Hi, I’m Dr. Epstein and I am here to show you a little bit about eyebrow transplants, which happens to be one of my particular areas of expertise. I do several of these every week. I do specialize in them. Patients travel to me from around the world that want the restoration of their eyebrows usually due to over plucking but can be due to a bunch of difference causes including low thyroid levels and genetics is very common and sometimes due to trauma.
In the case of Karen you can see how thin her eyebrows are. She also had quite a bit of asymmetry so the goal as you see I have marked out is an esthetic look where the concepts of eyebrow design is that I like it to follow and therefore compliment the natural brow position. You can see how we have sort of a flat area here, this is the peak of the arch which corresponds to the lateral aspect of her iris, which is called the lateral limbus and then it fades off into a tail.
The way I do these procedures is I use a very tiny recipient site blade, which is 0.5 mm. You can see that I make these very tiny recipient sites placed totally flat to the surface of the forehead, thus allowing me to place the maximum amount of hairs into each eyebrow for the most impressive results. I am following her natural direction of hair, which is a little bit unusual for most patients. I bet you did not know that Karen. It is a little bit unusual because typically for most patients these hairs grow down and the lower hairs grow up. She mostly has them growing down so I am going to try to mitigate that or minimize it but I still want to stay true to her own natural direction of growth.
What I will typically do in one of these procedures is as many as 325 to 350 recipient sites into each eyebrow, thus producing the most impressive and of course natural looking results.
You can see I am making the recipient site and as I said into each recipient site is going to go a graft which has 1 or 2 hairs. Here the direction changes and it grows more in a vertical direction as opposed to a down growing direction so I am following the natural direction using these very tiny recipient sites. Linda is assisting me here, helping to counter retract and once again I am just making more and more of these recipient sites. In a little bit, once all the recipient sites are made on one side we will begin the process of planting. Right now we have 3 assistants, Almeida, Alkeita and Marceta cutting the grafts and those are the grafts that we are going to be using for placing into the eyebrows.
Typical procedure takes around two to two and a half hours. To make sure the patient is happy with the results, we will have them see the final result and will make adjustments so we have quite a bit of work to do but ultimately patients when they leave the office they will be able to see the eyebrows and we want to make it is just what they are looking for.
Three to four months later when the hairs really grow in, she will have her own natural eyebrows that will need to be trimmed typically on a once or twice a month basis.
Posted by Jeffrey Epstein, MD, FACS