Table 1.

Summary of dermatologic aspects of transgender care

Hormone-associated changes • Transgender women and estrogens ∘ Sebum production reduces and potentially leads to xerosis. ∘ Body hair is reduced but not to zero. Hair removal is often desired. • Transgender men and testosterone ∘ Sebum production increases and potentially leads to severe acne vulgaris. ∘ Testosterone may induce male-pattern hair loss. Surgery-associated changes • Top surgery: breast augmentation (women) or removal (men) ∘ Postoperative scars can be minimized to prevent stigmatization. • Bottom surgery: construction of neogenitalia ∘ Neovaginal condyloma and carcinomas have been described. ∘ Preoperative hair removal may be required before vaginoplasty or phalloplasty. Procedures for facial transformation •Neurotoxin and aesthetic fillers can be used to feminize or masculinize the face. •There is currently a high rate of facial procedures that are performed by nonmedical personnel with poor outcomes. Other aspects of transgender care •HIV and other sexually transmitted infections are more prevalent in the transgender population. •Care should be taken to make offices a more inclusive environment.