Gender Confirmation Center

04/13/2026

Jayden had top surgery at GCC several years ago and recently shared the following with us:

"The staff was great! Answered my questions and returned my calls. The surgeon, Dr. Facque, was straight forward when it came to top surgery questions. Nothing felt rushed.

I also got denied three times. That in itself was a rollercoaster ride and each time the insurance department worked well with me to make sure we got closer to an acceptance.

My surgery has given me a great deal of confidence. I couldn’t be happier with top surgery."

Photos include 1-month post op (2021) and 3-year post op (2024).

04/10/2026

This patient underwent a double incision top surgery without ni***es. The results reflect 20 months post-op, so the scars & the chest have fully healed. This photo set shows a result of someone who has keloid scarring.

Surgery performed by Dr. Facque ✨

04/08/2026

For many patients, l***aplasty is the second stage of a vaginoplasty or v***aplasty, which is typically performed about five months after the initial bottom surgery.

During this stage, the l***a minora and cl****al hood are sculpted, mainly using skin grafts taken from the l***a majora. This technique helps tighten any loose skin remaining from the initial surgery, improving the function and desired appearance of the v***a.

At the GCC, Dr. Ley offers an innovative two-stage approach to traditional vaginoplasty. The first stage of a traditional vaginoplasty creates the va**nal canal, cl****is and l***a majora. About 5 months later, if the va**na and v***a have healed properly, a cl****al hood and l***a minora are constructed.

By splitting up this operation into two stages, the v***a has a better chance of healing properly. This has given Dr. Ley’s patients more consistent results, leaving them more satisfied with the outcome of their surgery and less likely to request a revision procedure later on.

Learn more >> https://bit.ly/419GcPR

04/03/2026

We had so much fun at last month's In Session event! A big thank you to our host, Los Angeles LGBT Center, all of the vendors that came out to join us and everyone that attended ✨

03/31/2026

There is power in being seen for who you truly are.

Today we celebrate International Transgender Day of Visibility - a day to honor the strength, joy, and resilience of transgender and gender-diverse people everywhere. Your story, your voice, and your life matters 🩵🩷🤍

03/30/2026

In this segment of In Good Hands, Dr. Jacobs discusses common misconceptions about skin tone and scarring, and why scar care precautions apply to all patients.

03/27/2026

James had his double incision top surgery several years ago, and shared the following with us:

✨ What did you want out of your surgery?

I wanted to have a flat and masculine chest, and I had also specifically asked for my ni***es to be resized a bit bigger than the standard size many top surgeons typically do. It just felt like that’s how my body would be had I been born with a flat chest. Dr. Facque was super accommodating and I’m very happy with their size.

✨ What stands out most to you about your journey with GCC?

The whole process on their end was just made so easy by the team, and they were very kind when I was finally able to get insurance coverage. I had been trying for almost 4 years to go to GCC for my surgery, but was having insurance troubles. I hadn’t expected the team to notice that I had tried multiple times to get my surgery done, and when I finally succeeded it made my struggles feel seen when it was noted how long I had been trying to get my surgery.

✨ How has your surgery impacted your daily life or sense of self?

It immediately made me feel so much more comfortable in my skin, I didn’t have to hide my chest anymore. When one of my dearest friends came to see me after I was 3 weeks post op and gave me a hug, I had the joyous revelation that I could truly hug my loved ones without any shadow of discomfort or shame in the back of my head.

03/24/2026

These after photos show a patient 1 year post-op following a breast augmentation performed by Dr. Karamanos.

The procedure used a silicone implant placed in a subfascial pocket, with access through an inframammary incision. This approach places the scar within the natural under-breast fold and allows for a smooth, natural-looking result as healing progresses ✨

03/23/2026

In this segment of In Good Hands, Dr. Facque explains how HRT can influence breast tissue growth, skin expansion, and long-term predictability for implant-based breast augmentation.

03/20/2026

Pride in San Francisco is one of our favorite days of the year. T-minus 3 months!

03/18/2026

Inclusive care isn’t optional. It’s essential. Period.

Join us in recognizing LGBTQ Health Awareness Week as we highlight the importance of equitable, affirming care and the real impact it has on people’s lives.

Learn more & explore resources >> https://bit.ly/4rEYAL4

03/17/2026

Hip augmentation is designed to create a wider hip appearance and smoother body contour. For many patients, it can help address concerns like narrow hips or hip dips while supporting a more balanced silhouette.

Learn more >>

Discover everything you need to know about hip dip augmentation, from surgical and non-surgical options to recovery, costs, and results.