Gender-Affirming Surgery
Your identity. Your body. Surgical care that honors both.
Gender-affirming surgery is healthcare—and at Aqua Aesthetics & Wellness, it's treated with the same clinical rigor, respect, and individualized attention as every other procedure we offer. Dr. Lena Weinman is committed to providing a safe, affirming environment for transgender and nonbinary patients seeking surgical options that bring their physical appearance into closer alignment with their identity. Her background as a former OB-GYN has given her an in-depth understanding of anatomy, hormonal influence, and the way bodies change over time, knowledge that directly informs the precision and care she brings to gender-affirming procedures. Every patient deserves to feel safe, seen, and respected throughout the entire surgical process, from the first consultation through recovery.
Gender-Affirming Surgical Care at Aqua Aesthetics & Wellness
Gender-affirming procedures are among the most meaningful steps a person can take in their transition. Dr. Weinman works collaboratively with each patient, taking time to understand their goals, their journey, and what outcomes will be most meaningful for their quality of life. Her dual background in women’s health and cosmetic surgery gives her a unique lens, one that combines deep anatomical knowledge with a genuine commitment to affirming, compassionate care. As a trusted provider of gender-affirming surgery in Lansing, Aqua Aesthetics & Wellness offers chest reconstruction, body masculinization, and body and breast feminization—each planned with clinical precision, personal respect, and your vision of yourself at the center.
How Gender-Affirming Surgery Works
Gender-affirming surgical procedures reshape the body to align physical appearance with gender identity. For transmasculine patients, this may involve removing breast tissue to create a masculine chest contour or contouring the body to reduce traditionally feminine fat distribution. For transfeminine patients, it may include breast augmentation to enhance volume or body contouring to create softer, more feminine curves.
In every case, Dr. Weinman begins with a thorough consultation to understand your goals, assess your anatomy, and develop a personalized surgical plan. She works respectfully alongside your existing care team, including therapists, endocrinologists, and primary care providers, to ensure a coordinated, well-supported experience.
In every case, Dr. Weinman begins with a thorough consultation to understand your goals, assess your anatomy, and develop a personalized surgical plan. She works respectfully alongside your existing care team, including therapists, endocrinologists, and primary care providers, to ensure a coordinated, well-supported experience.
Our Gender-Affirming Procedures
1
Chest Reconstruction
(FTM / Transmasculine)
Best for creating a masculine chest contour and reducing gender dysphoria.
Chest reconstruction, commonly known as top surgery, creates a masculine chest contour by removing breast tissue and, when needed, repositioning the nipples and removing excess skin. For many transmasculine patients, this is one of the most significant steps in their transition—one that can meaningfully reduce gender dysphoria and improve daily comfort and confidence. Dr. Weinman prioritizes symmetry, natural contour, and minimal scarring, taking into account each patient’s chest anatomy, skin elasticity, and personal goals to determine the technique that will produce the most effective result.
What to expect:
What to expect:
- A thorough consultation to discuss your goals, anatomy, and surgical options
- A detailed explanation of technique, incision placement, and expected recovery
- Careful post-operative follow-up to support healing and ensure your satisfaction with results
2
Body Masculinization
(FTM / Transmasculine)
Best for creating a more angular, traditionally masculine body shape.
Body masculinization encompasses a range of contouring procedures designed to create a more traditionally masculine silhouette. This may include liposuction or fat redistribution targeting areas such as the hips, thighs, and flanks—areas where fat commonly accumulates due to estrogen—to create a more angular, defined shape. Dr. Weinman understands that gender dysphoria can extend well beyond the chest, and she works closely with patients to develop a surgical plan that addresses the areas most important to them. Her approach is thoughtful and collaborative, grounded in realistic goal-setting and a deep respect for each patient’s experience.
Procedures may include:
Procedures may include:
- Liposuction of the hips, thighs, or flanks to reduce traditionally feminine fat distribution
- Fat grafting to create more angular or defined features
- Combined procedures tailored to your individual anatomy and goals
3
Body and Breast Feminization
(MTF / Transfeminine)
Best for creating softer, more traditionally feminine body contours.
Body and breast feminization procedures are designed to create softer, more traditionally feminine contours for transfeminine patients. This may include breast augmentation to enhance volume in patients for whom hormone therapy alone has not achieved their desired result, as well as body contouring procedures to address areas like the waist, hips, and buttocks. Dr. Weinman brings particular sensitivity and expertise to feminization procedures, drawing on her years of experience in women’s health to create outcomes that feel authentic and aligned with each patient’s vision of themselves. She understands that feminization is deeply personal, and she takes time to listen, plan carefully, and deliver results that support both physical and emotional well-being.
Procedures may include:
Procedures may include:
- Breast augmentation to enhance volume and shape
- Liposuction or fat transfer to create more traditionally feminine curves
- Combined procedures to address multiple areas of concern
Benefits of Gender-Affirming Surgery
- Meaningful alignment of body and identity – Surgical care designed to bring your physical appearance into closer harmony with who you are.
- A surgeon who understands anatomy and hormonal influence – Dr. Weinman’s OB-GYN background gives her deep knowledge of how hormones shape the body and how surgical techniques can work with—or reshape—those patterns.
- Affirming, respectful care at every step – From consultation through recovery, you’ll be treated with dignity, compassion, and genuine respect for your journey.
- Collaborative approach with your care team – Dr. Weinman works alongside your therapists, endocrinologists, and primary care providers to ensure coordinated, well-supported care.
- Personalized, not prescriptive – Every surgical plan is built around your unique anatomy, your goals, and the outcomes that matter most to you.
Looking to explore non-surgical body contouring options as part of your transition? Visit our Body Contouring page to learn about additional treatments that can complement your surgical results.
Why Patients Trust Aqua Aesthetics & Wellness
- Deep anatomical and hormonal expertise – Dr. Weinman’s 15+ years in women’s health give her a rare depth of understanding of how hormones influence body composition, fat distribution, and tissue behavior.
- Affirming, judgment-free environment – Every patient is welcomed and respected, regardless of where they are in their journey.
- Individualized surgical planning – Technique, approach, and goals are developed collaboratively, with your anatomy and your vision at the center.
- Coordinated care – Dr. Weinman works respectfully with your existing providers to ensure a comprehensive, well-supported surgical experience.
- Transparent consultations – You’ll understand your options, your eligibility, and what to expect at every stage—no surprises.
- Approachable, local care – A refined, welcoming setting in Lansing with a team that knows you—not a chain, not a script.
Questions? We’ve Got Answers!
What are the requirements for gender-affirming surgery?
Dr. Weinman and the team at Aqua Aesthetics & Wellness follow established standards of care for gender-affirming surgery. Requirements may include referral letters from mental health providers and documentation of consistent hormone therapy, depending on the procedure. Your consultation will cover eligibility in detail.
Do I need to be on hormone therapy before surgery?
Requirements vary by procedure. Some surgeries, such as breast augmentation for transfeminine patients, may benefit from a period of hormone therapy beforehand. Dr. Weinman will discuss what’s recommended for your specific situation during your consultation.
What does recovery look like after chest reconstruction (top surgery)?
Most patients can expect several weeks of limited upper-body activity. You’ll receive detailed recovery instructions and have scheduled follow-ups to monitor healing and ensure satisfaction with your results.
Can I combine multiple gender-affirming procedures?
Yes, in many cases procedures can be combined—such as chest reconstruction with body masculinization, or breast augmentation with body feminization contouring. Dr. Weinman will discuss whether a combined approach is safe and appropriate for you.
Will my insurance cover gender-affirming surgery?
Coverage varies by plan and procedure. Dr. Weinman’s team can help guide you through the documentation process and answer questions about eligibility during your consultation.
How do I get started?
Reach out to schedule a consultation. Whether you’re early in your research or ready to take the next step, Dr. Weinman welcomes the conversation and is here to answer your questions in a safe, respectful setting.
Safe, Affirming Surgical Care, Built Around You
At Aqua Aesthetics & Wellness in Lansing, MI, gender-affirming surgery is about more than changing your body—it’s about honoring who you are. Dr. Weinman brings clinical precision, deep anatomical knowledge, and genuine respect for every patient’s journey to create surgical outcomes that are meaningful, natural, and aligned with your identity. Schedule your consultation today and take the next step in a space where you’ll be seen, heard, and supported.
We proudly serve patients throughout Greater Lansing, including East Lansing, Okemos, DeWitt, Holt, Haslett, Williamston, Grand Ledge, and surrounding areas in Ingham, Eaton, and Clinton Counties.
