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Transgender Surgery

As part of the transgender (MTF and FTM) process, there are usually aesthetic concerns with hair loss and other facial appearance issues. As a board certified facial plastic and hair restoration surgeon, Dr. Epstein is uniquely qualified to address these concerns, something he has been doing for over 18 years. As one of the foremost specialists in the field of hair restoration and a Past President of the Florida Society of Facial Plastic and Reconstructive Surgery, he can offer the following aesthetic interventions:

  • treating male pattern baldness in MTF transgender patients while creating a more natural, more feminine hair line
  • restoring male pattern beards, chest hair, and pubic hair, in FTM transgender patients
  • advancement of the overly high hairline with follicular unit hair grafting as well as with the surgical hairline advancement with and without tissue expansion
  • primary and revision rhinoplasty
  • jaw and brow augmentation and reduction/filing
  • liposculpting of the face and jawline
  • liposculpting of the body (as performed by one of the FPS body plastic surgeons)
  • Adam's apple reduction (chondrolaryngoplasty)

His extensive training, passion for perfection, and innate aesthetic skills are combined with the most advanced surgical techniques, enable Dr. Epstein and his FHR associates to provide the finest available treatments. He is trained in and able to offer his patients some of the most sophisticated, time-proven hair restoration and plastic surgery techniques, participating in the FTM and MTF patient achieving the sexual appearance they desire.

Given his expertise in this specialty, the majority of Dr. Epstein's patients travel to him from out of town. Most patients send some photos for him to evaluate, a process that is overseen by your personally assigned Patient Advisor, who will professionally answer many of your questions and help make your procedure a reality. The doctor and his office staff are available to answer all your questions, and to make your experience a comfortable and safe one.

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Before and after brow bone shaving and chondrolaryngoplasty (Adam's apple shaving). Patient also underwent surgical hairline advancement.
 
 
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Before and after revision rhinoplasty. Subtle changes were made to the nostrils to achieve greater symmetry and naturalness, as well as the to the profile and tip region. Patient also had repair of prior facelift scars to restore a more normal appearance to the ears and mid face region.
 
 
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Before and after one procedure of 2,950 grafts.
 
 
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Before and ten months after one procedure of 2,700 grafts.
 
 
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Before and after one procedure of 2,400 grafts to the chest on a transgender female to male patient. This allowed not only for the filling in with hair of the chest, but also the concealment of scars from breast reduction surgery.
 
 
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Before and immediately after first procedure and one year after second procedure total of 3,000 grafts to the beard.
 
 
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Before and ten months after one procedure of 3,900 grafts for hairline advancement.
 
 
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Before and after one procedure of 600 grafts to the eyebrows.
 
 
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Before and ten months after 3,100 grafts. Note that patient is also just six weeks after surgical hairline advancement and simultaneous browbone filing and sculpting, thus the visible hairline healing incision with surrounding temporary hair loss.
 
 
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Before and six weeks after facelift and lateral browlift. Challenging to achieve full smoothing out of the jowls due to the presence of prior injections of silicone to the face.
 
 
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Before and after lip sculpting to repair aesthetic problems after prior silicone injections. Patient had prior BioPolymer injected into the lips, resulting in a lumpy irregular appearance.


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