The Transgender Woman's Guide to Breast Augmentation

For transgender women, getting breast implants can be one of the most meaningful steps in their transition. However, those new to the process often have many questions and concerns. 

This transgender woman’s guide to breast augmentation covers the key considerations for transgender women considering breast augmentation.


Why Breast Implants?

After starting hormone replacement therapy (HRT), the breasts will begin growing due to increased estrogen levels. However, growth is typically modest, with most transgender women only reaching an A or small B cup at best.

The body simply cannot develop ample breast tissue after undergoing male puberty. For those desiring fuller, more feminine breasts, implants become necessary.

Beyond aesthetics, breast augmentation can provide a sense of wholeness and validation of one's gender identity.


Determining Your Implant Size

A common implant size for petite transgender women is around 230cc per breast. However, the appropriate volume depends on your specific anatomy and preferences.

The surgeon will evaluate your height, weight, shoulder width, and existing breast tissue to help select an optimal implant size. Many patients opt to go slightly larger to maximize cleavage and fill out clothing.

Just be wary of overdoing it on a small frame. Staying modest typically creates the most natural, proportional look.


The Surgical Process

In countries like Sweden, the government health plan covers breast augmentation for transgender women, given the mental health benefits.

During the procedure, the nipple and areola are often surgically repositioned higher on the breast mound to center them and create a more feminine contour. This is one key difference from augmentation in cisgender women.

There may be temporary numbness and nerve pain while the nerves regenerate over several months. But most patients find sensation returns to near normal eventually.


Recovery and Results

Due to minimal breast tissue before surgery, the round implants will be very noticeable at first. As swelling resolves and the breasts drop into position over the first year, they start looking and feeling more natural, even with thin tissue coverage.

While the scars and temporary numbness require adjustment, most find the tradeoff worthwhile to finally have the feminine figure they have always wanted.

Breast implants typically last 10-15 years before needing replacement. While future procedures are likely needed, the overall process is relatively simple with an experienced surgeon.

Given the immense psychological benefits of breast augmentation for transgender women, the decision to undergo this life-changing surgery should be thoughtfully and thoroughly considered. But for most, it enables them to finally live authentically as the woman they know they were meant to be.