Hairline feminization

The height of the forehead and shape of the hairline are likewise determining factors in feminizing a face. For this reason, it is sometimes necessary to perform surgery to bring this line lower, as well as using hair implants to achieve a more rounded forehead.


Females tend to have a lower, rounder hairline and also a shorter, smoother forehead. They do not usually have temporo-frontal alopecia, the so-called widow’s peak, while in men it is common for the hairline to follow an M-shape. Surgery to redefine the hairline is, along with feminizing the forehead, one of the key surgeries to give your face a more feminine appearance.


    Facial Feminization Results

    Knowing the before and after of facial feminization surgery that the IM GENDER team performs can help you gain a clearer picture of the results you may attain. It helps you to see cases similar to yours and gain an idea of the final result.

    Would you like to read more of IM GENDER’s experiences and testimonials?


    Why is the hairline feminized?

    The hairlines of boys and girls are usually identical during childhood. It is in adolescence, with the influx of male hormones and testosterone that a process of differentiation begins. And as we mature, depending on our genetic inheritance, androgenic alopecia or alopecia caused by male hormones appears. Hormones can also cause the hairline to recede, leaving a much longer forehead. This is not aesthetically pleasing and while it does not determine a masculine appearance, bringing the hairline forward is important not just to increase femininity but also to beautify the proportions of your face.

    So hormones are one of the causes that define a contrasting hairline in men and women. Therefore, the point at which a trans woman begins the hormonal or hormone-blocking process is a key factor. Though this is not the only cause.

    Regardless of the effects of hormones, there exist almost as many hairlines as there are people, regardless of gender. So your plastic surgeon will need to seek the features that are most flattering for you. To do this, he will study your anatomy, your features and how they balance within your face, always seeking to enhance your beauty in the upper third of your face.

    It is important to note that in a beautiful face, the forehead area should occupy one third of the face (see illustration). So a harmony exists that our brain interprets as beauty and symmetry. This will likewise be one of our medical team’s goals when deciding upon your hairline redefinition surgery.

    Comparación entre la frente femenina y la frente masculina


    Hairline feminization techniques

    There are two techniques: one surgical and the other by transplant.

    Semi-elastic transplant

    The scalp advancement technique consists of a hair transplant that can be undertaken during forehead feminization surgery or in a second surgical stage, depending on the IM GENDER medical team’s assessment. If the trans woman suffers from alopecia, a prior study will be conducted on the type of alopecia from which she suffers so as to prevent it in future.

    During surgery, hair follicles (possibly 1000, 2000 or more) can be harvested from the scalp and aesthetically and naturally transplanted to the forehead area so as to reduce forehead size, attaining a more rounded hairline.

    Technique with surgery

    Sometimes, depending on the individual case, it may be more suitable to undergo complete hairline lowering. For this purpose, an incision of a few millimetres is made behind the natural hairline and it is generally lowered by one to two centimetres. Thus, the distance between the eyebrows and the hairline is reduced and the hairline receding at each temple is removed. This imbues the forehead with more feminine beauty. This technique also raises and repositions the eyebrows, giving them a more feminine appearance and shape.

    The team at IM GENDER will carefully study your case to determine which technique is most suitable for you and how this choice can improve the harmony of your facial proportions and, consequently, your beauty.



    You will leave the operating theatre wearing a semi-elastic compression bandage on your head to cover the scalp area operated upon. This dressing will be removed 24–48 hours after surgery.

    Where the hairline has been lowered, you must wear a headband (such as a sports sweatband) for about four weeks. You should also follow the IM GENDER medical team’s advice regarding relative rest, exertion, sports and returning to work. If a grafting technique was employed, no dressing will be applied.


    The results

    MTF hair transplant is one of various facial feminization techniques. This surgery results in a more rounded forehead, more beautiful proportions and a more feminine appearance. If combined with forehead feminization, the results are optimal.



    If you have undergone feminization of the lower third of your face, we hardly recommend you to follow a soft diet for the first seven days after the operation.


    Before restarting your sports routine, check with your doctor when it is appropriate to start and what type of physical activity is most suitable until you fully recover.


    It is very important that you do not miss any visits after your surgery so that the IM GENDER medical team can evaluate and have a control of your progress.

    IM GENDER team

    At IM GENDER we have been specialising in the care of transgender people for more than 20 years. Two decades of experience, professionalism, research and training endorse our medical team and staff.

    Would you like more information about facial feminization surgery? Do you want to know the price of a hairline feminization?