eyebrow & facial hair procedures
TRANSCRIPT
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EYEBROW & FACIAL HAIR PROCEDURES
Dr Anastasios Vekris, MDPlastic Surgeon
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Introduction
Scarring eyebrow loss is usually repaired with a hair-bearing island scalp flap or scalp strip grafting technique (classic plastic reconstructive surgery approach)
Scarring facial hair loss is even more difficult to reconstruct, as there are no suitable hair-bearing flaps to cover the face
Flap surgery is major surgery under general anesthesia & frequent complications
Aesthetic results are very poor
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Indications
Burn scars Traumatic scars Chemical peeling scars Congenital absence of hair Eyebrow tattoo removal
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Localities
Eyebrows Moustache Sideburns Beard Cheeks
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The DHI approach
Reconstruction can be achieved with a minimally invasive technique under local anesthesia
Hair grafts from the scalp can be successfully transplanted in the face
All areas can be treated effectively Maximum density can be achieved Natural direction of growing hair
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EYEBROW RESTORATION (before)
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EYEBROW RESTORATION (after)
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EYEBROW POST TRAUMATIC SCAR RESTORATION
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SIDEBURNS RESTORATION (before)
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SIDEBURNS RESTORATION (after)
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BEARD RESTORATION
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Cheek restoration (before)
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Cheek restoration (after)
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Cheek restoration (6 months)
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Technical tips
Only single and a few double-hair grafts must be used
Optimal extraction with 0.8 mm punch Reception holes are mandatory Very low angle of placement in eyebrow
restoration High density needed in eyebrow restoration Diverse direction of hair placement
according to the area under treatment Up to 150-200 grafts may be needed for a
total eyebrow restoration, a few more in men
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Conclusions
Optimal aesthetic results can be achieved with DHI transplantation
The only minimally invasive approach to facial hair deficits
Big densities can be achieved in small areas (e.g. eyebrow)
More density can be added in a second procedure
Natural & permanent results