Hair transplants to improve the gender specific appearance of patients, mainly male to female but also male to female gender reassignment.

Male to Female Transgender

Male pattern hair loss is obviously a distinctive pattern, normally a male chracteristic. If you see someone with this type of hair loss, the cosmetic appearance suggests a masculine look. This is true of women (see the female hair loss page) or of male to female transgender patients.

Most clearly seen is temple thinning and recession. This can be difficult to hide, especially from the side or in windy, rainy conditions and hair thickeners such as Nanogen don’t really help.

Whereas, crown thinning can be helped by hair camouflagers, hairstyles, hats or even small hairpieces. And it simply isn’t as visible as temple recession.

Hair transplants are probably best for the temple areas, although scalp advancement techniques can be useful, especially if a forehead lift is desired as well.

Most transgender patients are also taking medication – typically oestrogens but also antiandrogens such as cyproterone acetate. However, although many patients and doctors believe this is sufficient to stop further male pattern hair loss, in fact this isn’t necessarily true. Hormones have a complex dynamic and testosterone, oestrogen and dihydrotestosterone (DHT) are closely related and it is the DHT that crucially cause the male pattern balding. So even though less testosterone may be produced, it is still possible to produce sufficient DHT to cause further MPB and blocking the DHT (by Finasteride, Propecia, Avodart) is still needed. It may help even produce some regrowth.

Female to Male Transgender

Often, simply taking testosterone is sufficient to initiate male characteristics such as beard growth, change in fat deposition, muscle growth and male pattern hair loss.

Women still carry the genetics for MPB even if they do not demonstrate the hair loss. This is because there is a threshold level of testosterone/DHT required which most women do notproduce enough of (see female hair loss page).

However, if extra androgens are administered, then this level will be reached, which can be seen in some female athletes who illegally”dope” and in female to male transgender patients. If such patients do not want MPB, then Finasteride could be used although it is worth pointing out that DHT is a potent androgen in its’ own right.

What our patients say

Dr Rogers Compliment Letter 2015 – SG

When I arrived at the clinic on Harley Street I was welcomed warmly by the staff and did not have to wait long before the Surgeon (Dr Richard Rogers) came and introduced himself. I then sat down with Dr Rogers who spent time getting to know me, asking very detailed questions. He then spent some time with me penciling on different hairlines giving me plenty of time to think, whilst giving his expert opinion and advice on what would look the most realistic. When I had decided on the placement of my new hair line Dr Rogers made sure that I was happy with the outline drawn one last time walking round showing me it from different angles using a mirror.

Through Dr Rogers being so intent on making sure I was 100% happy with the procedure before going ahead really helped me feel comfortable and sure with my decision. With my hairline drawn and having been made to feel completely relaxed by Dr Rogers I was walked to the surgery. Even then Dr Rogers continued to make me feel comfortable introducing me to each of his nurses and explaining each step to me in detail of what they would be doing whilst he performed the procedure.

Having talked through the procedure with me and going over everything in extreme detail Dr Rogers asked me to place myself on the chair and then began to adjust the position making sure that I was completely comfortable. Now that I was sat comfortably and ready for the procedure to begin Dr Rogers began to guide me through each step before doing so. To begin with he explained that he would be administering general anesthetic to numb the surrounding area, and told me that it may hurt a little like a pinch. However, I did not feel a thing! In fact I didn’t even realise Dr Rogers had begun, he was so gentle and light handed I was shocked and of course extremely pleased!

With the first part out of the way and the surrounding area completely numb, Dr Rogers told me that he would now begin to remove the strip of skin. At this stage I could honestly not believe how it was possible that I could not feel my skin being cut away. Throughout the procedure I was not once in pain and Dr Rogers continually made sure that I was ok and checked that I was in no kind of pain.

Better still Dr Rogers talked to me throughout the procedure and joined in with conversations between the nurses and myself. This really made me feel at ease and at times I nearly forgot that I was having a hair transplant. With my strip of skin removed and the nurses now taking each hair follicle from the skin, Dr Rogers began to stitch my skin back together. Even now I could not feel a thing and before I knew it Dr Rogers had finished.

Whilst the nurses continued to separate the hair follicles Dr Rogers offered me some water and asked if I had any food to eat to help boost my sugar levels. Once I had eaten a snack and topped myself up with water Dr Rogers made sure that I was comfortable before the procedure continued. He then explained that he would be administering some local anesthetic to the surrounding area for the hair follicles to be placed. With the area numbed and having been told what was to happen next Dr Rogers began to make tiny pin pricks into my skin for the hair follicles to be placed in by his nurses. I cannot stress enough how I did not feel a thing and it was over with so quickly, he was a magician with his hands! It was now time for the final part of the procedure; the nurses began to delicately place my hair follicles in one by one.

With the procedure now finished and my new hairline complete, I was given plenty of time to slowly sit myself up. Dr Rogers then offered me some water and food to help boost my sugar levels. Now that I had my bearings back, Dr Rogers walked me into a quiet room and showed me to a mirror. He then said that he would leave me for a few minutes to look at the hairline. After a few minutes had passed he knocked on the door and asked if I was happy with the outcome, to which I found myself near on speechless! I told him how happy I was with it and continually thanked him for doing such an amazing job.

He then asked me to take a seat and began to explain in detail how to care for my new hair each day and gave me a detailed plan on paper. He then gave me a spray that he explained would help to clean any blood away from the surrounding area. After making sure that I was completely happy with the outcome and asking if I had any questions Dr Rogers shook my hand and wished me the best of luck with my new hairline.