2023 Living Magazine Readers Choice Award 2022 Living Magazine Readers Choice Award 2020 Living Magazine Readers Choice Award Addison Addison Addison
Alan Dulin, M.D.
Scott Harris, M.D.
Peter Raphael, M.D.
Alfred Antonetti, M.D.
  • Highly Experienced & Dedicated To Our Patients

  • Highly Experienced & Dedicated To Our Patients

Male to Female Plastic Surgery

Male to Female Surgery

The male-to-female (MTF) surgery procedures focus on the areas of gender reassignment, facial feminization, breast augmentation, and body contouring.

Facial Feminization

Facial feminization surgery (FFS) is a group of cosmetic procedures meant to reconstruct typical male facial features to align them more closely to typical female facial features. This may include brow lift, cheek and/or chin implants, lip augmentation, rhinoplasty, among other cosmetic procedures.

For transgender women, facial feminization procedures are a cornerstone of a successful male-to-female sex change operation. It is critical that key components of the facial features be addressed in FFS.

Breast Augmentation

Breast augmentation in the male-to-female (MTF) patient is a process which involves the reshaping of the inframammary fold and the lateral mammary fold of the chest. Implants will be used to enlarge the breast area, and give the chest area a more feminine look. The size of the breast implants will depend on the patient’s desired appearance. The surgeons at the American Institute for Plastic Surgery have a deep understanding and knowledge of the differences in pectoral muscle characteristics in female and male anatomy.

Orchiectomy (Inguinal Orchiectomy)

Orchiectomy is a surgical procedure to remove the testicles and the spermatic cord. By removing the testicles before gender reassignment surgery (GRS), patients will have a reduced hormone requirement. Male-to-female (MTF) patients typically start female hormones prior to this procedure. In conjunction with hormone replacement therapy, MTF patients typically take testosterone-blocking medications such as aldactone to block testosterone that is produced by the testes.

Body Contouring and Liposuction

Body contouring procedures in the male-to-female (MTF) patient are aimed at achieving the optimal female shape. Typically, liposuction is performed throughout areas of the mid-section, the abdomen, midriff, flanks (love handles), and mid-back.

Qualified, Experienced and Compassionate Care

At the American Institute for Plastic Surgery, we employ qualified surgeons who have been performing male-to-female (MTF) sex change operations for over 15 years. Our skilled staff has a reputation for compassionate, quality care that provides our MTF patients with a comfortable environment for their procedures.


Despite our efforts to coordinate with Medicare, we have been unable to communicate with any Medicare representatives who can guarantee approval and reimbursement for transgender surgery. In addition, no one offered contractual agreements with us to provide service. In our test cases with Medicare coverage, there continue to be denials of our claims. Until we receive confirmations of coverage and proof of reimbursement, the language suggests only a lifting of the ban. As a result, we cannot accept Medicare for transgender surgery at this time with such uncertainty still in effect.

If you are interested in undergoing sex change procedures, or if you are simply interested in learning more, contact us today. Our facility is located in Plano, but we serve patients throughout Dallas, Texas.

For more information on our Male to Female surgeries, please visit our transgender site, The International Center for Transgender Care.