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Eyebrow reconstruction

Eyebrow is a very important aspect of the central facial anatomy. It gives elegance and its loss can cause significant distress to the patient.Various important causes of eyebrow loss are thyroid disorders, systemic illness, trauma, infections, alopecia areata, genetic disorders, burn scars.

Eyebrow anatomy

There are four distinct features of the eyebrow hair which needs to be kept in mind for a good eyebrow reconstruction.

1) Direction: The direction of the eyebrow hair medially is upwards, as we go laterally it is outwards and downwards on the top edge and outwards and upwards on the lower border giving a characteristic criss-cross pattern.

2) Angle: The hair are very acutely placed almost parallel to the skin surface.

3) Single follicular units: Most hair follicles are single follicular units, thus giving a natural appearance.

4) Hair growth : The hair follicles grow very slowly and the growth phase last only for 4 months thereby maintaing the short length of the hair follicles as compared to scalp hair where is can last for 3 to 7 years.

So hair need to be selected from zones with low hair growth like nape of neck, back of ear.

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1) Is it succesful?

Yes. With the expertise and artistic reconstruction of the surgeon you can get the desired outcome.

2) Is it painful?

3) How long does the procedure take?

It takes 1 to 2 hours depending on the number of grafts to be placed.

4) From where are the grafts taken?

In most cases grafts are taken from the scalp (thin fine hair from nape of neck or back of the ear)

5) Does it require any maintenance?

Yes. Regular trimming might be required, as the growth of scalp hair follicles is much quicker than the routine growth of the eyebrow hair follicles.

6) What is the downtime after the procedure?

For first few days there is crusting which goes away by 10th post-op day. Most of the routine activities can be resumed from the next day of the surgery. Minimal swelling is expected to occur at the site of surgery.

7) In how many months should i expect full growth ?

Roughly 6 to 8 months.

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