Gender affirming surgery is any surgical procedure that alters the face or body to treat gender dysphoria associated with a gender transition. One of the most common gender affirming surgeries is top surgery which is performed for people of all gender identities including female-to-male, female-to-male, non-binary, and gender non-conforming patients. Unfortunately, top surgery care is not always covered by medical insurance and can be expensive. Therefore, renowned Seattle plastic surgeon, Dr. Javad Sajan now offers pro bono top surgery to qualifying patients.
Gender Affirming Top Surgery
The history of top surgery goes back much further than many think. In the early 20th century, the first gender clinic was opened. Additionally, the first gender affirming surgery is widely believed to have taken place in 1912. It did not become widespread and more acceptable until the 1990s and early 2000s. Today more top surgeries are not uncommon.
Some medical insurance carriers do cover gender affirming surgeries. However, not everyone has access to gender affirming surgeries or health insurance. Patients without insurance may never be able to get surgery and those on government subsidized programs like Medicaid often have to wait years for surgery and have little choice in their provider or results. Since top surgery provides a multitude of life improving benefits, everyone regardless of race, age, or socioeconomic class should have access to gender affirming surgery and care.
Gender Dysphoria Statistics
Gender dysphoria is a condition where a gender non-conforming person experiences dysphoria surrounding their body or outward appearance and how it projects a gender that does not align with their identity. It can start in childhood. This can cause a variety of dangerous symptoms, situations, and physical harm.
Gender dysphoria makes individuals more susceptible to various health conditions and environments. Some starting statistics that exemplify the importance of gender affirming surgeries to treat gender dysphoria include:
Around 50% of people experiencing gender dysphoria attempt suicide (Human Rights Campaign)
Roughly 26% of people with gender dysphoria develop substance abuse disorders (NCBI)
Increased risk of developing an eating disorder (Penn Medicine)
2 out of 3 transgender youths report having self-harmed in the past year (NCBI)
35% of transgender children are bullied in school (CDC)
75% of transgender children do not feel safe in school (Trans Equality)
1 in 5 transgender people report being denied medical care (Consumer Reports)
Half of the gender non-conforming population reports experiencing domestic or sexual violence (Office of Justice)
More likely to become homeless (National Center for Trans Equality)
Benefits Of Gender Affirming Surgeries
Gender affirming surgery can treat not only the patient’s gender dysphoria but can also reduce negative outside factors, such as bullying. Beyond this, there are several other benefits of gender affirming surgeries such as top surgery. According to Harvard and the Cleveland Clinic gender affirming care offers benefits like:
Physical appearance better matches patient’s ideal image of themself
Decreases overall gender dysphoria in social and private situations
Allows patients to more confidently enter spaces associated with their gender identity
Improves quality of life
Carries a high satisfaction rate
Reduces risk of suicide and self-harm
Increases self-esteem and self-confidence
Clothing may fit better
Reduces physical risks of chest binding
May improve many existing mental health conditions such as anxiety and depression
About Allure Esthetic & Dr. Javad Sajan
Allure Esthetic Plastic Surgery leads the country in gender affirming top surgery. Having performed hundreds of gender affirming surgeries, Dr. Sajan and Allure Esthetic have treated diverse patients from around the world. The entire Allure Esthetic office is a safe space for all gender non-conforming individuals. Staff and providers are compassionate for these patients and always strive to use the correct pronouns, and aim to place patient safety, and comfort above all else.
Dr. Javad Sajan is a world renowned plastic and gender affirming surgeon. He believes in WPATH guidelines for top surgery and has become a leading surgeon for FTM top surgery in the United States. In addition to WPATH guidelines, Dr. Sajan does offer an informed consent pathway.
Beyond this, Dr. Sajan lets patients have more say in their gender affirming surgery. He customizes the top surgery for each patient. Offering three different incision shapes and types, Dr. Sajan takes top surgery to a new standard. He lets his patients take an active part in the outcome of their surgery.
To Qualify & Apply For Pro Bono Top Surgery With Dr. Seattle
Dr. Sajan is offering the opportunity for qualifying individuals to undergo free top surgery. The application process takes place through an online HIPPA compliant portal. The factors for pro bono top surgery candidate are outlined below.
If you meet the below criteria, please email us at mailto:[email protected] or call 206.990.0060. and we will send you a secure link to apply for the program.
While male cheeks are broad and flat, females have refined and sculpted cheeks. To achieve the pronounced cheek area many transgender women want, Dr. Sajan will likely recommend a fat transfer, bone grafting or the use of implants.
Men and women tend to have very different noses. To feminize this important feature, Dr. Sajan will begin by creating an incision along the columella, which is the piece of cartilage at the base of the nose that separates your nostrils. From there, he will subtly address your masculine characteristics. For example, he may reduce the hump, narrow the bridge and refine the nasal tip. In addition, he will address any asymmetry to ensure a balanced final outcome.
Photos & Selection
The most feminine lips are full, pouty and sensual – and that’s exactly what Dr. Sajan is able to deliver for transgender women. Depending on your needs, this may be accomplished with a fat transfer, dermal fillers or a surgical lip lift.
Top Surgery Looks Like
Most top surgeries use the double incision method to remove extra skin, breast tissue, glands, and nipple. This involves two linear incisions on the chest and repositioning the nipples if desired by the patient. The exact shape of the incisions can be discussed with Dr. Sajan. He offers straight, u-shaped, and pec incisions.
Performing the desired incision, Dr. Sajan will remove a majority of the breast tissue. He will sculpt the remaining breast tissue and fat to create a contour desired by the patient. Dr. Sajan will then bring the skin together at the incision point. If the patient desires nipples, Dr. Sajan will perform a free nipple graft. This is where Dr. Sajan places the nipples into a more natural position based on the new contours of the chest.
If the patient is a candidate, Dr. Sajan may perform a keyhole top surgery that uses smaller incisions. It also typically does not reposition the nipple. This type of top surgery is only for those with a small chest, usually an A-cup or smaller. Keyhole chest reconstruction may consist of liposuction and/or a small skin excision around the nipple.
Dr. Javad Sajan is a leading surgeon for gender affirming top surgery. With thousands of surgical hours dedicated to gender affirming surgeries, he now is offering pro bono surgeries to patients who may not have access to gender affirming surgical care. His Seattle-based facility serves transgender patients from around the world. Allure Esthetic is dedicated to serving the transgender, non-binary, and gender non-conforming communities. Dr. Sajan’s pro bono offerings now open up his services to a larger group of individuals who would benefit from gender affirming care. Please contact us directly via chat or contact form. You can also call us at 206.990.0060. for more information and instructions on how to apply.
Disclaimers and Notices
Only a few pro bono surgeries are available each year. The Allure Esthetic Team does its best to choose applicants with the greatest need. No applicants are guaranteed a surgery, even if they apply, meet all of the criteria, and have great need. Applicants are welcome to reapply several times. The number of times an applicant applies does not affect the possibility of being chosen. Allure Esthetic is not liable for any injuries, physical or financial, or side effects caused or related to not being chosen for the pro bono surgery.
*Awarded surgeries may be withdrawn if there are concerns for patient safety, natural disasters including pandemic outbreaks, building or equipment failures, if withdrawal or cancelation is mandated by federal or state law, or if proceeding with the surgery conflicts with ethical standards of any kind for any reason. Alderwood Surgical Center, LLC (DBA Allure Esthetic), its affiliates, and employees will not be liable for any damages associated with or related to canceled surgeries or withdrawn awards.*
Alderwood Surgical Center, LLC reserves the right to cancel this program at any time for any reason, without notice.