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Hair Grafting | Beverly Hills Transgender Surgery

A full head of hair is a distinguishing feature that adorns, protects, and indicates good health and youth. Baldness in women is particularly distressing because of the greater social stigma associated with hair loss when compared to men. Hair line and hair density are important to consider for trans men who are undergoing feminization.

After breast augmentation, gender reassignment surgery, or facial feminization surgery, a receding hairline, bald spot on the crown, or thinning hair at the top of the head can detract significantly from the feminine appearance you have undergone so much to achieve.

At Beverly Hills Transgender Surgery, Dr. Alexander Sinclair takes a comprehensive approach to transgender feminization. He understands that the relationship of the hair and facial components is as important, or more so, than any one feature taken individually.

If thinning hair, bald spots, or a masculine receding hairline are detracting from your transition to femininity, Dr. Sinclair can perform hair grafting to further refine the process.

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Thinning Hair Solutions

Hormonal therapy and testosterone blockers such as finasteride and spironolactone can decrease hair loss and lead to better density, but this method will not produce the desired results for everyone. While some of my patients will opt for noninvasive solutions like wigs, weaves, extensions, and hats, there are other more effective options available.

The gold standard for hair restoration is Follicular Unit Micro and Mini Grafting. Four thousand grafts or more can be placed in a single, minimally invasive procedure under local anesthesia. The method works by redistributing your own hair follicles to the trouble spots around the hairline and scalp. Understandably, the patient satisfaction rate for this procedure is very high and the surgery can be repeated if more grafts are needed.

A procedure known as Scalp or Hairline Advancement is a very effective way to feminize the hairline. Dr. Sinclair will often perform a Hairline Advancement during Facial Feminization Surgery. The procedure can lower the hairline by 1.5 to 2.0 centimeters, making the forehead look more youthful and feminine. The incision is placed along the hair line so as to best disguise the scars as you heal.

Hair Grafting in Transgender Patients

By the age of 50, approximately 50% of the male population will experience male pattern hair loss, and in 20%, it can start as early as the late teens. Testosterone blockers can arrest the process in male-to-female patients, and hair that was lost can be restored with hair grafting for a more feminine appearance.

Female-to-male trans patients receiving hormone replacement therapy (testosterone) may develop male pattern hair loss, for which testosterone blockers may also be prescribed. Hair grafting can help replace what was lost for a fuller, more attractive head of hair.

Thinning Hair Solutions

Hair transplants have changed a great deal since their introduction to the U.S. in the 1950s, and the results are much more natural looking and attractive.

In the follicular unit micro grafting process:

  • The surgeon removes a donor strip of hair from the back of the head, where the hair is thicker, then sutures the incision closed. (The scar at the donor site will be completely concealed by the surrounding hair.)
  • Tiny grafts are cut from the donor strip under a microscope.
  • These grafts are implanted close together in tiny recipient sites.

Each follicular unit micro graft contains no more than one to three and occasionally four hairs. A combination of different sized grafts is generally used in hair restoration. One-hair grafts are implanted in an irregular pattern along the hairline, while two and three-hair grafts are placed further back for greater hair density. Two or three hairs in a tiny bunch is the way hair grows naturally in most people, so hair transplantation using follicular units is virtually undetectable. The result of this procedure is fuller, thicker, natural-looking hair.

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We invite you to schedule a consultation with Dr. Sinclair to discuss how he can assist you with your transition. Consultations for elective cosmetic procedures are complimentary.

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Sinclair Plastic Surgery

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Practice Policy Update Regarding COVID-19 View Update Virtual Consultation


Coronavirus (Covid-19) Update

Updated - June 26th 2020

The COVID-19 epidemic has created unprecedented circumstances for our community. Our practice has been paying close attention to the guidelines put in place by the government and

With this in mind, we are offering virtual consultations to patients via face time, however, face-to-face in-office consultation are still available. We are still seeing post-operative patients and patients requiring ongoing treatments. To schedule, a virtual consultation or in-office consultation call our office.

Please know that we are constantly updating our services and staffing according to the local and national recommendations and doing our part to make sure that you are protected

  • We continue to exercise all the latest recommendations that are handed down by the CDC. Our preventative measures include:
  • Fully training all staff members to understand the disease process and its modes of transmission.
  • Appointments will be staggered to avoid congestion in the waiting room.
  • Checking temperatures of every patient that comes into the office.
  • Asking all staff, vendors and ancillary personnel to refrain from coming to the office if they have any signs or symptoms of a cold or an upper respiratory tract infection.
  • Asking every patient to refrain from coming to the office if they have any symptoms and inquiring about any pertinent travel history.
  • Hand-washing, as this continues to be the most important mode of prevention.
  • Although it is something that we have always constantly done, we are now doing so with heightened vigilance and attention.
  • Constantly sanitizing all surfaces (which we have always done as an accredited facility).

However, we have now increased this routine and are wiping down all surfaces, desks, door handles, keyboards and restroom facilities multiple times each day.

Although Covid-19 is a serious issue, we strongly believe that it will pass and hopefully make our infrastructure and our ability to deal with pandemics in this country even better than it currently is. We are closely monitoring this situation on a real-time basis and will update our practice’s guidelines as needed to protect our patients.

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