Transgender Hair Loss & Restoration

Hormone therapy is an important aspect of the medical transition process for many transgender individuals. While it can lead to physical and emotional changes that better reflect the individual’s true self, it also comes with potential side effects… including hair loss. It’s important for transgender individuals to work closely with a medical professional to understand the potential risks and benefits of hormone therapy.

Gender-Affirming Hairline Design and Hair Transplants

aesthetic hairline designThe popularity of transgender hair transplants has been increasing – both male to female (MTF) and female to male (FTM).  Surgical techniques are identical for standard hair restoration and gender-affirming hair transplants.  It is the aesthetic artistry and deeper understanding of the unique aspects of male and female hairlines – and the differences in directional flow of hair growth – that is required to successfully complete this aspect of the gender reassignment process.

  • Male-to-Female Hair Transplants

  • Counseling on the potential for ongoing genetic hair loss must be addressed first, in addition to recommending the appropriate medical and conservative treatments.  The surgical transformation involves designing a truly feminine hairline where greater density of hair is added to the front (as well as the temporal regions) to create a heart-shaped, rounded hairline contour.  Multiple procedures may be required to attain the desired hair density.

  • Female-to-Male Hair Transplants

  • Not quite as common as MTF transgender hair restoration, these transformations typically involve beard and moustache hair transplantation to enhance facial masculinization.  But caution must be exercised – especially if a patient has a propensity towards future genetic hair loss. We must be mindful in such individuals that the donor hair is utilized wisely to balance the need for facial masculinization while preserving that same resource for any future hair loss in the scalp.

How Does HRT Affect Your Hair?

Hormone replacement therapy is a vital part of the medical transition process for many trans individuals. The goal of hormone therapy is to alter the levels of hormones in the body to align with the individual’s gender identity… creating physical and emotional changes that better reflect their true self.

White pills from a bottleTestosterone is the hormone typically administered to those seeking a more masculine gender expression, promoting the development of male secondary sexual characteristics – such as facial hair, a deeper voice, and an increase in muscle mass. Estrogen is the hormone typically given to individuals seeking a more feminine gender expression – causing feminizing changes such as breast development, softer skin, and a decrease in body hair. Hormone therapy can also lead to other physiological changes such as an increase or decrease in sex drive and changes in fat distribution.

Along with the desired physical changes, hormone therapy can also result in hair loss. This is due to the influence hormones have on hair growth and maintenance. Testosterone can potentially lead to hair loss in men, while estrogen may improve hair growth in women. However, the effects of hormone therapy on hair growth and loss vary from person to person and may be influenced by factors such as genetics, age, and overall health.

RHRLI Can Help With Hairline Design, Transplant, And More.

It’s important to note that hormone therapy is not without its risks and potential side effects. Some common side effects include acne, mood changes, and an increased risk of certain health conditions such as blood clots and liver problems. Hormone therapy should always be administered under the supervision of a medical professional to ensure safe and effective treatment.

It can be a daunting task to find a doctor who understands and can address the unique issues concerning HRT, hormone related hair issues, and gender-affirming hairline design. At RHRLI, we pride ourselves on inclusivity in our expertise – understanding how age, health, background, ethnicity, and more can impact your specific hair issues and needs. To find out if you are a good candidate for hair transplantation, contact us today to schedule a free consultation.