2011, Number 2
Cir Plast 2011; 21 (2)
Ortiz LJB, Rengel MJF, Morera LID
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ABSTRACTThe eyebrow as an aesthetic unit determines harmony and beauty of the periorbital region and is a three-dimensional framework of the face. The partial or complete absence of eyebrows gives a person an unnatural appearance, with direct affectation to the self-concept of image and even an impact on self-esteem and psycho-social development. From this perspective, alopecia of the eyebrows should be treated by a reconstructive procedure with a strong aesthetic purpose, with the basic objective of achieving each of the normal characteristics of healthy eyebrows, according to race, gender and age. In 1953 Fujita reported for the first time the reconstruction of eyebrows using hair grafts. The objective of this article is to study the surgical options for eyebrow reconstruction and present our 10 year-experience with graft capillaries in the Planas Clinic of Barcelona, Spain. Assessed on a retrospective basis a series of consecutive cases of patients treated with micro hair eyebrow grafts, performed from June 2000 to June 2010. 58 patients were reconstructed using this technique: 16 men and 42 women, with a median age of 47.5 years. A total of 94 eyebrows were grafted: 37.9% unilateral and 62.1% bilateral, using an average of 147.73 follicular units (UF) (35-265 UF) in each eyebrow. The average surgical time per grafted eyebrow was 120.5 minutes. There was favorable development, free of complications and with good graft integration, with a rate of loss of less than 2%. We concluded that the procedure carried out in a methodical way and working as a team is simple, achievable and has excellent aesthetic prognosis for the follicular micrograft applied, with a high degree of patient satisfaction.