- Fat removed from the waist and flanks via liposuction
- Harvested fat purified and re-injected into the hips to create curves
- Creates the waist-to-hip ratio characteristic of a feminine silhouette
- Combined procedure — both done in the same session
- 1-night clinic stay · 2 weeks recommended in Thailand
- Price: ฿80,000
- Surgical removal of the floating ribs (11th and 12th) to narrow the lower rib cage
- Creates a more defined, narrower waist — results that liposuction alone cannot achieve
- Additional ribs can be included in the plan if clinically appropriate — pricing adjusted accordingly
- 1–2 nights hospital or clinic depending on surgical plan
- 2–3 weeks recommended stay in Thailand
- Price: ฿200,000 (floating ribs — additional ribs quoted separately)
- Removes excess fat from the upper arms for a slimmer, more feminine arm profile
- Addresses the upper arm fullness that often persists despite HRT and exercise
- Minor procedure — clinic-based, minimal downtime
- Can be combined with waist liposuction in the same session
- Price: ฿60,000
- Removes stubborn fat from the inner thigh area
- Creates a thigh gap and slimmer inner leg profile
- Clinic-based, minimal downtime
- Can be combined with other liposuction areas in the same session
- Price: ฿50,000
- Silicone implants placed to add volume and projection to the buttocks
- Creates a rounder, more feminine buttock profile
- APS’s preferred alternative to BBL — safer, more predictable volume
- Minor fat grafting available for dimple correction or surface irregularities — not a full BBL
- 1-night clinic stay · 2 weeks recommended in Thailand
- Price: ฿160,000
💡 Not sure which body procedure is right for you? Send us faceless reference images before your consultation!
Why APS Does Not Offer Brazilian Butt Lift (BBL)
APS prioritises your safety above expanding our procedure list. If you are seeking buttock augmentation, we will recommend implants — a proven, stable technique with a far safer risk profile.
- MTF Vaginoplasty (SRS) — liposuction and hip lipofilling can be scheduled during the same Bangkok stay, coordinated around your surgical recovery. Lighter procedures such as arm or thigh liposuction are often performed in the weeks following vaginoplasty during the hotel recovery period.
- Facial Feminization Surgery (FFS) — body feminization and FFS can be planned as part of a comprehensive feminization visit to Bangkok, with Dr. Ae coordinating the sequencing of procedures.
- Breast Augmentation — commonly combined with body feminization in the same or closely sequenced surgical sessions.
- Other body feminization procedures — multiple liposuction areas (e.g. waist + arms + thighs) can often be performed in a single session, reducing total anaesthesia exposure and recovery time.
Dr. Ae will design a sequenced surgical plan during your consultation — recommending which procedures can be safely combined in one session and which should be staged with recovery time between them. The goal is always to maximise results while minimising risk and the number of trips required.
Frequently Asked Questions About Body Feminization Surgery in Thailand
APS offers five body feminization procedures: waist liposuction combined with hip lipofilling (฿80,000), floating rib removal (฿200,000), upper arm liposuction (฿60,000), inner thigh liposuction (฿50,000), and buttock implants (฿160,000). All procedures are performed by Dr. Ae and can be done as standalone procedures or in combination. APS does not offer Brazilian Butt Lift (BBL) due to its documented safety risks — buttock implants are offered as a safer alternative for patients seeking gluteal augmentation.
Yes — body feminization procedures can be planned as part of the same Bangkok visit as vaginoplasty, FFS, or breast augmentation. Lighter procedures such as arm or thigh liposuction are often scheduled during the hotel recovery period following vaginoplasty. Waist liposuction and hip lipofilling can often be performed in the same surgical session as other procedures depending on your health and surgical plan. Dr. Ae will design a safe sequencing plan during your free consultation.
APS does not offer BBL because of its documented mortality risk — estimated at 1 in 3,000 procedures globally, making it the highest-mortality elective cosmetic surgery performed worldwide. The risk of fatal fat embolism is inherent to the technique of injecting large volumes of fat near or into the gluteal muscles, and cannot be eliminated through surgical skill alone. APS prioritises patient safety above expanding our procedure list. For patients seeking buttock augmentation, we offer silicone buttock implants — a significantly safer alternative with predictable, lasting results.
Rib removal and buttock implants produce permanent structural changes. Liposuction permanently removes fat cells from the treated areas — however, significant weight gain after surgery can cause remaining fat cells to enlarge, affecting the result. Hip lipofilling (fat grafting) results are partially permanent — typically 40–60% of transferred fat integrates permanently, with the remainder reabsorbed by the body over 3–6 months. Dr. Ae accounts for this reabsorption when planning the volume of fat transfer during surgery.
It depends on the procedure. Liposuction procedures (arms, thighs, waist + hips) require a 1-night clinic stay and approximately 2 weeks in Thailand for follow-up and pre-departure clearance. Rib removal requires 1–2 nights in hospital or clinic and 2–3 weeks in Thailand due to the more involved recovery. Buttock implants require a 1-night clinic stay and approximately 2 weeks in Thailand. For patients combining body feminization with vaginoplasty, the stay is typically 3–4 weeks covering all procedures and recovery.
Yes — all body feminization procedures at APS are available as standalone procedures, independent of whether you have had or are planning SRS. Patients who have already had SRS elsewhere, patients who are not pursuing SRS, and patients who simply want to feminize their body contour are all welcome. A free consultation with Dr. Ae will determine the most appropriate procedures for your anatomy and goals.