Facial Feminization » FFS Surgeons

Dr. Andrew Kochuba, MD, FACS is a board-certified plastic surgeon who performs Facial Feminization Surgery (FFS) at Austin-Weston, The Center for Cosmetic Surgery in Reston, Virginia. His training includes plastic surgery at the University of Pittsburgh Medical Center followed by an aesthetic plastic surgery fellowship at Cleveland Clinic.

Dr. Kochuba offers FFS procedures for several areas of the face, including the forehead and brow, nose, cheeks, lips, chin and jaw. Facial procedures can be selected individually or combined based on the features a patient wants to address.

Training & Credentials

• MD, Georgetown University School of Medicine, Cum Laude
• Graduated in the top ten of his medical school class
• Alpha Omega Alpha
• General Surgery Residency, Montefiore Medical Center/Albert Einstein College of Medicine
• Plastic Surgery Training, University of Pittsburgh Medical Center (UPMC)
• ASAPS-endorsed Aesthetic Plastic Surgery Fellowship, Cleveland Clinic
• Fellowship training under Dr. James Zins
• Board-certified plastic surgeon
• Fellow, American College of Surgeons (FACS)

Facial Feminization Procedures

Dr. Kochuba performs FFS procedures that can address the upper, middle and lower face:

• Forehead Recontouring - reshapes the forehead and brow region to create a smoother, more feminine upper-face contour.
• Brow Lift - raises and repositions the brows to change their position and the appearance of the upper face.
• Rhinoplasty - changes the shape and proportions of the nose and its relationship to surrounding facial features.
• Cheek Augmentation - adds volume to the cheeks and midface using injectable fillers or fat grafting.
• Lip Lift - shortens the distance between the nose and upper lip and increases the amount of visible upper lip.
• Chin Recontouring - changes the shape, width or projection of the chin to alter lower-face proportions.
• Jaw Recontouring - reshapes the jaw to modify its width and the contour of the lower face.

Not every patient seeking FFS has the same surgical priorities. The procedures included in a facial feminization plan depend on the areas a patient wants to change and which procedures are appropriate for those goals.

Planning FFS with Dr. Kochuba

The consultation is an opportunity to discuss the facial features a patient would like to feminize and the procedures Dr. Kochuba offers for those areas. His aesthetic plastic surgery training is particularly relevant to planning changes that involve multiple facial features and their proportions.

Dr. Kochuba offers both in-person and virtual consultations. The consultation costs $100 and is applied toward surgery.

Typical wait times are:

• Consultation: 2-5 weeks
• Surgery: 3-6 weeks after consultation

Surgery is performed at Austin-Weston's private surgical facility in Reston. Dr. Kochuba also has hospital affiliations with INOVA and Reston Hospital Center.

Facial Feminization Surgery Cost

Facial Feminization Surgery with Dr. Kochuba starts at $12,050, based on pricing from September 2025. The final cost depends on the procedures included in the individual FFS plan and is determined following consultation.

Surgical fees include:

• Surgeon's fee
• Anesthesia
• Operating room
• Recovery garments
• Pre-operative visits
• Post-operative visits

Payment can be made by cash, credit card or check, with financing available through CareCredit. Insurance, Medicaid and Medicare are not accepted.

FFS Surgery Requirements

Requirements may include:

• Medical clearance depending on medical history
• Smoking cessation for at least one month before surgery
• Applicable WPATH-based surgical criteria
• One or two referral letters from a qualified mental health professional, as required

Facial Feminization at Austin-Weston

Austin-Weston has established gender-affirming intake and administrative practices, including inclusive intake forms and procedures for recording and updating patient names and pronouns. Staff receive training in gender diversity and respectful communication, and the practice maintains a zero-tolerance policy for discrimination.

The practice provides care in English, Spanish and Vietnamese and sponsors Reston Pride annually.

Considering Facial Feminization Surgery with Dr. Kochuba? Contact his office for more information or to schedule a consultation.