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Female fat distribution varies in comparison to males as a result of their hormonal differences. Feminising hormone therapy can assist in the redistribution of fat in MtF transgender individuals. However, to achieve significant changes in fat distribution, fat can be transferred from any unwanted areas such as the abdomen, love handles to areas including the hips, buttocks and thighs to create a more feminine silhouette. This assists in balancing out the shoulder to hip ratio more commonly associated with a feminine curvaceous shape.

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Summary of Silhouette Body Shaping

Surgery Time
2-4 hours depending on volume
Hospital Stay
Day case
Reasonably Mobile
Same day
Time Off Work
14 days
Sleeping Position
Front for 2 weeks
Cloth wash for 5 days. Shower after 5 days
Dressings & Garments
6 weeks
Exercise inc. Gym
6 weeks
Full Recovery
6-12 weeks

Reason for Surgery

The goal is to redistribute fat to create a softer, more balanced, feminine shape.


The result can improve self-confidence and boost self-esteem, allowing you to feel more comfortable in your female gender.

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Silhouette Body Shaping FAQ’s

  • How much does it cost?

    The price of silhouette shaping starts from approximately £10,200, however this will vary depending on the volume required to create your desired goals. This includes all of your pre and post operative aftercare up to one year, as well as your time in hospital. For an exact quotation please book a consultation with a member of our team.
  • What happens at the consultation?

    You will meet your surgeon and one of our nurses who will ask you about your goals and concerns. A full medical history and examination will be done, before agreeing a plan for you and discussing the surgery and recovery and risks in detail. You may be required to undergo medical investigations such as blood tests, ECG or other, as medically advised by your surgeon.
  • How do I prepare for my surgery?

    Once you have your consultations and your surgery is booked, you will have a pre-operative assessment with your nurse 2 weeks before surgery, during which any outstanding questions will be answered. Your preparation for surgery will be reviewed and information will be provided regarding medications, diet, and post operative care. You will not need to stop your hormone therapy. You must stop smoking a minimum of 2 weeks before your surgery and up to 12 weeks postoperatively.
  • What happens on the day of my surgery?

    On the day of your surgery you will attend the hospital where your surgery is taking place. You will be reassessed by your surgeon and your anaesthetist before going to the theatre. The hospital team will complete the necessary pre-operative health checks. Following your surgery, you will be bed bound and closely monitored by the hospital medical team. They will assist you with anything you need. You will be tired and spend most of this time resting.  You will be provided with something to eat when you are alert and slowly mobilised with assistance. Once you are awake and mobile, you will be discharged from the hospital to your home. You must have a chaperone to bring you home and stay with you for a minimum of 24 hours.
  • What aftercare will be provided for me?

    LTC provides a premium aftercare service. You will be assessed 5 days, 2 weeks, 6 weeks, 12 weeks, 6 months and 1 year post operatively to monitor your progress. You will be provided with post operative manual lymphatic drainage (MLD) therapy to reduce swelling and promote better healing. LTC also has a nurse on call 24/7 in the event you have any emergencies following discharge from hospital. You will be seen immediately if medically required or appropriate advice will be provided.
  • What happens if there is a complication?

    In the event of a complication you will be medically assessed as soon as possible by your surgeon or a qualified member of our nursing team. In the unlikely event you need to return to the theatre this will be arranged for you by our team. Hospital and anaesthetist fees may be charged, however there will be no surgical fee. Further information is outlined in our terms and conditions.

“London Transgender Clinic is excellent!”

5 5 Star Rating Written onFebruary 12, 2020 I spoke with Natalie and Mary Burke and they were absolutely lovely and very professional. Everything I needed to do and bring was made clear, and they were fast, efficient, friendly and so helpful! Would really recommend them.  

by Erin Eland | Read More Patient Testimonials

Alternative Services

  We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).

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