Top Surgery & Gender-Affirming Facial Surgery in Reston, VA
Dr. Andrew Kochuba, MD, FACS is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia. He is experienced in performing top surgery and breast augmentation, as well as facial feminization and masculinization. With advanced training from Georgetown University, Montefiore Medical Center, the University of Pittsburgh Medical Center, and the Cleveland Clinic, Dr. Kochuba combines world-class surgical expertise with compassionate, affirming care. Patients from Reston, Fairfax, Arlington, Alexandria, and Loudoun County, and beyond, trust him to perform these life changing surgeries.
Education and Training
Dr. Kochuba earned his medical degree from Georgetown University School of Medicine, graduating Cum Laude in the top ten of his class and gaining election into Alpha Omega Alpha. During medical school, he volunteered with the Hoya Clinic, Hands-On DC, and DC Central Kitchen.
He completed his general surgery residency at Montefiore Medical Center of the Albert Einstein College of Medicine in New York City, followed by plastic surgery training at the University of Pittsburgh Medical Center (UPMC), the nation’s top-ranked plastic surgery residency. He later pursued an ASAPS-endorsed aesthetic plastic surgery fellowship at the Cleveland Clinic, training under renowned surgeon Dr. James Zins.
Research and Awards
Dr. Kochuba has received multiple academic honors, including the Weis Market Scholarship, Muhlenberg Scholar Award, Presidential Merit Scholarship, and induction into Omicron Delta Kappa and Alpha Epsilon Delta honor societies. He has also contributed to ACGME committees on accreditation, patient safety, and physician well-being.
Feminizing Surgery Procedures
Dr. Kochuba provides a comprehensive range of feminizing surgery options in Northern Virginia, including:
- Facial Feminization Surgery: forehead recontouring, brow lift, rhinoplasty, cheek augmentation (fillers or fat grafting), lip lift, chin recontouring, jaw recontouring
- Breast Augmentation
- Buttock Augmentation
- Body Sculpting, Gender-Affirming Liposuction
“I had rhinoplasty with Dr. Kochuba six months ago, and I couldn’t be happier with the results. From my very first consultation, Dr. Kochuba and his team made me feel comfortable and supported. They took the time to listen to my concerns and discuss my goals in detail, ensuring I felt fully informed about the procedure. Throughout the process, Dr. Kochuba was incredibly professional and approachable, answering all my questions with patience. His expertise and artistic approach were evident, and I felt confident in his abilities.” – Ivonné H.
Masculinizing Surgery Procedures
For patients seeking FTM top surgery in Virginia, Dr. Kochuba offers the Double Incision, Keyhole, Peri-Areolar, Inverted-T, and Buttonhole techniques.
Dr. Kochuba also performs body masculinization and facial masculinization surgery.
Dr. Kochuba operates at Austin-Weston, The Center for Cosmetic Surgery in Reston, VA, with hospital affiliations at INOVA and Reston Hospital Center.
Costs and Financing
| Procedure | Price (USD) |
|---|---|
| Top Surgery | Starting at $12,050 |
| Breast Augmentation | Starting at $6,700 |
| Facial Feminization | Starting at $12,050 |
These fees include the surgeon’s fee, anesthesia, operating room, recovery garments, and all pre- and post-op visits. Fees are general estimates only (as of September 2025). Exact pricing can only be determined following a consultation.
Payment methods accepted: Cash, credit card, check, and medical financing (CareCredit). Dr. Kochuba does not accept insurance, Medicaid or Medicare at this time.
Consultations with Dr. Kochuba
Dr. Kochuba offers both in-person and virtual consultations. The fee is $100, applied toward surgery costs. Wait times are typically 2–5 weeks for a consultation and 3–6 weeks for surgery dates.
About 10% of his patients are transgender or nonbinary. Austin-Weston is known for gender-affirming practices, including inclusive intake forms, clear policies for updating names and pronouns, cultural competency training for staff, and a zero-tolerance policy for discrimination. Austin-Weston proudly sponsors Reston Pride annually.
The practice provides care in English, Spanish, and Vietnamese.
Surgery Requirements
- Medical clearance (patient-dependent)
- Smoking cessation at least 1 month before surgery
- Not currently pregnant
Additionally, Dr. Kochuba follows WPATH selection criteria, which require:
- Hormone therapy (for some procedures)
- One or two referral letters from a qualified mental health professional that include:
- Patient’s general information
- Psychosocial assessment and diagnoses
- Duration of the physician–client relationship
- Surgical criteria explanation with a brief description of the clinical rationale supporting the request
- Documentation of informed consent
- Statement that the mental health professional is available for coordination of care (meaning they can be contacted by the surgeon or care team if questions arise about the assessment or support)
Have questions for Dr. Kochuba? Contact his office by clicking the Send Inquiry button.
