Board-certified plastic surgeon Dr. George Marosan offers MTF surgery (male to female) for Seattle area patients desiring a shapely, feminine chest. As part of the transition process, hormones are often taken for a number of reasons. While the increase in estrogen from hormone replacement therapy (HRT) can sometimes help to develop feminine breasts, many turn to breast augmentation to get the overall shape, size, and symmetry they want. MTF breast augmentation can help patients who are not able or do not want to use HRT. During a private consultation with Dr. Marosan, it will be determined if tissue expanders are necessary to help create room for the desired implant. Just like with any breast augmentation surgery, patients will choose between silicone and saline implants, plus the size and shape of the implants. This surgery is life-changing for those finally able to attain the chest they want and feel the most comfortable with. Call Bellevue Plastic Surgeons to learn more about MTF breast augmentation surgery.
"37 Yr Old Fit Mom of 3. Bellevue, WA - Dr. Marosan is the best of the best. My results are over-the-top amazing."- F. / RealSelf / Feb 13, 2016
"Highly Recommend Dr. Marosan, MD - Dr. Marosan, MD came highly recommended and I am completely satisfied with the results of my surgery. I was apprehensive when I was diagnosed with gynecomastia; but Dr. Marosan was the right choice for me. From my initial consultation, surgery, and follow-up appointments have been flawless. Dr. Marosan and his entire staff are polite and professional."- J. / RealSelf / Aug 24, 2020
"Cant Recommend Enough - Im now 6 weeks op and I have a completely different shape! - I had some weight fluctuation in my lifetime and was unhappy with the tire around my stomach and stubborn fat in areas that were hard to exercise away. I thought it’s amazing that you can transfer fat from one area to another so I decided to get a Brazilian butt lift.I was drawn to Dr. Marosan because he has years of experience, is highly educated, knowledgeable and specializes in the procedure. Also in the reviews and in my experience he was very respectful to me as a woman, and I never felt uncomfortable around him. And we all know you can feel vulnerable when your naked in front of a doctor. He meets you for a free consult, which is amazing! We went over what I wanted to change and improve he was able to educate me on how to approach it to get the best results. He really knows the body well, truly an artist and master sculptor!! He took pictures of my body which he was able to bring up on a screen and draw right on it to show me what he was going to do. I felt very confident in him. I went into surgery during the pandemic and due to the complexity of that to keep everyone safe my husband was not able to come with to support me. However, George and his staff made me feel very comfortable and well taken care of. Everyone there is so warm and kindhearted!I went home with a garment, Lipo pads and drainage tubes. Some doctors don’t give you drainage tubes and your just supposed to drain freely onto your bed, and that would’ve ruined my $3,000 mattress. So I’m really thankful my doctor cares enough about post op to give me drainage tubes that were easy to manage. The doctor and his nurse were always very prompt at responding to questions and being available if I had any concerns.Im now 6 weeks op and I have a completely different shape! I have an hourglass figure, hips, fuller butt and flatter stomach! I can’t believe the transformation! This is already doing wonders to my self-confidence...something I’ve lacked for so long. I find myself actually saying something good about myself and seeing myself in a different light now. I’m so happy with the results and I’m so glad I went to the right doctor!"- S. / RealSelf / Aug 17, 2020
"Dr. Marosan Did a Great Job! [Tummy Tuck/Liposuction/Muscle Repair] - After researching dozens of plastic surgeons in the greater Seattle area for tummy tuck/liposuction, I went with Dr. Marosan because I could tell he was very experienced and does a lot of abdominoplasty and he was the one surgeon who places his incisions super low, right above the pubic area, and his incisions stay there (low) instead of eventually pulling up during recovery. For some reason (probably because it's easier), many other surgeons results showed incisions that were placed much higher than they needed to be. Just check out his before and after pictures and compare them with other surgeons: his after pictures show the whole incision area so you get a very good idea of where your incision will end up. [So many other surgeons after pictures are of women in underwear, so you have no idea where the incision was placed, or if you do get to see the whole area, you'll see how high the cut was]. I am now 10 weeks post surgery and am very happy with my results- he did a great job with the incision, the liposuction of my entire torso, and also the muscle plication (sewing them back together since I've had three pregnancies that separated my ab muscles). He also does a lot of follow up visits and takes pictures of your progress and gives you access to them, so you can really see your transformation.I'm so happy I went with Dr. Marosan- he (and his entire staff!) is wonderful and I highly recommend him/his practice!"- P. / RealSelf / Aug 05, 2020
"Great Doctor — the end results are fantastic. - I had a lower facelift and chin lift about 7 weeks ago after choosing Dr. Marosan for the procedure and I couldn't be happier. He took the time to thoroughly explain what was involved and didn't pressure me to book the surgery. After the surgery, he was very patient with the inevitable questions that I had and was careful to make sure that he saw me regularly while I was healing. (at the age of 67, it took a little longer for my swelling to go down) The end results are fantastic. I have a much smoother jawline without the "pulled" look that one sees in some face lifts and the saggy chin is history. His staff was great also. I would definitely recommend this doctor."- D. / RealSelf / Jul 10, 2020
MTF breast augmentation surgery uses the same surgical techniques as traditional cosmetic breast surgery. Dr. Marosan will assess the chest to determine the best incision method, which in most cases is either inframammary, or peri-areolar. Depending on how large the patient wishes to go will help determine implant incision, placement (i.e., under the muscle or over), type of implant, shape, and more. It is important to understand the aesthetic goals and objectives of surgery so that a natural-looking result can be achieved. Therefore, during the consultation and pre-operative processes, many questions will be considered to attain the best shape with the least amount of scarring.
MTF breast augmentation is usually performed as an outpatient procedure with the patient under intravenous sedation anesthesia.. Swelling and bruising are to be expected for the first week and most patients will experience some discomfort during the first 1 – 2 days after surgery. Patients are usually able to return to work and light activities in 1 – 2 weeks. Exercise can usually be resumed in 4 – 6 weeks.
MTF breast augmentation can be a life-changing and liberating surgery for individuals transitioning into their new body. Cosmetic breast surgery can look natural and offer outstanding results, and our team at Bellevue Plastic Surgeons will assist you every step of the way from start to finish as you attain the feminine breasts you have always desired.
Plan Your Procedure
frequently asked questions
HOrmones and timing?
Patients who are using HRT (hormone replacement therapy) should wait at least 12 – 18 months to consider breast implants after starting their treatment. This gives the hormones time to integrate with the body and help develop the maximum breast tissue before the patient makes implant decisions. Waiting for natural breast tissue to develop through HRT will also make implants look more natural than if they are placed in a flat chest.
Breast Cancer Risk?
HRT is safe and effective for many uses. Because of the increased levels of estrogen, regular mammograms should be scheduled just like anyone else with breasts. In regards to breast implants, there has been no evidence found that links implants to increased breast cancer risk. Once the implants are in place, they can make it more difficult to detect lumps and abnormalities. Routine physicals and mammograms will help detect issues.
Deciding which implant size to have is a personal choice. Implants come in a variety of shapes and sizes. However, if the patient chooses a larger sized implant and has always had a flat chest, there may not be enough skin to cover a larger implant size. In these situations, Dr. Marosan will place a tissue expander into the chest to help stretch the skin so that augmentation surgery can take place with the preferred size implant. The tissue expander is surgically placed and gradually expanded over several weeks until there is enough skin to cover the patient's desired implant.
With proper care, breast implants can last an average of ten years before they should be replaced. Patients should follow up with their plastic surgeon regularly to have the integrity of their implant checked so the surgeon can remove and replace the implant before there is a problem. Patients may also choose to have their implants removed or replaced at any time if they decide their current implants no longer fit their needs, wants, or lifestyle.
attain a feminine chest
Male to female (MTF) breast augmentation is a plastic surgery that offers worthwhile, lasting results for patients. If you are contemplating this surgery and have taken the necessary steps to make this very important decision for yourself, we invite you to call Bellevue Plastic Surgeons to schedule your consultation.