Hair Restoration Surgery in 75 Transgender Patients

Transgender patients sought hair restoration surgery to align their hairline with their gender identity, primarily using follicular unit transplantation. The procedure was particularly common among male-to-female patients who aimed to lower their hairline and increase hair density for a feminine appearance. A significant challenge was balancing the available donor hair with the degree of androgenetic alopecia. Surgeons needed to consider various factors, including facial features and hair characteristics, to create a realistic treatment plan. While less common, transgender male patients sometimes pursued hair transplants to enhance facial and chest hair for a more masculine look.