Dr. Breanna Jedrzejewski
Gender-Affirming Plastic Surgeon in San Francisco
Dr. Breanna Jedrzejewski, MD, MPH, is a board-eligible plastic and reconstructive surgeon whose practice is entirely devoted to the care of transgender, non-binary, and gender-diverse individuals. She is based at Align Surgical Associates in San Francisco, where she offers a full spectrum of gender-affirming procedures. With an emphasis on individualized care and patient empowerment, Dr. Jedrzejewski works in close partnership with each person to ensure their surgical experience reflects their identity, goals, and lived experience.
Education and Training
- MD: Brown University
- MPH in Global Health: Yale University
- BA in Fine Art Photography: Yale University
- Plastic Surgery Residency: Six-year integrated program at Oregon Health & Science University (OHSU)
- Awards: Best Resident Research Award (2019–2021), Division of Plastic and Reconstructive Surgery at OHSU
Surgical Expertise
Dr. Jedrzejewski performs a comprehensive range of gender-affirming surgeries, applying her extensive reconstructive training and artistic sensibility to each procedure:
Facial Masculinization
Through procedures such as jaw and chin augmentation, tracheal augmentation, and soft tissue reduction, Dr. Jedrzejewski reshapes facial features to create more traditionally masculine contours. Her artistic background plays a key role in evaluating facial symmetry and structural balance.
Top Surgery (FTM Chest Reconstruction)
She offers double incision and keyhole mastectomy techniques to create a flat, masculine chest. Her training in reconstructive breast surgery enhances her ability to minimize scarring and optimize nipple placement.
Bottom Surgery (Genital Reconstruction)
Dr. Jedrzejewski performs masculinizing genital surgeries including phalloplasty, metoidioplasty, and scrotoplasty. She also specializes in procedures such as vagina-preserving phalloplasty, using a trauma-informed approach and following strict WPATH guidelines.
Body Contouring
These procedures focus on shaping the torso, flanks, and limbs to enhance traditionally masculine body features. Options like chest contouring, abdominal etching, and flank liposuction may be used for refined results. Some of these surgeries may be considered cosmetic and may not be covered by insurance.
Surgeries are performed at accredited surgical centers in San Francisco, including Post Street Surgery Center, California Pacific Medical Center, and St. Francis Memorial Hospital—each equipped for high-level reconstructive and aesthetic care.
Surgery Requirements
Dr. Jedrzejewski follows the Standards of Care set by the World Professional Association for Transgender Health (WPATH). Requirements may vary depending on the type of surgery and the patient’s insurance plan, but generally include:
- A diagnosis of gender dysphoria from a qualified mental health professional
- One or two letters confirming medical necessity (depending on the procedure)
- Age 19 or older
- At least 12 months of hormone therapy unless medically contraindicated
- Mammogram for patients aged 50+ seeking Top Surgery
Insurance & Managed Medi-Cal Plans
Dr. Jedrzejewski accepts most major private insurance plans and some managed Medi-Cal plans.
What is a Managed Medi-Cal Plan?
In California, Medi-Cal (Medicaid) can be administered through managed care organizations—private insurance companies contracted by the state. Patients with these plans typically receive a Medi-Cal insurance card branded with the name of the managed care organization (such as Anthem Blue Cross or Health Net). To find out if you have a managed Medi-Cal plan, check your insurance card or contact your Medi-Cal health plan directly.
Verifying Coverage
Facial and body contouring procedures may not be covered under all insurance plans. Patients should contact their insurance provider to confirm:
- Whether gender-affirming procedures are covered
- If Dr. Jedrzejewski is an in-network provider
- Any requirements for prior authorization or referral
- What documentation is needed, such as letters of medical necessity
It's also recommended to request a Summary of Benefits or submit a predetermination request to get formal confirmation of coverage.
What to Do First: Consultation, Insurance, or Letters?
For patients just starting their surgical journey, here’s how to proceed:
- Start with a consultation. Dr. Jedrzejewski recommends scheduling a consultation first—either by phone or virtually. This will help you understand which procedures are appropriate and whether your surgical goals align with your anatomy and health status.
- Check your insurance coverage. After your consultation, you’ll be able to check your insurance benefits more precisely. Align Surgical can often assist with insurance verification and preauthorization requests once you’ve established care.
- Secure your letters. Mental health letters should be obtained once you and your surgeon have agreed on a surgical plan. These letters must be written by licensed professionals who are familiar with gender dysphoria and medical necessity documentation.
Booking a Consultation
Dr. Jedrzejewski offers a safe, affirming space for patients to explore their surgical options. Her care philosophy is deeply collaborative, emphasizing respect, empathy, and clear communication throughout every step of the process. To begin your journey, contact Align Surgical Associates in San Francisco to schedule a consultation.
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