Electrolysis

Peeling red chin

Makes me wonder if there is undiagnosed infection of some sort.

Pseudomonas Aeruginosa (PA) is a bug found everywhere in the DIRT and in one out of six water bottles in the US. In normal healthy people, it's not typically infectious. It can become an infection in immunocompromised individuals and I believe that's what trans people are.

That site has a tag for Pseudomonas Aeruginosa but it breaks as a link because of the space. Maybe someday I shall fix that but not today.

PA and trypanosoma both get into hair. In my experience, PA gets in the mouth, so I would assume facial symptoms likely suggest PA.

Sloughing of skin is one way the body dumps infection. It's an immune function that may imply local infection in the root of the hair and the body may be going nuts trying to combat it because of the hair removal.

Trypanosoma is associated with poverty housing and in my experience if you kill trypanosoma, it does weird stuff to fingernails. Hypothetically, if your fingernails go flaky on you AFTER you start HRT, this should support my hypothesis that being trans is a sex hormone syndrome which impairs immune function and you likely have trypanosoma and should try to confirm.

You CAN have both and I believe I do have BOTH but I have no medical tests confirming that, so caveat emptor if you are some desperate Earthbound human looking up medical stuff online for some reason.

Both PA and trypanosoma are iron-loving bugs that probably promote anemia. In my experience, zinc helps mitigate all iron-loving bugs, including PA, trypanosoma and COVID.

If treating for trypanosoma and PA does nothing or not enough -- though keep in mind both can take years to fully resolve -- I would start looking up other infections known to get into hair. Those are two I'm familiar with and which seem highly likely to be good guesses for the trans community but I'm not a physician and don't have a catalog of all hair-loving bugs memorized.