I am also a transgender, from NJ, and I had my procedures done by Dr. Alexander about 10 months ago. At first my scars around the nipple didn't look too good and I was worried, the doctor told me I must keep the scars clean and leave them alone and with time they will get better and they did. I am very happy with how I look now, my breast looks nice and my nose too. I did a "virtual consultation" first and I went to FL 2 days before my surgery and saw Dr. Alexander that day, and he confirmed the plan I was already explained by e-mail and gave a few implant sizes to choose from. I really liked him, he was respectful and nice with me and my friend. On the day of my surgery, I saw him again and again he confirmed the procedure and asked me what size I chose. I saw him the next day and the following week when he removed that thing from my nose. I came back home after that. And about 2 weeks ago I went back to FL with a friend of my, also a transgender, to see Dr. Alexander, my friend had her breast implants too, and she is also happy with her surgery and with the way she was treated by Dr. Alexander.