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Eyebrow Transplant & Restoration

Eyebrows are a critical facial feature that helps to define the way we look. In many ways, eyebrows are more important to one’s appearance than scalp hair, as eyebrows are in a more central position on the face and serve to frame the eyes (the single most important facial element). Unlike the loss of scalp hair, the loss of one’s eyebrows is not viewed as a natural process and is, therefore, not cosmetically acceptable.

Eyebrows may be lost for a variety of reasons including thyroid and other systemic diseases, alopecia areata, burns, tattoos, infections, repeated plucking, congenital inability to grow eyebrows and a genetic tendency for eyebrows to thin, or disappear, over time.

Eyebrow restoration is similar to other hair transplant procedures performed on the scalp, in that, for appropriate candidates, the transplanted hair is permanent. However, because eyebrows have their own unique attributes, eyebrow transplants differ from hair transplants in a number of important ways.

Eyebrow Anatomy and Physiology

The direction of eyebrow hair changes dramatically in different parts of the brow. In the region of the eyebrow nearest the nose, the hair points upward. The hair across the top of the eyebrow points outward and downward. The hair in the lower part of the brow grows outward and upward. This criss-cross growth pattern causes the hairs in the middle of the eyebrows to converge and form a subtle natural elevation running horizontally through the middle of each eyebrow.

The second distinctive characteristic of eyebrow hair is that the hairs emerge from the follicle at a very acute angle so that the hair grows flat to the skin’s surface. This is in contrast to scalp hair where the angle between the hair and scalp can be 45 degrees.

The third important feature of the eyebrows is that the hairs grow as individual strands, rather than in the 1- to 4-hair follicular unit grouping that are characteristic of scalp hair.

The fourth distinctive element of eyebrow hair is that the hair growth cycle is very short. This means that eyebrow hair will grow (in anagen) only for about 4 months before it enters the resting (telogen) phase and falls out. In contrast, scalp hair has a growth phase that can last 3 to 7 years, enabling the scalp hair to grow much longer.

Eyebrow Transplant Technique

The most important aspect of transplanting eyebrows is to follow the natural hair direction very closely. This entails very subtle angle changes to recreate the fan-like splay of hair at the medial aspect of the brow and the converging hair direction as one moves laterally along the brow. Most importantly, the recipient sites for the hairs should be made with a very fine-gauge needle that literally slides along the surface of the skin as the sites are being made, as this will insure that the hair will lie as flat as possible on the surface of the skin as it grows.

Another important part of eyebrow restoration is that only individual hair follicles can be used. Since the scalp naturally consists of 1 to 4-hair follicular units, hair taken from this area must be divided up into 1-hair grafts using a stereo-microscope. Technically speaking then, an eyebrow transplant is not really Follicular Unit Transplantation, but rather an ultra-refined form of micrografting. Single hair micrografts, placed into recipient sites that have been created at very acute angles to the skin surface, require a considerable about of skill and experience. In addition, when the patient’s hair is waved or curly, it is particularly important to rotate the hair so that curve of the hair shaft follows the natural curve of the eyebrow.

Four tips for transplanting eyebrows:
  1. Use single-hairs in the transplant, not grafts of multiple hairs.
  2. Hairs should be rotated to follow the natural curve of the brow.
  3. The transplanted hair must be planted to lie as flat to the skin surface as possible
  4. The transplanted grafts should account for changes in the natural direction of the hair in different parts of the eyebrow, with the upper hairs of the eyebrow pointing out and slightly downward and the lower ones pointing out and slightly upward, creating an interlocking ridge that gives eyebrows their fullness.
Cosmetic Results of an Eyebrow Transplant

Although eyebrow hair transplantation is a safe and cosmetically elegant procedure, there are a number of things to consider before undergoing this type of hair restoration. As with hair transplants to the scalp, the hair transplanted to eyebrows will continue to grow and must therefore be periodically cut. Besides being a minor nuisance, trimming the hair leaves a cut-end that is not as delicate as the fine-tipped end of an untouched hair.

In the process of healing, all wounds contract. As the recipient sites contract, they may slightly change their flat orientation and sometimes result in eyebrow hair that is slightly more elevated than one would like.

In contrast to hair transplants, where the donor hair is taken from another part of the scalp and matches perfectly, with eyebrow transplants the hair is taken from a part of the body other than the eyebrows and will thus have slightly different characteristics with regard to both growth rate and appearance. If they are different, then over time, the transplanted scalp hair will slowly begin to approximate the growth pattern and characteristics of the existing eyebrow hair – but it may never totally match it.

The appearance of an eyebrow transplant will mature over the course of a year. At that time, an additional eyebrow hair transplant procedure may be considered. During this interval, the eyebrow can be tweezed and shaped as needed.

For the right patient, Having the right hair proportion and scalp characteristics, hair transplant surgery can be a life changing hair transplant cosmetic procedure. However, not every hair loss sufferer is a good candidate for surgical hair restoration or hair transplantation. Its important to fully understand the criteria that makes a good hair transplant candidate in order to make a better informed decision when considering surgical hair restoration. What a prospective hair transplant patient needs to remember is that there is a finite amount of donor hair that can be moved to the balding areas of the scalp, and If this hair isnt used in a prudent and efficient manner with hair transplant procedure, the outcome of the procedure will not meet a patients expectations. Do not underestimate the importance of discussing these issues with your hair transplant surgeon or hair transplant expert during your consultation. Providing the hair transplant surgeon/hair transplant expert with your honest expectations can better help him explain the reality of your particular situation why you need hair transplant, and discuss whether or not undergoing a hair transplant procedure is right for you. Its also important to note that the approach of surgically keeping up with your hair loss is not a practical way to address most patients situations. Unfortunately, this mentality has evolved through the flashy and high pressure, late night marketing that has been the cornerstone of the less than ethical side of the hair transplant industry. Having small procedures early on in the hair loss process can be disastrous. Many young men and women are mislead by this marketing approach and are forced to deal with the emotional and physical consequences of falling into this trap. Patients in the early ages of hair loss, who have a significant amount of hair run the risk of "shock loss" caused by the trauma of the surgical procedure. While in most cases, the native hair that was shocked out will return, it can take many months to appreciate the full result of the surgery, causing distress to those who are affected by this. In some cases the young patient might be left with less hair then before the procedure. Understanding who makes the right candidate for surgical hair restoration is vitally important during the decision making process. Consulting with a skilled and ethical hair transplant surgeon/ hair transplant expert will make this process easier. In general, the best candidates for hair transplant surgery are: Men who have been losing their hair due to genetic hair loss for more than four years, or who have progressed to a Norwood class III or above with hair loss. Men with realistic expectations who understand that their hair loss might continue to progress even if they are taking prescription medication to stop the progression. Men who have been balding for many years and whos pattern of loss has stabilized. Men and women who have lost hair due to trauma or burns. Men and women who have lost hair or who’s hairlines were raised due to other cosmetic procedures such as face-lifts and brow lifts. Women with stable donor hair who exhibit more of a male pattern, than a female diffuse unpatterned hair loss. Anagen and Hair Translant in Mumbai Video Gallery Always Authentic. We’re proud of our work and always feature real, natural photos & videos with no airbrushing. Hair transplants can have a remarkable impact on an individual’s appearance after successful procedure,be proud of the new way you feel of yourselves. We are proud to share before-and-after hair transplant videos of our real patients so you can see the kind of results you can expect from our unique hair transplant procedure with FUT and FUE hair transplant technique.