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FTM Top Surgery » Surgeons

Dr. Alexander Facque

Fellowship-Trained Top Surgery Surgeon In San Francisco

Dr. Alexander Facque, MD is a board-certified plastic surgeon who works exclusively with transgender and non-binary patients at the Gender Confirmation Center in San Francisco, California. Dr. Facque started providing gender-affirming care in 2012 and completed fellowship training in Gender Surgery with Dr. Loren Schechter in Chicago.

Education and Training

  • Bachelor of Science, University of Puget Sound
  • Doctor of Medicine degree, University of Nevada School of Medicine
  • Plastic surgery residency, Icahn School of Medicine at Mount Sinai Medical Center, NYC
  • 1-year fellowship in Gender Surgery, Weiss Memorial Hospital, Chicago

Dr. Facque operates at Saint Francis Memorial Hospital, home of The Gender Institute, which offers a "best in class" experience in healthcare for transgender and gender nonconforming individuals. Hospital staff have received specialized training in gender sensitivity, including proper pronoun usage and personalized support. Dr. Facque also operates at Vista Surgery Center, a fully accredited surgery center with a low patient-to-staff ratio that ensures highly personalized care.

In addition to Top Surgery, Dr. Facque is also highly skilled at Body Contouring and feminizing, masculinizing, and non-binary gender affirming facial surgery.

How Much Does Top Surgery Cost?
Pricing includes pre-surgical and post-surgical consultations, Dr. Facque's fee, operating room fees, anesthesia fee and a post-operative binder. Exact pricing can only be determined following a consultation with Dr. Facque.

Dr. Facque offers FREE in-person and virtual consultations. The wait time for a consultation is approximately 1 month, with a surgery date about 4-5 months following consultation.

Is Top Surgery Covered by Insurance?
Yes, in addition to cash, credit cards and medical financing Dr. Facque also accepts insurance from the following companies:

  • Anthem BC (Anthem Blue Cross)
  • Blue Shield
  • Blue Cross
  • Aetna
  • Aetna (Student Services for University of California System)
  • Cigna
  • United Health Care
  • Brown & Toland HMO
  • Health Net
  • Health Plan of San Joaquin
  • Hill Physicians IPA
  • Mercy Medical Group
  • Meritage IPA ("WHA Medical Groups")
  • Northbay Medical Group
  • Western Health Advantage ("WHA")
  • UC Davis Medical Group

Who Can Get Top Surgery?

  • Candidates for Top Surgery need to have good physical and psychological health.
  • As Dr. Facque uses informed consent, support letters from a mental health provider are not required. However, if you're using insurance, the insurance company will require letters.
  • Hormone therapy is not required.
  • Age 18+

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