Eyelash hair transplantation, also known as eyelash implants, is a relatively new procedure that originally was used to treat areas of the eyelid that have no eyelashes due to genetics, alopecia, or trauma such as that from cancer surgery or burns.
Donor Hairs for Eyelashes
The donor hairs come from the scalp which then become eyelashes and they continue to grow for a lifetime and therefore need to be trimmed typically once a month. To provide a natural appearance, the hairs are transplanted one at a time. This is a very delicate procedure, requiring perfect placement of these hairs that are angled at just the right direction and position to mimic natural growth.
The Eyelash Transplant Procedure:
A procedure typically involves the placement of 25 to as many as 50 hairs into each upper eyelid, depending upon the existing amount of hair and the desired size and density. Performed usually under a mild oral sedative, the 2 hour procedure is essentially painless, as is the recovery period. There is cyclical variation in the amount of coverage that the body hairs provide. Body hairs often grow longer than in their original location, but do not grow as long as scalp donor hair.
Persons with Fitzpatrick type 3-6 skins are prone to healing with initial hyper pigmentation (much like the dark marks that you get temporarily subsequent to an acne attack) Sometimes, instead of dark pigments, you could get lighter pigmentation (hypo pigmentation) in the initial phase as well. The improvement of hyper pigmentation (dark spots) can be hastened by the use of fading creams. Wounds that heal initially by hyper pigmentation can end up finally with a much shrunken spot that is either normal in color relative to the surrounding skin or may assume a relatively faintly hyper or hypo pigmented hue.
Follicluitis esp. in case of buried or transected follicles with ingrown hairs may sometimes need antibiotics or steroid to resolve.
Keloid esp. is possible in the chest and shoulder area- one may do a small test grafting
Redness for few weeks may be possible avoid sun exposure and use steroid application Unpredictable growth at times
Synchronous cycling is a possibility where a lot of transplanted hair cyclically falls during the same period.
For avoiding the telogen hair from extracting you need to shave the area about 4-5 days in advance of the procedure because the telogen hair are likely to be damaged during extraction due to flimsy the nature of its secondary germ structure. Body hair varies in caliber, texture and color. It is recommended to mix body hairs with scalp hair to achieve a uniform look and feel.
Obviously the most common use of BHT is as a viable option for those whose traditional donor hair supply is depleted.
To feather out hair line by cherry picked thin and soft body hairs esp. in the people with strong and coarse scalp hairs where taking the thin hairs from the nape of the neck or pre auricular area may not be a good option because they do not belong to what is conventionally called safe donor zone of scalp.
To camouflage the widened strip scars of already depleted donor area where taking further the hairs from the scalp either by strip or FUE is not a sensible option. Coarse Beard hairs and other BHT from Apocrine area, which grow thick and long is a good option.
Body hair is an excellent filler to increase the density for use in between the thin density of scalp hair.
Transplanted scalp hair for the eyebrow restoration may not be the best match and grow very fast and need to be trimmed often. Some body hair with better match (lighter colour, thinner diameter and slow growth compared to that of that of scalp hairs).
Body hairs may be used for restoration of the hairless scar etc that become more obvious in the exposed part of the body.
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