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What You Need To Know About Transgender Hair Transplants

For patients identifying as transgender, you may be considering a transgender hair transplant. Hair transplant surgery can be carried out to thicken existing hair or restore hair where it has been lost and this can be an important part of the transitioning process. There are many different instances for when one may consider a transgender hair transplant. In general there are 2 instances for when patients reach out for a hair transplant:

  1. As an MtF (Male to Female) patient, you might be considering a feminisation procedure for a masculine hairline
  2. As a FtM (Female to Male) patient you might be considering restoring hair where it is thinning in a FtM transition.

At The Treatment Rooms London, one of London’s premier hair transplant clinics, our surgeons are happy to guide you through your journey.

Transgender hair transplants

The distinguishable characteristics between male and female hairlines are an imperative gender trait, from the shape and position to the flow of hairs. However, crown hair loss and receding hairlines pose many problems especially when transitioning. So although male pattern baldness is an undesirable trait for most men, it can be severely distressing for MtF patients as it’s a recognisable side effect of male hormones.

Nevertheless, the advancement in FUE hair transplants and non-surgical hair loss treatments has made it more accessible for transgender patients to receive treatments to aid in their transitioning process.

In this article, we explore both surgical and non-surgical hair loss treatments for transgender patients to help with their transition. We also outline the differences between male and female hairlines and the cost of an FUE hair transplant available At The Treatment Rooms London.

Transgender hair transplant surgery

Hair transplants are a popular procedure amongst the transgender community as it can help alter the appearance of your hairline, as well as add volume and thickness to areas that are thinning. FUE hair transplants are utilised to change the appearance of a patient’s hairline and hair crown to aid in their gender reassignment. 

Transgender hair transplant surgery is constructed with the patient’s transition in mind. Using a bespoke method, the procedure will be tailored entirely to the patient’s needs, whether they’re transitioning from MtF or FtM. This is because a male’s hairline differs from a female’s hairline, so the appropriate measures will be discussed before the procedure during an in-depth consultation.

transgender hair transplant
Transgender hair restoration to the temples and hairline

The difference between male and female hairlines

Understanding the difference between female and male hairlines is a crucial part to hair transplant procedures. Identifying the distinctions between each gender is necessary to construct a natural appearance for the patient.

Transgender male to female hairline
“M” – shaped male hairline conversion to female shaped hairline

There are several dissimilarities between male and female hairlines, which includes:

  • The position of the hairline
  • The shape of the hairline
  • The flow of hairs
  • The aging pattern of the hairline

The position of a female hairline is typically located further forward than of the male counterpart, whereas a male’s hairline is further back, which gives the appearance of a more prominent forehead.

As males age and the hairline recedes, this becomes more pronounced. Whereas a receding hairline due to old age is not something that women usually experience, though a woman can suffer from hair loss this is more sporadic as it doesn’t tend to target one specific area.

The shape of a hairline also differs as males typically recede around the temples, accentuating an “M” shape pattern around the hairline. Contrarily, females have an oval-shaped hairline. Furthermore, the direction in which a male’s hairline flows can be different to a woman’s.

Male to Female hair transplant

Male to Female hair transplants are a lot more demanding than the FtM procedure because more than likely the patient will be experiencing some form of hairline or crown hair loss. However, if a patient is taking oestrogen, then the change in hormone levels can counteract the effect of DHT which can help slow down the recession process.

If a patient is experiencing hair loss around the temples and non-surgical treatments aren’t working, then an FUE hair transplant is a viable option to correct the hairline and provide a more feminine look.

male to female transgender hair transplant
Male to female hairline hair transplant. This patient underwent a first stage FUE hair transplant to her temples and hairline. She will be undergoing a second procedure to further lower her hairline

Female to Male hair transplant

If you’re transitioning from female to male and you’re taking testosterone then you may be experiencing male pattern baldness. The male hormones can alter your appearance, including your hairline which can result in male pattern baldness.

This is because the body converts testosterone into DHT which is thought to be a key factor in male pattern baldness. DHT can have an adverse effect on your hairline as it miniaturises your hair follicles and sheds them.

Unfortunately, there is no cure for male pattern baldness. However, there are some great non-surgical and surgical options to give the appearance of a full head of hair.

FUE hair transplants are an effective form of hair restoration as the procedure can provide a natural look with a long lasting outcome. With an FUE hair transplant, you can also generate beard growth by extracting the hair follicles from the donor area and transferring them to your face to give a more masculine look.

Transgender hair transplant cost

The cost of an FUE hair transplant varies from patient to patient as it depends on the number of grafts a patient will need, corresponding to the amount of hair they have lost. At London Treatment Rooms, we average at £4 per graft, with the price of an FUE hair transplant procedure starting at £3,000.

We recommend utilising our FUE hair graft calculator to get a better understanding of how many grafts you may need. This interactive online tool considers a patients’ age, gender, hair colour, and hair type to generate the average number of grafts they will need. However, this is just an estimation. The price and an accurate number of grafts will be given to you by your surgeon in consultation.

Non-surgical hair loss treatments for transgender patients

Before opting for an FUE hair transplant, we suggest trying non-surgical hair loss treatments as they are less invasive and in some cases more effective. Some medications can in fact reverse hair loss but this does depend entirely on the patient.

Additionally, if you are not comfortable with undergoing surgery then there are a number of non-surgical hair loss treatments for transgender patients that can help with the process. 

The effectiveness of these treatments depends on what stage of hair loss you are currently experiencing. For example, Minoxidil is a stimulant treatment used to increase the vitality of hairs that generates thickness. However, if you are experiencing severe hair loss then this treatment might not be for you, something that a conversation with one of our surgeons will help you to understand.

Nevertheless, successful treatments like Finasteride work by directly halting the balding process by blocking the enzymes that converts testosterone into DHT. This is particularly effective during the early stages of hair loss. 

How we can help with your transition

The Treatment Rooms London is a reputable CQC registered hair transplant clinic based on Harley Street and Putney. All of our procedures are carried out by experienced and fully qualified surgeons who will be there for you every step of the way. We take pride in the work we do and that’s why we make sure every patient receives the best possible outcome. 

We provide an initial consultation to analyse your hair and give you the best options that are most suitable for you. We will walk you through the procedure and answer any questions you may have. During this time, our surgeons will also be able to provide you with an accurate diagnosis for the number of grafts you will need and how much the treatment will cost. 

If you’re thinking of taking the next step towards your transformation and would like to know more, please book a consultation with one of our specialist surgeons today.


  1. Scalp hair regrowth in a hormone treated transgender woman
  2. Understanding and addressing hair disorders in transgender individuals
  3. London’s Hair Transplant Clinic for the LGBT community

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