When endeavoring down the path to a more feminine face, we have to consider the common differences between the male and female appearance and then evaluate each patient for these distinct characteristics. The hairline is undoubtedly an area where the difference between the sexes is quite noticeable.  Genetically born males typically have higher hairlines than do genetically born females.  In addition, it is common for the male hairline to recede, especially in the areas just above the temples.

In order to reduce the negative influence that these typically masculine features have on your goal of a feminine appearance, Dr. Cardenas often recommends a surgical procedure to advance the scalp and reshape the hairline.  

It is also possible that Hair Transplant Surgery could be appropriate for our patients with substantial male pattern baldness.  This procedure is sometimes recommended by itself or in conjunction with the hairline advancement procedure.




The incision is made just inside the hairline, the shape is customized for the patient. The new hairline can be tailored to the patient’s preferences and is often wavy to mimic a natural hairline. During the surgery, the excess forehead and/or scalp is excised and the scalp is advanced to the new hairline. The incisions are made in such a manner (trichophytic) so that hair regrows through and in front of the eventual hairline scar making it undetectable.

After a hairline advance procedure, there can be minimal to moderate swelling. Most swelling diminishes over the first several days and is completely resolved within the first couple of weeks after surgery.  Numbness or reduced sensation should be expected around and just behind the hairline. This is temporary and is expected to resolve within the first few weeks to months. Many patients are healed enough to go back to work after a couple of days and can use a scarf or large hat for camouflage. Sutures placed at the hairline are removed by Dr. Cardenas after one week.

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“..After all of these years. After all of the hard work I had put in to getting to this point. After all of the sacrifices and loss and pain, and after all of the inner and outer battles I had fought to become me — I was finally me.


Anne Kelly

TransOp Patient

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