Dr. Paul Mittermiller

Dr. Paul Mittermiller is a fellowship-trained craniofacial plastic surgeon with Align Surgical Associates (opens in new tab), specializing in facial gender-affirming procedures for transgender, nonbinary, and gender-diverse individuals throughout the greater Los Angeles area. With advanced expertise in both facial feminization and facial masculinization surgery, he offers highly individualized treatment plans designed to align each patient’s appearance with their gender identity and personal goals.

As one of a limited number of surgeons in the United States with specialized training in craniofacial reconstruction and facial gender surgery, Dr. Mittermiller brings a unique combination of technical precision and artistic insight to every procedure. Raised in Southern California, he is committed to providing compassionate, patient-centered care and works closely with each individual to develop a surgical approach tailored to their needs.

In addition to his clinical practice, Dr. Mittermiller has contributed to the advancement of facial gender surgery through ongoing research. His peer-reviewed publications have been recognized within the plastic surgery community, including by the prestigious Plastic and Reconstructive Surgery journal, reflecting his dedication to innovation and improved outcomes for gender-affirming patients.

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Our Philosophy of
Gender-Affirming Care

Our role is not to define your identity, but to provide the thoughtful, medically sound care necessary to help you live authentically.