Greetings,
Here is a patient of mine who I performed an eyebrow transplant on 7 months ago. She is extremely happy and we will be performing a secondary “touch up” procedure to increase the density slightly and fill in a few spots. These results are typical with my special technique for eyebrow transplantation.
All the best,
Marc Dauer, MD
Greetings,
I have just begun using Hypothermasol -New Storage Media For Hair Transplant Grafts which is a new storage media for storing hair grafts while they are out of the body and awaiting transplant. In the past we have had excellent results storing the hair grafts in saline or lactated ringers solution, but recent studies have shown that there can be an increased growth yield of the transplanted hair grafts by storing them in hypothermasol. Hypothermasol has been used for a number of years to store organs awaiting transplantation. It is thought to keep the cellular mechanisms more stable while the organ is out of the body, thus decreasing any cellular degradation. Applying the same concept to hair transplants, some new studies have shown that this storage media can lead to possibly better growth rates. Even though the hypothermasol is much more expensive than the traditional storage solutions, in my quest for the best hair transplant results that can be achieved, I have decided to incorporate this into my storage process of the hair grafts. I will check in with an update on this topic in 6-9 months with the results that I am seeing in clinical use.
All the best,
Marc Dauer, MD
Greetings,
Today I will discuss the first few weeks following Eyebrow Transplant surgery. Eyebrow Transplantation has become a much more popular procedure as of late. More people are discovering how effective and natural the procedure can be when performed by the right surgeon. I was one of the first surgeons in the country performing the procedure and as such have had the opportunity to perform a great number of cases. In addition, I have refined the overall technique in ways that greatly improve both the immediate post operative period and the final result.
In a typical Eyebrow Transplant procedure I will place between 100-300 single hair grafts per eyebrow. The number depends on the patients facial symmetry, gender, hair color, and eyebrow hair loss, among other factors. The entire procedure is performed under local anesthetic. In the immediate post operative period I tell patients that they should expect to see some swelling around the eyes and possibly even some bruising around the eyes. This typically peaks at around day 3 and resolves by day 5. Within 24 hours of the grafts being placed they form tiny scabs around the grafts that look like little grains of sand. Immediately after the procedure the patient gets a good idea of how the eyebrows will eventually look because I place the eyebrow hairs at about the same length as typical eyebrow hairs. Within a week most of the crusts fall out and a few of the transplanted hairs may fall out, but for the most part the patient is left with most of the new transplanted eyebrow hairs. Beginning in the second week the transplanted eyebrow hair grafts begin to fall out. Usually by the end of the first month, most of the transplanted eyebrow hair grafts have fallen out and the patient is left with eyebrows similar to what they had before the procedure. During this “in between” time the patient may continue to put on eyebrow makeup just as they did before the procedure.
At around 3 months post eyebrow transplant the new eyebrow hair grafts begin to grow in. Usually the patient will notice more hair between 4-6 months post operatively and at 12 months the patient will see the full result from the eyebrow transplant procedure. Below I will show a patient of mine pre operatively and 2 weeks post operatively to give you an idea of the typical look in the immediate post operative period.
If you have additional questions about Eyebrow Transplants please feel free to contact me.
All the best,
Marc Dauer, M.D.
The Latest Advancements In Hair Restoration
Eyebrow Hair Restoration and Concealment of Scarring with Hair Transplantation
By Marc Dauer, M.D., ABHRS
Hair Restoration has come a long way from the unsightly large “plugs” of yesteryear. Today we practice Follicular Unit Transplantation which allows us to relocate hair follicles in the same way they naturally occur. This technique has also allowed us to transplant hair to other areas of the body besides the scalp.
Follicular Unit Transplantation is the general term to describe transplantation of naturally occurring follicular units. Typically hair grows in clusters of 1,2,3, and 4 hair follicular units. There are two main techniques used to harvest these follicular units. The first and most commonly used method is called “The Strip Method”. This involves taking a narrow strip of hair (usually not to exceed 1.5 cm in width) from some region in the permanent hair zone (in men this is in the occipital and parietal regions of the scalp) and dissecting the strip under magnification into individual follicular units. The other technique used in harvesting is Follicular Unit Extraction. This involves using a biopsy punch tool, usually between .6mm-1.2mm, and extracting the individual follicular units from the permanent hair zone for transplantation into another area.
Eyebrows are one of the most important defining characteristics of the face. Often you don’t even realize the full impact that eyebrows make until you see a person without them. With the Follicular Unit Transplantation, it is now possible to restore natural looking eyebrows that will last a lifetime.
Eyebrow hair loss can occur for several reasons in women and men. Physical trauma (such as burns or lacerations), medical treatments (such as chemotherapy or radiation therapy), excessive plucking, and even menopause, can all contribute to eyebrow hair loss. In the past some people opted for eyebrow tattoos to recreate lost eyebrow hair. Eyebrow transplants can be implanted over eyebrow tattoos to recreate natural looking eyebrows.
The hair to be transplanted into the eyebrows is usually harvested from either the mid occipital region or the nape in the posterior auricular region. In both cases the hair in these areas is of finer quality, thus more accurately resembling natural eyebrow hair. With an artistic eye, and keen attention paid to the individuals facial characteristics, the boundaries of the new eyebrows are drawn in so that the patient can see the shape of their new eyebrows. Once the design is completed the area to be transplanted is anesthetized with local anesthetic containing epinephrine and then tumesced with saline solution. The tumescence allows the grafts to be placed closed together, while elevating the skin further away from the underlying vasculature, thus resulting in less vascular damage. Small recipient sites are made with a solid core 22 gauge needle, with care taken to limit the depth to the size of the follicle to be transplanted. Grafts placed too deeply may result in excessive bruising and/ or cyst formation or scarring. Only single hair follicular units are placed in the eyebrows.
Hi all, I figured I would dedicate this blog entry to Eyebrow Transplantation / Restoration since it is such a large aspect of my medical practice. Â Eyebrows are one of the most important and visible characteristics on a persons face. Often we don’t even realize the importance of eyebrows until we see someone who does not have them. The method of restoring eyebrows through eyebrow transplantation is a very meticulous process through which initially “the right” hairs need to be identified for transplantation. This is done by carefully examining the characteristics of the persons hair and finding the location of the hair on the individual that most closely resembles eyebrow hair. Often this hair is found in the area behind the ear where the hair is usually a little finer, but in certain individuals it can be found elsewhere as well. I then harvest the “donor” hairs, most often through the standard “strip excision” (more info on this can be found on my website), or through FUE (which involves taking each follicle out individually). Once the donor hair is prepared it is important to draw out the shape of the eyebrows so that the patient and myself agree on where the new eyebrow hair will be placed. I often tell patients to bring in pictures of themselves in their youth, so I can use these in reference when I am designing the new eyebrows. In order to create natural looking eyebrows, they must correspond to the patients facial symmetry. Once we have agreed on the shape of the eyebrows, I carefully make tiny receptor sites with a hand cut custom blade approximately 1mm in diameter which is fashioned to fit the patients hair diameter perfectly. Â It is imperative the the sites and placement of the grafts are made with care so that the new hairs grow in the proper direction. Since eyebrows hairs change directions depending on where they are located in the eyebrow, this process of placing the new eyebrow hairs requires a significant degree of experience to be performed properly. Sometimes the new eyebrow hairs stay and begin to grow right after the Eyebrow Transplant procedure. Other times, the new hairs fall out and then start to grow back at around 6-8 weeks. Full growth is usually seen by about 9 months after the procedure. I have many patients who are completely satisfied after one procedure, and others that opt for a second “touch up” procedure to provide some increased density. I see many patients who have eyebrow tattooing. If they are happy with the shape of the tattoo, I can place the new eyebrow hair over the exisitng tattoo. If the shape of the tattoo is wrong, I usually recommend that the patient have the tattoo removed prior to Eyebrow Transplantation. Eyebrow Transplantation / Restoration is extremely gratifying for me, because it requires a strong artistic and aesthetic sensibility, and can really make a major change in a persons appearance. If you are considering this procedure and live outside Southern California, please feel free to email me photos of your eyebrows and I can review them with you via an email consult, or we can do a video consult with iChat if you are a mac user. I hope this provides you with some basic information on Eyebrow Transplantation / Restoration.
All the best,
Marc Dauer, M.D.
Dr. Marc Dauer, MD is a board certified leader in hair restoration, hair transplants, eyebrow restoration for men and women, hair transplants for scars, and facial hair transplants. Dr Dauer is experienced with successfully treating and restoring hair loss of the scalp, eyebrows, sideburns, male pattern baldness, female pattern baldness and from scarring. Dr. Dauer is board certified by the American Board Of Hair Restoration Surgery and a member of the prestigious International Society of Hair Restoration Surgery. Dauer Hair Restoration provides hair restoration, FUE and FUT, hair transplants. Los Angeles hair loss treatments, eyebrow transplants, sideburn transplant, treatment for male pattern baldness and female pattern baldness, and transplantation for scarring. We serve patients from the Los Angeles area including, Santa Monica, West Hollywood, West Los Angeles, Culver City, Brentwood, Bel Air, Beverly Hills, Hollywood, Manhattan Beach, Redondo Beach, Malibu and beyond. Consider Dr. Dauer for your hair restoration needs.
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Dauer Hair Restoration
2080 Century Park East
Suite 1802
Los Angeles, CA 90067
Phone: (310) 748-2224
md@mdnewhair.com
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• American Hair Loss Association
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• American Board of Hair Restoration Surgery