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Gender-Affirming Surgery in Northern Virginia: Comprehensive Care at Austin-Weston

By: Cassie Nghiem, MD

07/30/2026

Breast Augmentation FAQs Northern Virginia Plastic Surgeons

Gender-affirming surgery is a deeply personal journey, and choosing the right surgeon is one of the most important decisions you'll make. At Austin-Weston in Northern Virginia, we are proud to provide individualized, compassionate gender-affirming procedures designed to help patients feel more comfortable and confident in their bodies.

Our five board-certified plastic surgeons offer a range of gender-affirming surgical options for transgender, nonbinary, and gender-fluid individuals throughout Northern Virginia, Washington, DC, and Maryland. Every treatment plan is tailored to your unique anatomy, goals, and transition journey.

Gender-Affirming Top Surgery

Top surgery is one of the most common gender-affirming procedures and can be life-changing for many patients.

Double Incision Mastectomy (FTM Top Surgery)

The double incision mastectomy is the most frequently performed chest masculinization procedure for individuals with moderate to large amounts of breast tissue or excess skin.

Benefits include:

  • Creation of a masculine chest contour 
  • Removal of excess breast tissue and skin 
  • Nipple resizing and repositioning 
  • Comfort in clothes without binding 

Periareolar Mastectomy

For patients with smaller breasts and excellent skin elasticity, a periareolar (peri) mastectomy may be an excellent option.

Advantages may include:

  • Smaller, more discreet scars 
  • Preservation of skin and nipples 

Every chest is unique, and your surgeon will discuss whether a double incision or periareolar approach is best suited for your anatomy and aesthetic goals. We also offer radical breast reductions for patients who want to preserve a small amount of breast tissue and nipple sensation. 

Gender-Affirming Breast Augmentation (MTF)

For transfeminine patients seeking a more feminine chest, gender-affirming breast augmentation can create natural-looking breast volume and improved body proportions.

During your consultation, your surgeon will discuss:

  • Implant size and shape 
  • Silicone versus saline implants 
  • Implant placement 
  • Chest anatomy and skin characteristics 
  • Creating balanced, feminine proportions 

Our goal is to achieve results that complement your body while aligning with your personal vision of femininity.

Liposuction for Feminization and Masculinization

Body contouring plays an important role in many gender transitions.

Feminizing Liposuction

Strategic liposuction can help create softer, more feminine curves by refining areas such as:

  • Waist 
  • Flanks 
  • Abdomen 
  • Back 

Fat transfer may also be discussed for select patients seeking additional contour enhancement.

Masculinizing Body Contouring

Liposuction may also be used to enhance masculine proportions by improving definition of the:

  • Waist 
  • Flanks ("love handles") 
  • Abdomen 
  • Chest transition zones following top surgery 

Every body contouring plan is customized to complement your overall transition goals.

Facial Feminization Procedures

The face is often one of the most recognizable aspects of gender presentation.

Depending on your goals, facial feminization surgery may include procedures such as:

  • Chin contouring 
  • Jaw contouring 
  • Rhinoplasty 
  • Brow lift 
  • Forehead contouring 
  • Fat grafting 
  • Adam’s apple reduction 

Some patients benefit from a combination of surgical and non-surgical treatments to achieve softer, more feminine facial features while maintaining natural appearance.

Personalized Gender-Affirming Care at Austin-Weston

No two transition journeys are alike. At Austin-Weston, The Center for Cosmetic Surgery, every consultation begins with listening to your goals, understanding your concerns, and creating a customized surgical plan that aligns with your vision. Our team believes every patient deserves to feel seen, respected, and empowered throughout their surgical experience.

From your very first visit, we are committed to creating a welcoming, affirming environment. We respectfully use each patient's preferred name and pronouns and strive to ensure every interaction reflects the dignity and respect every person deserves.

Privacy and Comfort

For many patients, privacy is an important consideration when undergoing gender-affirming surgery.

One unique advantage of Austin-Weston is that most of our procedures are performed in our fully accredited private operating suite, allowing patients to avoid the larger hospital setting. This offers a more discreet, comfortable surgical experience while maintaining the highest standards of patient safety.

Our private surgical center also allows for:

  • A more personalized experience 
  • Familiar staff throughout your surgical journey 
  • Enhanced privacy and discretion 
  • Convenient, streamlined care in one location

Timely Access to Care

Beginning your transition shouldn't have to mean waiting many months to years for surgery. At Austin-Weston, we understand that gender-affirming procedures are often an important step in a patient's journey, and we strive to make that process as efficient as possible.

In many cases, patients are able to schedule surgery within a month of their consultation, depending on the procedure, medical readiness, and scheduling availability. While wait times vary by practice, some high-volume gender surgery centers may have waitlists of many months or longer. Our goal is to provide timely access to care without compromising safety or individualized attention.

By offering consultations, surgery, and postoperative care in one practice, we help patients move forward with confidence while minimizing unnecessary delays.

Why Choose Austin-Weston for Gender-Affirming Surgery?

Patients choose Austin-Weston because we offer:

  • Board-certified plastic surgeons with extensive surgical expertise 
  • Individualized treatment plans tailored to your goals 
  • An accredited private operating suite for enhanced comfort and privacy 
  • Respectful, affirming care that honors your preferred name and pronouns 
  • Comprehensive preoperative education and postoperative support 
  • Efficient time to surgery 
  • A welcoming environment where every patient is treated with compassion, dignity, and respect 

Schedule Your Consultation

If you're considering FTM top surgery, MTF breast augmentation, facial feminization surgery, or gender-affirming body contouring, we'd be honored to be part of your journey.

Contact Austin-Weston to schedule a confidential consultation and learn how we can help you achieve results that reflect your authentic self.

We proudly serve patients from Northern Virginia, Washington, DC, Maryland, and across the United States, providing personalized care in a welcoming and affirming environment.

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