Your Guide to Feminizing Breast Surgeries

Feminizing breast surgeries—whether augmentation or reduction—are gender-affirming procedures that helps shape the chest in ways that feel more harmonious with your gender.
These procedures can address the effects of puberty and hormone exposure, whether that means enhancing breast development or reshaping breast tissue for comfort and alignment.
The chest is one of the first features society uses to assign gender, and for many can be a source of gender dysphoria. Breast surgery can help ease this disconnect, allowing you to move through the world in a way that feels more authentic and affirmed.
Not everyone in the trans and non-binary community chooses to pursue breast surgery, and that’s okay. Everybody and every journey is different. At Catalyst Surgical, we’re here to support you with affirming, expert care if this step feels right for you.
Key Procedures

Breast Augmentation
Breast augmentation is a gender-affirming surgery for both cis and trans folks that enhances the size and shape of the breasts. It’s most commonly chosen to feminize the chest, helping individuals feel more aligned with their gender identity.
Even with estrogen-based hormone therapy, breast development can vary. For some, growth may not be enough to feel confident or affirmed in their body. Breast augmentation uses implants placed behind your existing breast tissue to create a fuller, more traditionally feminine chest contour.
This procedure can provide a powerful sense of gender euphoria and help reduce gender dysphoria related to chest appearance. At Catalyst Surgical, we work with you to choose the implant size, shape, and placement that best matches your body and goals.

Breast Reduction
Breast reduction is a gender-affirming surgery that reduces the size and volume of the breasts to create a chest shape that feels more aligned with your gender identity. While breast reduction is often associated with physical discomfort, it can also help relieve chest dysphoria when larger breasts don’t reflect how people see themselves.
This procedure removes excess breast tissue and skin while reshaping the chest to achieve your desired contour. Whether that’s more neutral, androgynous, or simply, less pronounced.
Breast reduction offers an alternative to a full mastectomy, especially for those who don’t want a flat chest but feel uncomfortable with their current breast size. Our surgical team works with you to understand your goals and design a personalized approach that supports your physical comfort and gender expression.

Complementary Body Procedures
For many breast augmentation or hormone therapy are just part of the journey. Additional gender-affirming body procedures can help soften your body’s shape, enhance features, and bring your appearance closer to your gender identity.
At Catalyst Surgical, we offer several feminizing body contouring procedures to support your goals, including:
- Chest contouring to enhance breast shape after augmentation or hormones
- Feminizing body contouring and liposuction to create softer curves and a more traditionally feminine silhouette
- Abdominoplasty (tummy tuck) to tighten the midsection and reduce excess skin
- Monsplasty or mons contouring to smooth and shape the lower abdomen
- Brazilian Butt Lift (BBL) to enhance hip and buttock volume using your fat
Everybody is different, and so is every transition. We invite you to book a consultation with our surgeon to discuss your goals, explore options, and find the right approach for your body and identity.
Book a consultation to explore your options.