GENDER AFFIRMING SURGERY

FULLY COVERED BY PPO INSURANCE

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GENDER AFFIRMING SURGERY

FULLY COVERED BY PPO INSURANCE

request free consultation

"*" indicates required fields

This field is for validation purposes and should be left unchanged.

Gender-Affirming Care Centered on Your Identity

Your transition deserves a private, respectful environment grounded in affirming, identity-centered care. At Ourian Plastic Surgery, we take a personalized, patient-first approach that honors your goals and supports your gender expression with refined, natural results. From consultation through recovery, you’ll receive clear guidance, emotional support, and concierge-level care so you feel safe, understood, and empowered at every step.

How we support you:
  • Individualized surgical planning aligned with your identity
  • Elegant, natural contour using advanced techniques
  • Concierge assistance, including insurance support

PROCEDURES OFFERED

Dr. Ourian offers a full spectrum of facial, breast and body gender-affirming procedures tailored to your goals and anatomy.

Transfeminine Patients (MTF)

Facial Feminization (FFS)
Breast Augmentation and Lift (Top Surgery)
HD Liposuction
Tummy Tuck
Brazilian Butt Lift (BBL)
Butt and Hip Implants

Transmasculine Patients (FTM)

Facial Masculinization (FMS)
Chest Masculinization (Top Surgery)
HD Liposuction & muscle etching
Tummy Tuck
Targeted Fat Transfer
Rib remodeling

Meet Dr. Ariel J. Ourian

Dr. Ariel Ourian is a double board-certified Beverly Hills plastic surgeon and the incoming Clinical Chief of Plastic Surgery at Cedars-Sinai Medical Center, one of the nation’s top hospitals. He trained at UCLA, UC Irvine, and the Ivy League’s New York-Presbyterian Cornell before completing Plastic Surgery training at Houston Methodist in the Texas Medical Center – the largest medical center in the world. He then pursued an elite super-fellowship at Cedars-Sinai in microsurgical and advanced reconstruction. Dr. Ourian’s rare combination of Ivy League training, elite fellowship experience, and Cedars-Sinai leadership sets him apart as a leading authority in breast and body surgery.

5-Star PAtient Reviews

5.0 rating from 350+ reviews

“I was nervous going into surgery, but Dr. Ourian made me feel seen in a way I hadn’t experienced before. He really listened to what I wanted and understood what the surgery meant for me. Waking up and seeing myself in the mirror finally felt right.”
“Choosing a surgeon for gender-affirming surgery is overwhelming, but the moment I met Dr. Ourian I felt a sense of trust. He explained everything clearly, never rushed me, and treated me with so much respect. The results gave me a level of confidence I’ve wai­ted my whole life for.”
“This wasn’t just a medical procedure for me — it was a huge step in my transition. Dr. Ourian approached it with kindness and an eye for detail that made all the difference. I feel more comfortable in my body now than I ever thought possible.”

at a glance

Covered by insurance

Stress free approval, from start to finish

Customized Surgical Planning

Tailored to your anatomy and gender expression for results that feel authentically you

Gender-Affirming Expertise

Specialized care designed to support masculine or feminine goals with precision

Comfort-Focused Care

Specialized pain protocol designed for an easier, more comfortable recovery

Minimal Scarring

Precise techniques for barely noticeable scars

FREQUENTLY ASKED QUESTIONS

TRANSFEMININE SURGERY (MTF)

Most insurance plans require one supporting letter from a qualified mental-health provider confirming readiness for gender-affirming surgery. Our team assists with documentation, pre-authorization, and appeals so you can focus on your goals—not the paperwork.

No. Hormone therapy is not required for breast, body, or facial feminization surgery. Estrogen can enhance soft-tissue changes, but surgery is customized to your anatomy and desired outcome—whether or not you’re on hormones.

Dr. Ourian offers breast augmentation with silicone or saline implants, fat transfer, or a hybrid approach combining both. Each option is designed to achieve natural softness, proportion, and feminine curves that fit your body beautifully.

Yes. Most insurance plans cover body contouring as part of comprehensive gender-affirming care. 360 liposuction refines the waist, abdomen, and back to create a slimmer, sculpted waistline. Fat can then be transferred to the hips and buttocks to enhance curves and create a naturally feminine silhouette. When combined, these procedures achieve the smooth, balanced “hourglass” contour associated with Dr. Ourian’s signature results.

Yes. A tummy tuck can help create a smoother, more feminine waistline and works well alongside 360 liposuction or a BBL. Many insurance plans cover it when performed as part of gender-affirming surgery, and our team assists with all documentation and pre-authorization to streamline approval.

Facial feminization combines procedures such as brow bone contouring, rhinoplasty, jawline and chin reshaping, lip lift, brow lift, eyelid lift, Adam’s apple shave, and facelift. Dr. Ourian tailors each plan to soften masculine features while preserving harmony and authenticity—so your results look natural, not overdone.

Yes. The goal isn’t to change who you are—it’s to align your appearance with how you’ve always felt. Patients often say they finally recognize themselves in the mirror. Dr. Ourian focuses on elegance and realism, not exaggeration.

The most transformative features often include the forehead and brow contour, nose, and jawline. Adjusting these structural areas brings immediate facial harmony. Dr. Ourian refines each zone with precision for balanced, graceful results.

Yes. A tracheal shave reduces the visible prominence of the Adam’s apple through a small incision placed discreetly under the chin. The result is a smoother, more feminine neck contour with minimal downtime.

Most patients return to light activity in 10–14 days. Swelling and bruising resolve over several weeks, and final refinement continues for a few months. Dr. Ourian’s recovery protocol minimizes pain and accelerates healing while keeping results protected.

Most patients return to light activity within 10–14 days and resume full workouts at 6 weeks. Dr. Ourian’s comfort-focused recovery protocol minimizes downtime while protecting long-term results.

TRANSMASCULINE SURGERY (FTM)

Most insurance plans ask for one letter from a qualified mental-health provider stating you’re ready for surgery. Our team handles documentation, pre-authorization, and appeals so you can focus on your transition—not paperwork.

No. Testosterone is not required for chest, facial, or body masculinization. Hormones can influence fat distribution and muscle mass, but surgery is based on your anatomy and goals—not hormone status.

Techniques include double incision, periareolar (donut), and keyhole approaches. Dr. Ourian selects the method that best fits your anatomy, skin elasticity, and desired contour. Every result is designed to look masculine, natural, and balanced.

Yes. Dr. Ourian often performs high-definition liposuction with top surgery to sculpt the abs, flanks, and chest for a more masculine, athletic look. Some insurance policies cover body contouring as part of comprehensive gender-affirming care.

Scars are placed along natural creases or borders and fade significantly within a year. Dr. Ourian provides post-op scar care, microneedling and silicone therapy to ensure the best healing possible.

Some change is normal, especially in larger resections, but Dr. Ourian uses nerve-preserving and micro-techniques to maximize the chance of sensation returning over time.

Facial masculinization enhances features like the jawline, chin, cheekbones, and brow for a stronger, more structured appearance. Procedures range from subtle fat grafting to bone contouring—always personalized to your anatomy and identity.

Yes. Using liposculpture and fat grafting, Dr. Ourian can enhance the shoulders, chest, and upper torso while tapering the waist and hips for a naturally masculine silhouette.

A masculinizing BBL builds projection and shape without feminizing the contour. Fat is added strategically to create balance and athletic fullness—not exaggerated roundness. The result is strong, proportional, and natural-looking.

Yes. A masculinizing tummy tuck removes excess skin and tightens the core while maintaining a flat, toned, and athletic look. Dr. Ourian combines skin tightening with high-definition liposuction to highlight muscle lines and restore strength.

Most patients return to light activity within 10–14 days and resume full workouts at 6 weeks. Dr. Ourian’s comfort-focused recovery protocol minimizes downtime while protecting long-term results.