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Transgender Hair Transplant: MTF & FTM Hair Restoration Details

A transgender hair transplant is an aesthetic surgery to adjust the hair appearance, especially the hairline to affirm the person’s gender identity.

A study by the International Society of Hair Restoration Surgery (ISHRS) indicates that 1.8% of hair transplant patients in 2022, were transgender people. They have undergone the surgery to achieve a more authentic look that matches their identity.

This challenging operation requires a highly experienced doctor who has mastered the hair restoration techniques for transgender patients. To give you a quick look into what we are going to talk about in this article, here is a summary:

  • TRANSGENDER HAIR TRANSPLANT IS DONE TO CREATE GENDER-AFFIRMING HAIR TRAITS.
  • PATIENTS SHOULD BE OVER 18 YEARS OLD FOR THIS PROCEDURE
  • THE SUCCESS RATE FOR TRANSGENDER HAIR TRANSPLANTATION IS OVER 90%
  • MTF HAIR TRANSPLANT SURGERY CREATES AN OVAL-SHAPED HAIRLINE FOR TRANSGENDER WOMEN
  • FTM HAIR TRANSPLANTATION FORMS AN M-SHAPED HAIRLINE AND BEARD HAIR FOR MEN
  • THE AVERAGE PRICE OF A TRANSGENDER HAIR TRANSPLANT IS $11,500

What To Know About Transgender Hair Transplant

You should know a transgender hair transplant procedure not only treats hair loss caused by genetics or hormone therapy but also is a surgery to help affirm the desired gender of the individual. This is done by adjusting the appearance by modifying hair characteristics based on each gender’s traits.

But how? What is a transgender hair transplantation surgery? Here are the things we need to know:

  • WHAT IS A TRANSGENDER HAIR TRANSPLANT?
  • IS HAIR TRANSPLANT GENDER-AFFIRMING?
  • WHAT IS THE AGE LIMIT FOR A TRANSGENDER HAIR TRANSPLANT?
  • WHAT IS THE SUCCESS RATE OF TRANSGENDER HAIR TRANSPLANT?
  • HOW TO ACHIEVE THE DESIRED LOOK THROUGH HAIR TRANSPLANT?

 

Now let’s dive deep into each and every one of these questions.

What Is A Transgender Hair Transplant?

A transgender hair transplant is a surgical hairline adjustment for patients transitioning into the gender they identify with. This hairline modification is a step to tune the physical appearance based on the gender the patient identifies as.  

Is Hair Transplant Gender-Affirming?

Yes, for individuals who wish to look more like the gender they are transitioning to, a hair transplant can be gender-affirming. For example, hairline is an appearance trait that plays an important role in determining one’s gender. Transgender hair restorations help provide the appropriate hairline design for this transition.

What Is The Age Limit For A Transgender Hair Transplant?

Generally, the legal age to undergo a gender transition surgery and a consequence hair transplant is 18. Yet, there is no specific age limit for getting any transgender hair transplant, but it is usually recommended to be of legal age at least.

What Is The Success Rate Of Transgender Hair Transplant?

The success rate for transgender hair transplants is %85- %95. These statistics are made based on the hair survival rate published by the Oxford University Press.

The hair survival rate is an accurate means of measuring the success of a hair transplant surgery. The measurement is to indicate the survival percentage of implanted hair follicles. This shows that transgender hair restoration procedures have high success rates. 

The technique used for gender-affirming hair transplants plays a vital role in the success of the process. The  FUE technique delivers the procedure with high success rates through transplanting hair follicles in a less invasive way. 

How To Achieve The Desired Look Through Hair Transplant?

To achieve the desired look you should consult with your doctor to design a customized treatment plan for you. The surgery plan depends on the transition the patient has gone through, whether the patient wants a male or a female hairline. An experienced surgeon with years of successful practice in this delicate field can make sure to achieve what you wish.

The process to achieve the desired look that matches the patient’s identity includes the following steps:

  1. INITIAL CONSULTATION WITH THE HAIR TRANSPLANT DOCTOR
  2. CHOOSING THE BEST TRANSPLANTATION METHOD
  3. UNDERGOING THE SURGERY THAT CAN TAKE 6-8 HOURS
  4. THE SURGERY IS DONE UNDER LOCAL ANESTHESIA OR SEDATION
  5. THE HAIRLINE IS ADJUSTED BASED ON THE GENDER THE PATIENT IS TRANSITIONING INTO
  6. THE HAIR IS HARVESTED FROM THE BACK OF THE HEAD, WHERE IT IS RESISTANT TO HORMONE’S EFFECTS. THIS IS ESPECIALLY IMPORTANT FOR MTF AS THEY MIGHT HAVE PRE-TRANSITION MALE PATTERN HAIR LOSS

⚕️ After the surgery patients are given post-operative care instructions to follow during their recovery time.

❗ IMPORTANT

Most of the procedure is the same for MTF and FTM patients. For the optimal outcome, more than one session and usually two sessions might be needed. 

Hair Transplant Options For Transgender Individuals

Transgender hair restoration surgery can happen in two main categories.

  • MALE TO FEMALE (MTF)
  • FEMALE TO MALE (FTM)

 

Let us go through both of these procedures together. We are here to help you discover the path to your desired look. We understand the importance of an appearance that confirms who you actually are, and that’s why we are here to help you find the means for it.

Male To Female (MTF) Hair Transplant

Male to female (MTF) is the hair transplant surgery to adjust the trans woman’s hairline for a feminine look that matches their gender identity. This procedure also adds volume and thickness to address the male pattern hair loss they might have had prior to their transition. A feminine hairline is more oval-shaped or round. So, mostly the procedure includes hairline lowering surgery and making it rounder to create this gender-affirming curved hairline. 

This procedure boosts the person’s self-confidence by giving them the appearance they have always desired.

Female To Male (FTM) Hair Transplant

Female-to-male (FTM) hair transplantation is the operation to tune the hairline of trans men to give them a more masculine appearance. The masculine hairline is M-shaped with higher corners and a slightly downward middle part. Only a highly skilled surgeon can perform the complex procedure to create a natural-looking male hairline.

In addition to adjusting the hairline on the scalp of a transgender man, the transgender hair transplantation procedure has other purposes such as:

  • DENSE LOOKING FACIAL HAIR
  • FOR CHEST HAIR
  • TREAT HAIR THINNING OR HAIR LOSS CAUSED BY HORMONE THERAPY

How Much Does A Transgender Hair Transplant Cost?

The average cost of a transgender hair transplant is $11,500. The price range for this surgical procedure can vary between $3,000 and $20,000. The number of grafts used in a session determines the final price of the procedure. This explains the wide price range.

This price range is based on the prices offered by the top 6 countries for transgender hair transplantation:

  • USA
  • THAILAND
  • TURKEY
  • INDIA
  • SOUTH KOREA
  • SPAIN

Benefits And Drawbacks Of Transgender Hair Transplant

Just like any other surgical procedure, this type of hair restoration is associated with advantages and disadvantages. The table below shows the benefits and drawbacks of transgender hair transplantations:

Benefits of THT

Drawbacks of THT

Being gender affirming

General surgical risks

Long-term solution

Recovery time

Customizable 

High cost

Natural looking results

Emotional distress

Now let’s take a closer and more detailed look into each one of them:

Benefits Of Transgender Hair Transplant

  • BEING GENDER-AFFIRMING: This procedure provides you with hair traits that are gender-affirming and gender-specific to your transition. 
  • LONG-TERM SOLUTION: The results of this procedure to modify the hairline and treat the hair loss that is caused by hormonal therapy are long-term and will last for a very long time if not forever. 
  • CUSTOMIZABLE: One great advantage of this procedure is that it is customized for each patient individually based on their expectations and unique features. 
  • NATURAL-LOOKING RESULTS: Designing a flattering hairline, gives the patients a natural appearance that perfectly confirms their identity as they want.


Hair loss can be an emotional burden and dealing with it can take a lot out of a person. This can be more difficult for a transgender person. A hair transplant can be a permanent solution to the hair loss that has happened already.

Drawbacks Of Transgender Hair Transplant

  • GENERAL SURGICAL RISKS:
    A hair transplant is a surgery that is no exception regarding surgical risks. The most common risks to mention are pain, minor post-op bleeding, itching, and infection. 
  •  RECOVERY TIME:
    The recovery period can be challenging especially the first few weeks until the wounds are healed and patients can resume their normal routine.
  • HIGH COST:
    The price of such a delicate procedure that requires adequate experience can be a big drawback. Despite being costly, it is worth it to finally feel you can be your actual self. 
  • EMOTIONAL DISTRESS:
    Even though the transgender hair transplant can help tremendously with feeling more like the gender that the patient identifies, it can also cause some emotional distress at the same time. 

Assessing Suitability For The Hair Restoration Surgery

To assess if a patient is an eligible candidate for a transgender hair restoration surgery, the following factors should be considered:

  • AGE
  • OVERALL HEALTH
  • STABLE HORMONAL LEVELS
  • MENTAL AND EMOTIONAL PREPARATION
  • PRECISE TIMING FOR TRANSITION PROCEDURES
  • REALISTIC EXPECTATION

Age

The patient should be above the legal age to be suitable for transgender hair restoration treatment. In most countries, the legal age is 18 years for both male and female patients.

Overall Health

Hair transplant treatments for transgender patients require the individual’s overall health. Even though a hair transplant is a very low-risk surgery, some medical conditions such as autoimmune disorders, heart and vascular diseases, coagulation disorders, and recent history of cancer might interfere with the final results and the success of the operation. 

During the pre-op consultation, the doctor asks about the patient’s medical history and the medications they use, if any. This is to make the individual is an eligible candidate.

Stable Hormonal Levels

It is crucial to have the hormone levels under control before undergoing a hair transplant. Unstable and changing hormonal levels can affect the hair growth cycle and the overall success of the procedure. Since hormone therapy is an essential step in gender transition, it is important to balance out the overlapping effects of all procedures.

Mental And Emotional Preparation

The patient should be mentally ready for the major changes hair transplant brings as the results are permanent. The transitioning process from one gender to the desired one is stressful and is met with internal and external conflict and tension such as gender dysphoria. Sometimes patients are asked to shave their hair, which might be emotionally challenging for them. That’s why the person should decide on a healthy state of mind. 

Precise Planning For Transition Procedures

If you are planning to have other gender-affirming surgeries such as facial masculinization/feminization operations, you must discuss them with your surgeon during the initial consultation. You can decide on a well-organized timing plan for the different procedures you wish to have. This way surgical side effects won’t clash and won’t affect the outcome.

Realistic Expectations

Hair transplant surgery is a great solution when you’d like to achieve the desired look during or after the transition process. However, there could be some limitations like having enough hair density. Your realistic expectations will help you set your goals better and prevent any disappointments in the new chapter of your life.

Honesty In Every Step

While hair transplant surgery is not a huge operation, it still requires local anesthesia and surgical incisions on one’s scalp. While making adjustments to the dose of the anesthesia they might ask you about the physical appearance you were born with. In our clinic, we plan everything based on transparency and honesty. 

You can click here to contact us and ask about even the smallest detail to make a wise decision and get the hair shape you desire.

What Is The Typical Recovery For Transgender Hair Transplant?

The recovery period after transgender hair transplant procedures is rather fast and with minimal inconvenience. Regardless of the patient’s gender, the recovery time usually takes 1 week. Following the procedure mild pain, swelling in the surgical sites, slight bleeding, and inconvenience is expected. 

While many people can return to work, the majority of patients decide to take a day off after these hair restoration procedures. 

Transgender Hair Transplantation Recovery Timeline

The timeline for recovery after transgender hair surgery is as follows:

24-48 hours post-op​:

You will go back to the clinic for the first wash after the surgery. 48 hours after the first wash at the clinic, you can start washing your head daily in a gentle way. 

3-14 days post-op:

1-3 days post-surgery scabs will appear on the recipient and donor sites. It usually takes 1-2 weeks for them to go away, as the wounds heal.

2-12 weeks post-op:

2 weeks after the operation, patients can start their physical activities sport. 

2-12 weeks following the surgery, shock loss or shedding phase happens. This is a normal occurrence in the hair restoration surgery journey. But there’s no need to worry as the hair will start to grow after this phase.

6-12 months:

Usually, Your hair starts to grow 6 months after the treatment. Sometimes it can take up to 12 months to fully grow. This depends on the individual’s body response, hair cycle, and surgical techniques.

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https://aestheticmed.co.uk/site/industrynewsdetails/transgender-hair-transplant

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