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Eyebrow grafting helps to correct or reconstruct eyebrows in aesthetic and definitive way.
The transplantation of hair transplants by follicular unit is a simple surgical technique that permanently corrects in an aesthetic way the definitive balding or loss of eyebrows. Instead of using the hair implant process by follicular unit extraction (FUE) we prefer long hair transplant (FUL) for a better selection of the curvature, caliber, shade and skew of each implanted hair.
Medical assessment before eyebrow implant
Dr. Pierre Bouhanna will conduct a medical review before the eyebrow transplant to find the cause of the eyebrow loss. The preliminary drawing of each eyebrow will be done in agreement with the patient and the number of eyebrow grafts will be calculated.
Eyebrow
Alopecia of the eyebrow is relatively frequent; although it is most often related to age or repeated hair removal, it can, after prior dermatological assessment, reveal an underlying disease. The eyebrow has a length of 4.5 to 5.5 cm and a height of 0.5 to 1 cm. It has an arched shape (female eyebrow) or straight (male eyebrow). It is divided into three portions: the head, the central body and the lateral tail. The drawing will be done in front of a mirror with the patient.
Important fact: eyebrow grafting on tattooed eyebrows will give them a much more aesthetic and natural appearance.
Technical description
There are two types of eyebrow grafts: hair transplant FUE by hair extraction of after shaving, or, better yet, the grafting of long hair FUL by cutting hair by hair under a microscope. The FUL technique will be preferred because it allows, with precision, to choose the direction of each graft.
Long hair follicular unit grafts (FUL)
The technique of long hair implants (FUL) is performed without prior shaving, under local anesthesia, a strip of scalp is taken from the back of the head. The donor area is sutured. The strip is cut under a microscope to obtain grafts by long hair follicular units.
Grafts by follicular extractions (FUE)
The process of hair graft extraction by follicular extraction (FUE) is possible for the grafting of the eyebrows. However, prior shaving of the scalp has the disadvantage of suppressing the natural curvature of the graft hair, which is essential for the proper positioning of each hair implant.
Post-operative care for both techniques
Intervention is essentially pain-free, using local anesthesia and anesthetic cream. The preliminary drawing of each eyebrow is made with the patient.
Whatever the method of transplant, the implantation of each follicular unit FUL or FUE will be done with the needle in a very determined orientation. Tiny perforations are made using a needle. Once all the follicles are implanted, a control of the orientations and direction of each hair implant is carried out. No dressing is required. The implanted hair will mostly fall during the first post-operative month. The regrowth begins at the beginning of the third month. The full regrowth of the eyebrows can be seen at the end of the sixth month.
CONCLUSION
There are several ways to correct permanent eyebrow loss. The simple and widely used method is dermopigmentation (tatoo). The eyebrow transplant is currently the treatment of choice to correct permanently and harmoniously a bald eyebrow or one that has already been tattooed.
Voici les différences de chaque technique :
La FUL
La technique FUL permet de choisir avec précision le sens de chaque greffe, de plus elle a l’avantage de ne pas avoir besoin de rasage préalable de la zone donneuse. Une bandelette de cuir chevelu sera prélevée à l’arrière du crâne et permettra d’obtenir les greffons nécessaires pour l’implantation au niveau des sourcils.
La FUE
Cette technique est aussi utilisée pour la greffe des sourcils mais présente l’inconvénient de devoir raser une partie du crâne pour récupérer les greffons qui serviront à l’implantation. Le fait de raser les cheveux enlève leur courbe naturelle lors de l’intervention.
Le mode opératoire des deux techniques se passent de la même manière.
Elles sont réalisées sous anesthésie locale.
Une fois les greffons obtenus :
L’incision
C’est la préparation de la zone à greffer. De minuscules incisions vont être pratiquées sur la zone à greffer afin de préparer les sourcils à l’implantation des greffons. Cette étape est cruciale et détermine le résultat final de la greffe. Les incisions se font très rapprochées afin d’imiter un effet naturel, elles tiennent compte d’un certain axe qui impactera le sens de repousse des sourcils.
L’implantation
Elle se fait sur la zone des sourcils délimitée au préalable avec le patient. Les follicules sont implantés avec une attention particulière portée sur l’orientation et l’obliquité de chaque implant afin de respecter la forme naturelle du sourcil.
Il faut environ 4 à 6 mois pour que les sourcils récupèrent et retrouvent leur forme normale, et finale. Il faut un an pour une croissance finale. Mais les premiers sourcils commenceront à apparaître au bout de deux mois. Les premiers sourcils tomberont lors du premier mois, mais cela fait partie du processus de greffe.
