Transgender people often want a natural feminine body silhouette without silicone implants. The challenge is on the one hand, if they have enough fat tissue, and on the other hand, if their breasts are sufficiently flexible to be augmented with body fat.
First, regarding the required fat: Normal weight men have too little fat for breast augmentation with autologous fat or stem cells. Transgender people, however, steadily take female hormones to feminize her body. After several years of hormone intake enough fat should be available in the female body regions to perform breast augmentation. The required hormones can be supplied as bioidentical hormones that are similar to human hormones in their structure.
After transgender people have made their bodies more female by taking female sex hormones, they often want significantly more feminine, enlarged breasts. In principle, stem cell-enriched autologous fat is a great alternative to silicone, provided enough fat it is available at the right body regions.
Nevertheless, the existing flat breasts should be made more flexible by pre-stretching so they can accommodate a sufficient amount of fat. Pre-stretching can be performed using special suction bras or by regular injection of saline solution.
What is the conclusion? Transgender people who want more female body contours first take hormones to achieve the desired changes. Of course, this means an intervention in the hormonal balance that needs to be carefully considered. Subsequently, these changes are made more prominent by means of aesthetic procedures, such as with autologous fat.
In case of unrealistic expectations, for example, regarding the gain in breast volume, or in case of unfavorable conditions, artificial implants have to be used instead of natural methods such as breast augmentation with stem cell-enriched autologous fat in order to achieve the desired body silhouette.
DDr. Heinrich, MD