Best MTF Top Surgeons in Seattle
Being a transgender person, achieving a chest that reflects your true self is an important step in your journey. When you’re ready to move forward with breast augmentation, working with an experienced surgeon who understands transgender anatomy and your unique goals makes all the difference.
Feminization Surgeries works with three highly skilled plastic surgeons in Seattle who specialize in MTF top surgery: Dr. Javad Sajan, Dr. Craig Jonov, and Dr. Tarak Patel. These doctors have performed thousands of gender-affirming breast surgeries for transgender women across the Pacific Northwest and beyond.
What MTF Top Surgery Involves
MTF top surgery places breast implants to create a feminine chest. The surgery helps transgender women get breast proportions that match their identity. The doctors use techniques developed specifically for transgender anatomy, accounting for wider chest walls, different muscle structure, and how hormone therapy affects breast tissue.
Dr. Javad Sajan
Dr. Sajan is a renowned plastic surgeon with years of focus on gender-affirming procedures. His work appears regularly in medical publications, and he presents at international conferences on transgender surgical methods. He has completed over 5,000 gender-affirming procedures in his lifetime.
Dr. Sajan has developed new approaches to MTF breast surgery that improve implant placement for better cleavage, natural breast shape, and less visible scarring.
Dr. Craig Jonov
Dr. Jonov brought transgender top surgery to Seattle early on. He works at Seattle Plastic Surgery and The Gallery of Cosmetic Surgery, both of which are fully accredited facilities. His experience covers facial feminization, breast augmentation, and body contouring for transgender patients.
Patients mention his skill and the personal attention he gives to understanding their goals.
Dr. Tarak Patel
Dr. Patel graduated from West Point and served 25 years in the U.S. Army before transitioning to civilian plastic surgery. Local publications have named him the best cosmetic surgeon in the South Sound area multiple times.
His background in military medicine taught him precision and care under pressure, qualities that carry into his surgical practice today.
How These Surgeons Approach MTF Top Surgery
Choosing Implants
The practice offers silicone and saline implants in different sizes and profiles. Most MTF patients do better with silicone implants because they feel more natural. The doctors look at your chest width, shoulder size, any breast tissue from hormones, and what results you want.
For patients with wider chest walls, the doctors often suggest implants with a wider base and moderate projection. This creates proportions that look right for your frame.
Where Incisions Go
Three incision types work for MTF surgery:
Inframammary: Cut in the breast crease. Most MTF patients pick this option. It gives the surgeon good access and hides the scar under the breast.
Periareolar: Cut around the areola. Works well when you need nipple repositioning, which some MTF patients do.
Transaxillary: Cut in the armpit. No scar on the breast but gives the surgeon less control during placement.
Implant Placement Method
The dual-plane method puts part of the implant under the chest muscle and part under breast tissue. This creates natural-looking fullness at the top of the breast and makes implant edges less visible. It works well for transgender women who have little breast tissue from hormones alone.
Why Get MTF Top Surgery
Physical Changes
The surgery creates feminine breast curves that match your body better. You can wear fitted shirts, swimsuits, and other clothes without needing inserts or padding.
Mental Health Benefits
Studies show gender-affirming surgery helps mental health. A 2021 study published in JAMA Surgery found that transgender patients who had gender-affirming surgery reported 42% less psychological distress and 44% fewer thoughts of self-harm.
Patients talk about feeling less dysphoric, less anxious, and better about themselves after surgery.
Daily Life
Having a chest that matches your identity makes regular activities easier. Work meetings, dating, going to the gym, shopping for clothes – all these get simpler when you’re not managing chest dysphoria constantly.
Getting Started with Consultation
First appointments cover your medical background, how long you’ve been on hormones, and what you want from surgery. The doctors examine your chest, check skin quality, and talk honestly about what results are realistic for your body type.
They use 3D imaging to show you how different implant sizes would look on your frame. This helps you make a choice you’ll be happy with long-term.
Before surgery, you’ll need medical clearance, usually a basic physical and maybe heart tests if you’re over 40. The doctors typically ask you to stop taking estrogen 2-4 weeks before surgery because it increases blood clot risk. You can usually keep taking anti-androgens. You’ll also need documentation from a mental health provider following WPATH Standards of Care guidelines.
What Recovery Looks Like
Most patients go home the same day after a 2-3 hour procedure. You’ll have some pain and swelling that medication manages well.
First Two Weeks: Keep arm movement limited, especially above shoulder height. Wear the compression garment they give you. Don’t lift anything over 5 pounds. Most swelling peaks around day 3-4.
Weeks Three and Four: Switch to a sports bra. You can go back to office work. Still avoid heavy lifting.
Weeks Six to Eight: Resume exercise, including upper body workouts. All normal activities are fine now.
Months Three to Six: Implants settle completely. Swelling goes away entirely. Scars keep fading and usually become thin white lines over 12-18 months.
Safety Standards
These surgeons operate in facilities accredited by recognized medical organizations. Accreditation means the facility meets strict standards for equipment, safety protocols, and emergency preparation.
The doctors use proven methods to reduce surgical risks: thorough pre-surgery health checks, antibiotics to prevent infection, careful surgical technique, and close monitoring after surgery. Their complication rates run lower than national averages for breast augmentation.
What MTF Top Surgery Costs
Pricing for MTF top surgery varies based on the specific procedure, implant type, surgical complexity, and individual patient needs. For detailed pricing information and payment options, visit our pricing page.
For patients paying out of pocket, financing companies like CareCredit and Alphaeon Credit offer payment plans to make surgery more accessible.
Why Seattle Works for MTF Surgery
Washington State laws protect transgender people from insurance discrimination. State-regulated insurance plans must cover gender-affirming care. The city has a strong LGBTQ+ community and multiple experienced surgeons who focus on transgender procedures.
Feminization Surgeries sees patients from Oregon, California, Idaho, Canada, and other areas because of the surgical skill available here and the generally welcoming atmosphere.
Starting Your MTF Top Surgery Process
Feminization Surgeries works with Dr. Sajan, Dr. Jonov, and Dr. Patel to provide MTF breast augmentation in Seattle. These experienced surgeons bring years of expertise with transgender patients.
Call (425) 696-2619 to set up a consultation. The staff handles insurance checks and can explain financing options. Virtual consultations work for people coming from other states.
FAQs
Who makes a good candidate?
You should be living as your affirmed gender, have realistic expectations, and be in decent health. Most doctors want you on hormone therapy for 12 months first, but this isn’t always required. The surgeon evaluates your specific situation.
How do I pick an implant size?
It depends on your chest measurements, shoulder width, height, and goals. The doctors use measurements and 3D imaging to suggest sizes that will look proportional. Most MTF patients choose between 350cc and 550cc, but the right size varies a lot by person.
Do implants need replacing eventually?
Modern implants usually last 15-20 years or more. Some people never need to replace them. Others choose to later for size changes or personal preference.
Can I combine this with other surgery?
Yes. Many patients do MTF top surgery alongside facial feminization or body contouring. Combining procedures cuts down total recovery time and often costs less than doing them separately.
What can go wrong?
Infection happens in less than 1% of cases. Other risks include bleeding, capsular contracture (scar tissue tightening around the implant, happens in 3-5% of cases), changes in nipple feeling, and implant problems like rupture (rare with current implants). Good surgical technique keeps these risks low.
When can I work again?
Office jobs: 1-2 weeks usually. Jobs with moderate physical work: 3-4 weeks. Heavy lifting jobs: 6-8 weeks typically. Your surgeon gives you specific guidance based on how you heal and what your job requires.