Medical and Aesthetic Procedural Dermatology Recommendations for Transgender Patients Undergoing Transition

June 2019 in “ Journal of The American Academy of Dermatology ”

Nikhil Dhingra, Lauren Meshkov Bonati, Erica B. Wang, Margaret M. Chou, Jared Jagdeo

TLDR Dermatologists are important in helping transgender people with skin issues and physical changes during their transition.

In 2019, a review focused on the dermatologic needs of transgender patients undergoing transition, emphasizing the crucial role of dermatologists in managing the process. Dermatologists were found to be key in treating common skin conditions and complications related to hormonal therapy. The review also noted the unique aesthetic challenges posed by transgender beauty, highlighting significant differences in the facial structure and physique between males and females. The study concluded that dermatologists could significantly impact the lives of transgender individuals seeking to realize their gender identity.

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research Therapeutic Experience with Oral Finasteride for Androgenetic Alopecia in Female-to-Male Transgender Patients

32 citations , October 2017 in “Clinical and Experimental Dermatology”

Finasteride effectively treats hair loss in transgender men with few side effects.

research Dermatologic Care of the Transgender Patient

41 citations , March 2017 in “International Journal of Women's Dermatology”

Hormone therapy and surgeries for transgender individuals affect their skin and hair, requiring specific dermatologic treatments and respectful care.

research Androgenetic Alopecia: An Update Of Treatment Options

110 citations , August 2016 in “Drugs”

Minoxidil is the only FDA-approved topical drug for treating male or female pattern hair loss, and other medications like finasteride and dutasteride can also increase hair growth.

research Laser Hair Removal for Genital Gender Affirming Surgery

33 citations , June 2016 in “Translational andrology and urology”

Laser hair removal before genital surgery can prevent complications and improve patient satisfaction.

research Randomized Placebo-Controlled, Double-Blind, Half-Head Study to Assess the Efficacy of Platelet-Rich Plasma on the Treatment of Androgenetic Alopecia

136 citations , April 2016 in “Dermatologic Surgery”

PRP treatment helps hair growth and density in androgenetic alopecia patients.

research Response to Microneedling Treatment in Men with Androgenetic Alopecia Who Failed to Respond to Conventional Therapy

68 citations , May 2015 in “Indian Journal of Dermatology”

Microneedling can effectively promote new hair growth in men with hair loss who didn't improve with traditional treatments.

research Androgenetic Alopecia: An Evidence-Based Treatment Update

151 citations , May 2014 in “American Journal of Clinical Dermatology”

Effective treatments for male pattern baldness include oral finasteride and topical minoxidil, while topical minoxidil is best for female pattern baldness.

research Short- and Long-Term Clinical Skin Effects of Testosterone Treatment in Trans Men

110 citations , January 2014 in “The Journal of Sexual Medicine”

Testosterone treatment in trans men increases body and facial hair and may lead to hair loss over time, but severe skin issues are rare.

research Management of Transgenderism

108 citations , February 2013 in “JAMA”

Transgender treatment includes hormones and surgery, but long-term effects are unknown and counseling is needed.

research A Randomized Evaluator Blinded Study of Effect of Microneedling in Androgenetic Alopecia: A Pilot Study

136 citations , January 2013 in “International Journal of Trichology”

research Quality of Life Assessment in Male Patients with Androgenetic Alopecia: Results of a Prospective, Multicenter Study

101 citations , August 2012 in “Annals of Dermatology”

Men with hair loss experience lower quality of life, worsened by factors like age, severity, and treatment history.

research Gender-Linked Differences in Human Skin

205 citations , September 2009 in “Journal of Dermatological Science”

Male and female skin differ in many ways, which could lead to gender-specific skin treatments.

research Effects of Sex Steroid Deprivation and Administration on Hair Growth and Skin Sebum Production in Transsexual Males and Females

176 citations , August 2000 in “The Journal of clinical endocrinology and metabolism/Journal of clinical endocrinology & metabolism”

Hormone treatments in transsexual individuals reduce hair growth and oil production in male-to-females and increase them in female-to-males.