From the Department of Plastic and Cosmetic Surgery, Nanfang Hospital, Southern Medical University.
Plast Reconstr Surg. 2022 Oct 1;150(4):877-886. doi: 10.1097/PRS.0000000000009564. Epub 2022 Aug 4.
Scarring that results in eyebrow loss is a cosmetic problem that can result in severe psychological distress. Although hair transplantation is increasingly used for eyebrow restoration, graft loss may occur, preventing achievement of desired results. Single-hair follicle transplantation, however, may be effective. The authors describe outcomes of a standardized method of eyebrow reconstruction, involving single-hair follicle transplantation combined with follicular unit extraction, in patients with absent eyebrows because of scarring.
This study was approved by the institutional ethics committee of Nanfang Hospital and all patients provided written informed consent before surgery. The medical records of patients who underwent eyebrow reconstruction from 2012 to 2019 for eyebrow loss caused by scar formation were reviewed retrospectively. Outcomes evaluated included satisfaction, graft survival rate, and long-term complications. A nine-step standardized operating procedure was established for eyebrow reconstruction in patients with eyebrow absence attributable to scarring.
During the study period, 167 patients (205 eyebrows) underwent eyebrow reconstruction. Following the first stage of reconstruction, 95 percent of patients were highly satisfied with the density and natural appearance of their eyebrows. The average graft survival rate was 85 percent (range, 70 to 90 percent), significantly higher than the 75 percent survival rate previously reported. Fewer than 5 percent of patients underwent the second stage of reconstruction, with these patients expressing satisfaction with their outcomes. No obvious complications were observed.
This standardized method may optimize outcomes in patients with eyebrow absence attributable to scarring.
CLINICAL QUESTION/LEVEL OF EVIDENCE: Therapeutic, IV.
导致眉毛缺失的瘢痕是一种美容问题，可导致严重的心理困扰。尽管毛发移植越来越多地用于修复眉毛，但移植的毛发可能会丢失，从而无法达到预期的效果。然而，单毛囊移植可能会有效。作者描述了一种标准化的眉毛重建方法的结果，该方法涉及单毛囊移植与毛囊单位提取相结合，用于因瘢痕形成而缺失眉毛的患者。
该研究经南方医院机构伦理委员会批准，所有患者均在手术前签署了书面知情同意书。回顾性分析了 2012 年至 2019 年间因瘢痕形成导致眉毛缺失而接受眉毛重建的患者的病历。评估的结果包括满意度、移植成活率和长期并发症。为因瘢痕形成而缺失眉毛的患者制定了标准化的九步操作程序。
研究期间，167 例患者（205 只眉毛）接受了眉毛重建。在重建的第一阶段后，95%的患者对眉毛的密度和自然外观非常满意。平均移植成活率为 85%（范围为 70%至 90%），明显高于之前报道的 75%的成活率。不到 5%的患者需要进行第二阶段的重建，这些患者对自己的结果表示满意。未观察到明显的并发症。
这种标准化的方法可能会优化因瘢痕形成而缺失眉毛的患者的结果。
临床问题/证据水平：治疗性，IV。
