Causes of decrease eyebrow density and natural full appearance can be caused by:

• Congenital
• Trauma-burns, auto accident, chemical or electrical burns
• Radiation or chemotherapy
• Medical, autoimmune, or systemic disease
• Obsessive Compulsive Disorders plucking referred to as Trichotillomania
• Normal aging process

For those men and women who have lost the natural full appearance of their eyebrows, surgical transplantation or restoration provides the ideal and best method for eyebrow restoration. The Strip harvesting method is the standard of care and represents best practices for eyebrow restoration. FUE can be used as a harvesting method but it is not ideal because of the short hair length. Short graft hair length does not allow ideal or proper placement, hair direction, and exit angle of the graft in the eyebrow region.

Eyebrow Design

Men and women have distinguishing differences in their eyebrow. Men typically have thicker eyebrows that are horizontal. Whereas women have a more delicate and more elegant defined shape.
Single hair grafts or hair follicles are primarily for recipient placement. Two-hair grafts are also placed in the central portion of the eyebrow. The most critical part of eyebrow restoration is the proper placement, direction and angulation of the hair follicles.

The hair in the upper part of the central edge of the eyebrow usually points upward to the hairline, while the hair on the lateral aspects points horizontally, towards the ears. The hair in the upper part of the eyebrow should be pointed slightly downward and the lower portion slightly upward, so that they will converge in the middle, forming a slight ridge and resembling the pattern of a feather.

Eyebrow Restoration- A Surgical Procedure

Eyebrow restoration is a simple surgical outpatient procedure performed in our office. The procedure is relatively simple to perform and is done under a local anesthetic and light sedation. No hospitalization is necessary. The procedure takes approximately three to four hours to complete. Dr Williams performs all of the critical-to-quality-steps of the procedure including eyebrow design.

Single and double hair grafts are used to create a natural appearance of the delicate brow area. Another critical part of the surgery is the precision and placement of the follicles after harvest. Successful eyebrow restoration occurs with delicate handling of the grafts because it increases graft survival and cosmetic appearance.

Dr Williams and his staff takes great efforts and pride in meticulously placing each and every graft in the correct direction and angle. Attention is paid to the creation of an aesthetic rise of the arch or the enhancement of the existing arch. Depending upon your individual expectations, genetics and healing, your eyebrow desired density may require more than one procedure to reach individual cosmetic goals. Typically, approximately 250- 350 grafts are placed in each brow.

Post Operative Care

After the procedure, patients usually experience little or no discomfort, and may leave the office and drive home on their own unless sedation is given. The majority of patients are comfortable during and after the procedure. If social down time is not an issue, patients may return to work the next day with the expectations that post surgical changes are present in the eyebrows. These post operative changes last about seven (7) days.