Transgender hair transplant

Mike Kaine, MD

This text was written according to the highest scientific standards and reviewed by medical experts. Find out more about our quality assurance.

Written by Erin D. Updated on 20 Jun 2024

Transgender hair transplants play a crucial role in helping transgender individuals achieve their desired appearance. Whether transitioning from male to female (MtF) or female to male (FtM), these hair transplants are customized to meet specific needs. In this article, we will explore the possibilities of transgender hair transplants including top clinics, cost, and more.

Most Important Findings svg

Differences Position, shape, flow of hairs...
Available Methods FUT, FUE, DHI
Costs $2,000 - $15,000
Is shaving necessary? No
Clinics Top 3 clinics

Top 3 Clinics for a Transgender Hair Transplant

We have curated a list of the top 3 clinics and doctors for transgender hair transplants, taking into account user mentions, ratings, and overall reputation. It is important to note that this list is not arranged in any particular ranking order.


Clinic and Doctors Location
2pass Clinic Belgium
Dr. Bonaros Scotland
BHHR (Dr. John Kahen) USA (Beverly Hills)

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Difference between Masculine and Feminine Hairlines

To achieve a successful hair transplant, it is essential to grasp the distinctions between feminine and masculine hairlines. Natural post-transplant results rely on the surgeon’s ability to align hairline designs with each patient’s unique requirements.

The following table lays out the differences between male and female hairlines:

Male hairline Female hairline
Position is approx. 2.75 inches (7 cm) above the brow. Much further back than female hairlines. Position is approx. 2 inches (5.5 cm) above the brows. More forward than masculine hairlines.
Shape recedes around the temples creating an M-shaped hairline Shape is more oval shape or inverted u-shape
Frontal hairs have a forward flow Frontal hairs display a whorl flow or cowlick-shaped pattern facing backward
Male pattern baldness that causes hairline to recede and bald spots Overall thinning and hair loss
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Male-to-female Hair Transplants MtF: How Does it Work?

For individuals struggling with a receding hairline or temple hair loss, hair transplants play a pivotal role in achieving a more feminine appearance and boosting confidence. 

However, transitioning from male to female involves unique challenges, including addressing the distinctive “M” pattern of a male hairline.


There are two main cases of hair transplantation in MtF:


1. Early Stage Hair Restoration

In the early stages of transitioning, individuals may opt for mild hair transplants in the temple areas. This approach is chosen when there is a recession of the hairline and temple. Early-stage hair restoration can be pursued before facial feminization surgery or as part of the initial phases of hormonal replacement therapy (HRT).


2. Late Stage Hair Restoration

Late-stage hair restoration comes into play when complete hairline feminization is the objective, typically after facial feminization surgery. This procedure is instrumental in creating a feminine hairline to complement facial features, resulting in a more harmonious appearance.

Male-to-female hair transplants can be particularly demanding because many patients experience some form of hairline or crown hair loss. However, for those taking estrogen as part of their transition, the hormone’s influence can help counteract the effects of DHT and slow down hair recession.

Female to Male Hair Transplants FtM: How Does it Work?

Transitioning from female to male often involves taking testosterone, a hormone that can cause significant changes in one’s appearance, including the hairline.

Unfortunately, for many individuals, this journey may also come with the development of male pattern baldness, triggered by the conversion of testosterone into dihydrotestosterone (DHT). DHT is believed to be a primary contributor to male pattern baldness, as it miniaturizes hair follicles and causes them to shed. 

Over time, hair thinning and baldness can become more pronounced, particularly in areas sensitive to DHT, such as the front and temporal regions. The hair loss typically progresses, affecting the rear areas as well, except for the DHT-resistant zones at the back and sides of the head.

While there is no cure for male pattern baldness, there are effective non-surgical and surgical options available to restore the appearance of a full head of hair

1. Non-Surgical Options

Medications such as finasteride and minoxidil can temporarily slow down further hair loss. However, discontinuing these medications may lead to the resumption of hair loss.How do minoxidil and finasteride work?

2. Surgical Solution – FUE or FUT Hair Transplants

Both Follicular Unit Transplantation (FUT) and FUE hair transplant techniques are employed to achieve high-density hair growth and a natural-looking appearance in female-to-male transition cases.

Furthermore, hair transplants can also play a pivotal role in helping individuals cultivate fuller beards, mustaches, and eyebrows, aligning their facial hair growth with their desired masculine aesthetic.

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What Is the Best Method For a Transgender Hair Transplant?

When it comes to transgender hair transplants, there are two primary techniques in use: Follicular Unit Transplantation (FUT) and Follicular Unit Extraction (FUE).

The choice between FUT, FUE, or a combination of both methods is based on factors such as the patient’s unique requirements, the extent of hair loss, and the desired outcome. Surgeons carefully evaluate each case to determine the most appropriate technique.

Follicular Unit Transplantation (FUT)

FUT involves a meticulous process of selecting hair roots from the donor areas, typically the back and sides of the head. In this technique, the surgeon takes a strip of scalp from the donor region, which is then carefully dissected in a lab. 

This dissection separates each hair graft, which is subsequently transplanted into the prepared slits at the recipient site. FUT offers advantages in terms of harvesting a significant number of hair grafts in a single session.

Follicular Unit Extraction (FUE):

This technique involves the individual extraction of each hair root using a specialized instrument. This instrument is delicately inserted into the donor skin, allowing for the extraction of both single-unit and multiple-unit hair roots. 

Following extraction, these hair roots are transplanted into the desired bald area. FUE is preferred for its precision and minimally invasive nature.

Hai Transplant FUT or FUE


Combination Technique (FUT and FUE)

In certain cases, surgeons may recommend a combination of both FUT and FUE techniques. This approach offers the advantage of harvesting a higher number of hair roots during a single session.

Most common hair transplant method

What Is the cost of a transgender hair transplant?

The cost of a transgender hair transplant is influenced by several key factors:

  • Extent of Hair Loss: The more extensive the hair loss, the greater the number of grafts needed, which can affect the overall cost.
  • Procedure Complexity: Additional treatments or complexities in the procedure may contribute to variations in cost.
  • Surgeon’s Expertise: The experience and expertise of the hair transplant surgeon can influence pricing.
  • Geographical Location: The cost may also vary based on the location of the clinic or surgeon. Our experts have conducted an extensive cost study, comparing prices from over 90 different clinics across 11 different countries. This revealed an average cost of $14,298.49 per 2500 grafts.

Investing in a transgender hair transplant is a significant decision, and its value extends beyond cost considerations. It is essential to prioritize other factors such as the surgeon’s experience to achieve the best results possible.

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Is It Necessary To Shave My Hair Before a Hair Transplant?

Follicular Unit Extraction (FUE) is a popular method for addressing hair loss, including male pattern baldness. Traditionally, it involved shaving the head, which posed a concern for many patients. However, the innovative No-Shave technique now allows for the procedure to be performed with minimal to no head shaving. 

With this approach, most of the hair on the back and sides of the head remains untouched, while only the hairs designated for extraction are trimmed short. This results in a natural-looking appearance immediately after the surgery, as existing longer hairs seamlessly blend to create a full head of hair.

While not offered by all surgeons, this technique provides a discreet and convenient alternative for those seeking hair restoration without a complete head shave.


Frequently Asked Questions

Hair transplant before or after FFS?

Will my hair regrow if I start using hormones?

How long does it take for you to be able to dye the hair after surgery?



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