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Dr. Robert Sigal
Top Surgery Surgeon in Northern Virginia
Dr. Robert Sigal, MD is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia, where he provides gender-affirming Top Surgery for transgender and nonbinary patients from Northern Virginia, Washington, D.C., and the Baltimore–Washington region. With decades of surgical experience, Dr. Sigal is known for his technical precision and commitment to creating individualized results that align with each patient’s goals. Over the span of his career, he has received numerous recognitions for excellence in surgery, patient care, and clinical leadership.
Top Surgery with Dr. Sigal
Dr. Sigal offers all major Top Surgery techniques, including Double Incision, Keyhole, Peri-areolar, Inverted-T, and Buttonhole approaches. Technique selection is individualized based on chest size, skin elasticity, nipple position, and the patient’s desired aesthetic outcome. Dr. Sigal pays close attention to chest contour, incision placement, and nipple grafting or resizing when needed, ensuring results that feel both natural and affirming.
He can also incorporate body masculinization procedures such as targeted liposuction to refine the torso and further support a masculine silhouette. All procedures are performed at Austin-Weston’s private, fully accredited surgical facility.
Top Surgery Cost & Financing
The cost of Top Surgery with Dr. Sigal begins at $12,050 (as of September 2025). This fee generally includes the surgeon’s fee, anesthesia, facility charges, recovery garments, and all pre- and post-operative visits. Exact costs depend on the surgical plan developed during consultation. Accepted payment methods include cash, check, credit card, and CareCredit financing. Insurance, Medicaid, and Medicare are not accepted for Top Surgery at this time.
Surgery Requirements
Before Top Surgery, patients may need medical clearance depending on their health history. Smoking cessation is required for at least one month prior to surgery, and patients must not be pregnant.
Dr. Sigal follows WPATH Standards of Care, which require one or more referral letters from a qualified mental health professional. These letters typically document gender dysphoria, psychosocial assessment, the duration of the therapeutic relationship, informed consent, and the clinician’s availability for care coordination.
Consultations
Dr. Sigal offers both virtual and in-person consultations. Each consultation includes a discussion of goals, review of technique options, assessment of chest anatomy, and an overview of the recovery process. The consultation fee is $100 and is applied toward the cost of surgery. Typical wait times are 3–6 weeks for a consultation and approximately 4–8 weeks from consultation to surgery, depending on scheduling and patient readiness.
Affirming Care at Austin-Weston
Austin-Weston maintains a supportive environment for transgender and nonbinary patients. The practice uses inclusive intake forms, offers separate fields for legal and preferred names, and maintains clear protocols for updating pronouns and identity information. Staff undergo training in gender diversity and respectful communication, and the clinic upholds a strict zero-tolerance policy for discrimination. Austin-Weston is pleased to be an annual sponsor of Reston Pride.
Ready to learn more about Top Surgery with Dr. Robert Sigal? Contact his office for additional information or to begin the consultation process.