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Eyebrows are not only a barrier to the eyes, but also very important for beautifying the whole face. In addition to tattooing eyebrows, eyebrows can also be replanted for eyebrows that are missing or rare, and the effect is satisfactory.
The most common cause of eyebrow loss is the sequelae of facial burns. Some people have few eyebrows because of illness and eyebrow plucking. Although eyebrow tattooing is simple and easy, there are only two black lines because there is no replanting of eyebrows, which lacks layering and three-dimensional sense. There are three kinds of eyebrow implants commonly used in cosmetic surgery, which are introduced below.
1, single eyebrow beauty single eyebrow beauty is most suitable for women with few eyebrows. Its characteristic is that the eyebrows are natural and realistic after transplantation, but the operation is complicated and time-consuming, and sometimes it takes many operations to complete.
(1) Before eyebrow planting, draw eyebrow shapes according to different faces, genders and facial features, and predict the required eyebrow planting area. The hair behind the patient's ear was cut short, about 0.4 cm long, and then washed with 0. 1% bromogeramine solution. During the operation, the scalp of the donor site was taken under local anesthesia, and a scalp with hair follicles was taken out and placed in normal saline gauze. Scalp wounds can be sutured directly. Because the incision is on the scalp, no obvious scar will be left. At this time, the scalp flap can be cut into small pieces with a shaving blade, and care should be taken not to damage hair follicles. The tissue pieces containing individual hairs (inner hair bundles) should be completely separated and put into a saline container for later use.
(2) eyebrow planting
After the skin in the eyebrow shape is disinfected, use a special eyebrow planting knife (which can be replaced by a corneal puncture needle with an inner diameter of 3-4 mm). Use the eyebrow planting knife to prick a small hole at an angle of no more than 45 degrees from outside to inside, clamp the right hand with toothless tweezers about 0.3 cm above the hair follicle, and insert a hair into the hole after pulling out the eyebrow planting knife with the left hand. The subcutaneous tissue on the hair should also be stuffed into the hole and not exposed. At the same time, the natural bending direction of hair should be outward and upward, and the inserted hair should be cut short so as not to affect the subsequent operation. When planting the outer L/3 of eyebrows, the acupuncture direction should change gradually from the outer top to the inner bottom and then from the outer bottom to the inner top. About 180 plants (all eyebrows) were planted on each side; If it is eyebrow repair, the number of eyebrow implants can be determined according to the number of missing eyebrows on each side.
After eyebrow planting is completed, it is covered with gauze and sterile dressing and bandaged under pressure. The scalp incision was removed in 7 days, and the gauze in the eyebrow planting area was removed in 12- 15 days without dressing change. If there is blood scab, you can wipe it clean with alcohol and salt water. After an eyebrow takes root, a new eyebrow can grow back in about three months. If the appearance is not ideal after eyebrow planting once, it can be replanted after half a year. Because of the delicate operation and long time-consuming of single-rooted eyebrow, it usually takes about 2 hours to plant eyebrows on one side. Because the living eyebrow planting area uses hair, which grows like hair, it is necessary to trim the eyebrow shape regularly.
2, scalp free eyebrow implantation Scalp free eyebrow implantation is the same as single eyebrow implantation, and it is also a hair after the ear. When choosing eyebrow shape and hair direction, it should be similar to natural eyebrows, and then transplant freely. This method has the advantages of simple operation and small operation scale, and is more suitable for people who have low requirements on eyebrow shape. However, the eyebrow shape that survived after operation is false and the eyebrows are sparse, which is generally used for people with eyebrow defects after burns.
3. Using island scalp flap transplantation.
Eyebrow reconstruction can also use island scalp flap with vascular pedicle in temporal area. Because it is a vascular pedicle transplantation, the blood supply is good, the survival rate is high, and the eyebrows grow thick and strong, which can achieve the effect of thick eyebrows, especially suitable for men with eyebrow defects.
The above eyebrow planting methods are to transplant hair to the eyebrow area. Because the head grows faster and thicker than the eyebrows, it is necessary to trim the eyebrows regularly, especially the third method. Because the "eyebrows" are black and thick, they are sometimes not suitable for female eyebrow reconstruction. In the long run, the cosmetic effect of eyebrow reconstruction with hair is satisfactory. It has been observed that the growth rate of hair will gradually slow down 2-3 years after transplantation, which is because the hair grows at the eyebrows and the blood supply is not as good as that of the scalp, or other reasons, which are still unclear.
Besides eyebrow reconstruction, the defect of upper eyelid (upper eyelid) eyelashes can also be reconstructed. The purpose of trimming eyelashes is not only to protect the eyes, but also to have an ideal cosmetic effect. But the material for eyelash repair can't be hair, but an eyebrow. Generally take 2-3 rows of ipsilateral eyebrows. The stitching method is also different. Generally, a thin thread passes through the wound edge on one side of the incision, only through the bottom of the graft and not through the skin, and then through the wound edge on the other side to tie a knot, thus playing the role of fixation and compression. The stitches are usually removed 7- 10 days after eyelash transplantation.