Preserving Eyebrow and Eyelash Health Combating Age-Related Thinning

Eyebrow hair and eyelashes, like the hair on our heads, are thin and diminish with age. Waxing, plucking, and other traumatic manipulations of the hairs of the brow and lashes can accelerate this permanent loss of hair.

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Eyelash/Eyebrow Transplant

Conventional wisdom, and even a great deal of uninformed medical advice, suggests that once these hairs are lost, the only treatment is permanent makeup or cosmetic tattooing. When performed by a skilled artisan, permanent makeup can effectively disguise hair loss, but nothing is as natural as your own hair! Now, medical and surgical advances allow a comprehensive approach to eyebrow hair and eyelash restoration for both men and women. The transplant procedure offers your own natural and growing hair! The Maas Clinic™ program starts with a comfortable office procedure requiring 1-3 hours that is performed with local anesthesia.

Eyebrow Hair Replacement

For eyebrow hair replacement, specially selected hair grafts are usually borrowed from the back of the scalp, well behind the ear (or from the pubic area), usually with an incision of 2-4 cm (less than 2 inches). This incision is closed, leaving, when healed, a hairline scar that is not noticeable. With small color-matched sutures used for closure, this "donor" site is not noticeable when the patient leaves the clinic. With special magnification, TMC technicians carefully cut the hair as it naturally grows in the brow area. While these follicular unit grafts are prepared, Dr. Maas creates micrograft slits in the area of the brow with thinning and absent eyebrow hairs. This process is painless as a local anesthesia block performed at the beginning of the procedure makes both the donor and eyebrow areas completely numb.

Finally, the eyebrow micrografts (transplants) are carefully placed to maximize or restore normal hair density. Depending on the patient's desire for eyebrow thickness, the number of eyebrow implants can vary between 25 and 100 grafts per eyebrow. The eyebrows are typically mildly to moderately swollen for a few days to a week. The small grafted hair shafts will fall out in one to two weeks, with regrowth beginning as soon as three months and full density expected at six months. Like most eyebrow hairs, the restored eyebrows must be trimmed to shape occasionally. Patients with existing permanent makeup are excellent candidates for an eyebrow transplant, with new hairs placed precisely in the permanent makeup or tattoo pattern.

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Eyelash Restoration

Eyelash hair restoration is performed in much the same way as eyebrow hair restoration. Thick and preferably slightly curved hair grafts are carefully selected from the posterior scalp. Typically, up to a dozen grafts are required per eyelid, depending on existing eyelash density. Special "atraumatic needles" are used with the hair graft threaded into the needle eye for careful and curved placement in the eyelid margin. The eyelids are completely numb with local anesthesia, making the eyelash treatment procedure comfortable. For the patient with "needle anxiety," oral, IV, or "sleeping" anesthesia can be offered. Like eyebrow hair transplants, eyelash transplants are trimmed to appropriate lengths during the procedure. The eyelash transplant hair shaft will fall out in one to two weeks, with new hair growth expected to begin within three months and total density at around six months.

Eyelash Transplant/Medical Therapy

Like The Maas Clinic™ hair restoration medical therapies for the scalp (e.g., Minoxidil, Propecia, Spironolactone, etc.), eyelash and eyebrow thickening and restoration can be accomplished with medical therapy alone or in combination with eyebrow and eyelash transplants. Bimatoprost and Latisse have shown outstanding results in eyelash thickening and eyebrow thickening in our experience. Many patients will get satisfactory results with once daily (followed by 2-3 times weekly maintenance) application of the clear solution, available only by prescription through our office. As a courtesy to our patients, we charge only our cost for this product.

Eyelash and Eyebrow Transplant at The Maas Clinic™

New surgical technologies and medical therapies have provided patients with excellent options for replacing and restoring eyebrow and eyelash hairs. What was once considered a hopeless condition with tattooing as the only treatment option is now correctable with natural, growing hair and other body areas.

Corey S. Maas, MD, and the staff at The Maas Clinic™ look forward to answering any questions you may have about the eyelash or eyebrow transplant procedure in San Francisco. To schedule an appointment, please contact us today.

Corey S. Maas, MD, reviewed this information about eyelash/eyebrow transplants. If you have any questions, please don't hesitate to contact us using our contact form below.

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