We perform the advanced technique of follicular unit transplantation where naturally occurring follicular units containing 1, 2 or 3 hairs are redistributed over the balding area. This process follows the way our hair naturally grows on our scalp thus leading to the most natural looking results.

Follicular unit grafts with 1 hair are placed irregularly over the hairline area for a more natural appearing hairline. Grafts with 2-3 hairs are placed behind the single haired grafts and further back for greater density.

We utilize the strip technique to obtain the required number of  grafts. And since every hair follicle is valuable we strive to decrease transection by following the open technique in donor harvesting. This open method allows the surgeon to visualize directly the hair follicles during the strip excision process thus minimizing follicular transection.

To trim the donor tissue into follicular units grafts we use binocular stereoscopic microscopes with 10X magnification to prevent the transection of follicles during this dissection process. The small size of the grafts allows the ability to achieve greater density over the recipient area..

On the recipient area lateral or coronal slits are made which allows for better control of the angle between the hair and the scalp thus resulting in transplanted hairs which follow the natural angle and direction of the patient’s original hairs. Follicular unit grafts placed in coronal slits also provide more coverage since the new hairs eventually fan out over the scalp.

Recipient slits are created by mainly using smaller sized hypodermic needles which closely match the size of the grafts thus allowing for a snug fit between the follicular unit grafts and the surrounding skin. This improves healing and survival of grafts.

Closing the donor wound is achieved through a combination of running and retention stitches with the application of trichophytic donor closure to minimize scarring over this area. The addition of trichophytic closure will cause hairs to eventually grow within the scar thus decreasing the visibility of the scar over the back of the scalp.

Since eyebrow hairs usually  occur in single haired follicular units only single hair grafts are carefully dissected under microscopes with 10X magnification. Follicular units that contain more than two hairs are longitudinally sectioned into one-hair units.

Insertion of the grafts in alignment with the axis of the brow is followed to ensure that the hairs will result in  a natural appearance.  Fine needle size gauge 23 or 24 are utilized for easy insertion and dense packing. Magnification loupes are used to perform simultaneous needle stick-and-place in flat angle and dense packing of grafts.

Just before finishing the procedure the patient examines the transplanted eyebrows to see if any adjustment is needed.