From Scalp to Brow: Eyebrow Transplants are Hair Transplants Too

1282064426 11 From Scalp to Brow: Eyebrow Transplants are Hair Transplants Too

Reconstruction of eyebrows as a technique of hair transplantation is based on technology first described by Krusis in Germany in 1914 and thereafter, based on the Japanese in 1930 and ‘40. In 1943 Tamara reported that single-hair grafts for hair growth, which would look the most natural to use. Nearly half a century later, when there is the most advanced form of hair transplantation for the use of natural follicular units with 1-4 hairs, the most beautiful eyebrow transplant is still in use of single hair follicle. The progress of eyebrow hair growth is not the use of individual hairs – which is known for some time – but with the adoption of techniques used in hair transplantation for the doctor to put the can isolate these individual hair follicles from the donor scalp . The technical specification is used as a stereo dissecting microscope and allows the surgeon to a hair follicle that all major anatomical structures to generate maximum survival and growth, but provides that the excess tissue that is too bulky traditional transplants Vacuum is nuanced restore the eyebrows. A carefully prepared single hair micro grafts, cut the excess skin, dermis and fat, has the flexibility to be inserted into the small opening with a fine needle and with an angle of almost flush with the skin – two techniques that set essential for the recovery more natural. Sites tiny receiver allows the grafts to be standing very close. however, if the grafts are placed near angle so acute, the base of a follicle is literally on the wave of next year, so that no additional volumes for the system can leave an unnatural conglomeration forehead. The thin grafts are dissected under the microscope no band other functional follicles, so that they are perfectly suited for this approximation, sharp-graft placement. The normal cycle of hair cycle of hair varies from months or years, depending on the part of the hair of the body. every hair of a regeneration cycle called anagen phase of growth and a resting phase called telogen. The anagen phase of hair range 3-6 years, during the anagen phase of hair of the eyebrows is much shorter. The growth of the ranges of hair from the scalp. 30 -. 41 millimeters per day (about one centimeter per month), while the rate of growth of hair of the eyebrows in the middle. when hair is transplanted to the eyebrow, making the longer hair cycle of hair that grow to a length aesthetically unacceptable long. this will require frequent cutting of the eyebrows, which is not only a nuisance, but that is a cut surface that is less finely pointed tip, finely cut hair product. Over time, the hair transplant some of the features of the site will be assumed that in such and such a length of the transplanted hair will be transplanted to start reducing gradually. It is not known whether the transplanted follicles, finally, the features full of hair around the eyebrows will take over, but the work of Wang et al. suggests that influences the recipient was canceled stringent than previously thought. Directions for Eyebrow Hair Restoration Reconstruction and the variety of conditions, can result in a loss or alteration of the eyebrows. Probably the most common is self-induced – has repeatedly asked by plucking his eyebrows, for aesthetic reasons, or less often caused by a compulsive disorder, trichotillomania. Those who are tearing their hair as obsessive-compulsive disorder (OCD) can not be transplanted without the first OCD, because the transplant eyebrow as the patient does not return to old habits. Other forms of physical trauma that can lead to loss of eyebrows, car accidents, burns, surgery and defects of radio and chemotherapy. Burns or trauma to the formation of scar tissue that includes a first hair transplant. In these cases, reconstructive surgery may be the first transplant of eyebrow hair can be achieved is necessary. Thickened scars can become injections of corticosteroids and a thin, can easily support the growth of transplanted hair. Women with eyebrows that from time to time, as too thin, who have tattoos, but almost always seems unnatural. The situation worsened when the pigment is engulfed by macrophages and carried deep into the dermis caused to adopt the black-brown to a bluish tint. The pigment can be successfully removed with laser, but a long thin eyebrows are completely devoid of hair. A common skin condition that can cause the loss of eyebrows (and eyelashes too) Alopecia areata. It is a genetic auto-immune condition demonstrates that with the sudden appearance of discrete, circular patches of hair loss with normal skin underneath. can be treated with injections of cortisone, but tend to recur. Systemic diseases can also cause the loss of eyebrows and there are congenital abnormalities that are associated with the absence of eyebrows and / or eyelashes. In some patients, the disappearance of an eyebrow, a normal occurrence with age and hair loss is genetic resulting from progressive thinning (decrease) of the hair until it is barely noticeable. For every eyebrow transplant to be successful, you must be sure that the root causes of hair loss, which resulted in the first place was corrected. If hair loss is stable, the growth of hair can be considered. The design of people trying to grow eyebrow hair (or hair for that matter) usually have special needs, goals and prejudices what should be the ideal form of hair. create natural-looking face can be a difficult task, because the differences between patients and normal prejudices of the design eyebrow. Eyebrows are as different as faces, so “normal” is a relative term. If beauty is the focus on women, there are rules that can be used in designing a beautiful eyebrows. Men who are unhappy with the shape of the eyebrows, often want their eyebrows for a special character, such as the appearance of Albert Einstein have. some people believe that thick eyebrows desirable, as this male potency or genius are represented. Women, on the other side wants tenderness and more clearly defined forms. Understanding these differences in the attitudes of each sex, and in the design of the restoration involved from the outset. Beauty is not only determined by a certain angle or a precise number of transplants. The art of restoration is necessary that the surgeon is “in the head” of the patient and understands what he or she wants to achieve. In contrast to hair loss than men, which often can not remember where the hair when they are young and open to any plan that had the hair, eyebrows and person restoration often very specific ideas in mind. The physician is responsible for the patient, the moderate perspective and that it is reasonable. Errors in the eye and is a patient with a problem, let the pizzicato years are needed to remedy. Correct angle is the most important aspect of an eyebrow transplant. The hair on the top edge of the central points of the eyebrow generally upward to the hairline, while the hair horizontal lateral points on the ears. The hair on top of the brow should be slightly lower and slightly to the bottom pointing straight up, so that converge at the center, is a gentle ridge, similar to the model of a feather. The eyebrows are made of flat or keep facing forward. The surgeon controls the direction and distribution of hair transplanted to the eyebrow, and his skills are needed to make hair thicker single small needle tracks in the pack for an injury not detectable. The overview TechniqueThe transplantation of the eyebrows should be carefully outlined with a surgical marker order after the project that had the doctor and the patient in the consultation agreed. Marking should be used for the systematic alteration of the hair, if we show a medial to lateral. Often it is useful to those markings (on the front outside the area to be transplanted), so as not to get lost, as the pages are made. If the directions are complete, patients should consult a mirror to make sure that this is what we have spoken and that the design is satisfactory. at this point, we find it useful for the physician, the space (an employee should not be left) to the patient a few minutes to reflect on the organization. A small amount of drugs must first be injected into the supra-trochlear and supraorbital incisions stun lock to establish the medial and lateral aspects of the forehead. Local infiltration with a mixture of Xylocaine or bupivacaine and epinephrine may be more to numb the area and provide rigidity to the eyebrows. Tumescence allows the doctor to keep the target sites and surface an acute angle, and minimizes bleeding. Necessary because of the small amount of liquid, a mixer tumescent usually not necessary. The use of corticosteroids and other particulate solutions should be avoided if the injection to the eye. The recipient sites are created with 20 instruments 22g needles (or equivalent), depending on the coarseness of the hair. If the patient’s hair is very light and delicate, 2-hair grafts can be used in the middle of the forehead to create additional density, but these grafts should not be placed at the edges. Sites recipient must be established the operation of the device as possible on the skin surface, because there is always a certain level of corruption in the normal healing process. Among the places, the instrument should be taken between the thumb and first two fingers and held almost flush against the surface of the skin. The device should not be regarded as a pencil, why not allow that, as the angle tightened considerably. The number of transplants for eyebrow hair transplants are needed vary from a minimum of 75 each for 350 well-Men usually require a substantial transplants more than females. It is useful to make the recipient first pages, so that an accurate, able to determine the amount of hair has to be collected. It ‘important to remember that the follicular unit grafts is 2-3 for the average return, depending on the density of the patient donor. If the donor is obtained from a strip of hair, should be 1 cm2 of tissue samples for all 200 grafts required (there are approximately 100 follicular units from an average of 2. 3 hairs per cm2). If the hair follicle unit was acquired by the staff of the transplant must be resolved as individual hairs are removed from the scalp so that the doctor exactly how to find many that are needed. In the case of women, the finer the hair is collected in the area over the ears of the rule. In men with hair or coarse eyebrows, the area around the occipital protuberance is usually the coarse hair on the scalp and may the best part. The grafts must be inserted with pliers in order loop magnifying jeweler. The hair must be filled, literally, rather than inserted into pages as the site is too small to accommodate both the transplant and the pliers. It is not necessary to wear post-op and the patient is asked to sleep with his head raised. The next morning, the patient should be easier for the transplanted area to irrigate a dry crust removed. this should be in the shower at least three times a day after the operation and twice daily for one week. after each shower, an antibiotic ointment should be applied on the forehead to help relieve the crusts and allow them to be more easily removed by washing later. It is often bruising after surgery, the last week or more decline to normal. Bruising is usually more evident in elderly patients with significant damage to the OS. Since the transplanted hair to grow, it is sometimes necessary to cut. help with a gel or wax them to keep their hair flat as my hair has a tendency to be stubborn, especially when they start to grow. as mentioned above, the hair tends to slow down over time and the hair begins to take some of the characteristics of the surrounding hair because of the influence of the site address. Patients should understand that two or more meetings would be needed to achieve a desired look. The sessions are more distant from at least eight months, so the doctor can see the advantages, to grow the first meeting was done before the plan for the second may have. Challenges of eyebrows eyebrows TransplantsWhen are transplanted with hair, always keep some of their hair removal characteristics of the body shape, thickness and growth rates of the waves. If a person coarse and fine hair, eyebrows, a transplant from the scalp, can not be a good game, especially for a woman, the delicacy of the new eyebrow transplant requires. E ‘possible to decrease the diameter of the hair shaft from the cutting of part or all of the lamp, but this is likely to produce a hair of irregular shape. Curly eyebrows African American by a person with curly hair, hair in principle can not be the directional control, which the patient needs a transplant (such as African hair, a strong character), especially in the person of coarse hair. as such, some people may not be good candidates for the transplantation of an eyebrow. with the latest techniques, you can now place the hair out so that the target curve in any direction. as part of normal healing of wounds, the wounds tend to contract. Because of the lack of cylindrical created for the transplanted hair tends to contract and are oriented more vertically. this will tend to hair slightly from the skin to the face a thick, rebellious look of a lift. making the receiver sites to a very acute angle may partially compensate for this, but a certain level can still occur. ConclusionEyebrow transplantation is a safe, outpatient procedure that can greatly enhance its appearance. E ‘is particularly useful for those who have broken the eyebrows of illness, accident or were induced to himself as the process of restoration of the eyebrows is a nuanced, requiring technical expertise and artistic knowledge of the scalp to treat baldness. For doctors who have the aesthetic pleasure and take the time to come before the special skills that are developed for this eyebrow restoration process involved will be selected for significant improvements in the appearance of patients.