Hip augmentation

For the hourglass figure of your dreams.

Hip augmentation

A feminine figure: the hourglass shape w/ hip augmentation surgery

Marilyn Monroe, Beyoncé, Scarlet Johansson, Sophia Loren, all beautiful women famous for their feminine figure. This is due to their hourglass figure: a small waist and wider hips. Women with an hourglass figure have a low waist-to-hip ratio – this is the ratio of the circumference of your waist to that of your hips. Women with an hourglass figure have a waist-to-hip ratio of 0.7, whereas for men, that is an average of 0.9. To get a consultation for MtF hip augmentation surgery, schedule an appointment online today.

MtF hip augmentation transgender

HRT, or Hormone Replacement Therapy, can help alter the way soft tissue forms in the body and the way existing fat will get redistributed. Surgical intervention through Body Feminization Surgery can be a solution to those in which HRT doesn’t achieve the desired soft tissue changes.

If, as a trans woman, you have not been blessed with a low waist-to-hip ratio, you can undergo body feminization surgery – more specifically, hip augmentation. This can be done in two different ways: by means of liposculpture or using implants. Would you like to know which is the best hip augmentation solution for you?

Upcoming consultation dates:


Implants or fat grafting?


Fat grafting

The most common hip augmentation method for transgender people is liposculpture or fat grafting. In the case of liposculpture, fat is removed from another part of the body, usually from the abdomen. It is the most natural choice. For this operation, you need to have enough natural body fat. If the fat in your abdominal area – or another part of your body – is transferred to your hips, around 30% of the fat injected will be absorbed by your body. The remaining 70% of the fat will remain on your hips permanently.

The operation is carried out by Dr Doornaert under local or general anaesthetic. Depending on the effect you want to achieve via hip augmentation, a second treatment can be carried out via fat grafting, around six months after the first operation.

And after the hip augmentation operation?

  • Avoid pressure on your hips so that the ‘new’ injected fat can be absorbed optimally by your body.
  • Don’t engage in sports for three weeks.
  • In addition, be sure to follow all the instructions on this list carefully.

More information on hip augmentation by fat grafting 


Important: Dr. Maarten Doornaert is currently developing a new type of hip implants. In the previous implants we noticed there was a small complication rate, where the implants had slightly shifted. Seeing as we strive to eliminate complications as much as humanly possible, we will currently stop performing hip implant placement until the new ameliorated implants have been developed. Stay tuned, and keep reading for more information about hip augmentation surgery through fat grafting.

The cost of hip augmentation for transgenders

The cost depends on various factors. We advise you to schedule an initial consultation with Dr Maarten Doornaert. During this intake appointment, your surgery will be discussed in detail and all your questions will be answered. In this first consultation, you will also find out the cost. Are you coming from abroad, or can’t wait? In that case, have a look at this price list with indicative prices >

Combine your hip augmentation with another procedure

We are regularly asked whether it is possible to combine a hip augmentation with another procedure. This is often handy for transwomen who come to 2pass Clinic from abroad. If you combine it with another operation, you have only one trip to make, need to take time off work only once and go through only one recovery. The disadvantage is that it has a big impact on your body both physically and mentally.

In combination with facial feminization surgery

You can have your hip augmentation the day before your facial feminization surgery. Your hip augmentation will take place on Wednesday and your facial feminization surgery on Thursday.

In combination with buttock augmentation

It is possible to combine your hip augmentation with a buttock augmentation. But we would like to warn you: you might be very uncomfortable after the procedure because you will be able to sleep only on your stomach.

Would you like more information? Are you curious to find out what we can do for you? Dr Doornaert will be pleased to explain it all during a personal consultation.


Book a consultation with Dr Maarten Doornaert

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FAQ hip augmentation

I am interested in a surgery, in which country do you perform FFS and BFS?

Dr Bart van de Ven (FFS) travels to different European cities for consultations twice every month, but surgery is only performed in Antwerp, Belgium. Dr Maarten Doornaert (BFS) on occasion also travels for consultations, but also only performs surgery in Antwerp.

What if there are post-op complications?

It doesn’t happen often, but should there be a complication during your stay, you can notify Petra (our permanent resident) or one of the night nurses and they will get in contact with the surgeon if they can’t help you themselves. There will always be someone by your side.

When you leave our clinic, you will receive the phone number of the surgeon in case a complication were to arise later on.

How long should I wait when I am on HRT before I get a breast augmentation?

Body Feminization surgeon Dr Maarten Doornaert would recommend to wait about 16 months. To know why , read more here.

When should I stop my HRT treatment?


You can continue your HRT treatment before, during and after your FFS. You will receive an anti-thrombotic injection the day before surgery to prevent blood clotting. We prefer you to continue taking your hormones because FFS is emotionally already perturbing enough without messing with your hormone balance.


Only for implant surgery of the buttock and hips we ask to stop one week before the surgery. The day after surgery you can continue your HRT treatment. This because this type of surgery implies some immobilisation (obliged) after the surgery. In this case the risk for blood clots is higher.

Can I combine butt and hip augmentation by implants?

The combination is possible, but uncomfortable, as sleeping is after the surgery only permitted on the belly, and sitting is difficult. After hip augmentation, sleeping is permitted on the belly and the back. After gluteal augmentation sleeping is permitted on the sides and the belly. This leaves only the belly for the combination of surgeries…

Can I combine hip recontouring with facial surgery?

Breast, gluteal, hip and facial surgery can be combined if the facial surgery takes less then 3 hours, if more then 5 hours it can be arranged the day BEFORE the facial surgery. In that case the operation of Dr van de Ven should take place on Thursday, the breast augmentation on Wednesday. Be ware you should be in Antwerp for the preoperative consultation on Monday around noon in this case.

You still have another question? Feel free to ask! We will answer your question and if generally applicable add it to the FAQ of this page.


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