- Physical trauma and accidents resulting in scars and lacerations; chemical, electrical, or thermal burns
- Trauma resulting from medical or surgical treatments (radiation- and chemotherapy/ the removal of a tumor or a nevus/mole etc)
- Self-inflicted trauma caused either from over-plucking, or from obsessive compulsive behavior as is trichotillomania
- Systemic or local disease that causes loss of eyebrows
- Congenital inability to grow eyebrows
Prerequisites prior to treatment:
Before eyebrow/eyelash restoration is performed certain things have to be in place. DHI personnel will assess the degree of the problem and evaluate the patient’s medical background to see if eyebrow and eyelash restoration is a viable option. The DHI specialists will discuss the procedure thoroughly and will work together with the patient to determine the eyebrow(s) shape and form.
In cases 1 and 2 described above, the wound(s) should have healed and scar tissue must have formed. With case 3, trichotillomania should have been treated psychologically. Any disease that harms eyebrows should be under control, as in case no. 4. Case no. 5 should pose no problem.
There are multiple options available so that eyebrows can be restored, these fall under two major categories scalp-to-eyebrow with pedicle flaps and Follicle Unit Extraction.
DHI refrains from practicing the former, deeming it as being ungainly and passé.
At DHI clinics the patient has the option to go for DHI’s DirectIN technique or Direct Hair Implementation technique. With DirectIN technique hair follicles are first removed from the scalp, laid upon a tray, and thereafter placed in the relevant area. Direct Hair Implementation a hair follicle is removed and immediately implanted. Whatever technique the patient selects one thing is common: local anesthesia, DHI Implanter and that during extraction punches with small diameter are only used.
For this procedure only fine single hair follicles with appropriate characteristics are selected. The DHI practitioner will diligently place these follicles in such a way so that the result is natural as if no procedure has actually taken place. The DHI Implanter, a device solely manufacture for DHI clinics, assists its user in placing the hair follicle with accuracy and at a proper angle.
In a couple of weeks following the procedure at DHI, hairs will begin to surface. Within the same year the final outcome should be perceptible. DHI will require that the patient comes once in a while so that the overall result can be evaluated.
In eyelash hair restoration there is a likelihood that complications might arise, as one might develop an itch in the area. To avoid the possibility that the patients succumbs to the temptation of scratching his/her eyes causing the dislodgement the hair grafts, goggles and medication will be prescribed.
Generally, the patient will have to preen those areas.
Eyebrows might require trimming and contouring by the use of see-through mascara, gel or wax.