Eyebrow-Plasty with Single-Hair-Transplant for Alopecia Leprosa

Abstract

There are various methods for the reconstruction of alopecia leprosa of the eyebrow and among them, eyebrow plasty with single-hair-transplant, by which the form of the brow and the hair stream can be controlled, appears to be most satisfactory. The method is not popular, however, because of the complexity and inefficiency. In the eyebrow, a convergent stream is produced by a upward hair stream and a downward hair stream. The shape of the eyebrow can be classified into several types according to the intensity of the accent of the superior edge of the eyebrow and the axis shape with the convergent stream as the axis. By planning the order of im- plantation of hair with the axis as the base, the shape of the brow and the hair stream can be readily and accurately produced. The hair-transplant must be carefully prepared without damaging the hair-follicle and-bulb and then carefully embedded. For this purpose, the use of cold physiological saline is advantageous: softening of the hair is prevented so that optimal hardness is maintained, making manipulation easy. In this way, a regular plan of procedure has been set up concerning (1) prepara- tion of the hair-transplant (2) method of implantation (3) design of the eyebrow shape (4) order of implantation. With this procedure, the defects of eyebrow-plasty with single-hair-transplant can not only be overcome but the advantages further enhanced, and by chosely following it, satisfactory results have been obtained.