4 Best Breast Surgery Clinics in San Francisco (2026)

The Gender Confirmation Center of San Francisco, led by Dr. Scott W. Mosser MD FACS, is a dedicated gender-affirming surgery practice located in the Four Fifty Sutter Building in Union Square. Dr. Mosser is an American Board of Plastic Surgery certified surgeon and Fellow of the American College of Surgeons with over 29 years of surgical experience, having transitioned his private plastic surgery practice to focus exclusively on gender-affirming care in 2013. He is a founding member of WPATH and USPATH and founded both the Gender Confirmation Center of San Francisco and the Gender Institute at Saint Francis Memorial Hospital. The practice operates on an Informed Consent model with no BMI discrimination and maintains a dedicated insurance advocacy team that secures coverage for approximately 90 percent of patients. Surgical offerings include FTM and non-binary chest reconstruction, MTF breast augmentation, facial feminization surgery, masculinizing and feminizing body contouring, and laser hair removal. The four-surgeon team holds hospital affiliations at California Pacific Medical Center–Van Ness and St. Francis Memorial Hospital.

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Led by board-certified plastic surgeon Dr. Usha Rajagopal, San Francisco Plastic Surgery and Laser Center has served over 40,000 patients from its Polk Gulch clinic since the mid-1990s. Dr. Rajagopal holds dual board certification from the American Board of Plastic Surgery and the American Board of General Surgery, and completed her fellowship in Plastic and Reconstructive Surgery at UCSF. The clinic offers a full spectrum of surgical and non-surgical cosmetic procedures — from breast augmentation and liposuction to Botox, dermal fillers, Emsculpt NEO, and CoolSculpting — supported by an all-women, multilingual team fluent in English, Spanish, Cantonese, Hindi, Tamil, French, and Tagalog. Consultations are available with Dr. Rajagopal ($250) or RN providers ($150), with complimentary online assessments also offered.

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Sieber Plastic Surgery is a boutique aesthetic practice led by Dr. David A. Sieber, MD, a double board-certified plastic and reconstructive surgeon with fellowship training in aesthetic surgery at the University of Texas Southwestern and advanced high-definition liposuction training in Colombia under world-renowned body contouring pioneers. Located at 450 Sutter Street in San Francisco's Union Square area, the practice serves patients from across the Bay Area including Marin County, the Peninsula, and the East Bay. Dr. Sieber is recognised internationally as a thought leader in body contouring and breast surgery, with over 40 peer-reviewed publications, 12 book chapters, and media features in Vogue, Newsweek, and Allure. The practice offers the full spectrum of surgical and non-surgical aesthetic procedures including facelift, blepharoplasty, VASER high-definition liposuction, Brazilian butt lift, breast augmentation, breast reduction, tummy tuck, Botox, dermal fillers, Sculptra, microneedling, chemical peels, and IV therapy. A second location serves Marin County at Greenbrae.

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