Dr. Breanna Jedrzejewski
Top Surgery Specialist in San Francisco
Dr. Breanna Jedrzejewski, MD, MPH, is a board-eligible plastic and reconstructive surgeon whose clinical focus is entirely centered on the transgender, non-binary, and gender-diverse community. Practicing at Align Surgical Associates in San Francisco, she provides a full range of gender-affirming surgical options. Her patient-centered approach prioritizes collaboration, identity affirmation, and holistic care, ensuring that each individual’s surgical experience is aligned with their personal goals and gender expression.
Education and Training
- Medical Degree: Brown University
- Master of Public Health (Global Health): Yale University
- Bachelor of Arts in Fine Art Photography: Yale University
- Plastic Surgery Residency: Six-year integrated program at Oregon Health & Science University (OHSU)
- Awards: Best Resident Research Award, Division of Plastic and Reconstructive Surgery at OHSU (2019–2021)
Surgical Expertise
Dr. Jedrzejewski’s surgical work combines high-level reconstructive training with an artistic eye, delivering results that support gender congruence and body autonomy. Her areas of focus include:
Top Surgery (FTM/N Chest Reconstruction)
She offers two primary approaches to masculinizing chest surgery:
- Double Incision: This method is most commonly used for individuals with larger chest sizes. It involves horizontal incisions along the lower edge of the pectoral muscle, with removal of breast tissue and excess skin. The nipples are typically resized and grafted for placement in a more masculine position. Dr. Jedrzejewski's background in reconstructive breast surgery allows for careful management of scarring and optimal aesthetic outcomes.
- Keyhole Technique: Ideal for individuals with smaller chests and good skin elasticity, this minimally invasive option removes breast tissue through a small incision around the areola. Nipple grafting isn't needed, and scarring is minimal. Dr. Jedrzejewski’s fine arts background informs her approach to proportion, symmetry, and natural appearance.
Body Masculinization
These procedures focus on refining masculine contours throughout the torso and limbs. Techniques may include abdominal etching and liposuction of the flanks or thighs. When performed alongside top surgery, these procedures can enhance the overall masculine silhouette. However, because body contouring is sometimes categorized as cosmetic, insurance coverage may vary.
Dr. Jedrzejewski shares considerations and what to expect from Top Surgery in this consultation video.
Surgeries are performed at accredited facilities across San Francisco, including Post Street Surgery Center, California Pacific Medical Center, and St. Francis Memorial Hospital, all equipped for high-complexity plastic and reconstructive procedures.
Surgery Requirements
Dr. Jedrzejewski adheres to the WPATH Standards of Care. While each patient's situation may differ, most surgical procedures require the following:
- A diagnosis of gender dysphoria from a licensed mental health provider
- One or two letters of medical necessity, depending on procedure and insurer
- Minimum age of 19 for surgical candidacy
- At least 12 months of hormone therapy (unless medically exempt)
- Mammogram for patients aged 50 and above seeking top surgery
Insurance and Managed Medi-Cal
Dr. Jedrzejewski accepts most private insurance plans, along with certain managed Medi-Cal plans. Medi-Cal benefits may be delivered through managed care plans—private insurers contracted by the state (e.g., Health Net, Anthem Blue Cross). If your insurance card shows one of these names, you likely have managed Medi-Cal. You can confirm by checking your card or contacting your health plan directly.
Insurance Verification Tips:
Coverage for gender-affirming procedures varies. Before proceeding, it's suggested to:
- Verify that your plan includes gender-affirming surgery
- Confirm whether Dr. Jedrzejewski is in-network
- Ask about prior authorization or referral requirements
- Request the list of documentation needed (e.g., letters of medical necessity)
For additional certainty, request a Summary of Benefits or submit a formal predetermination request through your insurer.
How to Get Started
To begin the process, schedule a consultation with Dr. Jedrzejewski—in person, by phone or virtually—to explore your surgical goals and determine which procedures are appropriate. Once a surgical plan is identified, you can review your insurance plan to assess whether the procedure will be covered. Align Surgical’s team is available to help with insurance verification and assist in gathering the necessary documentation. After the plan is confirmed, you should work on obtaining letters of medical necessity from licensed mental health professionals who are experienced in gender-affirming care and familiar with WPATH guidelines.
Booking a Consultation
Dr. Jedrzejewski provides a welcoming and affirming environment where patients can explore their options without judgment. Her care model prioritizes open dialogue and surgical precision at every stage. To begin your journey, reach out to Align Surgical Associates in San Francisco to schedule a consultation.
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