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There’s a wide range of gender transition services available to help thousands of trans women meet their gender affirmation goals.

The demand and usefulness of these services vary based on an individual’s preferences and financial ability.

Many of these services are considered medically necessary in most states across the USA, and as a result, there’s an increasing number of hospitals, academic centers, and private facilities offering them.

Even better, many insurance providers are now covering gender-affirming services, making them more accessible to transgender women.

Below are the four best MTF transition services in the USA.

1 – MTF Gender Affirming Operations

Gender affirmation operations are typically used to help MTFs improve their physical appearance and reduce gender dysphoria.

Going through gender-affirming operations helps you achieve drastic physical changes, but it’s often expensive, making it inaccessible to many trans women. Additionally, some of the procedures come with some significant risks.

There are various MTF transition operations you can undergo:

Breast Augmentation

Breast augmentation is considered a priority procedure by the majority of trans women. The medical procedure involves inserting breast implants under the breast tissue or chest muscles to achieve the appearance of a fuller chest.

comparison of breast implant placed under breast tissue vs. under chest muscle

The operation is expensive (you can spend up to $4,000) and carries significant risks and side effects.

Organic breast enhancement supplements are a cheaper and safer alternative when you’re looking to enhance your breast size. The pills contain natural herbs that speed up breast tissue development without the risks and side effects that come with breast augmentation.

customer testimonial on the Breast Enhancement supplement

Vaginoplasty

This is a multistage process that involves the removal of the penis (penectomy) and testes (orchiectomy). Professionals then use the highly sensitive skin and tissue from the penis and testes to construct a functional vagina, clitoris, and labia.

Healing after a vaginoplasty takes about six to 12 weeks, after which the reconstructed anatomy becomes functional.

Facial Feminization

Facial feminization refers to the cosmetic modification of your facial features to soften its masculine traits. It involves several procedures:

  • Forehead contouring: Involves reshaping the forehead to achieve a rounder, smoother, and more vertical forehead
  • Rhinoplasty: The process of reshaping the nose by reducing its overall size and angles
  • Lip augmentation: Involves using fat, fillers, or implants to create fuller lips and reduce the distance between the tip of your nose and the border of your upper lip
  • Cheek augmentation: The insertion of implants or fat from other body parts to create rounder cheeks
  • Blepharoplasty: Involves cutting out excess tissue from the upper eyelids
  • Genioplasty: The shortening and narrowing of the chin

2 – Hormone Treatment for MTF Transition

injections, pills, and capsules used for hormone therapy

Hormone therapy is the preferred transition method for 71% of MTFs. This transition option involves the administration of anti-androgens, estrogens, and progesterone to help birth-assigned male bodies to develop feminine characteristics.

Hormone treatment can be a stand-alone service or a preoperative plan. It can also set the base for a more natural approach to MTF transitioning, which involves using natural breast enhancement supplements.

Gender-affirming hormone therapy has similar effects to going through puberty. Some of these effects can be reversed when you stop the treatment, but with others, there’s no going back.

The table below compares the reversible and irreversible physical changes you can expect when on hormone medications.

Reversible Changes Irreversible Changes
  • Softened skin and reduced acne
  • Body fat distribution
  • Decreased muscle mass and strength
  • Decreased sex drive
  • Decreased spontaneous erections
  • Enlargement of breast tissue
  • Decreased libido
  • Decreased sperm production and fertility
  • Decreased testicular volume

As mentioned previously, being on gender-affirming hormones induces changes similar to those experienced during puberty, and your emotions are no exception.

Trans women undergoing hormone therapy will experience a wider range of emotions than they previously did. You will often find that you have different preferences, interests, and tastes, and you also behave differently in your relationships.

These emotions change from person to person and settle down after some time. The most significant emotional and psychological changes you will experience include:

  • Alleviation of gender dysphoria
  • Improved self-esteem
  • Fewer symptoms of depression

Unfortunately, some people also experience mood swings and worsened depression and anxiety symptoms. The best way to explore these new thoughts and feelings is to work closely with a mental health expert and surround yourself with a solid support system.

3 – Gender Affirming Voice Therapy

Transgender men (FTMs) can typically achieve a deeper voice through masculinizing hormone therapy. Unfortunately, the same can’t be said for trans females because estrogens and antiandrogens don’t have an effect on voice pitch or character.

Transgender women often seek voice feminization to eliminate the discomfort and discrimination that may accompany having a voice that doesn’t match their gender identity.

Voice feminization therapy, conducted by speech or language specialists, can help you develop communication patterns and modify your speaking voice to align with your gender identity.

Voice therapy during the transition process follows a personalized plan based on your needs and communication goals. The treatment aims to address the following:

  • Habitual speaking pitch and intonation
  • Resonance and breathiness
  • Speed, fluidity, or rate of speech
  • Volume or intensity
  • Articulation, inflection, and stresses
  • Social rules of communication

Nonverbal communication patterns are subtle signals of a male or female voice. Some of the ones you can learn and embrace through voice therapy include:

  • Eye contact
  • Hand and head gestures
  • Facial expressions
  • Timing and turn-taking

Expert tip: In some instances, voice therapy may not be enough, in which case a vocal cord operation may be necessary.

4 – Transgender Dermatology Treatments

Transgender women face unique dermatological concerns due to hormone therapy and gender-affirming procedures. This is because hormone therapy and other procedures affect the skin and alter the presentation and prevalence of routine skin conditions.

woman looking at herself in a mirror while she touches her face

For instance, estrogen hormone therapy brings about feminizing effects in the skin, which occur within the first few weeks and reach their maximum effect after a few years.

Some common effects estrogen has on the skin include:

  • Decreased skin sebum production
  • Reduced facial and body hair growth
  • Melanocytes stimulation
  • Changes in sweat and odor pattern
  • Increased epidermal thickness

The most common transfeminine dermatological concerns include the following issues.

Hirsutism or Pseudofolliculitis Barbae

Estrogen and antiandrogens do not entirely stop facial hair growth. This leaves many trans women to deal with hirsutismーthe growth of dark coarse hair in a male-like pattern.

Frequent trimming or shaving of the facial hair in people with hirsutism causes razor bumps (Pseudofolliculitis Barbae).

Proposed solutions:

Hair removal is considered medically necessary to alleviate hirsutism and razor bumps. The recommended methods of hair removal include:

  • Electrolysis and laser removal for a permanent fix
  • Threading, waxing, plucking, or topical eflornithine to treat mild hirsutism

Keloids and Hypertrophic Scars

Keloids and hypertrophic scars are a result of excess connective tissues around wounded areas. For trans women, these scars are common following gender-affirming procedures.

Keloids are bigger and extend beyond the wound while hypertrophic scars are smaller and remain within the borders of the original scar.

Proposed solutions:

There are various ways you can prevent and treat these types of scars, including:

  • Intralesional corticosteroid injections treat and prevent keloids and hypertrophic scar formation
  • Repeated triamcinolone injections help to moderately reduce scar formation
  • Excisional procedures help with treatment-resistant keloids

Melasma

Melasma is a common skin condition characterized by brown or gray-brown patches on the face.

Transgender women on hormone therapy are at a higher risk of developing this condition.

Proposed solutions:

  • Strict use of sunscreen and photoprotection
  • Lightening of the affected area
  • Chemical peels and laser treatment

Natural Alternative to Common MTF Transition Services

bottle of Bust Bunny’s Breast Enhancement Supplements

Bust Bunny’s Breast Enhancement supplements are a safe, natural, and effective alternative to medical MTF transition services.

These supplements contain phytoestrogens—non-hormonal plant estrogens that promote natural hormonal production. They’re carefully formulated to induce the typical changes that women experience during puberty or pregnancy.

These changes include new breast tissue formation, which results in fuller and perkier breasts without the need for expensive medical procedures, often accompanied by life-changing complications.

“After one week of using the pills…

I can feel some weight in my breasts and my skin has cleared up a lot.”

ー Marie Garcia, US

Bust Bunny capsules will also provide you with other significant benefits during your MTF transition:

  • Vitamin C in the product promotes collagen and elastin production, which helps to generate new skin cells and clear acne and pimples.
  • The product can help slow down aging thanks to one of its active ingredients, Wild Yam. The organic herb helps fight against collagen loss.
  • Many of our customers report improved hair and nail growth.
  • The supplements are safe to use daily and can help you improve your overall health and boost your mood.

Our customers can confirm all of these benefits.

“Wonderful!

…Developed beautiful curves, breasts, and butt. It also cleared my skin, and the best surprise was how drastically it improved my mood!! I’m happier, much calmer, and less stressed.”

ーjessiccorb0, Canada

About Bust Bunny

Bust Bunny is a family-owned business that’s been providing women with a healthy and natural alternative to breast implants for more than 18 years.

We use a unique blend of scientifically researched herbs, including Black Cohosh, Dong Quai, Fenugreek, and Wild Yam to help with breast tissue growth while reducing the risks and high costs associated with breast augmentation. Our goal is to help you be the happiest you can be with your bust and body.

Customers love our products because they’re natural, non-GMO, vegan-friendly, gluten-free, and made in a GMP facility in the USA.

customer testimonial on the Breast Enhancement supplement

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