Eyebrow transplantation

BACKGROUND. Reconstruction of the eyebrow has historically been accomplishe d with temporal scalp pedicle flap formation or free composite scalp grafts . These two techniques may be associated with substantial morbidity and a f alse, overly dense eyebrow appearance. Hair transplantation of the eyebrows has been described with excellent results, but is relatively underreported in the literature. OBJECTIVE. TO determine whether modern techniques of micrograft hair transp lantation can suitably re-create an aesthetic eyebrow in a case of iatrogen ic eyebrow alopecia. METHODS. A 33-year-old woman with iatrogenic eyebrow alopecia underwent fou r sessions of eyebrow micrograft hair transplantation to re-create both eye brows. RESULTS. Suitable aesthetic eyebrows were re-created in a symmetric fashion with proper hair orientation. The process was time consuming and tedious, but highly effective. CONCLUSION. Eyebrow transplantation is a suitable alternative to pedicle fl ap formation and composite scalp grafting. It is a straightforward procedur e that can be performed in the office under local anesthesia with minimal a ttendant morbidity. The result may be superior to that seen with more invol ved eyebrow replacement procedures.