Dr. Alexander Facque
San Francisco Top Surgery Surgeon
Dr. Alexander Facque, MD is a Gender Surgeon at San Francisco's Gender Confirmation Center, where he performs Top Surgery and Body Masculinization, and has expanded their surgical offerings with his specialization in Facial Masculinization procedures. Dr. Facque is board-certified in plastic surgery and fellowship-trained in Gender Surgery. He was introduced to gender-affirming care in 2012 during his plastic surgery residency at the Mount Sinai Medical Center in New York and now works exclusively with transgender and non-binary patients.
Dr. Facque performs surgeries Saint Francis Memorial Hospital and the Vista Surgery Center, a fully accredited surgery center located in the same building as the Gender Confirmation Center's office. Both facilities offer highly personalized care and have staff who are well versed in gender-affirming care.
Dr. Facque offers in-person and virtual consultations at no cost. The wait time for a consultation is about one month and the wait time for a surgery date is 4-5 months after your consultation. Please contact Dr. Facque to book your consultation.
The exact cost of Top Surgery can only be determined after you've had a consultation.
The price is all-inclusive: pre- and post-operative appointments, surgeon's fee, operating room fees, anesthesia fee, implants and post-operative garments.
You can pay for Top Surgery with cash, credit cards, medical financing or insurance. Dr. Facque currently accepts insurance from the insurance companies below (list is subject to change.)
- Anthem BC (Anthem Blue Cross)
- Blue Shield
- Blue Cross
- Aetna
- Aetna (Student Services for University of California System)
- Cigna
- United Health Care
- Brown & Toland HMO
- Health Net
- Health Plan of San Joaquin
- Hill Physicians IPA
- Mercy Medical Group
- Meritage IPA ("WHA Medical Groups")
- Northbay Medical Group
- Western Health Advantage ("WHA")
- UC Davis Medical Group
Surgery Eligibility
- To qualify for Top Surgery, you need to be in good physical health and any significant mental health concerns must be reasonably well controlled at the time of surgery.
- Testosterone hormone replacement therapy is not required to have Top Surgery.
- A support letter from a mental health provider is not required by Dr. Facque but if you're using insurance, the insurance company will require one or two letters indicating that your Top Surgery is medically required.
- Age 18+
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