Transgender Hair Transplants With Facial Feminization

At Allure Esthetic, we understand that each person’s journey is uniquely theirs. Regarding gender-affirming procedures, the ability to address multiple areas of concern can make the process smoother, more convenient, and more rewarding. One of the most transformative combinations we offer is a transgender hair transplant with facial feminization surgery—performed simultaneously under the expert care of Dr. Javad Sajan.

We are proud to share that we are the only practice in the U.S. offering both hair transplantation and facial feminization simultaneously. This means our patients can correct hairline concerns and feminize their facial features in a single procedure, minimizing downtime and streamlining the entire experience.

Below, we’ll explain everything you need to know about combining a transgender hair transplant with facial feminization. We’ll explore why this approach might be right for you, explain how our process works, and explain what to expect regarding recovery. We’ll also highlight the benefits of working with Dr. Javad Sajan and our team at Allure Esthetic, including the critical fact that private insurance covers both procedures for many patients.

Facial feminization is a comprehensive procedure (or set of procedures) designed to soften masculine facial features and create a more feminine appearance. Common components include:

• Brow reduction
• Rhinoplasty
• Lip lift
• Cheek augmentation
• Jaw & chin contouring

At Allure Esthetic, Dr. Javad Sajan can also perform a hair transplant during the same surgical session. While facial feminization reshapes facial structures, the hair transplant focuses on lowering the hairline, reducing forehead height, and filling in the temporal peaks to create a fuller, more feminine hairline.

• Single Surgical Session: Instead of undergoing multiple surgeries at different times, you can do all your procedures simultaneously.
• Streamlined Recovery: Recovering from one extensive procedure, rather than two or more separate ones, can be more efficient and reduce total downtime.
• Comprehensive Results: The new hairline and feminized facial features are planned together, enabling a harmonized final look.

At Allure Esthetic, we tailor your hair transplant approach to your anatomy and desired outcomes. We typically use FUT (Follicular Unit Transplant) or FUE (Follicular Unit Extraction).

• FUT (Follicular Unit Transplant): It involves removing a strip of hair-bearing skin from the back of the head. It is excellent for patients who want a more significant number of grafts. The hair follicles are then meticulously placed along your new hairline to ensure natural-looking growth and a more feminine silhouette.
• FUE (Follicular Unit Extraction): It involves extracting individual follicular units directly from the donor area. Typically leaves no visible scar (tiny punctate scars may occur but are usually undetectable once hair grows in). It is ideal for those who prefer wearing shorter hairstyles or need only a modest number of grafts.

Regardless of our technique, Dr. Sajan’s expertise in creating a carefully planned, natural-looking hairline will benefit you.

When you combine hair transplant with facial feminization, you can enjoy:

• No Visible Scars: Our advanced techniques make scarring from the hair transplant discreet. The incisions used for facial feminization are carefully placed in natural contours.
• Lower Hairline & Smaller Forehead: A lower hairline is often a key aspect of facial feminization. It helps reduce the appearance of a more prominent forehead, a feature many patients find too masculine.
• Fills Temporal Peaks For Thicker & Fuller Hair: Thinning or receding hairline around the temples can be one of the biggest concerns for transgender individuals seeking a more feminine appearance. The hair transplant procedure targets these areas, creating fuller coverage and improving facial framing.
• More Feminine Overall Appearance: A session can address multiple areas, providing a unified, feminine look. Over time, the transplanted hair grows naturally, seamlessly blending with your existing hair.
• Convenience & Reduced Recovery Time: The “one-surgery convenience” means fewer separate anesthesia sessions and reduced overall recovery periods. Instead of scheduling multiple procedures across months or years, you can move forward faster with your transition goals.
• Private Insurance Coverage: Many private insurance plans cover facial feminization and hair transplant procedures. We always encourage patients to check with their providers or contact us. Our team can help verify insurance benefits and determine eligibility.

Overall, these two procedures can make the gender-affirming process smoother and more cost-effective, particularly with comprehensive insurance coverage.

Are There Any Risks?

As with any surgical procedure, there are certain risks. However, working with a skilled and experienced provider like Dr. Javad Sajan at Allure Esthetic can help minimize these risks. Potential risks include:

• Bleeding & Bruising: Some swelling and bruising are expected, especially with facial procedures.
• Infection: Extremely rare when proper surgical techniques and postoperative instructions are followed.
• Hair Graft Survival: Some grafts may fail to grow in a small percentage of cases. However, Dr. Sajan carefully handles each follicle to maximize survival.
• Anesthesia Complications: Low incidence with a board-certified anesthesiologist monitoring you throughout the surgery.
• Scarring: We place incisions so that scars are minimal or hidden. FUE often results in virtually no visible scarring. FUT may leave a thin linear scar, but it’s usually well-concealed in the hair.

By choosing a specialist like Dr. Sajan—who has performed countless facial feminization and hair transplant procedures—you’re putting your care in the hands of someone who understands both the surgical techniques and the nuances of gender-affirming medicine.

Initial Consultation

• In-Person or Virtual: We often start by meeting you in person at our Seattle office, but we also offer virtual consultations for those who live out of town.
• Evaluation of Facial Features & Hairline: Dr. Sajan will assess your forehead, brow, nose, cheeks, jaw, and chin to determine what combination of facial feminization procedures may be necessary. At the same time, he evaluates your hairline and identifies the best approach—FUT or FUE.
• Discussion of Goals & Preferences: We want to thoroughly understand your transition goals and personal preferences. This is a collaborative process—your input is critical.
• Insurance Verification: Our team checks your insurance coverage to confirm which procedures are covered.

Treatment Plan & Scheduling

• Customized Surgical Plan: Dr. Sajan will create a personalized plan detailing which facial feminization procedures will be performed alongside your hair transplant.
• One-Surgery Convenience: We schedule everything for the same day or the same surgical session so you can move forward without multiple individual operations.
• Preoperative Instructions: You’ll receive detailed instructions to prepare for surgery. This may include lifestyle recommendations, avoiding certain medications, and planning post-op help from friends or family.

Day of Surgery

• Anesthesia & Prep: Our caring team will greet you and meet with your anesthesiologist. Before you go under anesthesia, Dr. Sajan will map out the hairline and final facial feminization plan.
• Facial Feminization Procedures: Dr. Sajan will begin with your planned facial procedures, such as brow reduction, rhinoplasty, lip lift, or cheek augmentation. He works meticulously to ensure that each part of the face aligns with your goals.
• Hair Transplant: Once the facial procedures are complete, or sometimes in between them, our hair transplant team will begin the hair restoration process. Whether FUT or FUE, we carefully place each graft along the newly designed hairline and temple areas.
• Post-Surgery: After surgery, you’ll be moved to a recovery area. Our team will monitor you closely as you wake up.

Before You Leave

• Review of Aftercare Instructions: We’ll review how to care for your incisions, grafts, and overall health during recovery.
• Schedule Follow-Up: We typically book your first post-op check a few days after surgery.

What To Expect Immediately After

• Bruising & Swelling: It’s normal to have bruising around the eyes, forehead, and cheeks, especially if you had multiple facial procedures. Swelling is most noticeable in the first few days.
• Mild Discomfort: You may feel tightness around your scalp and forehead. We provide medication to help manage any discomfort.

Hair Grafts

• Protecting the Transplanted Area: For the first couple of days, following our instructions on cleaning and caring for the grafts is crucial. Avoid excessive touching or scratching.
• Scab Formation: Tiny scabs may form around each graft. This is normal and typically resolves within one to two weeks.

Activity & Timeline

• First Week: You can resume light daily activities but avoid strenuous exercise. Sleep with your head elevated to help with swelling. Following a soft or semi-liquid diet is advised due to facial procedures (like jaw or chin surgeries).
• Second to Third Week: Most patients feel more comfortable resuming moderate activities. By the end of the second week, swelling and bruising usually decrease significantly.
• One Month & Beyond: The transplanted hair may fall out initially—a normal part of the growth cycle. New hair typically starts to grow in three to four months. Facial incisions will continue to heal and fade over the next few months.

Follow-Up Visits

• Regular Check-Ins: We schedule multiple follow-up appointments to monitor your healing progress.
• Long-Term Results: Many patients see final facial feminization results within six months, while the transplanted hair thickens over 9 to 12 months.

At Allure Esthetics, we pride ourselves on offering state-of-the-art gender-affirming procedures with a patient-centered approach that focuses on your goals, concerns, and unique anatomy. Dr. Javad Sajan, an expert in transgender surgery who has performed thousands of gender-affirming procedures, such as top surgery, facial feminization, body contouring, and hair transplants, understands the nuances of transitioning and takes a personalized, empathetic approach to every case.

We are the only practice in the U.S. offering hair transplantation simultaneously with facial feminization, streamlining your transition and reducing both recovery time and medical costs. Whether you need FUE or FUT, our advanced hair restoration techniques ensure successful grafts and natural-looking results. From your initial consultation to your final postoperative visits, we prioritize making you feel comfortable, heard, and respected while guiding you through every step, including insurance verification. Because many private insurers cover facial feminization and hair transplants, our dedicated staff will help you confirm coverage and navigate the process for a smooth experience.

To schedule your consultation with Dr. Sajan, contact us through our online contact form, Price Simulator, or at (206) 209-0988.