Gender affirmation is personal, multifaceted, and deeply meaningful. For many, aligning outward appearance with gender identity reduces dysphoria and supports well-being at home, at work, and in social spaces. At Amor Propio Aesthetic Surgery in Dallas, gender-affirming procedures are approached with the same combination of surgical precision and individualized care applied to every treatment—so each plan reflects the patient’s goals, anatomy, and timeline.
What Options Are Available for Gender-Affirming Procedures in Dallas, TX?
A comprehensive program in Dallas typically offers both chest and facial procedures so patients can pursue a coordinated plan with one surgical team.
- Top surgery for female-to-male patients (chest masculinization): Techniques such as double-incision with free nipple grafts or periareolar approaches are selected based on chest size, skin elasticity, and desired contour. These operations remove breast tissue, reshape the chest, and may resize and reposition the nipple–areola complex to achieve a flatter, more traditionally masculine appearance.
- Top surgery for male-to-female patients: Chest feminization focuses on creating a rounded, proportional breast contour through implant-based augmentation and, when appropriate, soft-tissue reshaping. Implant size and profile are chosen to harmonize with shoulder width, torso dimensions, and aesthetic goals, producing a fuller, natural-looking, feminine chest.
- Customized approaches for non-binary patients: Surgical planning can target an androgynous or neutral result rather than strictly masculine or feminine endpoints. Options may range from limited breast reduction and subtle contouring to hybrid techniques that blend elements of masculinization and feminization, depending on the patient’s priorities and anatomy.
- Facial feminization surgery (FFS). A single stage or staged combination may include brow contouring, hairline advancement, rhinoplasty, cheek augmentation, lip lift or augmentation, jaw and chin contouring, and tracheal shave. Each plan is individualized to address the features that most strongly influence gender perception for that patient. In some cases, facial masculinization techniques—such as chin or jaw augmentation—may be discussed for patients seeking a more traditionally masculine profile.
Because goals differ widely, Dr. Ali Abtahi offers both chest and facial procedures and can design a sequence that respects healing windows, work schedules, and support systems while maximizing aesthetic impact.
How Do I Decide Which Gender-Affirming Surgery is the Best Fit?
The decision begins with a consultation that centers on the patient’s goals and lived experience. Your surgeon reviews your medical history, evaluates your anatomy, and discusses which procedures—or which combination—are most likely to accomplish your desired changes. For the face, prioritizing a few high-impact features (for example, brow contour and rhinoplasty) can sometimes create a more meaningful shift than making many small adjustments. For the chest, technique is matched to current tissue, skin elasticity, and the preferred chest or breast shape. Some patients pursue a single procedure, while others plan staged care to accommodate recovery timelines or budget considerations.
What Are the Benefits of Choosing Gender-Affirming Surgery in Dallas, TX?
Receiving care in Dallas offers practical and clinical advantages. A single team can coordinate chest and facial procedures, align staging to minimize time away from work or school, and maintain continuity throughout the transition. Patients can expect detailed preoperative education, clear postoperative plans, and access to staff familiar with the unique needs of gender-diverse individuals.
Benefits extend beyond logistics. Chest masculinization may streamline athletic participation and clothing choices. Chest feminization can restore harmony to body proportions and reduce daily discomfort. Facial feminization can soften key features that influence gender perception, which may decrease misgendering and improve confidence in social settings. Many patients have reported an improved quality of life when external appearance and gender identity feel aligned.
What Are the Possible Risks Associated with GenderAffirming Surgery?
Risks vary by procedure but generally include bleeding, infection, fluid buildup, scarring, and anesthesia-related events. For top surgery (masculinization), additional risks can include asymmetry, changes in nipple sensation, delayed wound healing, or partial nipple–areola graft loss when grafting is used. For chest feminization orbreast augmentation, potential complications include capsular contracture, implant malposition or rupture, infection, and altered nipple sensation. Facial feminization risks depend on the techniques performed and may involve bruising, swelling, temporary numbness or weakness, contour irregularities, and the rare need for revision. Choosing a board-certified surgeon, optimizing health, and following pre- and post-operative instructions reduce risk and support predictable healing.
How Much Des Gender-Affirming Surgery Cost in Dallas, TX?
Costs vary widely depending on the number and type of procedures, operating time, anesthesia, and facility fees. A single procedure plan has a different cost structure than a staged plan that includes both top surgery and multiple facial operations. Some individuals may qualify for partial or full insurance coverage based on plan policies and medical-necessity criteria. Some patients may pursue financing options to distribute costs over time. During consultation, Dr. Abtahi typically provides an individualized estimate that reflects the surgical plan, recovery needs, and any ancillary services.
What Does Recovery Look Like After Gender-Affirming Surgery?
Recovery depends on your procedure (or combination of procedures)and existing health. After chest masculinization, patients typically experience swelling and tightness, wear compression garments, and limit upper-body activity for several weeks. Chest feminization and augmentation involves early swelling and tenderness, use of support bras or compression garments, and a gradual return to strenuous activity once tissues settle. Following facial feminization, bruising and swelling peak in the first few days and improve over about one to two weeks. Temporary numbness can persist, with contour refinements maturing over several months. Across procedures, patients benefit from consistent adherence to aftercare instructions, head elevation when indicated, incision care, nutrition and hydration, scheduled follow-ups, and short-term help at home during the earliest days.
What Are the First Steps for Scheduling Gender-Affirming Surgery in Dallas, TX?
The pathway begins with a consultation at Amor Propio Aesthetic Surgery. During this visit, the patient’s goals are reviewed, medical history is discussed, and the areas of concern are examined. Dr. Abtahi outlines suitable procedures, expected recovery timelines, potential risks, and projected outcomes. If staged care is appropriate, such as chest surgery followed by facial feminization, the team coordinates timing so healing windows and life commitments are respected. A written plan and personalized cost estimate are provided, along with preoperative instructions and a proposed follow-up schedule. Gender-affirming surgery is not one path but many, and the right plan depends on your goals, anatomy, and readiness. For details about gender affirming surgery options, contact Dr. Abtahi today to schedule your consultation. In Dallas, TX, patients can expect a collaborative process that pairs surgical expertise with a validating, patient-first approach.
Gender Affirming Surgery | Dr. Ali R. Abtahi | Dallas, TX
Explore your options for gender affirming plastic surgery in Dallas, TX, to feel confident in your identity under the experienced care of Dr. Ali R. Abtahi