DOCSLIB.ORG

A Cosmetic Surgeon's Decade of Experience Performing Eyelash Transplantation

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
A Cosmetic Surgeon's Decade of Experience Performing Eyelash Transplantation The American Journal ofCosmetic Surgery Vol. 24, No, 3, 2007 150 CLINICAL TECHNIQUES A Cosmetic Surgeon's Decade of Experience Performing Eyelash Transplantation Kathryn Duplantis, MD, FAAD, FAACS; Ludmila Cosio-Lima, PhD, CSCS; KatyReynolds, MD, FACP; Tabitha Hodges, BS Introduction: Single-hair grafts to the eyelids, performed Loss of eyelashes has numerous causes. Trauma is using a very challenging technique, offer cosmetic surgery the most commonly reported etiology of eyelash loss patients a natural-looking solution for alopecia of the eyelid resulting from bums, scarring from infection (usually due to various causes, ranging from overcurling and trauma associated with tattooing and body piercing), and to systemic and metabolic processes. The technique de­ surgery. Excessive eyelash plucking and curling can scribed in this article requires the cosmetic surgeon to have lead to lash loss, as can trichotillomania, an obsessive­ a vast experience in both hair transplantation and eyebrow compulsive disorder associated with long-term hair transplantation. pulling, that requires treatment. In addition, hypothy­ Methods: We present a technique that requires simple roidism and other endocrine disorders are treatable instrumentation and the aid of one well-trained assistant. causes of eyelash loss. 1 Congenital disorders such as The procedure has been performed on 20 male and 350 congenital aplasia are also associated with eyelash 'emale patients over a JO-year period. Joss. 1 Results: The procedure has resulted in a mean graft Cosmetic surgical techniques forhair transplantation survival percentage of 95%. The technique produces to the eyelashes have improved but still remain cosmeticallypleasing outcomes, and complications are rare. a challenge. Few instruments are required. Complica­ Gonclusions: A challenging technique for eyelash trans­ tions are rare, and aesthetic results are typically plantation can successfullyeffect a pleasing and natural look pleasing for the patient. Figures 1 through 4 show the for cosmetic surgery patients. results of theeyelash transplantation procedures. air transplantation is not only used for improving H male and female pattern baldness and brow and mustache alopecia but also for hair loss in other parts of the body, including the eyelashes. Transplanting to these areas is based on the same doctrine. Hairs will grow because of the effect of donor dominance. 1 Absence of eyelashes is not only cosmetically un­ natural but also makes the eyes more vulnerable to injury from dust and foreignbodies. Therefore, eyelash reconstruction is important in restoring functional anatomy and improving a patient's self-esteem. 1 Dr Duplantis and Dr Reynolds are fromthe Hair, Laser and Liposuction Center of Dallas, Texas. Dr Cosio-Lima and Tabitha Hodges are from the ·pniversity of West Florida, Pensacola, Florida. Correspondingauthor; Kathryn Duplantis, MD, FAACS, the Hair, Laser and Liposuction Center of Dallas, 6750 Hillcrest Plaza, Suite 223 Da11as, TX 75230 (e-mail: [email protected]). Figure 1. Patient No. I beforethe procedure (Left) and Received for publication April 6, 2007. 3 months after eyelash transplant (Right). The American Journal of Cosmetic Surgery Vol. 24, No. 3, 2007 151 Figure 2. Preoperative picture Qfpatient No. 2. (A) Patient who lost lashes due to overcurling. (B) Closeup of patient who lost lashes due to overcurling. Reports from the historical literature reveal that from the eyebrow into the eyelash border. In 1980, eyelash reconstruction techniques date as far back as Marritt4 inserted hair follicle roots obtained from scalp 1 3 2 the early 1900s. - 1n 1914, Krusius reconstructed the punches into the eyelid border using a needle. 1n 1994, 5 eyelashes by inserting harvested punch grafts into the Caputy aud Flowers described the "pluck aud sew" 3 eyelash border. In 1917, Knapp inserteda stripof graft technique performed on patients with alopecia, which Figure 3. Patient No. 2 at 18 months after second bilateral eyelash transplant. (A) Patient with newly transplanted grafts. (B) Closeup view Qf same patient with newly transplanted grafts. The American Journal of Cosmetic Surgery Vol. 24, No. 3, 2007 153 The surgeon cuts the single grafts, using a No. 10 (approximately I%) may develop perifollicular swell­ blade on sterile tongue depressors, and then places the ing, which creates a "cobblestone" appearance at the grafts on normal saline-moistened Telfastrips in a Petri ends of the grafts. This usually subsides after 4-6 dish. The patient is moved to a sitting position, and the weeks without treatment. If a patient manipulates the recipient site, which has been outlined by the patient grafts in the early stages of growth, this may lead to before surgery, is prepped, redrawn, and anesthetized. infection, scarring, cysts, or loss of grafts. The only With a 16-g Nokar needle, microslits are made that treatment is surgical removal of the involved grafts. follow the natural growthpattern of the eyelashes: care Obviously, patients with trichotillomania that are not in must be taken to count the number of slits. The surgeon remission are to be avoided. implants a single graft per slit by grasping the hair above the bulb and releasing it in the recipient site, using a small cotton swab to apply very gentle pressure to hold the graft in place. Special care is taken to Conclusions implant the hairs above the tarsal plate at a slant to Cosmetic reconstruction of the eyelash border can effect a natural look. be safely performed if single-hair grafts are carefully The number of grafts required depends on the length harvested and prepared and cautiously implanted. of the eyelids and amount of lash loss. Most often, Also, vigilant patient participation, including postsurgi­ between 20 and 40 grafts are required. Corneal shields cal follow-up and care of grafts, is inlportaut. New hairs are not used because they have not been found to be typically begin to grow within2 weeks, andfull growth helpful in protecting theeyes of the awalce patient. This can be observed in 3 to 6 months. For the best results, it part of the procedure is very challengingand requires a is extremely important for the surgeon to have vast steady hand. experience with both hair and brow transplantation. Although some have reported using no dressing, we apply a modified face-lifting dressing of fluffed 4X4 ;auze, Kling gauze, and Coban gauze to the donor sites. References Note that no dressing is placed over the recipient sites. 1. Gandehnan M, Epstein JS. Hair transplantation The dressing is removed after 24 hours. Four milli­ to the eyebrow, eyelashes, and other parts of the grams of Decadron is given intramuscularly to retard body. Facial Plast Surg Clin North Am. 2004:12(2): swelling. Diclofenac sodium and acetaminophen-hy­ 253-261. drocodone are prescribed for discomfort. 2. Krusius F. Ueber die einplflanzunglebender hare The grafts "set" in 72 hours. Full growth can be zur wimpembildung. Dtsch Med Wockenschr 1914;19: expected in 3-6 months, although growth should begin 958(in German). within 2 weeks of transplantation. Review figures 1 3. Chastain GL, Duplantis K. Eyebrow transplanta­ through 4 for photographs of before and after trnns­ tion: A simplified technique. Am J Cosm Surg. plantation results. 1999; 16(2):141-144. Postsurgical Care of Grafts 4. Marritt E. Transplantatiou of single hairs from Patients should avoid eye makeup on the eyelids for the scalp as eyelashes. Review of the literature and a case 6 weeks. In addition, light curling of the lashes should report. J Dermatol Surg Oneal. 1980;6(4):271-273. be discouraged for the first 3 months. Patients can 5. Caputy GC, Flowers RS. The pluck and sew lightly trim the new lashes after 6 weeks. technique of individual hair follicle placement. Plast Reconstr Surg. 1994;93:615-620. 6. Herndandez-Zendejas G, Guerrerosantos J. Results Eyelash reconstruction and aesthetic augmentation Mean survival percentage has been 95% for eyelash with strip composite sidebum graft. Plastic and Re­ grafts transplanted using this procedure. Some patients constructive Surgery. 1998;101:1978-1980. .
Load more

Recommended publications
  • (BBL™) / LASER HAIR REMOVAL Pre- and Post-Care Instructions
    Broad Band Light (BBL™) / LASER HAIR REMOVAL Pre- and Post-Care Instructions Please read the following carefully, as this information will prepare you for BBL / Laser Hair Removal, what to expect, and how to care for the treated area. PRE - LASER INSTRUCTIONS 1. Shave the site/s to be treated the evening before each treatment session. (Avoid waxing for 2 weeks before and throughout treatment course – as waxing diminishes laser target.) 2. Also, minimize sun exposure, as best as possible, for at least 1 month before and after treatment. Wear protective clothing (hat, etc.) and a high SPF (at least SPF 30) sunblock to protect the treated area/s from direct sun exposure. 3. Also, do not use aspirin, aspirin containing medications or alcohol for at least 1 week before and for the first 2 days after treatment. Take Tylenol or another pain reliever which contains no aspirin or ibuprofen, if needed. 4. Apply EMLA / ELA-Max / Topicaine (or other topical anesthetic) at least 1 hour before treatment under saran wrap, if needed. WHAT TO EXPECT ♦ BBL/Laser-treated hairs will still be visible / present after your treatment. However, they are now injured or destroyed at the level of the hair follicle (“root”) and will soon fall out (usually, within the next 2-5 days up to 2 weeks). ♦ The treated area may redden and/or swell somewhat. A mild sunburn sensation may be noticed for up to several hours after treatment. This is caused by the BBL/laser energy, and represents inflammation, and not infection. It is normal and expected part of healing process.
    [Show full text]
  • May Newsletter 2017 Copy
    SERENITY SPA & SALON !MAY 2017 Serenity Now Mother’s Day Specials (available all month long) Polish Me Perfect - Mom’s Night Out - Shellac Manicure & Hydrotherapy Classic Manicure, Hydrotherapy Pedicure Pedicure, Shampoo & Style, and $80.00 Makeup Application with Lashes $150.00 Spa Sampler - Upper Body Massage, Seasonal Peace & Quiet - Body Exfoliation, Customized Customized Signature Facial, Hot Signature Facial, Tired Eye Stone Massage, and Shampoo & Treatment, and Shampoo & Style Style $285.00 $250.00 Purchase any facial or massage and get a second identical facial or massage for 1/2 price Mother’s Day Gift Certificates available in salon & online at www.serenityspaandsalon.com BOTOX NIGHT, TUESDAY, MAY 2ND Dr. Seth Kates will be providing a special Botox night for our valued clients on Tuesday, May 2nd, from 6:00-8:00 p.m. Consultations are always free! Please call 978-649-0970 to schedule your appointment ! PAGE 1 SERENITY SPA & SALON !MAY 2017 IPL PHOTOFACIALS IPL (Intense Pulsed Light) Photorejuvenation, also known as a “photofacial,” is a treatment that delivers broadband light to the deeper layers of the skin, resulting in a clearer, more youthful look. Photorejuvenation is a safe and e%ective way to improve the appearance of sun damage, age spots, rosacea, red spots, and facial spider veins. May Series Special Purchase a series of 3 photofacial treatments for $700 (regularly $1200) Receive 20% o% your customized home care regime with the purchase of the IPL Photofacial Package. ! PAGE 2 SERENITY SPA & SALON !MAY 2017 YOU ONLY YOUNGER PACKAGES The face and neck are the primary focus of those who seek non-surgical medical treatments for aging; however, the hands can often be a telltale sign of someone’s actual age.
    [Show full text]
  • Eyelash-Eyebrow Services
    BUSINESS, CONSUMER SERVICES, AND HOUSING AGENCY – GOVERNOR Edmund G. Brown JR. BOARD OF BARBERING AND COSMETOLOGY P.O. Box 944226, Sacramento, CA 94244-2260 P (800) 952-5210 F (916) 575-7281 www.barbercosmo.ca.gov Industry Bulletin - 11/29/17 – Eyelash and Eyebrow Services The California Board of Barbering and Cosmetology would like to remind its licensees of the following information regarding eyelash and eyebrow services. Eyelash Application The practice of applying eyelashes, eyelash extensions, and eyelash strips to any person is only within the scope of practice of licensed cosmetologists and estheticians. As stated in section 7316 of the California Business and Professions Code in part reads as follows: (c) Within the practice of cosmetology there exist the specialty branches of skin care and nail care. (1) Skin care is any one or more of the following practices: (A) Giving facials, applying makeup, giving skin care, removing superfluous hair from the body of any person by the use of depilatories, tweezers or waxing, or applying eyelashes to any person. Eyelash Perming The practice of eyelash perming is only within the scope of practice of licensed cosmetologists and barbers as stated in section 7316 of the California Business and Professions Code which in part reads: (a) The practice of barbering is all or any combination of the following practices: (3) Singeing, shampooing, arranging, dressing, curling, waving, chemical waving, hair relaxing, or dyeing the hair or applying hair tonics. (b) The practice of cosmetology is all or any combination of the following practices: (1) Arranging, dressing, curling, waving, machineless permanent waving, permanent waving, cleansing, cutting, shampooing, relaxing, singeing, bleaching, tinting, coloring, straightening, dyeing, applying hair tonics to, beautifying, or otherwise treating by any means, the hair of any person.
    [Show full text]
  • Hypertrichosis and Hyperpigmentation in the Periocular Area Associated with Travoprost Treatment
    Letter to the Editor http://dx.doi.org/10.5021/ad.2015.27.5.637 Hypertrichosis and Hyperpigmentation in the Periocular Area Associated with Travoprost Treatment Hae-Eul Lee, Seul-Ki Lim, Myung Im, Chang-Deok Kim, Young-Joon Seo, Jeung-Hoon Lee, Young Lee Department of Dermatology, Chungnam National University School of Medicine, Daejeon, Korea Dear Editor: of systemic adverse effects1,2. Among the three commer- Travoprost is one of the prostaglandin analogues (PGAs) cially available PGAs, bimatoprost and travoprost have re- used as powerful topical ocular hypotensive agents for the cently been shown to be more effective and with fewer treatment of open-angle glaucoma, and has a near absence adverse effects than latanoprost3. Commonly reported lo- Fig. 1. (A) At the time of the first visit, the primary complaints were hyperpigmentation and hypertricho- sis in the periocular area. Also note the increased length of the eyela- shes. (B) Six months after disconti- nuation of travoprost. Note the de- creased pigmentation in the perio- cular area. Also, the length and den- sity of both the hairs of the periocular area and the eyelashes are reduced. Received October 7, 2014, Revised November 28, 2014, Accepted for publication January 16, 2015 Corresponding author: Young Lee, Department of Dermatology, Chungnam National University Hospital, 282 Munhwa-ro, Jung-gu, Daejeon 35015, Korea. Tel: 82-42-280-7706, Fax: 82-42-280-8459, E-mail: [email protected] This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons.org/licenses/by-nc/4.0) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, pro- vided the original work is properly cited.
    [Show full text]
  • 2016 SPA TRIFOLD UPATED.Pages
    MONTHLY BEAUTY BRUNCHES Join Us Every Month For Our Signature Beauty Brunch Indulge In Our Featured Specialty Drinks, Light Food Fare DR. PATTY’S SIGNATURE & Amazing Monthly Specials on Spa & Dental Services FACIALS Mini Facial When time is of the essence this refresh facial does it all: Steaming, Cleansing,Exfoliation, Mask & Moisturizing 30 min - $50 Custom Facial Treat yourself to a customized facial to address your skin's specific needs, Hydrating, Anti-aging, Detoxifying and also accommodates Sensitive skin conditions like Rosacea and Acne 50 min - $89 Men’s Hydrating Facial SPA MEMBERSHIP Soothing & Hydrating Facial to ease the stress from shaving & razor burn as well as Cleanse, Exfoliate Moisturize and fully rejuvenate your skin. PROGRAM 50 min Treatment - $ 99 Dr. Patty’s Dental Boutique Offers Clients A Unique Oxygen Treatment Facial Array of Membership Programs Designed for Pure Oxygen Serum Treatment Facial brings a breath Clients Who Want To Enjoy Our Signature Services of fresh air for your skin. Pure ozone is infused into And Spa Retail Discounts More Often. Become Member the deepest layer of your skin delivering a vital Spa Menu supply of non-chemically derived oxygen. Of This Elite Group Of Spa Clients And Earn Valuable Energizing, purifying and radiating for a more Points And Discounts On Services And Retail. youthful appearance. For All Skin Types. 60 min Treatment - $129 Acne Treatment Facial Improve skin clarity, reduce blemishes and soothe GIFT CERTIFICATES inflammation with our specially formulated acne facial treatment. Treatment Series Available For Adults & Teens - Buy 5 or More Sessions ($20 Discount) AVAILABLE 60 min Adults - $119 Teen Acne Facial - $ 79 DR PATTY’S DENTAL BOUTIQUE & SPA Microderm + Facial 646 N Federal Highway, Fort Lauderdale, Florida 33304 Feel you skin smooth, soft and renewed and improve 1 954 524 2300 [email protected] the production of skin cells and collages with custom www.drpattydental.com facial and diamond tip microdermabrasion.
    [Show full text]
  • Clinical Application of Intense Pulsed Light Depilation Technology in Total Auricular Reconstruction
    Lasers Med Sci DOI 10.1007/s10103-017-2255-1 ORIGINAL ARTICLE Clinical application of intense pulsed light depilation technology in total auricular reconstruction Ying Guo1 & Jing Shan2 & Tianyu Zhang2 Received: 27 March 2015 /Accepted: 5 June 2017 # Springer-Verlag London Ltd. 2017 Abstract Although ear reconstruction technology has been pulsed light depilation technology is a reasonable complemen- highly developed in recent years, hair growth on the recon- tary approach to total auricular reconstruction. And preopera- structed ear has plagued both surgeons and patients. In this tive depilation is recommended over postoperative depilation. paper, the authors introduce a clinical application of intense The non-invasive modern photonic technology can resolve the pulsed light depilation in total auricular reconstruction. From problem of postoperative residual hair on the reconstructed August 2012 to August 2013, 27 patients (28 ears) suffering auricle, improving auricular shape and increasing patient sat- from congenital microtia were treated by intense pulsed light isfaction. In addition, an adequately set preoperative hair re- depilation (650–950-nm filter, initial fluence of 14–16 J/cm2 moval area can provide surface skin that is most similar to and gradually increased, pulse width of 30–50 ms, spot size of normal auricle skin for auricular reconstruction. 20 × 30 mm2, intervals of 6–8 weeks, a total of four sessions) either before or after auricular reconstruction. According to Keywords Intense pulsed light . Hair removal . Congenital
    [Show full text]
  • Management of Cicatricial Alopecia by Hair Transplantation Using Follicular Unit Extraction
    Clinical Dermatology: Research and Therapy CASE REPORT Management of Cicatricial Alopecia by Hair Transplantation using Follicular Unit Extraction Gillian Roga*, Jyoti Gupta, Amrendra Kumar and Kavish Chouhan Department of Dermatology, St. John’s medical college and hospital, India ARTICLE INFO ABSTRACT Hair transplantation by Follicular Unit Extraction (FUE) has been commonly used in androgenetic Received Date: August 23, 2017 alopecia but there is comparatively less experience with cicatricial alopecia. In this article we have Accepted Date: October 31, 2017 discussed and reviewed various factors influencing the modality of surgical treatment in cicatricial Published Date: November 09, 2017s alopecia. Although there have been many speculations about viability and results, we have noted successful results by FUE in a scar tissue. Cicatricial alopecia can be succesfully managed by hair transplantation provided certain requisites are satisfied.With adept surgical skill and insightfulness KEYWORDS we can restore good density coverage in even a compromised recipient area. Cicatricial alopecia; Hair transplant; INTRODUCTION Follicular unit extraction Cicatricial or scarring alopecia is an irreversible hair loss causing permanent damage of the stem cells in the hair follicle bulge appearing as shiny atrophic patches with effacement of follicular orifices [1]. Being only confined to the scalp, it may not harm a person physically but it definitely Copyright: © 2017 Roga G et al., Clin affects the self-image and self-esteem of the patient [2,3]. The best way to reach a confirmatory Dermatol Res Ther This is an open access diagnosis of cicatricial alopecia is by histopathological examination. Treatment usually requires a article distributed under the Creative combination of medical as well as surgical intervention which comprises of hair transplantation or Commons Attribution License, which surgical excision [4,5].
    [Show full text]
  • Contra Indications, Aftercare & Homecare for Tinting Treatments
    Contra Indications, Aftercare & Homecare For Tinting Treatments Contra- Indications If there has been any reaction to the patch test, Blepharitis- The eyes are red, irritated and itchy, with treatment will be contraindicated dandruff-like crusts appearing on the eyelashe/hes. Conjunctivitis Styes Hay fever Watery eye Any Skin irritation or hypersensitivity around the eye Any eye surgery (approximately 6 months) Cuts, bruises and abrasions. Very nervous client Recent scar tissue. Infectious and non-infectious skin conditions specific to the eye and surrounding area to include: Atopic eczema Atopic dermatitis Psoriasis Contact lenses must be removed Pre-Care The client should be advised not to wear mascara when coming to the salon for any tinting treatment. After Care The following Information should be given to each client who is having a tinting treatment: Avoid rubbing the eyes Avoid heat treatments for 24 hours Avoid sunbathing for 24 hours, as this fades the tint Avoid putting your contact lenses back in for the rest of the day Although we make sure every trace of dye is removed, it is possible that residues may remain Do not apply make-up or receive any other eye treatments for at least 24 hours after your treatment. No perfumed products or lotions ( if the eyebrows have been shaped) Apply after-wax or aloe vera to soothe the skin if required, at home Try not to tweeze the eyebrows between treatments as this may change the shape of the brow and causes the hair growth cycle to change. Home care Sterex Aloe Vera- Pure aloe vera to soothe the skin at home Gi Gi Post Wax Cooling Gel – Contains cucumber, aloe vera, glycerine and menthol to sooth the skin and reduce redness.
    [Show full text]
  • Phthirus Pubis – Pubic Lice
    Sandyford Guidelines Phthirus pubis – pubic lice What’s New? There are no changes to this guidance The crab louse (phthirus pubis) is transmitted by close body contact. Affects coarse hair of the pubic area, body and rarely the eyebrows and eyelashes. Incubation period is usually between 5 days and several weeks. Signs and Symptoms Itch (worse at night) Red Papules Visible eggs or crab louse (tan/grey in colour) or faecal specks (black) Occasionally some individuals can have prolonged, asymptomatic infestation Diagnosis Finding the adult lice and/or eggs seen in affected areas - a magnifying glass may help. Eggs adhere to the hair Blue macules (maculae caeruleae) may be visible at feeding sites Examination under light microscopy can confirm the exact morphology NB: May also affect eyelashes and eyebrows Management General advice Avoid close body contact until they and their partner(s) have completed treatment Give detailed explanation of the condition, and clear and accurate written information on applying the treatment. All surfaces of the body should be treated, including the scalp, neck, and face (paying particular attention to the eyebrows and other facial hair) Offer STI testing Pubic Pediculosis Protocol CEG March 2020 Phthirus Pubis – Public Lice Page 1 Sandyford Guidelines Malathion 0.5% Aqueous Lotion (Derbac M) - apply over whole body allow to dry naturally and wash off 12 hours later. Give 100ml Repeat after 7 days Eyelashes: Simple eye ointment BP can be applied to eyelash and eyelash root bd for 8-10 days, this
    [Show full text]
  • Removal of Intact Hair Papilla and Connective Tissue Sheath by Plucking Anagen Hairs"
    View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Elsevier - Publisher Connector Tea JOURNAL OF INVESTIGATIVE DERMATOLOGY Vol. 48, No. 2 Copyright 1967 by The Williams & Wilkins Co. Prio fed in U.S.A. Preliminary and Short Report REMOVAL OF INTACT HAIR PAPILLA AND CONNECTIVE TISSUE SHEATH BY PLUCKING ANAGEN HAIRS" ERICH LUDWIG, M.D. Plucking of anagen hairs, using the tech-hair papilla and a complete connective tis- nic of van Scott et ol. (1), results in a trans-sue sheath including the base of the papilla verse fracture of the hair bulb at a level(Pinkus' "papillenpolster") have not yet been close to the summit of the hair papilla. Vandescribed. It therefore appeared worthwhile to report briefly on such an unusual finding. TABLE I When plucking tufts of hair in patients Frequency of tricho grams showing anagen hairs withwith common female baldness (female pattern papilla in normal controls and in. patients with alopeeia, androgenetie alopecia), in two eases various scalp disorders anagen hairs were found showing roots sur- No.of %ot rounded by all the elements of the lower por- No. of tricho- I tricho- tion of the hair follicle, only seen on longi- tricho grams grams showing showing tudinal section through a hair follicle (Fig. 1). Clinical diagnosis grams anagen anagen er hairs with hairs with In one patient, of 206 plucked hairs there were fomed intact intact papilla papilla 2 anagen hairs with papillae; in the other patient 9 out of 116 hairs plucked were anagen Common baldness (An- 47 12 26 hairs with papillae.
    [Show full text]
  • Cicatricial Alopecia Secondary to Radiation Therapy: Case Report and Review of the Literature
    Cicatricial Alopecia Secondary to Radiation Therapy: Case Report and Review of the Literature Gregg A. Severs, DO; Thomas Griffin, MD; Maria Werner-Wasik, MD Cicatricial or scarring alopecia represents perma- icatricial or scarring alopecia represents nent destruction of the hair follicle, histopatholog- permanent destruction of the hair follicle. ically showing a decreased number of follicular C Clinically, depending on the cause, there is units leaving streamers of fibrosis or hyalinization effacement of follicular orifices in a patchy or dif- of surrounding collagen. High-dose radiation fuse distribution. A biopsy is confirmatory, show- therapy (RT) used for treating intracranial malig- ing a decreased number of follicular units leaving nancy can permanently destroy hair follicles, streamers of fibrosis or hyalinization of surround- resulting in permanent alopecia. Typically, there ing collagen.1 There are several well-recognized also is clinical scarring of the skin with dermal causes of secondary cicatricial alopecia, such as fibrosis. We report a case of radiation-induced infection, inflammatory processes, and physical cicatricial alopecia confirmed by histopathol- sources (eg, radiation, burns).2 Alopecia and loss ogy, without obvious clinical scarring or dermal of sebaceous and sweat glands in radiated sites is a fibrosis. This lack of fibrosis made our patient a dose-dependent phenomenon that can be tempo- good candidate for hair transplantation. The clini- rary or permanent.1 Patients usually recover from copathologic presentation in this case could be the hair loss (anagen arrest) associated with radia- related to the method of RT employed in treating tion therapy (RT), but a sufficiently high dose of our patient’s brain tumor.
    [Show full text]
  • Transplant to the Eyelashes
    CASE REPORT Cosmetic Eyelash Transplantation Using Leg Hair by Follicular Unit Extraction Sanusi Umar, MD Summary: Fine hairs of the head and nape areas have been used as do- nor sources in eyelash transplantation but are straight, coarse, and grow rapidly, requiring frequent eyelash maintenance. This is the first reported case of eyelash transplantation by follicular unit extraction using leg hair as a donor source; findings were compared with that of another patient who underwent a similar procedure with donor hairs from the nape area. Although both patients reported marked improvement in fullness of eye- lashes within 3 months postsurgery, the transplanted leg hair eyelashes required less frequent trimming (every 5–6 weeks) compared with nape hair eyelashes (every 2–3 weeks). Additionally, in leg hair eyelashes, the need for perming to sustain a natural looking eyelash curl was eliminated. Eyelash transplantation using leg donor hair in hirsute women may result in good cosmetic outcomes and require less maintenance compared with nape donor hair. (Plast Reconstr Surg Glob Open 2015;3:e324; doi: 10.1097/ GOX.0000000000000292; Published online 16 March 2015.) yelashes serve as the eyeball’s barrier, shielding cluding curling, perming, and trimming, and a po- it from small foreign bodies and irritants and tential for an unnatural look from thick donor hair.3 Eparticipating in the reflex that closes the eye.1,2 This case report describes the results of a patient They also play an important aesthetic role in the per- undergoing an eyelash transplant by FUE using leg ception of beauty, facial expression, and personal hair as the donor source compared with another pa- interaction2—individuals suffering from madarosis tient who underwent a similar procedure (same sur- report low self-esteem and confidence.2 geon, same technique) with nape area used as the Several methods exist to reconstruct eyelashes donor hair source.
    [Show full text]