Dr. Byron Poindexter

Top Surgery Surgeon in Reston, Virginia

Dr. Byron Poindexter, MD is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia. He performs gender-affirming Top Surgery for transgender and nonbinary people from Northern Virginia, the Washington, D.C. metro area, and the broader Baltimore–Washington corridor. Patients often choose Dr. Poindexter for his combination of technical precision, attention to aesthetic details, and an affirming care environment.

Dr. Poindexter is board certified by the American Board of Plastic Surgery and is an active member of several professional societies, including the American Society of Plastic Surgeons, the National Capital Society of Plastic Surgeons, and the Virginia Society of Plastic Surgeons. Over the course of his career, he has received multiple honors recognizing his clinical excellence and patient-centered care.

See Dr. Poindexter's full academic credentials on his TransHealthCare surgeon profile.

Top Surgery with Dr. Poindexter

For those seeking masculinizing Top Surgery in Reston, Fairfax, Arlington, Alexandria, Loudoun County, and surrounding areas, Dr. Poindexter offers the full range of commonly used chest surgery techniques: Double Incision, Keyhole, Peri-areolar, Inverted-T, and Buttonhole. He selects the approach based on each patient's chest size, skin elasticity, anatomy, and goals, with careful attention to chest contour, nipple position, and scar placement.

To further masculinize body shape, Dr. Poindexter can also incorporate masculinizing body contouring with targeted liposuction and fat removal to enhance upper torso breadth while slimming areas such as the waist, hips, and flanks. All procedures are performed at Austin-Weston's fully accredited surgical facility.

Top Surgery Financing

The cost of Top Surgery with Dr. Poindexter starts at $12,050 (as of September 2025). This fee includes the surgeon's fee, anesthesia, operating room charges, recovery garments, and all scheduled pre- and post-operative visits. Individualized pricing is provided after consultation. Accepted payment methods include cash, credit card, check, as well as surgery financing through CareCredit. Insurance, Medicaid, and Medicare are not accepted for Top Surgery at this time.

Surgery Requirements

Pre-surgical requirements include medical clearance based on overall health and at least one month of smoking cessation before surgery. Dr. Poindexter follows WPATH Standards of Care and requires a referral letter from a qualified mental health professional. The letter should document a diagnosis of gender dysphoria, psychosocial history, duration of the therapeutic relationship, the clinical rationale supporting surgery, and confirmation of informed consent.

Consultations with Dr. Poindexter

Dr. Poindexter offers both virtual and in-person consultations. During the consultation, he reviews goals, examines chest anatomy, discusses the different Top Surgery techniques, explains what to expect during recovery, and develops a customized surgical plan. The consultation fee is $100 and is applied toward the cost of surgery.

Typical wait times are about 3–6 weeks for a consultation and 3–6 weeks from consultation to surgery, depending on scheduling and patient readiness.

Austin-Weston places a strong emphasis on providing an affirming environment for transgender and nonbinary patients. The practice uses inclusive intake forms, offers separate fields for legal name and chosen name, and maintains clear policies for updating names and pronouns. Staff receive ongoing training in gender diversity and respectful communication, and the clinic upholds a zero-tolerance policy for discrimination. Austin-Weston also supports the local community through initiatives such as annual sponsorship of Reston Pride.