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Searching for the best MTF top surgeon can feel overwhelming. Transgender women seeking breast augmentation face limited local options, long wait times, and uncertainty about surgical outcomes. The fear of visible scarring and finding a surgeon who truly understands gender-affirming care adds to the stress. Many patients travel out of state for gender-affirming surgery, often paying significantly more in out-of-pocket expenses simply to access qualified care.
Why Dr. Javad Sajan is the Leading MTF Top Surgeon in Seattle
Dr. Javad Sajan at Allure Esthetic Plastic Surgery has established himself as the premier choice for MTF top surgery Seattle offers. Patients from across the United States travel to Seattle specifically to undergo breast augmentation with Dr. Sajan because of his pioneering scarless techniques, extensive experience with transgender patients, and commitment to natural-looking, gender-affirming results.
Pioneering Scarless MTF Breast Augmentation
Dr. Sajan has developed revolutionary surgical approaches that place breast implants through hidden incisions in the armpit (transaxillary) or belly button (transumbilical). This technique virtually eliminates visible chest scars, addressing one of the top concerns transgender women have about breast augmentation surgery.
Unlike traditional approaches that leave scars along the breast crease or around the areola, Dr. Sajan’s scarless method preserves the natural anatomy of the chest. His transumbilical technique is particularly groundbreaking as he is the only surgeon offering silicone breast implants through the belly button, overcoming a significant limitation in the field. This advancement allows patients to choose between saline and silicone implants while maintaining the scarless result.
Advanced Surgical Techniques and Technology
Dr. Sajan employs cutting-edge surgical materials to optimize outcomes. He uses Quill barbed sutures, a knotless stitching technology that distributes tension evenly along the incision line. These specialized sutures help incisions heal with minimal scarring, further enhancing the aesthetic outcome of MTF top surgery.
The doctor offers comprehensive implant options including traditional saline and silicone gel implants, highly cohesive silicone gel (gummy bear) implants, and both round and teardrop-shaped anatomical implants. Dr. Sajan also provides access to MENTOR MemoryGel Enhance implants in large volumes, giving patients seeking fuller figures more options than most practices can offer.
Specialized Expertise in Transgender Surgery
As a member of the World Professional Association for Transgender Health (WPATH), Dr. Sajan brings specialized knowledge to every MTF breast augmentation procedure. His research has been published in peer-reviewed journals including The Journal of Surgical Research and JAMA Facial Plastic Surgery.
In 2011, Dr. Sajan was one of only five physicians in the United States to receive the prestigious CORE Grant, which he used to develop the Advanced Facial Simulator used to teach surgeons cosmetic and reconstructive surgery techniques worldwide.
Why Patients Travel to Seattle for MTF Top Surgery
Limited Access to Qualified Gender-Affirming Surgeons
Gender-affirming surgery remains unequally distributed across the United States. Many states lack qualified surgeons who specialize in transgender breast augmentation, forcing patients to travel significant distances for care.
Patients from Southern and Midwestern states are particularly likely to travel for gender-affirming procedures, often facing higher out-of-pocket costs compared to those in Western states. The shortage of experienced gender-affirming surgeons who understand the unique anatomical considerations of MTF breast augmentation drives patients to seek specialists like Dr. Sajan.
Superior Surgical Outcomes and Natural Results
The scarless approach Dr. Sajan pioneered allows transgender women to achieve their desired feminine figure without telltale signs of surgery. This natural-looking result is essential for patients who want their augmentation to be virtually undetectable.
Dr. Sajan carefully evaluates each patient’s anatomy, chest measurements, and aesthetic goals during the consultation. He understands the significant differences between transgender and cisgender chest anatomy, including wider chest dimensions, larger pectoral muscles, and the shorter distance between the nipple and inframammary fold that many MTF patients have.
Comprehensive Gender-Affirming Care
Beyond MTF breast augmentation, Allure Esthetic Plastic Surgery offers a full spectrum of gender-affirming procedures including facial feminization surgery, body feminization, tracheal shave, and other procedures that help patients achieve complete alignment between their physical appearance and gender identity.
This comprehensive approach allows patients to coordinate multiple procedures with a surgeon they trust, reducing the need to travel to multiple locations or work with different surgical teams.
Insurance Coverage and Financial Support
Allure Esthetic accepts all private insurance plans and manages the administrative requirements including prior authorizations and billing to streamline access to gender-affirming surgery. Many private insurers now include gender-affirming procedures as covered benefits, making surgical care more accessible than ever before.
The practice offers multiple payment options including cash, credit card, cashier’s check, and medical financing through CareCredit, Alphaeon, and United Medical Credit.
The MTF Breast Augmentation Process at Allure Esthetic
Initial Consultation
During the consultation, Dr. Sajan reviews the patient’s medical history, current hormone therapy, medications, previous surgeries, and lifestyle factors. He evaluates breast and torso skin tone and discusses implant types, sizes, shapes, surfaces, and placement options.
Patients review before-and-after photos to ensure Dr. Sajan understands their aesthetic goals. The consultation fee is $100, which may be covered by insurance. Consultations can be conducted in person or by phone.
Customized Surgical Planning
Dr. Sajan tailors every MTF top surgery procedure to the individual patient’s unique anatomy and goals. He discusses the positioning of implants (behind breast tissue, partially under chest muscles, or completely submuscular) and explains the surgical approach best suited to achieving the desired outcome.
The doctor provides detailed information about implant options including projection (low, moderate, or high), shape (round or anatomical), and surface texture (smooth or textured). This personalized approach ensures results that feel authentic to each patient.
Surgical Procedure
MTF breast augmentation is performed under general anesthesia at the state-licensed surgical facility at Allure Esthetic. The surgery typically takes approximately one hour, though patients should plan for additional time for pre-operative preparation and post-operative recovery.
Using the scarless technique, Dr. Sajan creates the implant pocket and places the chosen implants through the hidden incision in the armpit or belly button. The advanced closure techniques minimize scarring and promote optimal healing.
Recovery and Follow-Up Care
Patients are monitored in the recovery area as anesthesia wears off before being released to go home with a responsible adult. Most patients return to work within one week, though complete recovery takes several weeks.
Dr. Sajan provides prescription pain medication to manage post-operative discomfort. Patients wear a surgical bra continuously (except when showering) for several weeks to support healing and optimize results. Comprehensive post-operative appointments ensure proper healing and address any concerns.
Patient Satisfaction and Results
MTF breast augmentation is associated with high patient satisfaction rates. Patients report being happier and more satisfied with their chest after surgery. The procedure can significantly enhance self-esteem while aligning physical appearance with gender identity.
Patients can expect to see immediate results that continue to refine over the following months as post-surgical swelling resolves. The scarless technique ensures that results look natural with no visible chest scarring.
Ideal Candidates for MTF Top Surgery
The best candidates for MTF breast augmentation in Seattle are over 18 years of age, in good general health, and have realistic goals for the procedure. Candidates should have a well-documented history of gender dysphoria and be fully committed to the procedure and their transition.
Dr. Sajan follows an informed consent model, meaning a therapist’s letter is recommended but not an absolute requirement. Most patients have been on feminizing hormone therapy for at least 12 months prior to surgery to maximize natural breast growth and improve aesthetic outcomes.
State-of-the-Art Facility
Allure Esthetic operates a state-licensed surgical center equipped with advanced monitoring technology and the finest surgical equipment. The facility meets the highest standards of surgical care and is fully equipped to handle any situation that may arise.
The dedicated team has extensive experience with gender-affirming procedures and provides compassionate, personalized support throughout the entire surgical journey. The welcoming environment ensures patients feel comfortable and affirmed at every stage of care.
Beyond Top Surgery: Complete Transgender Care
Dr. Sajan’s expertise extends to comprehensive transgender surgery including:
- Facial Feminization Surgery (FFS)
- Body Feminization (body sculpting and liposuction)
- Tracheal Shave (chondrolaryngoplasty)
- Facial Masculinization Surgery
- FTM Top Surgery (chest reconstruction)
This comprehensive approach allows patients to work with one trusted surgeon for all their gender-affirming surgical needs, ensuring consistent results and coordinated care.
FAQs About MTF Top Surgery in Seattle
How much does MTF breast augmentation cost?
The cost varies based on implant type, surgical technique, and individual patient needs. Exact pricing can only be determined following a consultation with Dr. Sajan. Allure Esthetic accepts insurance from multiple carriers, and many private insurers now cover gender-affirming procedures as medically necessary treatment.
Will I have visible scars after surgery?
Dr. Sajan’s scarless technique places incisions in hidden locations (armpit or belly button) so there are no visible scars on the breasts themselves. The advanced closure techniques using specialized sutures further minimize any scarring at the incision sites.
What size implants can I get?
Dr. Sajan offers a comprehensive range of implant sizes, including large-volume options. The appropriate size depends on individual anatomy, tissue support, chest dimensions, and aesthetic goals. During the consultation, Dr. Sajan helps patients select implants that will look proportional and natural on their frame.
Can I get silicone implants through the belly button?
Yes. Dr. Sajan is the only surgeon currently offering silicone breast implants via the transumbilical (belly button) approach. This breakthrough overcomes a traditional limitation of this technique, which was previously restricted to saline implants.
How long is the recovery period?
Most patients return to work within one week and can resume light activities shortly after surgery. Full recovery takes several weeks, during which patients wear a surgical bra and follow post-operative care instructions. Strenuous activities and heavy lifting should be avoided for several weeks.
Do I need a letter from a therapist?
Dr. Sajan follows an informed consent model, so a therapist’s letter is recommended but not always required. However, many insurance companies do require assessment letters from behavioral health providers, so patients should check their specific insurance requirements.
What makes Dr. Sajan different from other surgeons?
Dr. Sajan is widely regarded as a leader in MTF top surgery due to his pioneering scarless techniques, specialized expertise with transgender patients, extensive implant options including large-volume sizes, membership in WPATH, published research in peer-reviewed journals, and commitment to natural-looking, gender-affirming results.
How do I schedule a consultation?
Patients can contact Allure Esthetic Plastic Surgery by calling (206) 209-0988 or emailing contactus@allureesthetics.com to schedule an in-person or phone consultation with Dr. Sajan.
Begin the Journey to Authentic Self-Expression
For transgender women seeking the best MTF top surgeon, Dr. Javad Sajan at Allure Esthetic Plastic Surgery offers unmatched expertise, innovative scarless techniques, and compassionate care. His specialized knowledge of transgender anatomy, comprehensive implant options, and commitment to natural-looking results make him the preferred choice for patients traveling from across the United States.
The journey to aligning physical appearance with gender identity is deeply personal. Dr. Sajan understands the significance of this step and provides the highest level of surgical skill combined with emotional support throughout the process. From the initial consultation through post-operative care, patients receive individualized attention in a welcoming, affirming environment.
Contact Allure Esthetic Plastic Surgery today to schedule a consultation with Dr. Javad Sajan. Take the first step toward achieving the feminine silhouette and authentic self-expression that reflects true identity. Call (206) 209-0988 or visit www.allureesthetic.com to learn more about scarless MTF breast augmentation and comprehensive gender-affirming surgical options in Seattle.
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