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.
"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 / Jun 19, 2022
"The entire process went very smoothly and I ended up getting the results I wanted - I had a wonderful experience with Dr. Marosan and his amazing team! He was able to answer all my questions thoroughly before my surgery and eased all my worries. The operation went smoothly and I was comfortable the entire time. In regards to the results of the procedure, I couldn’t be happier. Overall the entire process went very smoothly and I ended up getting the results I wanted. I definitely recommend going to Dr. Marosan if you’re considering a labiaplasty!"- B. / RealSelf / Dec 06, 2021
"Labiaplasty and Thermiva - At 47 years old, I'd dealt with the discomfort of oversized labia for far too long. I met with Dr. Marosan and his staff and decided to do labiaplasty and then Thermiva. It has been a life-changer for me. Wearing underwear was ALWAYS uncomfortable, but going without was worse. It's amazing how removing a small part of your body makes such a difference. I'm now dressing with ease, and even started running. The entire team here is top-notch. I wholeheartedly recommend them to any woman thinking about labiaplasty."- P. / RealSelf / Mar 10, 2021
"I Booked my Surgery Date with Dr. Marosan - After breastfeeding, my breasts are a little saggy and deflated especially my upper pole. I also got fat pockets around my stomach, abdomen and back. I'm not able to wear clothing that requires a strapless bra and I haven't wear a bikini for years. With a push-up bra, I can easily hide all of these problems but I don't feel confident without my clothing. I have spent years reading reviews, looking at pictures, and doing my research here and finally I made my decision to have a surgery. I want to do a 360 vaser lipo to get rid all of my unwanted fats and transfer them to my breast in order to increase the upper pole fullness. I make a consultation with Dr. Marosan on 12/9. He answered all of my questions, went through the process with me, took pictures of me, and then use myTouchMD to draw the lines on my picture so I'm able to know what kind of results should I expect. I told Dr. Marosan that I'm obsessed with a tiny waist with muscle line and a flat stomach and showed him the picture of the results I was looking for. I arrived at 11.10 and left his office at 12.40 so you know it went really well. Actually before I came to his office, I already knew he is the best, I saw lots of good reviews and beautiful results here. Since I'm already in the area, I also booked a consultation with another doctor in Bellevue as well but there is nothing to compare of. I didn't have a chance to meet another doctor in person but with his assistant, I mean his assistant is nice but maybe because I already decided to go with Dr. Marosan from my deep heart, I didn't feel comfortable, so I only spend 20 minutes there and all I was thinking about was when can I get my quote from Dr. Marosan. I got my quote the next following day and made my deposit immediately to lock my surgery day in January. I just couldn't wait any longer. So doctor Marosan is the only doctor I saw before I made my decision, I just don't think it's necessary to see the other doctors because I believed him and my mind is at ease when I think about under the knife with his hand and his experience. I'll keep updated and hope to help anyone who is looking to do the same procedure as me."- N. / RealSelf / Dec 10, 2020
"Outstanding Experience with Entire Team - I had a great experience with Dr. Marosan and his entire team. Surgery is always difficult and they were with me and my family each step of the way For those concerned about safety protocols, Dr. Marosan has implemented them in a way which is seamless and still allows for human interaction. I would recommend Dr. Marosan's practice for any surgery you may be contemplating."- J. / RealSelf / Dec 08, 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.