Anatomical Restoration Surgery of the Eyebrow in Asian
Abstract
Objective: Eyebrow transplantation is not a commonly performed procedure compared to hair transplantation on the scalp. The knowledge of anatomy and hair direction is essential in achieving satisfactory results.
Patients and Methods: Twenty men and 13 women were randomly examined to determine the position of the medial and lateral brow, the width, the length, and its axis. Based on the data of anatomy so obtained, eyebrows design and surgical technique of transplant with single hair graft were performed under local anesthesia in 51 patients for the thinning and cicatricial alopecia of the eyebrows.
Results: Majority of the patients were very pleased with the immediate postoperative outcome since we kept the newly grafted hair long in contrast to the short scalp hair. Majority of the hair continue to grow and need trimming once a week.
Conclusion: Eyebrow transplantation is performed to improve patient's appearance and self-esteem. Knowledge of the anatomy of the brow is essential especially in the case of total burn to the eyebrow with no hair left for landmark other than the scar. Hair direction and angle of insertion are also critical to achieve good cosmetic results. A few sessions may be needed to add density.
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