Compassionate, Comprehensive, Specialized Care at SVIA® Sacramento

Dr. Liu is board-certified by the American Board of Plastic Surgery and fellowship-trained in aesthetic plastic surgery, with experience spanning chest, body, and facial procedures relevant to gender confirmation surgery in Sacramento.

The practice has built a care team specifically around this population: Kelly, the Sacramento Patient Care Coordinator, brings over 20 years of experience in dermatology and plastic surgery and has developed specialized guidance for the practice's transgender patient community, while Gráinne, an OR nurse and coordinator with a strong PACU background, has direct experience in gender-affirming surgical care. That combination of surgical credentials and dedicated staff support is what patients can expect throughout their time at SVIA® Sacramento.

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What Is Gender Confirmation Surgery?

Gender confirmation surgery is a category of procedures that align physical appearance with gender identity, covering facial, chest, and body goals individually or in combination. Patients do not need to pursue every category at once; some choose a single procedure, such as top surgery, while others stage multiple procedures over time as their goals and readiness evolve.

Benefits of Gender Confirmation Surgery

  • Physical alignment between appearance and gender identity
  • Reduced gender dysphoria in daily life
  • Increased comfort with clothing, activity, and social situations
  • Improved confidence and overall well-being

Are You a Good Candidate for Gender Confirmation Surgery?

Candidacy depends on the specific procedure being considered, but several factors apply broadly:

  • General health: Candidates should be free of uncontrolled medical conditions that could complicate anesthesia or healing.
  • Hormone therapy status: Some procedures are typically performed after a period of stable hormone therapy, when hormone therapy is part of the patient's plan.
  • Informed consent and readiness: Per the World Professional Association for Transgender Health (WPATH) Standards of Care, candidates should demonstrate capacity to consent to the specific procedure and understand its effects, including on reproduction, before surgery is scheduled.
  • Realistic expectations: Candidates should understand the scope, scarring, and recovery associated with their chosen procedure or procedures.
  • Excluded other causes: Any other possible causes of the patient's concerns should be identified and addressed before surgery.

A consultation with Dr. Liu reviews these factors against the specific procedure or combination of procedures being considered.

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Why Choose SVIA® Sacramento for Gender Confirmation Surgery?

SVIA® Sacramento offers facial, chest, and body procedures within a single practice, allowing patients pursuing multiple goals to work with a consistent surgical team rather than coordinating across separate offices. The practice is transparent about scope: Dr. Liu is a non-contracted provider with insurance companies, and does not perform rhinoplasty or bone-shaving procedures as part of facial feminization surgery, both of which are discussed plainly during consultation rather than after treatment has begun.

FTM Top Surgery

FTM top surgery removes breast tissue to create a flatter, more masculine chest contour, and is one of the most common methods of gender confirmation for transgender men.

The technique used depends on body type, breast size, and skin elasticity:

Double incision technique

 Used for larger breast tissue removal, typically including a nipple graft to reposition the nipple and areola on the new chest contour.

Peri-areolar technique

 Used for smaller amounts of tissue and good skin elasticity, allowing incisions to be placed around the areola with less visible scarring.

Keyhole technique

Used for minimal tissue removal in patients with significant skin elasticity, leaving the smallest scar of the three approaches.

Dr. Liu selects the technique based on individual anatomy to minimize scarring while achieving a masculine chest contour. Recovery typically involves a compression garment for several weeks, restricted arm movement in the first weeks, and gradual return to full activity over one to two months.

MTF Breast Augmentation

MTF breast augmentation adds volume and shape to create a more traditionally feminine chest contour, using the same implant selection available to any breast augmentation patient at SVIA® Sacramento:

  • Natrelle INSPIRA® SoftTouch implants
  • OPUS Luxe® implants
  • Form-stable "gummy bear" silicone implants
  • IDEAL IMPLANT®
  • Preserve™ by Motiva®, a tissue-conscious option designed to protect natural anatomy while enhancing shape

Implant size and placement are planned around the patient's existing chest wall anatomy, which may differ from cisgender female anatomy in ways that affect implant positioning and pocket creation.
Timing relative to hormone therapy is discussed individually, since breast tissue development from hormone therapy can affect the ideal timing for augmentation. Recovery follows a similar timeline to standard breast augmentation, with most patients returning to non-strenuous activity within one to two weeks.

Transgender Body Contouring

Beyond chest procedures, body contouring plays a significant role in gender confirmation surgery in Sacramento, using established body procedures directed toward masculinizing or feminizing goals:

Liposuction

Used to reduce fat in the waist, hips, and thighs for a more masculine, angular physique, or to enhance curves and create a more traditionally feminine silhouette, depending on the patient's goals.

Tummy Tuck (Abdominoplasty)

Tightens abdominal muscles and removes excess skin to create a flatter, more toned midsection as part of either masculinizing or feminizing body goals.

Brazilian Butt Lift (BBL)

 Uses fat transfer, often harvested during liposuction of another body area, to enhance the size and shape of the buttocks for a fuller, more traditionally feminine lower-body profile.

These procedures can be combined with chest surgery in a single operation or staged separately, depending on the patient's health, goals, and recovery preferences, which is discussed during consultation.

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Facial Feminization Surgery (FFS)

Facial feminization surgery softens masculine facial features to create a more traditionally feminine appearance:

  • Cheek Feminization: Enhances cheek volume and contour through implants or fat transfer for a fuller, more rounded appearance.
  • Eyelid Surgery (Blepharoplasty): Addresses excess skin and fat around the eyes for a more open, feminine appearance.
  • Facelift: Tightens sagging skin and redefines the jawline for a more feminine facial structure.

Please note that Dr. Liu does not perform rhinoplasty or bone-shaving procedures as part of facial feminization surgery.

Non-Binary Surgery

Non-binary surgery offers flexible, personalized procedures for patients who do not identify strictly as male or female.

Dr. Liu works closely with non-binary patients to build a customized plan, which may blend masculine and feminine traits, target a gender-neutral appearance, or focus on specific concerns without pursuing a fully binary transition.

The same chest, body, and facial procedures described above can be adapted individually to fit this approach.

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Alternative or Related Procedures

  • Staged procedures: Chest, body, and facial goals can be addressed across separate surgeries scheduled months apart.
  • Combined procedures: Some patients combine compatible procedures, such as top surgery with liposuction, into a single operation to reduce total recovery time.
  • Non-surgical support: Some patients use non-surgical treatments to manage skin and contour changes between surgical stages, which can be discussed during consultation.

Discover Why Patients Trust SVIA® Sacramento With Gender Confirmation Surgery

Dr. Liu's approach to gender confirmation surgery in Sacramento is shaped by having Kelly and Gráinne on staff, team members who specialize in transgender patient care rather than treating it as an occasional case type. That specialization shows up in how consultations are run: scope is discussed honestly from the st art, including which procedures Dr. Liu performs and which he does not, and readiness is assessed against WPATH's Standards of Care rather than a generic surgical checklist. Because facial, chest, and body procedures are all offered under one roof, patients pursuing more than one stage of their transition can stay with the same surgical team throughout, rather than piecing together care across multiple practices.

If you're ready to talk through which procedures fit your goals and timeline, Dr. Liu and the SVIA® Sacramento team are ready to listen. Schedule a consultation today to start developing a surgical plan that focuses on what matters most to you.

Disclaimer: This information is provided for educational purposes only and does not replace a consultation with a board-certified plastic surgeon. Outcomes, risks, and suitability vary from patient to patient.

Gender Confirmation Surgery FAQs

Does insurance cover gender confirmation surgery?

Do I need to complete hormone therapy before surgery?

Can I combine multiple procedures in one surgery?

What are the risks?

Does insurance cover gender confirmation surgery?

SVIA® Sacramento is a non-contracted insurance provider. Patients should confirm coverage details and reimbursement options with their own insurer before scheduling.

Do I need to complete hormone therapy before surgery?

This depends on the specific procedure. Some procedures are typically performed after a period of stable hormone therapy, while others do not require it. This is reviewed individually during consultation.

Can I combine multiple procedures in one surgery?

Some combinations are possible depending on health and the specific procedures involved, while others are safer staged separately. Dr. Liu will advise on the best approach for your goals.

What are the risks?

Risks vary by procedure but can include infection, changes in sensation, asymmetry, and the possibility of revision surgery. These are reviewed individually based on the procedure or combination of procedures planned.

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