon, VA, office, please call us at (703) 239-3190 or request an appointment on our website.



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