Hair loss can be a stressful experience for anyone. But for transgender women seeing signs of androgenetic alopecia, or male pattern baldness, the experience can be especially traumatic. Without intervention, hair loss can become progressively worse. That makes it essential to address the matter now to prevent the problem – if one exists – from getting worse.

Hormone Replacement Therapy & Hair Loss

Androgenetic alopecia is a common cause for hair thinning and loss in men and women. In cis-men, the hair loss starts in an M-pattern, gradually expanding, and leaving a semi-circle of hair on the sides and back of the scalp. Cis-women typically experience an overall thinning rather than loss, where the hairline is rarely affected.

For trans women, hormone replacement therapy (HRT) entails decreasing the number of hormones – those associated with secondary male characteristics – such as testosterone and DHT and increasing the number of hormones associated with secondary female characteristics like estrogen. Interestingly, trans women who experience male pattern baldness prior to starting HRT may see a reversal of hair loss. Some researchers believe the combination of increased estrogen and DHT blockers alters the muscle and bone structure around the head, thus easing scalp inflammation that can trigger an increase in DHT production and subsequent hair loss.

Transgender Hair Transplants

Transgender and gender-neutral transplants involve the same surgical methodology and technology as cis-gender restoration procedures, but require a high level of sensitivity, artistry, and technique to deliver the desired results. This may include transforming a traditionally masculine hairline into a softer, more rounded hairline that frames the face for those transitioning from male to female. Trans women may also choose eyebrow transplants, or a brow lift along with other facial feminization procedures to achieve a more feminine appearance. Female-to-male patients have the option to create mustaches, beards, sideburns, chest hair and hair in other small-section areas to achieve a more masculine appearance.

With the complexities and nuances of the transition process, it’s imperative that transgender and gender-neutral individuals choose a hair restoration team who understands their unique needs and is equipped to address their hair loss concerns.

And throughout Southern New England, that hair restoration team is DiStefano Hair Restoration Center. Thousands of surgeries and satisfied patients later, we can work wonders for you, too. Would you like to learn more? Then take a moment now to schedule a free consultation with our team of hair transplant professionals. It’s a great first step to a happier you.