How to masculinise the body

“How can I masculinise my body?” is a question many trans men may find themselves asking. Hormone therapy, exercise and clothing choices can all help to make you look more masculine. In addition, there are surgical techniques within the field of gender surgery, such as body masculinisation surgery, which can help us to achieve the masculine appearance we are looking for.

Through carefully designed procedures using a variety of techniques, it is possible to reshape the body to reflect the desired gender identity. Below, we will explore different types of masculinising surgeries that contribute to body masculinisation.

Bilateral subcutaneous mastectomy is often a fundamental step in the masculinisation process. This is why it is often the first masculinisation surgery of choice for trans men.

The surgical procedure, known as a trans mastectomy, involves the removal of breast tissue and repositioning of the areola and nipple to create a flat, symmetrical chest, similar to that of a cisgender man, in line with the patient’s gender identity.

Trans mastectomy can be performed using one of three techniques, which are chosen based on breast size. These include the periareolar technique for smaller breasts, the expanded periareolar technique, and the free graft technique for larger breasts. Each method aims to minimise scarring and achieve aesthetically pleasing results.

Watch this video to learn about Marc’s experience, who underwent a bilateral mastectomy at IM GENDER.

Liposculpture is another common procedure used to masculinise the body. Fat naturally accumulates in different areas in men and women, sometimes requiring specific techniques to achieve a masculine body contour.

Why is liposuction important in the masculinisation process?

FTM liposuction plays a critical role in the masculinisation process for trans men, particularly in removing fat that typically accumulates in areas considered more feminine, such as the hips and thighs. By sculpting these areas, liposuction can help create a more masculine and athletic appearance.

Techniques like Vaser liposuction or HD liposculpture are often combined with lipofilling, also known as “fat grafting”. This process involves redistributing fat extracted from areas with excess, treating it, and then reinjecting it into other areas to enhance the overall silhouette. For trans men, this can be particularly effective in defining a more muscular appearance and contour.

What should you expect before, during and after liposuction?

It is crucial to have a detailed discussion with your plastic surgeon about your aesthetic goals and any concerns you may have before undergoing liposuction.
Liposuction typically lasts between one and four hours, depending on the size of the area being treated. The procedure involves making a tiny incision in the targeted area through which a cannula is then inserted to suction out the fat. The scars are minimal, only a few millimetres, and they fade significantly over time, becoming virtually invisible.

It is common to experience some swelling post-surgery, which generally subsides within a few weeks. Wearing a compression garment is recommended, as it aids in faster recovery and optimises the results. The changes made by liposuction can be permanent, provided it is followed by a balanced diet and regular exercise.

Pectoral enhancement is another procedure used to masculinise the body. This surgery aims to augment, project and define the male chest area.

Pectoral augmentation surgery: preparation and expectations

Before undergoing surgery, it is essential to have an open discussion with your surgeon about your expectations. Together, you can decide on the most suitable size of prosthesis to achieve the desired results.

Pectoral augmentation involves the submuscular insertion of a quadrangular prosthesis made from cohesive silicone gel, which is typically inserted through an axillary (underarm) or areolar (nipple) route. This procedure is designed to give trans men a more muscular and athletic look to their pectorals. The surgery generally lasts between one and a half to two hours and is performed under general anaesthesia.

Pectoral augmentation results and recovery

The results of pectoral augmentation are usually visible immediately after the surgery, but the final appearance will take several weeks as the swelling gradually subsides. During the recovery process, it is crucial to closely follow your plastic surgeon’s postoperative instructions and avoid strenuous physical activities that could compromise the results. Over time, patients can enjoy a more defined and masculine chest.

Abdominoplasty involves removing excess skin and fat from the abdominal area. It is effective in defining the male silhouette, creating a more athletic and toned appearance.

How does abdominoplasty help masculinise the body?

Abdominoplasty plays a significant role in masculinising the body by removing excess skin and fat from the abdominal area, which helps in sculpting male contours, creating a more athletic and toned appearance. This procedure can be especially beneficial for individuals who have experienced significant weight loss or who have seen substantial changes in their body composition due to hormone therapy.

Abdominoplasty aftercare and results

After undergoing abdominoplasty, patients may experience temporary swelling, a sensation of tightness and discomfort in the treated area. These symptoms generally subside within a few weeks. It is crucial to adhere closely to your plastic surgeon’s postoperative instructions during the recovery period and avoid strenuous physical activities that could compromise the results. Following the recovery period, patients can expect a firmer, more defined and toned abdomen.

Combining procedures: is it right for you?

Sometimes the best way to achieve the desired results in body masculinisation is to combine more than one surgical technique. For example, combining procedures such as liposuction and abdominoplasty can allow the surgeon to sculpt a more masculine and balanced physique than could be achieved with either technique alone. However, it is important to discuss your options with your plastic surgeon to determine the best treatment plan for your needs and goals.

If you have more doubts about what gender affirmation surgery for trans men consists of, make an appointment with the IM GENDER team and we will inform you.