Hair transplantation has been used successfully for many years to fill out patchy or partial eyebrows, to restore absent eyebrows, and even camouflage scars within the eyebrow area. Various medical conditions can result in eyebrow loss, but probably the most common cause is self-induced. Women who pluck their eyebrows run the significant risk of permanently damaging the hair follicles that are repeatedly plucked, thus causing permanent brow loss. Other causes of eyebrow loss include chemotherapy, trauma from accidents and burn injuries.

Eyebrows are very important to a person’s appearance since they essentially frame, and give symmetry to the face. Loss of eyebrow hair can have a profound effect on a person’s self confidence and general well being. While eyebrow reconstruction technology had been reported as far back as the early nineteenth century, it has taken the evolution of conventional hair transplant surgery to take eyebrow reconstruction to the level the we see today. Some patients want to get full, thick eyebrows while some seek a subtle thickness.

Eyebrows and eyelashes make an important contribution to facial symmetry and presentation of self to others. A person without eyebrows and/or eyelashes may feel very self-conscious about his/her appearance. Transplantation or reconstructive surgery can often restore eyebrows and eyelashes.

Dr. Neavin discusses eyebrow restorations with celebrity makeup artist Scott Barnes.

Eyebrows and eyelashes are lost in a variety of ways:

  • Physical trauma: motor-vehicle accidents, thermal, chemical or electrical burns
  • Systemic or local disease that causes loss of eyebrow and/or eyelashes
  • Congenital inability to grow eyebrows and/or eyelashes
  • Plucking (to reshape the eyebrow) that results in permanent loss of eyebrows
  • Self-inflicted obsessive plucking or eyebrows and/or eyelashes (trichotillomania)
  • Medical or surgical treatments that result in eyebrow or eyelash loss, such as radiation therapy, chemotherapy, surgical removal of tumor.

The cause of eyebrow/eyelash loss must be carefully evaluated in medical history and examination prior to treatment consideration:

  • Systemic or local disease that causes hair loss must be under control to assure that hair restoration can succeed
  • Obsessive-compulsive plucking (trichotillomania) must be treated to assure that restored hair will not be plucked out
  • Trauma, burns or surgery may have resulted in formation of scar tissue; reconstructive surgery may be necessary before eyebrow/eyelash restoration. The degree of eyebrow loss may vary from complete to partial; the degree of loss may be a consideration in selection of the restoration procedure.

Some patients have no eyebrow loss, but seek eyebrow enhancement for cosmetic reasons including camouflaging a scar or enhanced thickness and shape.

Procedure

For those who have lost the natural, full appearance of their eyebrows, automated Follicular Unit Extraction (FUE) with NeoGraft provides the easiest and best surgical method for fast and simple eyebrow restoration. Compared to the Strip method, with NeoGraft there is faster and easier healing, no sutures or scars, and less down time.

We use single hair grafts or hair follicles from the lateral part of the occipital region of your scalp, focused on the hair near the nape of the neck, because they contain the greatest number of single-hair follicular units with a diameter similar to that of the eyebrow.

What about Eyebrow Design?

Women and men have distinguishing differences in their eyebrow. Men typically have thicker eyebrows that are horizontal while women have a more delicate and elegantly arched shape. Proper angulation of the hair follicle is the most important feature of any eyebrow transplant.

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.

Is the procedure permanent?

Yes. It is as permanent as a hair transplant procedure to the scalp or to any other area: the hair follicles are harvested from a donor area that is deemed to be resistant to hair loss and these follicles will grow in the eyebrow as they were programmed to grow in the donor area.

Results

There is a special technique where we can transplant hair follicles with long hairs and you will have the look of a full eyebrow immediately. However, the hairs will shed in about two weeks, then re-grow in three to four months, just like in other hair transplant procedures.

Can I pluck it later on?

Yes.

Is shock-loss a possibility following the hair transplant procedure?

Temporarily, you may lose all hair in the transplanted areas, but these follicles will re-grow hair in three to four months. Nobody knows the exact reason for this event, i.e., shock hair loss following hair transplantation. It is a temporary side-effect of the procedure. Very rarely, however, shock hair loss may occur for a prolonged time period or, even more rarely, permanently.

The NeoGraft Difference

  • Fuller, natural-looking Eyebrow’s
  • No scalpel, no stitches, and no scar for undetectable result
  • Fast, comfortable recovery – return to work the next day
  • Permanent results can be achieved in just one session

Contact

Call today to schedule your NeoGraft consultation 310-858-8811

FAQ

What is eyebrow transplantation?

Eyebrow transplantation is an advanced procedure that involves taking hair follicles from the back of the head or nape of the neck then implanting these follicles in the region of the eyebrow to create permanent hair for eyebrow reshaping and enhancement.

How long does eyebrow transplantation take?

Generally, eyebrow transplantation takes around 4 hours. Approximately half of this time is harvesting the follicles, and the other half is implanting the follicles. With larger grafting cases that exceed 500 follicles, it may take slightly more time.

How long does eyebrow transplantation last?

The hairs that grow from the transplanted follicle are permanent. The hair will grow just like the hair on your head to lengths much longer than your existing brow. Many women already groom their brows . The hairs from the transplantation will also have to be groomed to maintain proper length.

Where are the hairs taken from for eyebrow transplantation?

Generally, the hairs for eyebrow transplantation are taken (harvested) from the back of the head or nape of the neck. This is referred to as the donor site. Hair here will have to be shaven prior to grafting. Shaving is performed in the office just prior to the procedure. Most women can easily cover up the shaved region with their hair if it is of adequate length.

Will I have a bald spot from the area where the hair is taken?

No. About every 3rd or 4th hair is taken from the donor area. Such a small reduction in density will not be perceivable even if hair is to be worn very short.

How many hairs or follicles will I need for eyebrow transplantation?

For touch ups in scars, sometimes a dozen or so grafts is all that is required to blend into the brow for continuity. However, in cases of brow reshaping with volume, anywhere from 50 to 250 grafts per brow is common. The number of grafts (follicles) required will depend on shape, desired volume, and present density.

How do you know what shape to make my eyebrows with eyebrow transplantation?

Many men and women will bring in photographs from a younger period in their life or of models or actors that have shapes or a “fullness” they desire. This is often very helpful. During the day of the procedure, they desired brow shape will be drawn into place and verified by the patient. In cases where a patient is unsure as to what shape of fullness they desire, celebrity make up artists or brow specialists can be available to aid you in your shape so that it most appropriately fits your face.

What are the risks of eyebrow transplantation?

Eyebrow transplantation is a very safe procedure. It is a surface procedure, meaning that no deep structures are penetrated. Given the very vascular nature of the scalp and brow area, infections are exceptionally rare. Some swelling may develop around the eyes for a day or two. There may be some pain or discomfort related to injections to numb the area, but the procedure itself is painless. After the procedure when the anesthetic wears off, pain and discomfort is minimal.

How much does eyebrow transplantation cost?

Eyebrow transplantation cost will range from $1,500 for scar grafting to up to $6,500 for full eyebrow custom reshaping and large volume enhancements. The average price is $4,500. Often other local procedures are performed during the eyebrow transplantation procedure to reduce overall costs, such as injectables with Juvederm, Restylane, Voluma, and Radiesse, or Botox therapy.

Do I need to be asleep for eyebrow transplantation?

No. Patients are awake from start to finish during an eyebrow transplantation. A mild sedative and oral narcotic is given prior to beginning the procedure. There also is no need for intravenous sedation.

What is the downtime for eyebrow transplantation?

Eyebrow transplantations are same-day procedures performed in the office. The downtime related to brow grafting is mainly cosmetic in nature. Some patients will have some swelling above their eyebrow for a day or two following the procedure. Some scabbing where the follicles are implanted may last up to 5 days. Where the follicles are removed, some itching may develop days later, or mild burning sensation like a sun-burn may occur. These are temporary and can be managed easily with topical lotions if necessary.