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MTF Breast Augmentation in Bellevue, WA


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.

During/After Surgery

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. 

Perfect! No more gynecomastia, love handles or belly fat - Dr. Marosan made my dream come true. No more gynecomastia, no more love handles, no more belly fat. I'm the person I've always wanted to be. Everyday I look at myself in the mirror and thank my lucky stars that I met Dr. Marosan.

B. RealSelf

Couldn't be more pleased - my breasts are so soft and natural - I couldn’t be more pleased with my experience and the results. My breasts are so soft and natural. I highly recommend Dr. Marosan and his staff and will definitely be seeing him for any future procedures.

P. RealSelf

Gynecomastia surgery - 3 months later and I could not be happier with the result! - I previously had gynecomastia surgery and then an additional correction, both procedures were with a different doctor and both procedures did nothing but leave me with scarring. I thought it would be a good idea to try one more time and thank goodness I did! Dr. Marosan explained everything perfectly and made me feel really comfortable moving forward. 3 months later and I could not be happier with the result! I would recommend Dr. Marosan to anybody considering getting work done. 10/10

R. RealSelf

Ab Etching Dramatically Increased my Motivation! - In Sep 2021 I had VASER Hi-def lipo, gynecomastia, and abdominal etching work performed by Dr. Marosan. Being former military, I previously tried to just force body discipline by 5am sessions with a personal trainer, random gym apps, CrossFit (twice), but still couldn't get (and maintain) my body the way I wanted. I knew I didn't need the motivation of group support, and if I could just find the right catalyst then I could do this on my own. So I bought a Tonal machine for at home workouts, and went in for the procedure with the objective that the surgery was just the start of my fitness journey (for immediate visual motivation), versus the end (ie no more work needed). I was fortunate to live right down the street from a respected true master of his craft who could do this work on me! Dr. Marosan fully explained what would happen, why he would do certain things, and equally important why he would not do other things that I'd found online (like sculpting a sixpack into the abdominal fat so I'd look like Batman 24/7). Not much to share on the procedure itself, I remember going in and laying on the table, and next thing I know I was getting up and wheeled out to my ride. I did have a few drainage tubes for a week which were a pain to manage for bathroom trips, and the garment/foam isn't the most comfortable, but once the tubes came out and the swelling went down things greatly improved.A year after surgery and I know that seeing the difference in my body has helped me make better dietary choices, and has kept me motivated with my workouts. This was definitely one of the best decisions I've made for myself, as I see the results every single day and know that it's 100% up to me to continue the work to highlight the impact of the sculpting even more. As I put in more work (nutrition & exercise), I now see the impact faster, and the benefit is more pronounced. If you're on the fence, just treat yourself & go in for a consultation, you won't regret it!(my pics are on his website gallery)

F. RealSelf

BBL: Lipo 360 + fat transfer w/ drains - Dr. Marosan, or Dr. G as I like to call him, is a no nonsense guy about his craft. You can tell he knows what he is doing, he's experienced, and knows his way around body contouring. After extensive research I chose Dr. G based on his credentials and his years in the field - I have zero regrets. I was also impressed by Dr. G's responsiveness following my procedure (lipo 360 + fat transfer) which is a big deal, because this is a big procedure. He answered my calls at 10 pm when I freaked out about my drains, and even took the time to see me on a Saturday, which is outside of his normal office hours, to check on me and address my concerns. The rest of the staff was also pretty amazing, Crystal, at the front desk is always responsive and kind, Lauri the nurse/coordinator is also a gem. Big shout out to Lauri for petting my head and comforting me during my arm lipo! Lauri if you're reading this, I love you lolIf my arms were long enough (and not leaking tumescent fluid), I'd hug the staff all at the same time.

M. RealSelf


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Surgical Technique

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. 

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.

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.

Larger Sizes?

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.

Implant Replacements?

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.

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*Individual results are not guaranteed and may vary from person to person. Images may contain models.