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The team at Align Surgical Associates provide comprehensive cosmetic services to enhance every aspect of the face and body. Below is a brief description of the most popular and successful treatments performed for his transgender clients in San Francisco and beyond.

Facial Enhancement Procedures


Surgery is performed on the upper and lower eyelids to help open up the expression and provide a more youthful aesthetic.

Brow Lift

A sagging brow can interfere with vision, and can also give the facial expression a sour, disgruntled appearance. A brow lift corrects these issues, smoothing away unwanted wrinkles, lines and creases.


A facelift can help roll back the clock on aging, lifting the midface, tightening the neck, and reducing troublesome wrinkles and folds.

Neck Lift

During a neck lift, the fat beneath the chin is abolished while the sagging crepe-like skin along the neck is smoothed and redraped.

Facial Fat Transfer

Fat is taken from areas where it is unwanted such as the belly and purified, then injected into key areas of the face to help reverse a loss of facial volume. It can also be used to create more feminine facial contours. Target areas include the cheeks, lips, temporal areas, and any parts of the face that have deep folds or wrinkles.


Ear surgery is performed to pin protruding ears back against the head.

Lip Augmentation

The lips can be enhanced with dermal fillers or implants for a fuller, more feminine-looking smile.

Aesthetic Craniofacial Procedures

Forehead Contouring

During forehead contouring, the bones in the forehead are shaved and repositioned to create changes in the facial appearance.


Nasal restructuring can help create either a more masculine or more feminine appearance, depending on the client’s wishes and goals. A nose job can help correct problems with the bridge, the tip or the nostrils, and can also greatly improve breathing.

Mandible Contouring

Mandible contouring smooths down the chin for a more oval, female-looking jawline.

Chin Surgery

Chin surgery is performed to alter the shape and angle of the chin, balancing it with the rest of the features and working to give the nose its proper proportions.

Cheek Augmentation

Cheek augmentation can enhance the cheekbones either with fillers or with fat transfer to create more dramatic-looking contours.

Breast Enhancement Treatments

Breast Augmentation

Breast augmentation is used to create a fuller, more voluptuous chest for the transwoman. Implants can be either saline or silicone, and come in variety of shapes and sizes.

Breast Lift

A breast lift can help elevate the breasts to a more youthful position.

Breast Reduction

Here, excess tissue and fat are excised from the breasts, creating a more proportionate-looking chest contour.

Fat Transfer to Breasts

Fat can be harvested from areas of the body where it is unwanted and then injected into the breasts to create natural-looking augmentation.

Body Enhancement

Arm Contouring

An arm lift can help remove excess fat and sagging skin from the upper arms, creating a more attractive silhouette and a better fit in sleeveless clothing and swimwear.


A tummy tuck tightens the six-pack muscles and tones the belly fat for a flatter, more youthful-looking stomach.

Thigh Lift

During a thigh lift, both the inner and outer thighs are contoured, removing unwanted bulging and creating leaner lines for the lower body.

Buttock Augmentation

Buttock augmentation is typically performed with fat transfer to create a natural, fuller look.

Body Lift

A body lift is often performed after a client has undergone significant weight loss. It is a combination of procedures that may include liposuction, tummy tuck, thigh lift, and a panniculectomy.


Liposuction is performed by inserting a narrow cannula or thin tube into an incision and vacuuming out unwanted fat for a trimmer physique.

Fat Transfer

Fat can be harvested from areas of the body where it is considered unattractive and then sterilized and repurposed to help build more alluring contours in the hips, buttocks and waist.

Body Implants

In very select patients, Body implants can give the chest, biceps, triceps, shoulders and legs a more robust, chiseled appearance that may be difficult to obtain through working out alone.

Non-Surgical Procedures

BOTOX and Dysport

BOTOX and Dysport are the number one injectables for minimizing age-related wrinkles. They work by temporarily paralyzing the tiny muscles responsible for smiling, frowning and squinting.


Juvederm comes in many different formulations and is quite versatile. It can be used to reverse wrinkles, fine lines and creases, and can also plump the lips or reverse volume loss in the cheeks.

Restylane and Perlane

These fillers provide a naturally rejuvenating effect, rolling back the clock on the most aggressive signs of aging.


Sculptra can be used during a non-surgical facelift to contour and reshape different key areas of the face.

(415) 530-5335



View Update Virtual Consultation

We remain open to continue serving the transgender community

With the safety and well-being of our patients and staff as our highest goal, Dr. Satterwhite and Dr. Gurujal are determined to provide needed medical care and planning.

VIRTUAL CONSULTATIONS: we continue to be busy with phone and video visits providing access to all patients interested in gender confirming surgery

FOLLOW UPS: we continue to provide needed care for our existing patients by phone and video, and in person when medically appropriate

SURGERY: we are currently performing surgery with proper safety measures in place

Please do not hesitate to reach out to us with any questions. To the best of our ability, we pledge to keeping you safe, healthy, connected, and informed during COVID-19.

With best wishes, Your Align Surgical Team

Virtual Consultation

Align Surgical wants to know how we can help

We feel deeply for the disruption that coronavirus has likely caused to your lives. Amidst the restrictions in place, we realize that virtual consults, follow ups, and booking future surgical dates may not meet all your needs.

If there is more we can do for you as a medical practice, we want to know.

Please reach out and let us know other ways we can help. We have set up points of contact at 415-530-5335 and [email protected] to hear your suggestions.

We are here to listen.

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