Gender-Affirming Plastic Surgeon in Northern Virginia
Dr. Robert Sigal, MD is a board-certified plastic surgeon with decades of surgical experience and a reputation for compassionate, patient-centered care. He is pleased to help transgender and nonbinary patients achieve their goals through gender-affirming surgery. At Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia, he offers a wide range of procedures including FTM top surgery, MTF breast augmentation, facial feminization, and body contouring. Patients from across Northern Virginia, Washington D.C., and the Baltimore–Washington corridor seek out Dr. Sigal for his skill in tailoring surgical techniques to each individual’s needs.
Education, Training & Memberships
Dr. Sigal completed his undergraduate degree at Harvard College and earned his medical degree from Jefferson Medical College. He trained in general surgery at Harbor/UCLA, serving as chief resident, and spent two years in cancer research at the University of Pennsylvania before completing his plastic and reconstructive surgery residency there.
Dr. Sigal is a member of the following professional organizations:
- National Capital Society of Plastic Surgeons
- Medical Society of Virginia
- American Society of Aesthetic Plastic Surgeons
- American Society of Plastic Surgeons
- American Association for the Advancement of Science
- New York Academy of Sciences
- American College of Surgeons Candidates Group
Awards & Recognition
Dr. Sigal has received recognition for his work in both surgery and research. His honors include:
- America’s Top Doctors®, Castle Connolly
- Regional Top Doctors, Castle Connolly
- Honor Roll Award, Healthgrades
- Patient’s Choice Award, Vitals
- On-Time Doctor Award, Vitals
- Compassionate Doctor Recognition, Vitals
- Leading Physicians of the World (Plastic Surgery)
Gender-Affirming Procedures
Masculinizing Surgery
- Top Surgery: Double Incision, Keyhole, Peri-Areolar, Inverted-T, Buttonhole
- Body Masculinization
- Facial Masculinization
Feminizing Surgery
- Facial Feminization Surgery (FFS): Hairline Correction, Forehead Recontouring, Brow Lift, Rhinoplasty, Cheek Augmentation, Chin Recontouring, Jaw Recontouring, Tracheal Shave
- Breast Augmentation
- Buttock Augmentation
- Body Sculpting
Surgery Facility: Dr. Sigal performs surgeries at Austin-Weston’s private surgical facility in Reston, VA. He is also affiliated with Inova Health System, a not-for-profit health organization based in Falls Church, Virginia, United States, near Washington, D.C.
Costs and Financing
| Procedure | Price (USD) |
|---|---|
| Top Surgery | Starting at $12,050 |
| Breast Augmentation | Starting at $6,700 |
| Facial Feminization | Starting at $12,050 |
| Tracheal Shave | Starting at $9,500 |
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). Insurance, Medicaid and Medicare are not accepted at this time.
Surgery Requirements
- Medical clearance (patient-dependent)
- Smoking cessation at least 1 month before surgery
- Not currently pregnant
Additionally, Dr. Sigal 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)
Consultations
Dr. Sigal offers both virtual and in-person consultations. The consultation fee is $100, which is applied to the cost of surgery. Wait times are typically 3–6 weeks for consultation and 4–8 weeks for surgery after consultation.
Gender-Affirming Practices
- Austin-Weston is committed to providing affirming care for transgender and nonbinary patients through:
- Inclusive intake forms with flexible gender options
- Separate fields for legal name and preferred name
- Clear policies for updating patient records with correct names and pronouns
- Staff-wide cultural competency training on gender diversity
- Consistent pronoun use, even outside patient presence
- Zero-tolerance policy for discrimination
- LGBTQ+ friendly media and neutral patient communication
- Dedicated, private patient communication team
- Annual sponsorship of Reston Pride (2023, 2024, 2025).
Ready to learn more about gender-affirming surgery with Dr. Robert Sigal? Contact his office by clicking the Send Inquiry button.
