Are you painting on a WinForms control? If so, you can use
ScaleTransform[
^]
Example (from the above page):
private void ScaleTransformFloat(PaintEventArgs e)
{
e.Graphics.RotateTransform(30.0F);
e.Graphics.ScaleTransform(3.0F, 1.0F);
e.Graphics.DrawRectangle(new Pen(Color.Blue, 3), 50, 0, 100, 40);
}