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Dr. Oscar Manrique
Top Surgery Surgeon in Reston, Virginia
Dr. Oscar Manrique, MD, FACS is a board-certified plastic surgeon at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia, where he performs gender-affirming Top Surgery for transgender men and nonbinary people. He has more than ten years of surgical experience and has held leadership roles in transgender surgical care, including serving as Co-Director of the Surgical Transgender Clinic at the Mayo Clinic.
His training includes general surgery at Harvard and Boston University, plastic surgery fellowships at Montefiore Medical Center and the University of Southern California, and additional training in gender-affirming surgery in Bangkok, Thailand. Dr. Manrique has also authored more than 200 peer-reviewed publications and has lectured internationally.
Top Surgery Techniques
Dr. Manrique offers several approaches to masculinizing chest surgery:
- Double Incision
- Keyhole
- Peri-Areolar
- Inverted-T
- Buttonhole
The choice of technique depends on factors such as chest size, skin elasticity, nipple position, and the individual's priorities for contour, scars, and nipple sensation.
Body Masculinization
Dr. Manrique also performs body masculinization for people who want to further reshape the torso and reduce curves. Liposuction and body contouring can be used to create a straighter, more traditionally masculine silhouette and may be performed along with Top Surgery when appropriate.
Top Surgery Cost
Top Surgery with Dr. Manrique 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. Manrique 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 2-5 weeks
- Surgery: approximately 3-6 weeks after consultation
Dr. Manrique is fluent in English and Spanish. Additional language support at Austin-Weston includes Vietnamese.
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
Dr. Manrique performs surgery at Austin-Weston in Reston, Virginia and is affiliated with INOVA Fairfax Hospital. The practice uses inclusive intake forms, supports correct name and pronoun use, and trains staff in gender diversity and respectful communication.
Ready to learn more about Top Surgery with Dr. Manrique? Contact his office for more information.