Most transwomen will begin their gender confirmation journey with hormone (estrogen) therapy and supportive counseling. In addition to these two vital components, many transwomen opt to undergo surgery to complete their transition process. In fact, the American Medical Association considers gender transition surgery to be medically necessary, and transwomen who undergo these procedures enjoy a number of benefits, including decreased gender dysphoria, improved mental health, enhanced self-image and self-esteem, greater comfort with one’s body, increased ability to blend into society as a woman, and an enhanced quality of life.  Dr. Antonetti offers a full suite of surgical services to assist you in your transition journey.

Facial Feminization Surgery

Facial feminization surgery (FFS) refers to a suite of procedures that can be performed to lend a softer, more feminine appearance to the facial features. Because the face offers important visual cues as to one’s gender, FFS is a vitally important component of the male-to-female transition. Each patient who undergoes FFS will have unique needs and desires, Dr. Antonetti will work with you to design a customized surgical plan. In general, FFS can include brow lift with bossing, scalp advancement, nose reshaping, blepharoplasty, tracheal shave, cheek implants, lip lift, lip and cheek implants, cheek softening, and face/neck lift. Read more on facial feminization surgery.

Breast Augmentation

Many transwomen associate a full, round breast with beauty and femininity. While hormone therapy typically results in the growth of some breast tissue, patients who desire a larger bust may opt for breast augmentation. Dr. Antonetti is highly skilled and experienced in performing breast augmentation. Depending on your individual needs and anatomy, breast augmentation can be performed either over (sub-glandular placement) or under (sub-muscular placement) the chest wall muscle. We also offer both saline and silicone implants. Breast augmentation is a very common and safe procedure, and your surgeon will work with you to ensure a beautiful, aesthetically-pleasing result. Read more on breast augmentation.

Body Feminization Surgery

Body feminization surgery (BFS) is an ideal option for the transwoman who would like to achieve a traditionally feminine, “hourglass” figure. A round buttocks and a low waist-to-hip ratio are defining characteristics of the female form—BFS targets these areas to create a streamlined, shapely contour. Typically, BFS includes trunk liposuction and buttocks augmentation. During trunk liposuction, fat is removed from the waist, abdomen, “love handles” and mid/lower back. This fat can then be transferred to the buttocks area to form a shapely, feminine backside—a procedure known as the “Brazilian butt lift”. Both trunk liposuction and buttocks augmentation are very safe procedures, particularly when performed by someone with the expertise and experience as Dr. Antonetti. Read more on body feminization surgery.


The Orchiectomy procedure is an independent procedure that can be performed for those who wish to eliminate testosterone production and achieve some degree of secondary feminization without having complete GCS. It also allows for the discontinuation of costly and/or potentially risky use of anti-androgens and high-dose estrogen. Read more about orchiectomy surgery.

Our staff knows that each patient has her own unique needs and expectations, which is why we take an individualized, patient-centered approach to gender transition services. During the preoperative consultation, Dr. Antonetti will take the time to discuss and understand your goals for gender transition. Additionally, he’ll thoroughly explain each procedure and answer any questions you might have. We want you to feel comfortable and happy with your decision to pursue gender transition services with us.

Contact Dr. Antonetti for a Consultation in Dallas

We understand that surgery is a vital component of the male to female transition process.Because these procedures are so important, it is paramount to choose a surgeon with specialized knowledge and skill. Dr. Antonetti is proud to offer all of his services in a respectful, welcoming environment at our world-class surgical center in Dallas, Texas. We look forward to assisting you in achieving the very best possible results for your buttocks augmentation and trunk liposuction. Contact us today to schedule a consultation at (469) 429-7558.

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