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Eyebrow & facial hair procedures


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Eyebrow & facial hair procedures

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