Eyebrow and Eyelash

Eyebrow Transplant
Transplantation to the eyebrows is a procedure designed to restore growing hair to eyebrows that are overly thin, completely missing or scarred. When transplanted into the eyebrows, the donor hairs which usually come from the scalp, continue to grow for a lifetime and, therefore, need to be trimmed typically once a month.
To provide a natural appearance, the hairs are transplanted primarily one hair and occasionally two hairs at a time, in the natural direction the eyebrow hairs grow.
This very delicate procedure requiring perfect placement of these hairs into tiny usually half millimeter incisions are angled at just the right direction and positioned to mimic natural growth. The use of all microscopically dissected grafts allows their placement into the smallest possible incisions so as to minimize scarring and damage to already existing hairs.
A procedure typically involves the placement of 50 to as many as 350 hairs to each eyebrow depending on the desired size, density and amount of existing hair.
Usually performed under a mild oral sedative, the two-hour procedure is essentially painless as is the recovery period. By three to five days, other than some mild pinkness that fades out by the first week, patients are able to return to normal activities without any sign of having had a procedure. Sutures placed in the donor area are removed at one week.
The transplanted hairs fall out at around two weeks and then start to re-grow at three months when they will continue to grow for a lifetime.
There are few risks with the procedure and most are those associated with a standard hair transplant.
The donor site incision, which is usually 1 inch to 2 inches long, typically heals as a 2 mm or narrower scar that is easily concealable with the existing hair in the area.
Occasionally a few hairs grow in less than an ideal direction and can be plucked out if desired or sometimes trained to grow in the right direction.

Eyelash Transplant
Eyelash transplantation is a delicate and intricate procedure, but a very safe and effective way to enhance your eyelashes. We harvest follicles from the scalp then transplant the follicles into the eyelash area (the lid). Typically, we transplant 24 lashes per lid during a single session, which lasts about two hours. We use a combination of topical anesthetic gel and The Wand (a computerized injection) for a virtually painless procedure. Recovery time is quick--typically a few days for the swelling to go down. The lashes begin to grow either immediately or after 6-12 weeks. Since the follicles are from the scalp, the hairs they produce will need to be trimmed. In the vast majority of cases, a single session is enough, but sometimes an additional session of eyelash transplantation is needed if the lashes are extremely sparse or short to begin with.

Frequently asked Questions
What causes eyebrow and/or eyelash loss in men and women?

  • Physical trauma, e.g., accident, thermal, chemical or electrical burns.
  • Systemic or local disease that causes loss of eyebrow and/or eyelashes
  • Congenital inability to grow eyebrows and/or eyelashes
  • Plucking (to reshape the eyebrow) that results in permanent loss of eyebrows.
  • Self-inflicted obsessive plucking or eyebrows and/or eyelashes (trichotillomania).
  • Medical or surgical treatments that result in eyebrow or eyelash loss—e.g., radiation therapy, chemotherapy, surgical removal of tumor.
  • Possible signs of alopecia areata for some individuals.

Is eyebrow and/or eyelash restoration procedure safe?
Yes, it is a minimally invasive micro surgical procedure. Usually 1 session is all that is required.

Where does the donor hair come from? How is the procedure done?
The donor hair is extracted one follicle at a time from either your scalp or your leg. The donor is usually taken from a site that furnishes finer rather than coarser hair; finer hair is a better "match" for eyebrow hair. Donor hair is transplanted micro surgically 1 or 2 hairs at a time. Each graft is placed into an incision prepared for it. The use of single hairs or micrografts permits meticulous adherence to the eyebrow contour for a natural appearance.

Is the result natural?
Yes, they are your own naturally growing hair. In many cases, they are more beautifully shaped and contoured than what you were born with. See photos below.

How long will it take before I see results?
Hair grows in cycles so the effect is not immediate. It will take 4-6 months before the new hairs start to grow in your eyebrow or eyelash.

Are the new hairs permanent? Post operative maintenance ?
Yes in most cases. Sometimes a small maintenance session may be required after a few years but that is rare. For some individuals, occasional trimming as well as "contouring" of the transplanted eyebrows or eyelashes may be required until the grafts start to form their own curves.

Any complications?
Post operative complications are often limited to minor itching, pain and possibly swelling in some patients. Patients should avoid scratching the recipient site as this may dislocate or dislodge the grafts.

Is everyone a candidate for this procedure?
According to the International Society of Hair Restoration Society, "the cause of eyebrow/eyelash loss is evaluated in medical history and examination prior to consideration of hair restoration:
Systemic or local disease that causes hair loss must be under control to assure that hair restoration can succeed
Obsessive-compulsive plucking (trichotillomania) must be treated to assure that restored hair will not be plucked out
Trauma, burns or surgery may have resulted in formation of scar tissue; reconstructive surgery may be necessary before eyebrow/eyelash restoration. The degree of eyebrow loss may vary from complete to partial; the degree of loss may be a consideration in selection of the restoration procedure."

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