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I have developed a method whereby both procedures can be completed simultaneously workplace with excellent results. This has now been completed in many patients, both male and female. The net result of this procedure in the MTF transsexual who has this particular hairline and forehead length, is considerable feminization. Forehead and/or scalp advancement are generally completed under general anesthesia, but can be completed under local anesthesia and sedation (in selected cases). The procedures are completed through an incision just at the hairline in the middle two thirds of the forehead, and then extend laterally workplace more posteriorly into the hair and down to the superio-posterior of each ear. The prehairline scar heals very nicely, but, depending upon ones preferred hairstyle and the quality of the healed scar, may benefit from a few micro hair grafts in front of the scar. As you probably know, the male hair pattern is generally nicely maintained while on female hormones.
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