In earlier times there was a trend to thin the eyebrows for aesthetic reasons, either by pulling out the hairs (e.g. with tweezers) or with more permanent techniques, such as laser depilation.
In recent years, this trend has reversed as increasingly more young and middle-aged women wish to gain more dense and youthful eyebrows. In some cases the thickening of the naturally sparse eyebrows is what is needed. In other cases, in which hair removal has eventually led to a permanent thinning of the eyebrows, partial or total restoration of the missing eyebrows is necessary.
Restoration of eyebrows can also be performed in cases where alopecia areata has affected the eyebrows, provided that the damage is localised and has been stable for a period of at least one year. Eyebrow transplantation can further serve as permanent restoration of the eyebrows’ density in pathological conditions such as e.g. hypothyroidism.
FUE eyebrow transplantation can be used to treat both men and women of all ages, although most eyebrow restorations concern women aged 30-50. Eyebrow transplantation, performed with FUE technique, is the method of choice in these cases; this minimally invasive method can be performed with microtools in order to avoid the removal of tissue and the subsequent scarring of the skin, as opposed to FUT or Strip technique, a technique that requires the removal of a strip of skin from the donor site of the scalp, thus creating a permanent scar.
FUE is the most suitable method because it is practically painless and does not leave any marks or linear scars. The new hairs begin to appear immediately after the completion of the implant session and the final results appear relatively early, within 4-6 months, thanks to the rich blood supply of the area. The growth of new hairs continues even up to 12 months after the eyebrow transplant.
One session of eyebrow transplantation with FUE technique may require any number of follicles from a few dozen e.g. for covering a small scar, up to several hundreds for full eyebrow restoration in cases of alopecia areata or serious burns.
Regarding eyebrow transplantation with FUE technique, hair follicles are harvested from the scalp using tools of very small diameter (0.7-0.8 mm), in order to obtain very fine follicles that mimic the natural eyebrow hairs as much as possible.
The whole procedure is done under local anaesthesia with lidocaine and adrenalin solution. Due the specific nature of eyebrow transplantation, which is typically performed on female patients and requires follicles of a small diameter from a donor site of limited extent, it is possible, thanks to FUE technique, to extract hair follicles without shaving the donor site. Usually only a small area of the occipital scalp needs to be cut, otherwise the session may be entirely unshaven.
The FUE eyebrow transplant usually requires 1-2 sessions for the best possible results, especially in case of total restoration and if a high density is required.
The procedure is preceded by design of the shape and determination of the length and width of each eyebrow, in accordance with the wishes of each individual and the anatomical features of the patient’s face.
The hair follicles of small diameter that are required for the eyebrow transplantation are usually extracted by manual or automated extraction; The implantation of grafts for eyebrow restoration is a particularly challenging task that requires careful placement under the same angle and direction as the existing eyebrow hairs.
The implantation is performed by using a special implanter device which allows positioning of each hair follicle at the proper depth and angle, in order to achieve a natural effect to the maximum possible extent.
FUE is an absolutely safe method, provided it is performed by an experienced and qualified plastic surgeon such as Dr. Vekris and the medical team of Advanced Hair Clinics. The postoperative course is completely smooth with minimal pain, although there is small likelihood of swelling in the forehead during the first days after the procedure. The patient can resume work or any normal activity or exercise after a few days to a week.
The results of the eyebrow transplantation are permanent and become visible within a few months. Usually, the new hairs that originate from the scalp initially need periodic trimming in order to maintain the correct length, but will gradually acquire the same behaviour and direction as the pre-existing eyebrow hairs.
The cost of each eyebrow transplantation session depends on whether the procedure concerns only one or both eyebrows, and on the degree of thinning of the hairs, which differs from one patient to the other.