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Dr. Alexander Facque

Fellowship-Trained Facial Feminization Surgeon

Dr. Alexander Facque, MD is a board-certified plastic surgeon in San Francisco, California who joined the Gender Confirmation Center's team in September 2020 as a full-time Associate Surgeon with deep expertise in Facial Gender Confirmation Surgery, Breast Augmentation and Body Sculpting. Dr. Facque was introduced to gender-affirming care in 2012 and now works exclusively with transgender and non-binary patients.

Education and Training

  • Bachelor of Science, University of Puget Sound
  • Doctor of Medicine degree, University of Nevada School of Medicine
  • Plastic surgery residency, Icahn School of Medicine at Mount Sinai Medical Center, New York
  • 1-year fellowship in Gender Surgery, Weiss Memorial Hospital, Chicago

Dr. Facque operates at St. Francis Memorial Hospital where the staff have received transgender sensitivity training ensuring proper pronoun use and personalized support. There is a dedicated transgender liaison nurse team who work directly with patients to provide a "best in class" healthcare experience. Dr. Facque also operates at Vista Surgery Center, a fully accredited surgery center that is smaller compared to a hospital, offering a more intimate setting.

Dr. Facque's practice is focused Facial Feminization, Breast Augmentation and Body Contouring. His special interest in Facial Feminization represents an important expansion of the services offered at the Gender Confirmation Center. He offers the following Facial Feminization procedures:

  • Hairline Correction
  • Forehead Recontouring
  • Brow Lift
  • Rhinoplasty
  • Cheek Implants
  • Lip Lift
  • Chin Recontouring
  • Jaw Recontouring
  • Tracheal Shave

Surgery Costs
Exact pricing can only be determined after your consultation with Dr. Facque. The price you'll be quoted includes pre- and post-surgery appointments, Dr. Facque's fee, operating room fees, anesthesia fee, implants and any required post-operative garments.

Dr. Facque accepts cash, credit cards, medical financing, and insurance (for some procedures) from the following companies:

  • Anthem BC (Anthem Blue Cross)
  • Blue Shield
  • Blue Cross
  • Aetna
  • Aetna (Student Services for University of California System)
  • Cigna
  • United Health Care
  • Brown & Toland HMO
  • Health Net
  • Health Plan of San Joaquin
  • Hill Physicians IPA
  • Mercy Medical Group
  • Meritage IPA ("WHA Medical Groups")
  • Northbay Medical Group
  • Western Health Advantage ("WHA")
  • UC Davis Medical Group

Note: This list is accurate as of October 2022.

Booking a Consultation
Dr. Facque offers FREE in-person and virtual consultations. The wait time for a consultation is one month and the wait time for a surgery date is approximately 4-5 months after your consultation.

Surgery Requirements

  • Good physical and psychological health.
  • Hormone therapy is not required.
  • Dr. Facque uses informed consent and support letters from a mental health provider are not required. If you're using insurance to pay for your procedure(s), the insurance company will require letters and may also require hormone therapy.

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