Transgender people have several specific needs in dermatology. Speak to a dermatologist if you have questions or concerns about any of the following skin-related issues.
Trans women and transfeminine people
Hair removal is a major concern for trans women, especially facial hair removal. Many also opt for body hair removal or genital hair removal prior to bottom surgery.
Scalp hair loss is another significant concern for many trans women.
Hormonal changes to skin
Feminizing hormones, anti-androgens, and bottom surgery can all affect hormone levels. For trans women, these can make skin thinner and dryer, make hair and nails more brittle and prone to breakage.
Some trans people opt for facial skin resurfacing to improve appearance. Smoother skin is generally considered more “feminine,” and some women need to correct damage from testosterone-induced acne or facial hair removal. These include medical grade chemical peels and laser peels.
Some trans women seek injections and fillers from medical professionals. In some cases, trans women have received illegal fillers from untrained people, most notably injected silicone. This can cause serious side effects and may require surgical correction or removal.
Trans men and transmasculine people
40% of trans people taking testosterone and other androgens may experience increased acne, particularly on the face, chest, back, and shoulders.
Testosterone increases facial and body hair for nearly all trans people taking it. In some cases, this may lead to unwanted hair in some body areas.
31% of trans men experience moderate to severe hair loss after starting masculinizing hormones.
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