The eyebrow is an important facial feature. It is prominently located and unlike the scalp hair is not programmed to fall out. However, medical diseases, the aging process and more often over-plucking can cause one’s eyebrows to thin and fall out. We are often asked if we can restore eyebrows with hair transplantation, and the short answer is yes. There are some key differences however between the two procedures, scalp and eyebrow.
First, you should understand the differences between the hair on the scalp and the hair of the eyebrow. Eyebrow hair nearer the nose (center of the face) grows straight out, whereas the hair in the middle and ends of the eyebrows grows out and down. This creates a crisscross pattern to the brow. In addition, the eyebrow hairs only grow in single follicles, whereas the scalp hairs grow in one to five hair units per follicle. Lastly, the growth cycle of the eyebrow hair is much shorter than the scalp, so eyebrow hair doesn’t appear very long.
When restoring eyebrows all of these factors must be accounted for. At Look Natural Hair Restoration, we select hair from the scalp that is of similar thickness to the eyebrows (usually from the back of the scalp). But since this hair inherently has a longer growth phase it will grow much longer than the traditional eyebrow. This requires some eyebrow trimming on the patient’s part from time to time. The harvested hair must also be split into single hair grafts, a process that must be done carefully under magnification. In addition, when planning where to place the grafts on the eyebrow, the angle the hair will grow must be factored into the process. Experience and training is the only way to achieve a good result for eyebrow transplantation.
Most patients require 400 to 600 grafts per eyebrow. Usually one session will suffice. The remaining steps are similar to other transplants. The results take six to nine months to see and can take up to one year to be final. At Look Natural Hair Restoration, we use the Neograft procedure to procure the grafts so there is minimal scarring. Most people require no pain medications and are back to work quickly.
About the Author – Dr. Adam Saad, MD, FACS
Dr. Adam Saad is double board certified in general surgery and plastic surgery by the American Board of Plastic Surgery and the American Board of Surgery. He is a Fellow of the American College of Surgeons (FACS) and a member of the American Society of Plastic Surgeons (ASPS).
A New Jersey native, Dr. Saad received his undergraduate degree from Rutgers University. He graduated from Rutgers with honors and was a member of the Golden Key national honor society. He attended medical school at Drexel University where he became involved in multiple research projects and in improving surgical education.