Eyebrow & facial hair procedures
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Eyebrow & facial hair procedures

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    Eyebrow & facial hair procedures Eyebrow & facial hair procedures Presentation Transcript

    • EYEBROW & FACIAL HAIR PROCEDURES
      Dr Anastasios Vekris, MD
      Plastic Surgeon
    • 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
    • Indications
      Burn scars
      Traumatic scars
      Chemical peeling scars
      Congenital absence of hair
      Eyebrow tattoo removal
    • Localities
      Eyebrows
      Moustache
      Sideburns
      Beard
      Cheeks
    • 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
    • EYEBROW RESTORATION (before)
    • EYEBROW RESTORATION (after)
    • EYEBROW POST TRAUMATIC SCAR RESTORATION
    • SIDEBURNS RESTORATION (before)
    • SIDEBURNS RESTORATION (after)
    • BEARD RESTORATION
    • Cheek restoration (before)
    • Cheek restoration (after)
    • Cheek restoration (6 months)
    • 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
    • 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