Clinical outcomes and technical tips for eyebrow restoration using single-follicular-unit hair transplantation: A case series review.

[BACKGROUND] Clinical outcomes of eyebrow restoration with single-follicular-unit hair transplantation largely depend on the surgeon's anatomic knowledge, experience, and technical skills.

[AIMS] To evaluate the effect of the reconstruction with single follicular unit transplantation on eyebrow loss and provide technical tips.

[PATIENTS AND METHODS] A total of 352 patients with eyebrow loss were recruited. A template of the restoration region was modeled or specifically designed. The scalp strips from the back occipital or retro-auricular regions were harvested for single follicular unit hair. The follicles were transplanted by punching recipient area with 21-G syringe needle. Patients were followed up every 2 months for 4 years after surgery.

[RESULTS] Out of 352, 320 (91%) patients had their transplanted hair grow well with satisfactory direction and appearance. Seventeen patients (5%) experienced encryption transplantation of a sparse hair for the first 6 months but felt satisfied afterward. Twelve (3%) patients did a simple make-up on the transplanted hair because there was an obvious difference between the transplanted hair and the natural one. Three (1%) patients with burned injury suffered of mild folliculitis and cured by 75% alcohol inunction. All patients had no obvious scar at the donor sites.

[CONCLUSION] Single follicular transplantation for eyebrow loss resulted in natural restorations with excellent satisfaction. The technique is simple, safe, and effective. The usage of syringe needle, microscope slide forceps, and a magnifier could implant the hair in a right angle, desired direction and depth, and increase the survival rate.