Breanna Jedrzejewski, MD, MPH, is a board-certified plastic and reconstructive surgeon at Align Surgical Associates in San Francisco, where she performs facial, chest, and body procedures for transgender, nonbinary, and gender-diverse patients.

Her approach combines a visual artist’s commitment to detail and desire to celebrate identity, advocacy for healthcare access, and a collaborative style that helps patients feel prepared, understood, and actively involved in their surgical care.

Explore Surgical Options with Dr. Jedrzejewski

Credentials At A Glance

Education & Training

  • Residency – Integrated Plastic and Reconstructive Surgery, Oregon Health & Science University
  • Doctor of Medicine (MD) — Brown University
  • Certificate of Premedical Postbaccalaureate Studies — Bryn Mawr College
  • Master of Public Health (MPH) — Yale University
  • Bachelor of Arts – Yale University

Credentials

  • Board Certification – American Board of Plastic Surgery
  • Licensure — Physician’s and Surgeon’s License, Medical Board of California

Professional Affiliations

  • American Society of Plastic Surgeons
  • The Aesthetic Society (pending)
  • American Council of Academic Plastic Surgeons
  • American Cleft Palate-Craniofacial Association
  • California Society of Plastic Surgeons
  • World Professional Association for Transgender Health
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Professional portrait of Dr. Jedrzejewski in a white medical coat

A Multidisciplinary Path to Gender-Affirming Surgery

Dr. Jedrzejewski brings a unique multidisciplinary perspective to her work at Align Surgical Associates. She earned both her B.A. in art (fine art photography) and her Master of Public Health in global health from Yale University, graduating with honors from both programs.

Dr. Jedrzejewski continued her education at The Warren Alpert Medical School of Brown University. She was inducted into the prestigious Alpha Omega Alpha Honor Medical Society, which recognizes a select group of medical graduates for their academic achievement, leadership, professionalism, research, and community service.

Following medical school, Dr. Jedrzejewski completed an integrated plastic and reconstructive surgery residency at Oregon Health & Science University, where she gained significant clinical experience and early, hands-on exposure to gender-affirming surgical care.

Seeing Patients as They See Themselves

Dr. Jedrzejewski’s background in portrait photography continues to shape how she approaches gender-affirming surgery. As part of her fine art training, she studied how subjects saw themselves, how artists chose to portray them, and the responsibilities that come with representing another person.

Those questions remain central to her work today. In her consultations, Dr. Jedrzejewski works closely with each patient to understand how they see themselves and how they want to be seen by others. Her approach resists the idea that the surgeon should define the patient’s image. Instead, she treats surgical planning as an active collaboration that respects each patient’s authorship over how they are represented.

Special Clinical Interests

Many of Dr. Jedrzejewski’s patients come to surgery with goals that require more nuance than a procedure name alone can capture. Her clinical focus includes facial, chest, and body procedures, where the most important decisions often happen in the space between traditional masculinizing and feminizing approaches.

Facial Feminization Surgery

Dr. Jedrzejewski approaches facial feminizing surgery as selective refinement rather than a complete reimagining of the face. She helps patients focus on the changes that will matter most while preserving what makes their face feel like theirs.

As part of your facial feminizing plan, Dr. Jedrzejewski may perform:

  • Hairline advancement
  • Forehead contouring
  • Frontal sinus setback
  • Brow lift
  • Orbital Contouring
  • Malar (Cheek) Implants
  • Buccal Fat Removal
  • Facial Fat Transfer
  • Rhinoplasty
  • Lip Lift
  • Lip Augmentation With Fascia
  • Genioplasty
  • Mandible Contouring
  • Facelift
  • Neck Lift
  • Neck Liposuction
  • Tracheal Shave

Top Surgery

Dr. Jedrzejewski sees top surgery as a spectrum of chest-contouring options for masculinizing or nonbinary embodiment goals rather than an all-or-nothing choice. Depending on the patient’s goals, this may mean a flatter chest, retained volume, a no-nipple approach, radical reduction, or another technique that creates an affirming chest contour.

Her work with nonbinary patients is an important part of this focus. Dr. Jedrzejewski is especially attentive to goals that fall between conventional surgical endpoints, helping patients define what should be reduced, retained, softened, or structured before choosing the technique that best supports their vision.

Dr. Jedrzejewski offers the following top surgery techniques:

  • Double Incision
  • Buttonhole
  • Periareolar (Keyhole)
  • Radical Reduction (Wise pattern/Inverted-T/Anchor)

Breast Augmentation (Chest Feminization)

In feminizing chest surgery, Dr. Jedrzejewski offers both dual-plane, subglandular, and subfascial techniques, choosing the right approach based on the patient’s anatomy, tissue characteristics, and desired silhouette. She considers not only implant position and size, but also how the resulting chest contour will relate to the body as a whole.

Dr. Jedrzejewski also performs revision breast surgery, including more complicated cases where a previous result no longer reflects the patient’s needs, expectations, or sense of self. For patients seeking non-implant-based enhancement, Dr. Jedrzejewski also performs fat transfer breast augmentation.

Gender-Affirming Body Contouring

Dr. Jedrzejewski performs masculinizing and feminizing body contouring and also works with nonbinary patients whose goals do not fit neatly into a traditionally masculine or feminine template. Depending on the patient’s anatomy and desired outcome, she may recommend subtle or more defined changes to shape, volume, and proportion. 

Dr. Jedrzejewski smiling with a patient during a plastic surgery consultation

Care That Helps Patients Feel Heard and Safe

Dr. Jedrzejewski practices trauma-informed care, which means she pays close attention to safety, trust, communication, and emotional readiness throughout the surgical process. She wants patients to feel comfortable asking questions, sharing concerns, and taking the time they need to understand their options.

Her standard is simple: Patients deserve her full attention, preparation, and effort. Dr. Jedrzejewski approaches every procedure with this same level of care, knowing each surgical choice can affect how a patient lives in their body every day.

A Surgeon Shaped by Social Justice

As the daughter of a Polish immigrant and a Mexican-American parent, and as the first in her family to graduate from college, Dr. Jedrzejewski understands how identity, family history, opportunity, and belonging can influence a person’s path. Her commitment to social justice is not separate from her work as a surgeon; it informs how she thinks about care, advocacy, and the barriers people may encounter when seeking treatment.

Her Master of Public Health in global health expanded that perspective, connecting her interest in medicine with broader questions of equity, community, and access to care. Before focusing her practice on gender-affirming surgery, Dr. Jedrzejewski studied global health, cleft surgery access, and the ways marginalized communities are too often left out of traditional healthcare models.

This focus continued during residency, where Dr. Jedrzejewski co-founded the resident union, organizing young doctors at OHSU around wellness, safety, and equity in medical training. She describes this effort as part of a broader instinct to identify obstacles, problem-solve, and help people step into their power: a throughline that carries into her work with Align today.

Using Research to Protect Access to Gender-Affirming Care

Dr. Jedrzejewski’s research supports her commitment to evidence-based, patient-centered gender-affirming care. Her article, “Regret After Gender-Affirming Surgery: A Multidisciplinary Approach to a Multifaceted Patient Experience,” was published in Plastic and Reconstructive Surgery in 2023.

In that study, Dr. Jedrzejewski offers a multidisciplinary framework for understanding postoperative regret with nuance, compassion, and clinical responsibility. Her research supports what gender-affirming surgeons and patients already know: Regret is rare, and fear-based narratives should not determine access to care.

For Dr. Jedrzejewski, research is one way to challenge misinformation and strengthen the case for responsible, patient-centered care. Her work reflects the belief that better data can do more than protect access to gender-affirming surgery; it can also improve counseling, shared decision-making, and patient safety.

Professional Involvement and Advocacy

Beyond her clinical work, Dr. Jedrzejewski contributes to surgical education, representation, and equity in medicine. Her involvement supports ongoing efforts to make plastic surgery more inclusive for patients, trainees, and surgeons.

Dr. Jedrzejewski also serves as an adjunct clinical assistant professor at Stanford University School of Medicine and remains active in her field. She co-chairs the Women’s Council for the California Society of Plastic Surgeons and is a member of several professional organizations, including:

  • American Society of Plastic Surgeons
  • The Aesthetic Society (pending)
  • American Council of Academic Plastic Surgeons
  • American Cleft Palate-Craniofacial Association
  • California Society of Plastic Surgeons
  • World Professional Association for Transgender Health (WPATH)

In addition, she has mentored residency applicants through Women of Color in Plastic and Reconstructive Surgery, advised OHSU’s Global Plastic Surgery Interest Group, and served as president of Brown University’s Domestic Violence Advocacy and Medicine Interest Group. She has also contributed to Time’s Up PRS, including work related to sexual misconduct in medicine.

Together, these roles point to a consistent focus for Dr. Jedrzejewski: helping more people find mentorship, visibility, and support within surgical fields that have not always felt accessible to them.

Selected Honors and Recognition

Dr. Jedrzejewski’s honors show her breadth of accomplishment, including recognition in medicine, research, public health, and visual art. Highlights include:

  • Best Resident Research Award — Oregon Health & Science University Division of Plastic and Reconstructive Surgery, awarded in 2019, 2020, and 2021.
  • Alpha Omega Alpha Medical Honor Society — Recognition of academic excellence in medicine.
  • International Photo Contest Awards, The Yale Globalist — Grand Prize Photograph in 2007 and First Place Photograph in 2006, recognizing Dr. Jedrzejewski’s international photography.
  • Downs International Health Fellowship Award — Yale University recognition supporting international health work.

Featured Publications

In her research, Dr. Jedrzejewski examines the questions that matter before, during, and after gender-affirming surgery, including outcomes, patient experience, and access to care.

  • Regret after Gender-Affirming Surgery: A Multidisciplinary Approach to a Multifaceted Patient ExperiencePlastic and Reconstructive Surgery, 2023
  • Diagnosis of Ehlers-Danlos Syndrome in Patients Presenting for Gender-Affirming Surgery: Prevalence and Associated Wound Healing ComplicationsPlastic and Aesthetic Research, 2022
  • Partial Flap Loss in Gender-Affirming PhalloplastyJournal of Reconstructive Microsurgery, 2021
  • Partial Flap Loss in Transgender Phalloplasty Using the Anterolateral Thigh or Forearm: A Systematic Literature ReviewPlastic and Aesthetic Research, 2020
  • What Is “Nonbinary” and What Do I Need to Know? A Primer for Surgeons Providing Chest Surgery for Transgender PatientsAesthetic Surgery Journal, 2019
  • Gender-Affirming Chest Surgery for Non-Binary Patients: Incidence, Techniques, and Patient SatisfactionAesthetic Surgery Journal, 2019
  • Violence Against Trafficked and Non-Trafficked Sex Workers in PolandJournal of Human Trafficking, 2016

Explore more of Dr. Jedrzejewski’s research contributions and related publications on our Research page.

Professional portrait of Dr. Jedrzejewski in a navy blazer

Beyond the Operating Room

Outside the operating room, Dr. Jedrzejewski and her partner are busy raising their two young children. Time with her family is an important part of her life beyond medicine.

Request a Consultation

With Dr. Jedrzejewski

To meet with Dr. Jedrzejewski, request an in-person or virtual consultation using the online form or call Align Surgical Associates at (415) 530-5335. Dr. Jedrzejewski offers gender-affirming facial, chest, and body surgery for patients at our San Francisco office.

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