Welcome to Legacy Surgical Partners – we look forward to caring for you! Our priority is to make your surgery process and everything in between as pleasurable, empowering, and accessible as possible. Patients are expected to follow guidelines established by the WPATH Standards of care Version 8. We follow these standards—not as a gatekeeping hurdle—but as minimal guidelines that are useful guideposts that are protective. Though regret for gender affirming surgery is extremely rare, we are medical professionals who are here at your bequest. Surgery is irreversible, which puts the onus of responsibility on both patient and provider.
We're here to help you make essential decisions and know what to expect in surgery planning and recovery. Our team consists of:
That’s right, you! We value your input, your perspective and all the work you are and will be doing to prepare for and recover from surgery. We look forward to getting to know you better and learning how we can help you.
We want to make your surgery and recovery as smooth as possible. We’ll answer any questions you have and make sure you have the best possible outcome.
We know this surgery is extremely important. It takes incredible trust to allow a surgeon to perform this operation. We want you to know we are humbled by that trust and take it very seriously.
The first step in this complex process is understanding your options and creating a plan that meets your needs. We’ve created this overview to help you make important decisions and know what to expect.
Body Contouring surgery is a surgery to sculpt and contour the abdomen, flanks, back, and eremites to give a body shape more in line with your gender presentation. There are three main goals to body contouring surgery:
Each patient’s surgery and results are different.
Before your first consultation, we encourage you to:
Your first consultation is an opportunity for us to learn about your hopes and goals. You will be given a questionnaire to help us meet your needs and measure the results. Your surgeon will review various surgical options and explain the process. Once we understand your goals, we will:
A fair amount of time is spent during the consultation with your surgeon, but you may also meet the other members of your care team.
There are many techniques that are available and the names may be different from office or office. We will cover the most common techniques for body contouring surgery.
In this procedure fat is removed with a small suction cannula through very small incisions in the area that is being treated. This permanently removes fat from that area to reduce volume of the body. This can be done to nearly every part of the body and is a powerful tool in sculpting the body.
Ideal Candidate:
Someone at a stable weight with excess tissue in the body that does not align with your gender expression.
Surgical Approach:
Will change from area being treated but will be a very small incision usually 1cm or smaller in the area being treated. Larger areas will require more than one incision to adequately treat the area of choice. These incisions typically heal very well.
Limitations:
Liposuction should not be considered a weight loss treatment. Changes in weight will change surgical outcomes. If you anticipate significant weight loss in the future it is recommended to delay surgery for best results. Areas treated will gain and lose weight with changes in body weight but there will always be proportional reduction in the areas that were treated.
If significant volume is removed or you have loose skin you may benefit from excision or removal of excess tissue. This skin and soft tissue is permanently removed improving the shape of the area being treated.
Ideal Candidate:
Someone at a stable weight that is looking to contour the body by removing excess skin to improve the shape of the body.
Surgical Approach:
Will vary from area being treated but will involve and incision on the skin where the tissue is to be removed. These can be rather large scars and will depend on the area treated and your specific anatomy this will be discussed during your consultation.
Limitations:
Best for people at a stable weight. This trade off of losing the loose excess skin is the creation of a scar.
In this case fat harvested from another area of the body such as the abdomen, flanks, back and others is injected into another part of the body to bring more volume to that area. This is a great way to add more balance to the body and to get a shape that fits your gender goals.
Ideal Candidate:
Someone at a stable weight that is looking to contour the body by adding soft tissue in the form of fat to other locations of the body.
Surgical Approach:
Will vary from area being treated but fat will be removed by liposuction as above and will be injected through small incisions in the area where the fat is being placed.
Limitations:
Best for people at a stable weight. Each area is only able to accommodate so much fat. This will differ from patient to patient and the area being treated. We must also have enough fat to inject. In those that are very thin there may be limited amount of fat that can be harvested. Some areas particularly breast may need several sessions in order to get desired outcomes.
Body contouring is a surgery that will limit physical activity typically 4-6 weeks. A large part of its success depends on your preparedness. This means being in the best possible physical and mental health before the surgery.
Above all else, it is critical to have reasonable expectations about what is possible for your body and what your surgeon can realistically accomplish. We recommend you:
This guide will help you meet all the pre-surgery requirements, prepare for surgery, and plan for your recovery. We are here to help make sure your surgery is successful.
We understand the importance and urgency of this surgery. We also know your success hinges on being well-prepared. Remember this is a lifelong investment in your health. Optimal preparation can improve your chances of positive physical and mental health outcomes.
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