Transgender patients are no different than any person seeking Hair Transplant surgery. The main issue faced in regards to transsexual patients is the need to change a "masculine" hairline to a more "feminine" one. This issue applies to male to female transsexual patients who suffer from male patterned baldness.
There are generally two issues: One includes the recession of the frontal corners which makes the frame of the face more masculine. Second includes additional miniaturization or balding of the rest of the hair which may require further Hair Transplant.
The first issue can easily be corrected through follicular unit Hair Transplant surgery. This includes refilling the receded frontal corners and correcting the hairline to a more natural and feminine looking one. The second issue is generally caused by testosterone.
There are fortunate to be living in a time in which hair loss can be completely defeated. For those men and women who choose to take a proactive approach to solving hair loss, there are 5 mainstream treatment options.
1. Minoxidil
2. Finasteride (not for women)
3. Dutasteride.
4. Surgery (flaps and scalp reduction)
5. Hair Transplants
Other treatment options include several anti-androgens for women prescribed by their Dermatologists. Of these options, Hair Transplant have the largest guarantee of replacing hair. Implanted grafts have a 99-100 percent survival rate. Hair transplants are also more effective in producing good results in the frontal and temporal regions then minoxidil and finasteride.
Anti-testosterone medication like Spironolactone can help to slow down additional hair loss but it does not stop the balding process. Transgender male patients whom have had their testicles surgically removed will not experience the same condition since they have eliminated testosterone production. Only people who are genetically susceptible to dihydrotestosterone (DHT) would have to be most concerned about medication options like Propecia.
The other major factor of women's hair loss besides DHT is overactive or underactive working of thyroids. This imperfection in working of these thyroids results in thin hairs and with time the hairs start falling and a man or woman start getting bald. Before your hair loss can be treated, it is essential to discover the cause for the loss. This may require a complete physical workup as well as number of tests to rule out certain Hair Transplant conditions.
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