Gender Reassignment Surgery

Transitioning from male to female or from female to male can be a stressful, emotional challenging time of life. When your body’s appearance doesn’t match up with your gender, Dr. McIntosh can help with that, specifically with the chest.

What does a female-to-male chest surgery involve?
Under general anesthesia, excess breast tissue and skin are removed and the nipple is repositioned. The result is a very natural, masculine chest contour. This surgery usually is performed leaving a single scar along the lower curvature of each breast. Smaller breasts can be reduced with a single incision around the nipple/areola.
How painful is the recovery?

Surprisingly, the discomfort associated with this surgery is usually quite mild. Most patients are able to tolerate the recovery with a day or two of a prescription pain medication and a few more days of over-the-counter medications.

How much time should I take off of work?

This is variable and depends on the intensity of your activities at work. We recommend strenuous activities (anything that would increase your heart rate or blood pressure) not be performed for four weeks after the surgery. If you generally sit at a desk, you could return to work in as few as three or four days.

How can I reduce the appearance of the scars?

There are several scar treatments that are recommended. The first is a topical silicone gel that you apply twice daily. A second excellent treatment is a laser and/or microneedling treatment performed in our office. These treatments have been shown to significantly improve the appearance of the scars.

When can I have this surgery done?

Depending on the requirements of your insurance plan, obtaining preauthorization may be obtained within a week or two after your consultation. Surgery could happen within a couple weeks thereafter. Usually, insurance companies and Dr. McIntosh want to ensure for the past year or more you have been: (1) working continuously with a licensed mental health counselor or psychiatrist; (2) living as a male; and (3) taking hormone treatment as prescribed by your doctor. Even if you would like to pay for the surgery out of pocket, these requirements should be met.

How much does the surgery cost?

There are four separate costs associated with this surgery. The first is Dr. McIntosh’s time and expertise to perform the surgery, and this is variable depending upon the complexity of your case. Very small breasts may be reduced with liposuction alone and a small repositioning or reduction of the nipples. Larger breasts require more work and more time. The second cost is for the anesthesiologist. A third cost is for the surgery center. And a fourth cost is for the pathologist to examine the breast tissue after it has been removed. The best way to determine your costs is to discuss this with Dr. McIntosh at his office.

After suffering emotional and physical damage to your body while battling breast cancer, many women have turned to Dr. McIntosh to help restore their womanly curves. If you too are looking to find your voluptuous figure once more, take a look at the amazing results our Bellevue breast reconstruction patients have seen from their surgeries.

Dr. Bryan C. McIntosh urges his patients to remember that your comfort with the surgeon is equally as important as the cost of the entire procedure. Dr. McIntosh would like a chance to meet with you and discuss the results you want to ensure that this is the right choice for you and your body. All of your options will be carefully reviewed between Dr. McIntosh and yourself before your breast reconstruction surgery, guaranteeing each patient’s utmost comfort. Contact us today to schedule a consultation for your breast reconstruction surgery and discuss all of your options.

What will happen at a consultation?

Dr. McIntosh will discuss your goals with you, assess your health history and suitability for the surgery, examine your chest, and explain the precise steps to surgically create your masculine appearing chest. The office staff will then explain additional steps to scheduling your pre-op appointment, surgical date, and first post-op visit. If you choose, Dr. McIntosh’s staff will later contact your insurance to preauthorize the surgery.

I have nothing but great things to say about Dr. McIntosh and his staff. My results are truly incredible. Any concerns or questions I had were all taken care of, I highly recommend this surgeon! I plan on having another surgery with Dr.McIntosh in the near future.

Toni Longsworth via Google


Dr. Bryan C. McIntosh is a Board Certified Plastic Surgeon with over 10 years of experience. Patients from all over Bellevue, Seattle, Redmond, Kirkland, as far east as Yakima, north to Bellingham, and down to Tacoma have been treated by Dr. McIntosh. In his Bellevue office you'll also meet the perfect team of hand-picked aesthetic professionals who truly care about you, and want to ensure you have the best experience possible.


The #1 regret of most plastic surgery patients is that they didn't take action sooner, but we understand it can be a big life decision. Contact us today to schedule your consultation.

(425) 420-2663


12301 NE 10th Place, #101 Bellevue, WA 98005