San Francisco’s Top Gender-Affirming Hair Transplant Surgeon
Dr. Edward P. Miranda, MD, FACS is a board-certified plastic surgeon in San Francisco and the Medical Director of Pacific Plastic Surgery Group. He is internationally recognized for his expertise in gender-affirming hair transplant surgery for both trans women and trans men. Those seeking feminizing hairline restoration, MTF hair transplant surgery, FTM facial hair surgery, and complex revision work regularly travel to San Francisco to work with him, including individuals undergoing hair transplantation in combination with facial feminization surgery (FFS).
With over 15 years of experience in hair restoration and gender-affirming surgery, Dr. Miranda offers highly customized transplant planning, natural aesthetic design, and a deeply affirming approach to care. He is committed to helping transgender individuals achieve hair patterns that reflect their gender identity and support long-term confidence and wellbeing.
Education and Training
Dr. Miranda completed his undergraduate degree in Biochemistry with Honors at Cornell University, followed by his medical degree at Cornell University Medical College, where he graduated with highest honors and Alpha Omega Alpha distinction.
He completed his general surgery residency and his plastic surgery residency and fellowship at the University of California, San Francisco (UCSF). He also completed a research fellowship at Memorial Sloan Kettering Cancer Center, one of the most renowned cancer centers in the world. Throughout his career, he has held academic roles at UCSF, UC Davis, Samuel Merritt University, and Touro University.
Research and Awards
Dr. Miranda is widely recognized for his surgical expertise, receiving distinctions such as Top Doctors of San Francisco and Marin, America’s Top Surgeons, RealSelf Top Doctor, RealSelf Most Loved Injector, Patient’s Choice Award, and the Distinguished Doctor Designation. His work has been featured in The New York Times Magazine, Star, Stylelist, and multiple online media outlets.
Gender-Affirming Hair Transplant Surgery
Hair plays a central role in gender identity, and Dr. Miranda provides a full spectrum of hair restoration options for transgender individuals. His expertise includes:
- MTF hairline feminization using FUE and automated FUE (NeoGraft) to create lower, softer, more rounded feminine hairlines
- MTF hairline advancement when appropriate, performed in combination with transplant techniques for a cohesive feminizing result
- FTM scalp hair transplantation to address thinning, recession, or male-pattern hair changes, including density restoration and hairline reshaping
- FTM facial hair transplantation including mustache, beard, goatee, sideburns, and eyebrow reconstruction
- Revision hair transplant work for individuals seeking improved density, refined shape, or correction from previous procedures
Hair Transplant Surgery Techniques
Dr. Miranda offers several approaches to transgender hair transplant surgery, including follicular unit extraction (FUE), a minimally invasive technique in which individual follicular units are removed one at a time from the donor area without creating a linear scar. He also performs NeoGraft automated follicular unit extraction (NeoGraft FUE), an advanced, pneumatically assisted version of FUE that supports precise and efficient graft removal while enhancing consistency during larger or detail-oriented procedures.
In addition, Dr. Miranda provides follicular unit transplantation (FUT), also known as strip harvesting, in which a narrow strip of scalp is removed and dissected under a microscope to yield a high number of grafts. Although FUE is considered the more modern evolution of hair restoration because it avoids the linear donor scar associated with FUT, the strip method remains valuable for individuals who require a large number of grafts or whose donor characteristics make FUT advantageous.
Ultimately, each technique is only as effective as the surgeon performing it, and Dr. Miranda selects the method best suited to each individual’s goals, hair characteristics, and long-term aesthetic plan.
Facial Feminization Surgery
As part of a comprehensive gender-affirming plan, Dr. Miranda offers FFS procedures including hairline advancement, forehead contouring, brow lift, rhinoplasty, cheek implants, lip lift, chin and jaw recontouring, and tracheal shave. These procedures are designed to harmonize with feminizing hairline work for a cohesive outcome.
Other Gender-Affirming Surgeries
Dr. Miranda also provides the following surgeries as part of complete gender-affirming care:
- Top surgery (multiple techniques)
- Breast augmentation
- Body contouring
- Buttock augmentation
- Mons resection
- Revision and reconstructive surgeries
Dr. Miranda operates at Hayes Valley Surgery Center, a modern outpatient facility in San Francisco. He is affiliated with California Pacific Medical Center, St. Mary’s Medical Center, and St. Francis Memorial Hospital.
Consultations with Dr. Miranda
Consultations are available by phone, virtual appointment, or in person. His practice sees a large number of transgender individuals and provides affirming, supportive care throughout the process. Spanish language services are available. Consultation costs vary based on appointment type and procedure.
Traveling to See Dr. Miranda
Individuals travel from across the country and internationally for Dr. Miranda’s expertise in gender-affirming hair transplant surgery. If you are coming to San Francisco from out of town, the office can provide recommendations for accommodations and transportation to help make your stay enjoyable.
Costs, Financing, and Insurance
Pacific Plastic Surgery Group accepts cash, credit cards, checks, and medical financing options such as CareCredit.
The practice also works with most insurance plans, particularly for gender-affirming hair transplant surgery, which may be eligible for coverage when deemed medically necessary. Dr. Miranda is an out-of-network provider, but his office staff has extensive experience navigating claims, providing documentation, and assisting individuals through insurance processes to maximize potential coverage for both hair transplant procedures and other gender-affirming surgeries.
Medicaid and Medicare are not accepted.
Surgery Requirements
- Dr. Miranda is a member of the World Professional Association of Transgender Health and follows WPATH Standards of Care version 8. A letter of recommendation from a qualified mental health provider is required for gender-affirming surgery.
- A BMI ideally below 40 is required for anesthesia eligibility.
- Additional requirements may apply based on medical history and procedure type.
