Reframe and Replace
If the eyes are the windows to the soul, the eyebrows are the frame. They provide structure and balance to the face, communicate our emotions, and define our features more than almost any other element. But we've been following trends that involve plucking, waxing, and threading them into non-existence for years. Whether you're a victim of the '90s over-plucking trend, dealing with genetic thinning, or simply have naturally sparse eyebrows, the struggle to draw them on or fill them in every morning is exhausting.
Pencils, powders, and microblading offer temporary fixes, but they lack the texture and dimension of real hair. They sit on the surface of the skin, often looking flat or fading into unnatural colors over time.
At Premier Plastic Surgery Center, we offer a permanent solution that goes beyond camouflage. Eyebrow transplantation is a refined, artistic procedure that uses your own natural hair to reconstruct your brows. It restores not just the shape, but the realistic aspect of the eyebrow area, giving you thicker brows that you can wash, style, and live in with total confidence.
Eyebrow transplant surgery is a specialized form of facial hair restoration. It operates on the same principles as a traditional scalp hair transplant, but with a much higher degree of precision and detail.
The process involves moving hair follicles from a donor area (typically the back of the scalp, where hair is genetically resistant to thinning) and implanting them into the brow ridge. Unlike microblading, which uses pigment, this procedure uses living hair grafts. Once healed, these newly transplanted hair follicles establish a blood supply and continue to grow for a lifetime. It's the ultimate advancement for achieving natural-looking brows because it is natural, it is your own living tissue, just relocated.
Choosing hair transplantation for your brows offers distinct advantages over semi-permanent makeup:
Because this is a surgery involving follicular unit extraction, candidates must have sufficient donor area hair and be in good overall health. You may be a good candidate if you want fuller eyebrows and identify with the following:
Note: Patients with active alopecia universalis or frontal fibrosing alopecia may not be candidates, as the underlying condition could attack the new hair growth. A review of your medical history is essential.
Eyebrow hair transplants are versatile. We customize the treatment plan to address three primary concerns:
This is the most common request. Repeated plucking can permanently damage the hair follicles, stopping regrowth. We use single follicles to fill in the gaps and widen the tail of the brow, restoring a youthful, natural shape that frames the facial features.
Scar tissue typically does not have blood flow to support hair growth on its own, and it doesn't hold tattoo pigment well. However, hair grafts bring their own blood supply. We can implant healthy hair follicles directly into and around scars, effectively erasing them from view.
For patients who have lost the entire eyebrow, we can build a completely new brow from scratch. This requires extensive experience in design, as we must determine the start point, arch, and tail location that best suits your bone structure.
Note from Dr. Ferrari: The eyebrow isn't just a block of hair. It’s a stream. The hairs near the nose point upward, the hairs in the middle cross over like a herringbone pattern, and the tail points downward. If a surgeon just places hair in a straight line, it looks fake. We have to match the angle and curl of every single follicle to mimic nature perfectly.
Your free consultation is where the blueprint is drawn. Dr. Ferrari will examine your skin quality and the density of your donor area.
We will discuss your aesthetic goals and draw the proposed shape directly on your face. This is a collaborative process; we tweak the arch and thickness until you are happy. We also review medical conditions to ensure you can safely undergo local anesthesia. We advise patients to stop taking blood thinners and avoid laser hair removal in the brow area for several weeks prior to surgery.
The eyebrow transplant procedure is meticulous and typically takes three to four hours. It's performed under local anesthesia (sometimes with oral sedation), meaning you're awake but comfortable and feel no pain.
First, we use Follicular Unit Extraction (FUE) to harvest individual hairs from the back of the scalp. We select the finest hairs to match the delicate texture of eyebrow hair. The hair grafts are trimmed and prepared under a microscope. Unlike scalp transplants, where we use clusters of three to four hairs, eyebrows require single follicles for a natural-looking result.
A highly trained and experienced hair transplant technician then makes tiny incisions in the recipient area at the exact angle and direction of natural growth. The grafts are placed one by one. This requires extreme patience and precision to ensure the hair grows flat against the skin rather than sticking straight out.
The recovery period is relatively short, but there is some social downtime.
It's important to have realistic expectations about the nature of the hair. Because the grafts come from your scalp, the new hair retains the genetic programming of scalp hair. This means it grows faster and longer than native eyebrow hair.
To maintain your natural-looking brows, you will need to trim them every few days. Most patients find this a small trade-off for having permanently fuller eyebrows. The final result is a bold, natural shape that enhances your appearance without makeup.
Note from Dr. Ferrari: Patients often ask if I can use their body hair to shape their new eyebrows. While possible, scalp hair is the most reliable. Body hair has a very short growth cycle and might curl unpredictably. By using fine scalp hair, we get a consistent texture that, once trimmed, looks indistinguishable from a natural brow.
The cost of an eyebrow transplant depends on the number of grafts needed. A minor touch-up for a scar requires fewer grafts than a full reconstruction. During your consultation, we provide a comprehensive quote that covers the plastic surgeon's fee, facility costs, and anesthesia. While it is a higher upfront cost than microblading, it's a permanent solution that eliminates the need for repeated salon visits.
Eyebrow transplantation is one of the most difficult procedures in aesthetic surgery because there is no room for error. On the scalp, you can hide stray hair; on the face, every angle matters.
Dr. Victor Ferrari is a board-certified plastic surgeon with exceptional results in facial hair restoration. He understands that superior results come from respecting the anatomy. He does not use a cookie-cutter stencil. Instead, he follows the natural ridge of your brow bone to create natural-looking results that fit your specific face. We prioritize your comfort, offering a private setting and a team dedicated to your care from the first incision to the final reveal.
Stop sketching on your confidence every morning. It's time to frame your face with the density and shape you were meant to have. Contact us today to schedule your consultation. Let’s discuss how hair transplant eyebrows can restore your natural beauty and simplify your life.
Most patients report very little discomfort. We use local anesthesia to numb both the donor area and the brows. You might feel some pressure, but sharp pain is rare. Post-procedure soreness is usually managed with over-the-counter medication.
Initially, the hair acts like scalp hair (growing long). However, over time, the newly transplanted hair often adapts somewhat to the slower growth speed of the brow area, though trimming will always be required.
Yes. In fact, implanting hair over microblading creates a beautiful 3D effect. The pigment acts as a background shadow for the natural hair, making the brows look even denser.
The results are permanent. The transplanted hair is taken from a zone that is genetically programmed not to fall out. Once the new hair growth establishes itself, it remains for the rest of your life.
You need to keep the treatment area clean and free of products for at least 10 days to allow the grafts to anchor securely. After the crusts have fallen off, you can resume using brow gel or powder.
Yes, as long as you are in good overall health and have no contraindicating medical conditions. Many patients pursue this in their 50s and 60s to correct age-related thinning.
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