Let's talk about feminizing hair transplants!

Hair transplants are an oddball procedure that can be absolutely decisive in feminizing a transfeminine face, depending on what a person needs. The process is pretty simple: they take a strip of skin and hair from the back of your scalp, usually 1-2cm wide, close that incision, use a microscope to reduce that strip of hair into its individual follicles, and then insert them where your hairline needs modification. Many folks don't need transplants, and a lot of transfems miss that MANY cis women have very square natural hairlines, and that their hair falls easily into cisf error bars.

Still, dysphoria is a beast.

There are quite a lot of us who *do* absolutely need a hair transplant in order to visibly pass without a hairpiece. I was definitively one of those women--I'd suffered massive hair loss and recession when I started HRT.

How bad, you ask?

This bad.

Yeah.

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#mtf #trans #hairtransplant #ffs #facialfeminization

Now, what I did is what anyone should do before going in for a transplant: I turned to hair care and medicine, and I gave estrogen time to work. There are actually some *very* good scientific reasons to believe that estrogen is often decisive in getting dorman hair follicles producing again. In addition to this, a DHT blocker (finasteride or dutasteride) and minoxidil--I recommend low dose oral, by prescription, even though it'll make your facial hair more obnoxious to knock out for good--can have incredibly transformative effects on a hairline. Sulfate and sulfide-free hair products are similarly important, so the hair you grow can be healthy and full.

Six months after that first picture, this was the hair pattern I recovered to. Still way more thinness than I was okay with, and deep Noewood-grade recession at the temples, but it was a damn sight better.

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Things stabilized there afterward. About a year later, when I went in for my FFS with FacialTeam, this was the final pre-surgical photo of my face. The key problem, as is obvious, is that in addition to the sparseness of the hair in the middle of my head, I had extremely high temples; together, they meant that I really couldn't style my hair effectively. I used a small wig called a topper to help during this time period.

From here on in, we'll be going to pictures including surgical recovery, so be ready for some weird and (very slightly) icky stuff.

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A hair transplant is a delicate and time-consuming process, as each individual hair follicle needs to be placed in a unique little incision. It's *very* slow work, and can run to eight or more hours for a really big transplant, the largest of which run 3,000-3,500. The transplant I got during my FFS was size-limited because of my FFS--quirky stuff from the mechanics of my surgery--you 1,750 follicles. This was not enough to achieve the hairline I needed, but it made a big, big difference.

Now, those follicles require very tender care right after surgery. No washing for 10 days. Spritzing with saline every 30-45 waking minutes. No headgear that touched them, *period*, for almost a week. No sun at all, to the best of your ability.

Failure meant lost follicles that can never be recovered.

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About a month after the transplant, those hairs... All fall out. And the follicles went dormant.

Yeah, it was a shitty time for dysphoria.

And for 2-3 months after? Pretty much nothing.

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Eventually, though, the follicles start waking up and growing again. Month 4.5-6 after surgery is typically a growth bonanza, even if it does look super scraggly for a while.

But as you can see, there's still thinness on top, and those temples are, while feminized, pretty high. So, I had a second, 1,550 transplant. About half of the transplant was to even out my hairline, and the rest was to densify everything.

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The earlier surgical recovery shots I showed were all cleaned by FacialTeam, but my second round was a local guy, and I can't do cleaning the way FT did. It's not harmful this way, but it's nooooot photogenic.

I'm a week postop now, and they put my new follicles in place at maximum surgical density, so I should be good to go after my second recovery. Still, this process is not comfortable and it is *very* ugly, but the soft, inverted U is what I always wanted and needed--and especially when you compare it to my before pics, it's absolutely transformative to the face.

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@Impossible_PhD do I understand correctly that this procedure only moves existing hair follicles around? i.e. there's no regrowth where they're taken from?
@Tattie Correct. Hair transplants move existing hair from the back of your head to the front and/or crown. Technically, since some number inevitably don't survive the move, it's a *loss* procedure, but they take the hair from an area where basically nobody ever even notices it and put it somewhere incredibly high-impact, so it *seems* like you suddenly sprout a massive amount of new hair.
@Impossible_PhD pretty much rules it out for me, then, I think. Which is what I expected. Sad times though.

@Tattie you think? Because I have seen some *stunning* jobs, far in excess of what you might imagine. We're talking near-total hair loss on top restored from the back.

You might want to look into what's achievable.

@Impossible_PhD I'll have to have a look at what estrogen has done, or not, next time I get the hairpiece off. I don't want to go through the entire process and just end up thin all over. I love having a lot of hair.
@Tattie So, you won't notice increased thinness in the donor site--there isn't like a bald patch or something afterward. They stitch it shut in such a way that, after it heals, even a skilled hairstylist should have trouble finding the scar. Just so you know.

@Impossible_PhD no, I mean I was already very thin. The only areas I had decent coverage were way back at the back of my head, and I just can't see myself having enough to work with there.

Anyway, gonna end the conversation there because it's triggering dysphoria something rotten.

@Tattie I'm very sorry. 🫂
@Impossible_PhD not at all your fault but hugs gratefully accepted ❤️