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Eyebrow Restoration

By Dr Raghu Reddy

Eyebrow restoration is a unique specialty in itself and requires a lot of expertise. For starters, it is important to establish the causes of loss of eyebrows and ways of restoring eyebrows under different scenarios.

Causes of loss of eyebrows:

Some of the common causes of loss of eyebrows include:

  1. Over plucking
  2. Trauma following injuries or burns
  3. Alopecia Areata or Alopecia Totalis
  4. Medical conditions including under or overactive thyroid, anaemia or other hormonal conditions
  5. Post chemotherapy

Treatment options

There are two popular treatment options available for thinning eyebrows:

1) Medical Tattoo:

This has remained a very popular option for clients with thinning eyebrows.

Advantages

  1. Procedure can be performed in one sitting.
  2. Nearly all clients will be suitable for this procedure.

Disadvantages

  1. It can be an uncomfortable experience.
  2. The colour can fade over time.
  3. If done by an inexperienced person, it can look extremely unnatural.

2) Surgical Restoration:

This is becoming an increasingly popular option as the outcomes are getting significantly better.

There are two 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 in a strip surgery.

Advantages:

  1. Aesthetically a lot better than a tattoo, as it looks very natural.
  2. As the client's own hair follicles are transferred, the client can treat and manage the eyebrows as they would have done their own.

Disadvantages:

  1. It takes a lot of expertise to perform this surgery, hence the client has to exercise a lot of caution in choosing the surgeon.
  2. It involves a local anaesthetic and hence the client encounters a bit of discomfort during the process of the anaesthetic being administered.
  3. 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.
  4. 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.

Procedure

Most of the protocols applicable for hair restoration surgery apply to eyebrow restoration.

I prefer to 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 their eyebrows like the rest of their hair.

The eyebrows go through phases of shedding and growth for around 6-9 months and by the end of 9 months, most clients notice 70-80 % of the transplanted hair grow through.

Before Surgery:
After Surgery:

What our customers say

Just thought I would give a breif summary of my recent FUE with Dr Raghu Reddy and his excellent team at the Private Clinic, London. Over the course of two days I had ~2000 grafts implanted by Dr Reddy's 3G FUE technique. I chose Dr Reddy based on his comparative amazing yields and results with relatively few grafts compared to the commonly discussed other 'top FUE surgeons". First off his team are all pro's and have been working together for years to refine this minimally invasive FUE technique. They were personably, relaxed, funny, and above all caring, profession, and meticulous. I always read that people get experience pain, discomfort, and swelling during and post op. I have to say that with Dr Reddy's technique I have experienced zero pain or swelling both during and post op. The operation finished yesterday and I feel absolutely normal. Not a spot of swelling or even a head ache. It's obvious after doing research on the FUE procedures conducted by the regarded 'best FUE doctors', that Dr Reddy's 3G FUE stands out as being both innovative and geared towards optimal results. He uses specialized techniques to create an extremely non invasive yet high yielding technique, which I am sure he would be more than willing to discuss with anyone interested. In regards to my case, I apparently had really strong, healthy, and "big" grafts (so lots with 3 and 4 hairs). We chose a hairline hat reflects my age (31) and the fact that I have never had sharp temple points. Plus I was strongly advised against having points worked on as many cases are seen where transplanting to this region looks very odd in years to come where further recession occurs. Plus I have a big head so had lots of baldy to cover I am very happy with my results thus far and I am predicted to have a great result due to graft condition and density. One thing worth mentioning is that is became obvious that Dr Reddy's skills are not only recognized by international patients (there was talk of people coming in from all over the world during my visit), but also he is held in high esteem by the other 'best' FUE surgeons discussed on this site, and from what I gathered some of these surgeons .

Hairloss Patient in UK

"Thank you for all your help and expertise. I am back in Durban South Africa. I had a good flight with a few close calls with the elderly doing their best to displace my grafts with their hand luggage. Been resting at home today. Still continuing with the saline spray every 30 minutes. I’ve now completed the 5 days of antibiotics and medrone with no sign of any infection and no sign of swelling or bruising. I’ve washed the donor area today with baby shampoo and there was no pain. Tomorrow is day

Nishen in UK
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