Hair, like you've
never lost it.
HAIR TRANSPLANT SPECIALIST
Eyebrow restoration is a unique specialty in itself & requires a lot of expertise.
For starters, it is important to establish the causes of loss of eyebrows & ways of restoring eyebrows under different scenarios.
Causes of loss of eyebrows
Some of the common causes of loss of eyebrows include,:
Trauma following injuries or burns
Alopecia areata or totalise
Medical conditions including under or over active thyroid, anaemia or other hormonal conditions
There are 2 popular treatment options available for thinning eyebrows
This has remained a very popular option for clients with thinning eyebrows.
Procedure can be performed in one sitting
Nearly all clients will be suitable for this procedure
It can be an uncomfortable experience
The colour can fade over time
If done by an inexperienced person, it can look extremely unnatural
This is becoming an increasingly popular option as the outcomes are getting significantly better.
There are 2 options available similar to a hair restoration surgery
The grafts needed to restore the eyebrows can be extracted using FUE or FUT(Strip) technique.
I personally prefer FUE as I can pick finer hair follicles from the back of the ears or the nape of the neck. Besides, I believe FUE is a lot less painful and the outcomes are much more predictable than a strip surgery.
Aesthetically a lot better than tattoo as it looks very natural
As the clients own hair follicles are transferred, the client can treat & manage the eyebrows as they would have done their own
It takes a lot of expertise to perform this surgery & hence the client has the exercise a lot of caution in choosing the surgeon
It involves a local anaesthetic and hence the client encounters a bit of discomfort during the process of the anaesthetic being administered.
The transplanted follicles have a tendency to grow like the donor hair and hence the client needs to find trim and style the eyebrows at regular intervals.
Though the outcomes with experienced surgeons has improved significantly, I counsel my clients that they might need a small touch up to achieve exceptional density.
Most of the protocols applicable for hair restoration surgery apply to eyebrow restoration.
I prefer extract the grafts from the back of the ears or the nape of the neck. This would yield grafts with finer hair to mimic those of the eyebrows. I prefer to use a 0.9 mm titanium tipped punch.
Once the grafts are extracted, local anaesthetic is administered to the eyebrows. The next step, incision making, is possibly the most important step and requires utmost attention to dictate the angles.
Once the incisions are made, I use a 0.8 mm choi implanter to replace the grafts.
The client is advised to spray the grafts with saline spray for 72 hours and once the 72 hours have passed, the client can treat her eyebrows like the rest of her hair.
The eyebrows go through phases of shedding and growth for around 6-9 months and by the end of 9 months, most clients notice70-80 % of the transplanted hair grow through.
Main Issues That Are Generally Overlooked
Patients For A
Strip Surgery Are:
After the strip is dissected, it is generally passed on to a team of technicians who trim the strip into individual grafts. During the process of trimming there is an unknown entity that becomes into play. That is the skill and motivation of the technician. Hence it is a known fact that surgeons that have consistent teams achieve far better results than someone that relies on freelance technicians. Whilst exploring options of a strip surgery, it is advisable for a patient to meet the team and get to know the team that will be operating.
It is a well known fact that strip surgery can produce significant scarring in the donor area, when performed by untrained hands. A simple test a patient can perform is to pinch the back of the scalp to check for signs of laxity. If the client is known to have a tight scalp the chances of poor scarring with a strip surgery increase exponentially.
Historically strip surgery has been promoted as a surgery that has better outcomes because of the presence of galar fat at the bottom of the grafts. Whilst it might offer better leverage for the technicians whilst replacing the grafts, studies have shown that the growth of the grafts is not dependent on the presence of the galar fat. With improvements in extraction and placement of grafts by FUE, the outcomes are much better with a strip surgery.
During the process of extraction of follicles using strip surgery, the number of follicles per graft is significantly less compared to that extracted by FUE. This is because most of the grafts that are extracted with a strip surgery have follicles containing single and double hairs. Whereas with a FUE, the surgeon has complete control over the grafts and he can pick and choose the ones that give maximum benefit to the client. Besides, the technicians are encouraged to keep the grafts skinny by dissecting most of the tissue surrounding the grafts as this helps in quicker placement of grafts. I believe the preservation of the pilosebaceous unit is key maintain the natural appearance of follicles and this is where FUE trumps FUT.
There is a common misconception that FUE leads to pitting scarring. Though it is a fact that badly performed FUE can lead to visible ‘dot’ like marks on the back of the scalp; with improvements in FUE, the chances of visible scarring is negligible and by following certain protocols and extraction there is evidence to suggest that the scarring is almost invisible.
Whilst everyone acknowledges the fact that FUE takes a lot longer to perform and hence the grafts might stay outside the body for a longer duration than in FUT, my argument is that one can achieve good outcomes with FUE with fewer grafts than with FUT. This helps with improving the yield as it decreases the duration of the surgery and also the fatigue factor associated with technicians replacing a large number of grafts associated with FUT surgery.
Our clients have voted our FUE as one of the least painful surgical procedures they have undergone. Most of our clients are back at work in under 48 hours.
We believe in a business model that is solely based on recommendations and hence 90% of our clients come through a personal recommendation. With the personal trauma suffered from sub-optimal surgery, Dr Reddy has a personal motto of making sure that none of his patients go through the same