Dr. Oscar Manrique

Fellowship-Trained Top Surgery Surgeon

Dr. Oscar Manrique, MD, FACS is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia, where he offers gender-affirming chest surgery for transgender and nonbinary patients. With more than a decade of experience, Dr. Manrique is known for blending advanced surgical technique with a calm and compassionate approach to care.

Dr. Manrique's surgical background includes military medical training, general surgery residency at Harvard and Boston University, and advanced plastic surgery fellowships at Montefiore Medical Center and the University of Southern California.

View Dr. Manrique's full academic and surgical training credentials on his TransHealthCare surgeon profile.

From 2017 to 2020, he served as Co-Director of the Surgical Transgender Clinic at the Mayo Clinic, where he helped expand surgical protocols and gender-affirming care pathways.

Top Surgery in Virginia

Dr. Manrique provides a full range of Top Surgery techniques, selecting the approach that best fits each patient's anatomy, tissue characteristics, and goals. His skill set includes:

Double Incision Top Surgery
Keyhole Top Surgery
Peri-Areolar Top Surgery
Inverted-T Technique
Buttonhole Technique

He also offers masculinizing body contouring for patients seeking additional enhancement of torso shape. Dr. Manrique prioritizes natural-appearing results, nipple positioning and symmetry, and scar placement tailored to each patient.

All Top Surgery procedures are performed at Austin-Weston's accredited surgical facility in Reston, Virginia.

Top Surgery Pricing

Top Surgery: Starting at $12,050 (as of September 2025)

Fees include: surgeon's fee, anesthesia, operating room cost, postoperative garments, and all pre- and post-operative visits.

Payment methods: cash, credit card, check, and CareCredit financing. Insurance, Medicaid, and Medicare are not accepted for Top Surgery at this time.

Surgery Requirements

Pre-surgical requirements include:

General medical clearance
Smoking cessation at least 1 month prior to surgery
Not currently pregnant

Dr. Manrique follows WPATH Standards of Care. A letter written by a mental health professional with a diagnosis of gender dysphoria and recommendation for surgery is required.

Consultations With Dr. Manrique

Consultations may be scheduled in person or virtually. Consultations include a detailed review of technique options, expected outcomes, and a customized surgical plan.

Fee: $100, applied to the cost of surgery
Consultation wait time: 2–5 weeks
Surgery scheduling: 3–6 weeks after consultation

Austin-Weston emphasizes a welcoming, gender-affirming environment with inclusive intake forms, correct use of names and pronouns, mandatory cultural competency training, zero-tolerance policies for discrimination, and an LGBTQ+ friendly office culture. Care is available in English and Spanish.