Advertising Partner
Byron Poindexter
Top Surgery Specialist in Northern Virginia
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 masculinizing Top Surgery for transgender men and nonbinary people from Northern Virginia, the Washington, D.C. metro area and the broader Baltimore-Washington region.
Dr. Poindexter trained in general surgery at the University of Florida and completed his plastic surgery fellowship at the University of Alabama. He is board certified by the American Board of Plastic Surgery and has received a number of physician and patient-care awards over the course of his career.
Top Surgery Techniques
Dr. Poindexter offers several approaches to masculinizing chest surgery:
- Double Incision
- Keyhole
- Peri-Areolar
- Inverted-T
- Buttonhole
The surgical approach is selected according to factors such as chest size, skin elasticity, nipple position and the person's goals for chest contour and scars.
Body Masculinization
For those interested in additional masculinization, Dr. Poindexter also performs body contouring with liposuction. Treatment can include areas such as the:
- Abdomen
- Hips
- Buttocks
- Thighs
- Lower back
The goal is to reduce curves through the waist and lower torso and create a straighter, more masculine silhouette. Body contouring can be discussed as a separate procedure or in combination with Top Surgery.
Top Surgery Cost
Top Surgery with Dr. Poindexter starts at $12,050, based on pricing from September 2025.
The fee includes:
- Surgeon's fee
- Anesthesia
- Operating room
- Recovery garments
- Pre-operative visits
- Post-operative visits
Exact pricing is determined after consultation.
Austin-Weston accepts cash, credit cards and checks, with financing available through CareCredit. Insurance, Medicaid and Medicare are not accepted.
Consultations & Scheduling
Dr. Poindexter offers:
- In-person consultations
- Virtual consultations
The consultation fee is $100 and is applied toward the cost of surgery.
Typical wait times are:
- Consultation: approximately 3-6 weeks
- Surgery: approximately 3-6 weeks after consultation
Top Surgery Requirements
Requirements may include:
- Medical clearance based on health history
- Smoking cessation for at least one month before surgery
- Not currently pregnant
- One or two referral letters from a qualified mental health professional, according to the practice's WPATH-based requirements
Austin-Weston uses inclusive intake forms, maintains separate fields for legal and chosen names, and has policies supporting correct name and pronoun use. Staff receive training in gender diversity and respectful communication, and the practice sponsors Reston Pride.
Dr. Poindexter performs surgery at Austin-Weston in Reston, Virginia and is affiliated with INOVA Fair Oaks.
Ready to learn more about Top Surgery with Dr. Poindexter? Contact his office for more information.