Hair Replacement Procedures

Hairline Lowering

Unfortunately, transgender patients do not escape the perils of male pattern baldness completely. The good news is that once hormone therapy has been started, the progression of hair loss is usually stopped. The bad news is, you can not “regrow” what has already been lost. There are however, several options depending upon the extent of the hair loss.
Click to the right to view video on the Hairline Lowering Procedure.

Scalp Advancement

This procedure is often performed at the same time as a hairline forehead lift for patients will some frontal hair loss. It is essentially a lowering of the hairline. In some instances, there is not enough elasticity in the scalp to provide adequate advancement, so we will place a tissue expander under the hair bearing scalp. The expander is then filled slowly, over time, to create the adequate of amount of scalp needed for proper placement of the hairline.

Fleming/Mayer Flap

For patients with more extensive frontal baldness, we can perform our renowned Fleming/Mayer Flap procedure to give the patient a full head of their own hair –with their own natural density A second flap may be needed to address more extensive baldness. In some cases, a Tissue Expander may also be required prior to the flap procedure. We also recommend that all of our flap patients undergo Micrografts (1-3 hair per transplant) to the hairline to soften the hairline for the most natural result possible.

View the Video Now

If you are unable to view this video, and would like us to send a DVD, please email us at You may also pick up a complimentary copy of the book Everyman’s Guide to Hair Replacement at our office.

Hair Transplants

Micrografts (hair transplants consisting of 1-3 hairs per graft) and Minigrafts (hair transplants consisting of 4-7 hairs per graft) are also used to treat male pattern baldness. These can be placed on any area of the scalp where hair loss is a problem. It usually requires several sessions for each area, and has less density than the flap procedure. However, some patients prefer this option.

The ultimate goal with hair replacement surgery is the same as with all of the other procedures we offer: a natural, more feminine look. We will review all of the options available to you and give our recommendations for the best possible solution to your individual hair loss concerns.