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Eye Brow Restoration

The eyebrow is an important part of facial symmetry and contributes to the aesthetic appearance of men and women. Eyebrows frame the eyes and are one of the first facial structures we look at as a society. A person without natural appearing eyebrows is very conscious of their appearance. Transplantation surgery can often restore eyebrows to their natural youthful appearance.

  • Eyebrows lose their natural full appearance by:
  • Congenital Causes
  • Trauma-burns, auto accident, chemical or electrical burns
  • Radiation or Chemotherapy
  • Medical, Autoimmune, or Systemic Disease
  • Obsessive Compulsive plucking referred to as Trichotillomania
  • Normal Aging process
  • Dr. Ken Williams In The News

    The Doctors

  • Dr. Ken Williams talks about eyebrow restoration on The Doctors Show.
  • The Doctors Show
  • Click Here to watch the Video

Eyebrow Restoration

For those men and women who have lost the natural full appearance of their eyebrows, surgical transplantation or restoration provides the ideal and best method for eyebrow restoration. The Strip harvesting method is the standard of care and represents best practices for eyebrow restoration. FUE can be used as a harvesting method but it is not ideal because of the short hair length. Short graft hair length does not allow ideal or proper placement, hair direction, and exit angle of the graft in the eyebrow region.

Eyebrow Design

Men and women have distinguishing differences in their eyebrow. Men typically have thicker eyebrows that are horizontal. Whereas women have a more delicate and more elegant defined shape.

Single hair grafts or hair follicles are primarily for recipient placement. Two-hair grafts are also placed in the central portion of the eyebrow. The most critical part of eyebrow restoration is the proper placement, direction and angulation of the hair follicles. The hair in the upper part of the central edge of the eyebrow usually points upward to the hairline, while the hair on the lateral aspects points horizontally, towards the ears. The hair in the upper part of the eyebrow should be pointed slightly downward and the lower portion slightly upward, so that they will converge in the middle, forming a slight ridge and resembling the pattern of a feather.

Eyebrow Restoration- A Surgical Procedure

Eyebrow restoration is a simple surgical outpatient procedure done under a local anesthetic in our offices. It takes approximately three to four hour-long to complete. Initially, Dr. Williams with a surgical marker draws an outline of your eyebrows maintaining normal anatomical position and symmetry previously discussed in your preoperative consultation. If patients desire to have the outline of the eyebrow designed with a make-up artist that is typically done the day prior to the procedure.

After outlining your eyebrows, you will be given a mirror and the opportunity to view the design and provide feedback before proceeding further with the surgical procedure. After receiving a local anesthetic to numb the areas of your face, we begin the surgical procedure by removing hair follicles from your donor site.

Single hair grafts work well in the delicate brow area, so the precision of placement is critical. Our staff takes pride in meticulously placing each and every graft in the correct direction and angle of the hair. Attention is paid to the creation of a lovely rise of the arch or the enhancement of the existing arch. Depending upon your individual genetics and healing, your eyebrow hair desired density may require more than one procedure. Generally, 250- 350 grafts are placed in each brow.

Post Operative Care

After the procedure, patients usually experience little or no discomfort and may leave the office and drive home on their own unless sedation is given. The majority of patients are comfortable during and after the procedure. If social down time is not an issue, patients may return to work the next day with the expectations that post surgical changes are present in the eyebrows. These changes last about seven (7) days. The first post operative morning, patients should gently irrigate the transplanted area to remove any dried crusts.

After each shower, a petroleum-based antibiotic ointment should be applied to the eyebrow to soften any crusts and enable to them to be more easily removed with the next washing. Bruising after the surgery is common and it may take a week or more to resolve.

The tiny crusts that form after surgery fall off in about seven (7) ten (10) days. After that time, there is no or little evidence of the procedure as the transplanted follicles go into a dormant period of about three to four months. This is often a difficult period for patients as the eyebrow will lack any obvious hair follicles until a few months later when the hair follicle appears in the Anagen growth phase. look like it did prior to surgery.

Transplanted hairs will require occasional trimming because transplanted hair grows at the same rate as the hair on your scalp. Regular trimming and care will be necessary to maintain your brows and keep them looking their best. We recommend minimal manipulation of the eyebrows because of the sensitive nature of their growth cycle.

The eyebrow hair growth will decrease over time and the hair follicle will begin to assume some of the characteristics of the original eyebrow hair due to influence of the recipient site. It should also understand that two or more sessions may be required to obtain the desired look. A second surgery may be performed to increase eyebrow density and spaced a minimum of six (6) to nine (9) apart in order to observe the full effects of the initial surgery.