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Dr. Andrew Kochuba
Top Surgery Surgeon in Reston, Virginia
Dr. Andrew Kochuba, MD, FACS is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia. He performs masculinizing chest surgery (Top Surgery) for transgender and nonbinary patients across Northern Virginia and surrounding regions. With advanced training from Georgetown University, Montefiore Medical Center, the University of Pittsburgh Medical Center, and the Cleveland Clinic, Dr. Kochuba combines refined surgical skill with an affirming approach to care.
Dr. Kochuba offers a full range of masculinizing chest surgery techniques, tailoring each procedure to the patient’s anatomy, tissue characteristics, and goals. Techniques include:
- Double Incision Top Surgery
- Keyhole Top Surgery
- Peri-areolar Top Surgery
- Inverted-T Technique
- Buttonhole Technique
His Top Surgery philosophy emphasizes natural-looking contours, balanced nipple positioning, and scar placement that aligns with patient preferences and lifestyle.
For patients seeking additional masculinization, he also performs body masculinization and facial masculinization procedures. All procedures are performed at Austin-Weston’s accredited surgical facility in Reston, Virginia.
Top Surgery Cost
The cost of Top Surgery with Dr. Kochuba begins at $12,050 (as of September 2025). Fees include the surgeon’s fee, anesthesia, operating room costs, postoperative garments, and all pre- and post-operative visits. Payment methods include cash, credit card, check, and CareCredit financing. Insurance, Medicaid, and Medicare are not accepted.
Surgery Requirements
Pre-surgical requirements may include medical clearance, at least one month of smoking cessation, and confirmation that the patient is not currently pregnant. Dr. Kochuba follows WPATH Standards of Care, which require a referral letter from a qualified mental health professional documenting gender dysphoria, psychosocial assessment, and informed consent.
Consultations With Dr. Kochuba
Consultations are offered in person and virtually. During the consultation, Dr. Kochuba reviews goals, explains surgical options, outlines expected recovery, and builds an individualized surgical plan. Patients often describe Dr. Kochuba as attentive, detail-oriented, and easy to talk to, noting that he takes time to listen and offers thoughtful guidance throughout the surgical experience.
The consultation fee is $100, which is applied to your surgery costs. Typical wait times are 2–5 weeks for a consultation and 3–6 weeks for surgery dates.
Austin-Weston celebrates its gender-affirming environment, including inclusive intake processes, correct use of names and pronouns, cultural competency training, clear policies supporting LGBTQ+ patients, and annual sponsorship of Reston Pride.
Ready to learn more or schedule a consultation? Contact Dr. Kochuba's office.