Nation’s First Combined Facial‑Feminization + Hair Transplant Happened in Seattle – Here’s Why It Matters

A new milestone in gender-affirming surgery was recently achieved in Seattle. Dr. Javad Sajan of Allure Esthetic performed what is believed to be the nation’s first combined facial-feminization surgery (FFS) with simultaneous hair transplantation. This integrated procedure represents a significant technical advancement, addressing multiple aspects of facial feminization in a single surgical session:

• Upper Face: Frontal bone and orbital reductions with sinus setback, paired with a precisely positioned brow lift

• Midface & Nose: Rhinoplasty combined with midface lifting for improved facial balance

• Lower Face: Jaw contouring, chin reduction, and lip lift for softer angles

• Hairline: Immediate 1,000-graft follicular unit transplantation to create a feminine hairline

By combining these traditionally staged procedures, this approach offers several practical advantages: reduced overall recovery time, coordinated aesthetic planning between facial structure and hairline design, and potentially lower cumulative costs for patients.

What Is Facial Feminization Surgery (FFS)?

Facial feminization surgery (FFS) is a specialized set of procedures designed to soften masculine facial features and create a more traditionally feminine appearance. These anatomical alterations address both bone structure and soft tissue to help align a patient’s physical appearance with their gender identity.

FFS typically involves:

• Bone restructuring (forehead, jaw, chin)

• Cartilage refinement (nose, Adam’s apple)

• Soft tissue adjustments (hairline, lips, cheeks)

Unlike cosmetic surgery, FFS is considered medically necessary gender-affirming care for many transgender women and feminizing non-binary individuals, often significantly reducing gender dysphoria. The procedures are customized based on each patient’s facial anatomy and feminization goals, with surgical plans typically developed through advanced 3D imaging and computer modeling.

Why this milestone matters

Patients want a coordinated, efficient path, not multiple surgeries and duplicated downtime. Combining FFS with hair transplantation means the facial framework and hairline are designed to match from the start, under a single anesthesia event.

• One plan, one recovery. When brow/forehead work and hairline feminization are mapped together, you avoid design conflicts and split healing periods. Allure’s program is built specifically for same‑session planning.
• Fewer anesthesia events. A consolidated day replaces two (or more) separate trips to the OR, which many patients prefer when they qualify.
• Harmonized results. Hairline position, forehead height, brow lift, and temple fill are calibrated in real time as the face is feminized.
• Insurance support is improving. Allure bills most major insurances and actively helps patients verify benefits for gender‑affirming FFS and hairline procedures.

How a Combined Session Works

Dr. Javad Sajan’s same-session procedure began with frontal bone and orbital reductions plus a frontal sinus setback, followed by a brow lift to feminize the upper face. He then performed a mid-facelift and rhinoplasty to improve facial balance, and in the lower face, a lip lift, chin reduction, and jaw contouring to soften proportions. In the same operation, a 1,000-graft follicular unit transplant was completed to lower and refine the hairline.

In a combined-session approach, every step is planned so facial changes and hairline design work together. The surgical team sequences the procedures to ensure graft placement complements the new forehead and brow position, allowing patients to achieve cohesive results with one anesthesia event and a single recovery period.

Who Should Consider Gender-Affirming Surgery?

Every patient’s candidacy is unique. The decision to move forward depends on balancing the scope of surgery with safety, recovery needs, and your long-term goals. For some, a single-session plan combining facial feminization surgery (FFS) with hairline feminization offers the most efficient path, if specific criteria are met.

• Health & readiness: Medically cleared adults with realistic expectations; stable hormones can be part of the clearance discussion.
• Anatomy & goals: You plan to feminize brow/forehead, nose, lips, jaw/chin, and you want the hairline addressed at the same time.
• Donor hair supply: Adequate donor density for FUE or FUT, allowing for a lowered or refined hairline during FFS.

Recovery and timeline

Recovery combines routine FFS healing with standard hair‑graft care. Plan your return to activity with both in mind.

• Early days: You’ll see facial swelling/bruising and tiny scalp scabs that flake off over 1–2 weeks. Protect grafts and follow cleaning instructions.
• Getting back to life: Single‑session FFS is designed to minimize duplicated downtime. Many patients return to work in 2–4 weeks, depending on the procedure mix.
• Hair growth: Transplanted hair follows regular cycles; visible length appears over the next couple of months and continues to mature thereafter.

Technique Options for Hairline Feminization: FUE vs. FUT

The method used to restore or lower your hairline is selected based on your hair characteristics, the number of grafts needed, and your hairstyle preferences. At Allure Esthetic, your facial feminization plan and hair transplant strategy are designed together to ensure the hairline complements your facial features.

• FUE (Follicular Unit Extraction): This method removes individual hair follicles from the donor area without creating a linear scar. It’s an excellent choice if you prefer shorter hairstyles or require a moderate number of grafts. At Allure Esthetic, FUE is often performed using the advanced NeoGraft system, which helps improve precision and graft survival rates.
• FUT (Follicular Unit Transplantation or Strip Method): This technique involves removing a narrow strip of scalp from the donor area, allowing for efficient harvesting of a large number of grafts in a single session. It’s ideal for patients who need higher graft counts. The donor incision is typically hidden within surrounding hair, and no shaving of the donor area is required.

Why Choose Allure Esthetic for a Same Session plan

Selecting a practice experienced in performing both facial bone surgery and hairline feminization under one anesthetic is essential for safety, precision, and results. Allure Esthetic is offering these procedures simultaneously, allowing for streamlined planning, cohesive design, and a single recovery period, ideal for both local and traveling patients.

Book your consultation with Dr. Javad Sajan today. Our team at Allure Esthetic will evaluate your candidacy, create a unified facial and hairline plan, and review your insurance benefits before you decide. Virtual consultations are available for patients outside the Seattle area. Call(206) 209-0988or click here to know more.