May Spring Specials! See Offers

MTF Transgender Hair Transplant: A Guide to Hair Feminization

Hair isn’t just one of the most important aspects of your appearance; it’s also an important part of your gender expression! When a person decides to transition their body to match their gender identity, hair is a crucial element that can help ease that transition. Luckily, there are a number of hair procedures that can not only restore your hairline density, but also create a more feminine hairline.

At Bosley, we know the sense of pride, self-confidence, and individuality that can come from your hair. That’s why we’re committed to helping our patients achieve their aesthetic goals as they move forward with their transition.

Understanding Male & Female Hair Lines

Since the shape and position of hair lines is an important gender trait, understanding the difference is important in creating a natural appearance for those undergoing a transgender hair restoration. Here are a few of the differences:

  • Shape – A feminine hairline usually looks like an upside-down U and tends to be rounder and softer than a masculine hairline which has more of an M-shape.
  • Position – Feminine hair lines are usually found closer to the front of the skull. Masculine hairlines are found further back, making the forehead more prominent.
  • Hair growth orientation – Female hair growth typically flows from the hairline to the back of the neck as oppose to male hair growth which is known to grow from the crown area to the hairline.

During the MTF hair regrowth process, our experts can achieve a natural-looking feminine look by changing the direction and location of the hair follicles.

A Hormone Therapy and Hair Loss Connection

When a transgender woman decides to begin female hormone therapy, certain hormone levels are increased, and decreased to match those of a biological female. This transition can have a direct effect on their hair lifecycle. As testosterone levels decrease, so does the rate of hair loss in connection to male pattern baldness. When estrogen hormones increase, a slowdown occurs in the recession of the hair line, and thinning of the hair. However, neither change of hormones can reverse or alter the appearance further.

Luckily, there is more than one option to help this transition along. Hair transplant procedures can restore and enhance a transgender woman’s hairline to better reflect her female gender expression. Non-surgical medication and treatment can further assist the result of hair restoration surgeries. The use of female hormone therapy can also help improve the effectiveness of hair restoration and enhance treatment.

The MTF Hair Transplant Procedure

Hair transplant surgeries are procedures that take hair from an area of high density and implant it to an area of lower density. While the procedure performed is the same when it comes to hairline feminization, a higher level of expertise, and understanding is needed to achieve a natural-looking feminine appearance.

While the restoration of hair density and reversing male pattern baldness are important in an MTF hair transplant procedure, giving patients a more feminine appearance through hair line modification is the ultimate goal. This is achieved by lowering the hair line and manipulating follicle orientation to resemble female growth patterns.

One Step Further in Hair Regrowth

While a hair transplant procedure is a good option for transgender woman who want to achieve a more feminine hairline – other non-surgical treatments are available that could potentially enhance MTF hair regrowth.

As one of the most effective non-surgical products for hair loss, Minoxidil is used to stimulate hair growth, and prevent further hair loss. Since hair growth is not opposed by testosterone and DHT, Minoxidil may be even more productive in transgender patients who are taking female hormones.

Other non-surgical treatments include anti-androgens. For example, Finasteride is often used in transgender woman who have not had an orchiectomy. Finasteride is known to slow down hair loss, promote further hair growth by targeting DHT, and blocking the effects of testosterone.

As hormone levels are changed in an MTF transition process, it’s always important to consult an expert to determine the right dose for the optimal results.


At Bosley, we know how important hair can be for anyone undergoing a MTF transition. We’re here to help support you in becoming your most authentic self by matching your outward appearance with your identified gender expression. If you would like more information, schedule your free consultation with a Bosley specialist to learn more about your options.

What to do next?

To learn more about your hair restoration options, download Bosley’s FREE info-kit, The Complete Book on Hair Restoration, to see how great your hair can look. If you’re ready to do something about that bald spot or thinning hair now, schedule a FREE in-person or video consultation with a trained Bosley hair restoration specialist. Together with a Bosley Physician, we can help you find out what’s causing your balding and what treatment solution is right for you.

Get a Free Info Kit Schedule a Consult

Free Consult Free Info Kit