Dermatologic Care of the Transgender Patient

    January 2016 in “ Dermatology Online Journal ”
    Timothy Almazan, Filamer Kabigting
    TLDR Hormonal therapy changes skin and hair in transgender patients, who need better researched dermatologic care.
    The 2016 document reviews the dermatologic concerns of transgender patients, highlighting the effects of hormonal therapy on skin and hair. It notes that male-to-female (MTF) transgender patients often require hair removal and experience skin softening and reduced acne, while female-to-male (FTM) transgender patients typically see an increase in acne and body and facial hair growth due to testosterone therapy. The review mentions a study of 20 FTM transsexuals, all of whom showed increased hair growth after six months, and 31% experienced androgenic alopecia after an average of 10 years on hormonal therapy. It also discusses the risks associated with illicit silicone injections and the importance of post-surgical dermatologic care. The document concludes with a call for more research to improve dermatologic care for transgender individuals, including the study of acne treatment in trans men, hair removal methods in trans women, and the long-term skin effects of gender-affirming surgeries.
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