Gender-Affirming Facial & Top Surgery in Reston, VA
Dr. Byron Poindexter, MD is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia. He is highly skilled in FTM top surgery, MTF breast augmentation, and facial feminization and masculinization. Patients from Northern Virginia, the Washington, D.C. metropolitan area and the Baltimore–Washington corridor trust Dr. Poindexter for his expertise in creating personalized, affirming surgical outcomes that align with each patient’s goals.
Education and Training
Dr. Poindexter earned his Bachelor of Science and Doctor of Medicine from Indiana University, completing studies in Chemistry and Psychology. He completed a general surgery residency at the University of Florida and a plastic surgery fellowship at the University of Alabama, gaining extensive experience in both reconstructive and aesthetic surgery.
Dr. Poindexter is board-certified by the American Board of Plastic Surgery and is a member of the American Society of Plastic Surgeons (ASPS), National Capital Society of Plastic Surgeons (President), and Virginia Society of Plastic Surgeons.
Awards and Recognition
Dr. Poindexter has earned numerous honors, including Honor Roll Award (Healthgrades), America’s Top Doctors and Regional Top Doctors (Castle Connolly), Patient’s Choice Award, On-Time Doctor Award, and Compassionate Doctor Recognition (Vitals).
Transgender Facial Surgery Northern Virginia
Dr. Poindexter offers gender-affirming facial surgeries, working with patients who would like to either feminize or masculinize their features. Procedures can often be combined into a single surgery.
- Hairline advancement
- Forehead recontouring
- Brow lift
- Rhinoplasty
- Cheek implants, with fillers or fat grafting
- Lip lift
- Chin recontouring and chin implant
Gender-Affirming Chest Surgery
For patients seeking FTM top surgery in Reston, Fairfax, Arlington, Alexandria, and Loudoun County, Dr. Poindexter offers the following techniques: Double Incision, Keyhole, Peri-Areolar, Inverted-T, and Buttonhole.
He also performs Breast Augmentation, using either silicone or saline implants.
Gender-Affirming Body Contouring in Northern Virginia
Dr. Poindexter is highly experienced with liposuction and fat grating to change the distribution of adipose tissue in the body. These techniques can be used to augment or sculpt body contours to match patients’ visions of themselves.
- Liposuction and fat transfer to the hips and buttocks (buttock augmentation)
- Masculinizing body sculpting, liposuction of the abdomen, hips, buttocks, thighs and lower back to broaden the appearance of the chest and shoulders while slimming the waist.
Dr. Poindexter operates at Austin-Weston, The Center for Cosmetic Surgery and is affiliated with INOVA Fair Oaks.
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. Poindexter does not accept insurance, Medicaid or Medicare at this time.
Consultations with Dr. Poindexter
Dr. Poindexter offers virtual and in-person consultations. The fee is $100, applied toward the cost of surgery. Wait times are typically 3–6 weeks for consultations and 3–6 weeks for surgery dates.
Approximately 10% of his patients are transgender or nonbinary. At Austin-Weston, providing our patients with a welcoming, affirming environment is a top priority and we maintain gender-affirming intake and administrative practices, including:
- Inclusive intake forms with self-description options
- Separate “name” and “legal name” fields
- Clear policies for updating names and pronouns
- Mandatory staff training in gender diversity and respectful communication
- Consistent pronoun use and zero-tolerance for discrimination
- LGBTQ+ friendly media and neutral group language
- Private patient communication team
- Annual sponsorship of Reston Pride events
Languages spoken at the practice: English, Spanish, Vietnamese
Surgery Requirements
- Medical clearance (patient-dependent)
- Smoking cessation at least 1 month before surgery
- Not currently pregnant
Additionally, Dr. Poindexter 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. Poindexter? Contact his office by clicking the Send Inquiry button.
