Dr. Neavin was recently invited to speak at the American Society of Plastic Surgeons (ASPS) annual meeting in Chicago to discuss the art of eyebrow transplantation. This was an exciting event as the ASPS has not yet devoted any single course or lecture to this topic. While eyebrow lifts and hair transplantations have frequently been topics for the Society, the idea of restoring beauty of the eyebrow has unfortunately been ignored until now.
Dr. Neavin addressed the crowd by taking them down history lane by looking at eyebrow trends from Cleoptatra to Cara Delevingne. He also addressed the true nature of eyebrow aging. Historically, plastic surgeons have considered the brow to follow the same aging rules as the breasts, buttocks, and face. Meaning, they must sag due to the forces or gravity and loss of elastic tissue properties. However, Dr. Neavin made a case that we may be looking at it all wrong. There exists muscular forces at play around the brow and eyelid that can create paradoxical “lifting” to the brows. That is, brows often don’t descend at all with age. They often rise.
Indeed, if one use truly plan to restore beauty of the eyebrow one must look at the eyebrow in its youthful state. And while decades of studies and new procedures address more and more sophisticated brow lifting methods, the large picture has gone missing from these paradigms. Brow height alone is not enough to consider to restore its beauty. And in fact, lifting the brow may generate unnatural, “surprised” looks, particularly in those who already have paradoxically elevated brows from aging.
To restore the beauty of the brow to its full potential, one must consider its shape and hair density. Eyebrows in their youth may harbor up to 500 or more follicles. With plucking or aging, the density of brows drops off considerably. In addition, sharp arches of the youthful brow are dulled many due to loss of hair and actions of spastic muscle contractions of various forehead muscles.
Dr. Neavin suggests that the eyebrow must be restored with the addition of hair to both reshape and thicken the brow, often obviating the need to perform any lifting. An eyebrow transplant using the hairs from the back of the head can provide natural, permanent results.
To adequately reshape the brow, proper blueprints for follicles transplant must be carefully prepared. It is true that no single set template is a proper fit for all faces. To improve the overall facial aesthetics, eyebrows can be designed to make wide faces thinner and thinner faces wider but adjusting eyebrow height, arch angle and location, and brow thickness.
Dr. Neavin discussed his research with renown celebrity makeup artist, Scott Barnes, in preparing proper designs for different shaped faces.
Dr. Neavin will be visiting Miami in the end of October to present his findings at the International Society of Aesthetic Plastic Surgery (ISAPS).