Chen Lulu, Li Zhimei, Liu Xiaona, Yang Jiadong, Jiang Wenjie
Hair Transplantation Center, Plastic Surgery Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, 33 Badachu Rd, Shijingshan District, Beijing, 100144, People's Republic of China.
Plastic Surgery Department, Dongying People's Hospital, Dongying, Shandong Province, People's Republic of China.
Aesthetic Plast Surg. 2024 Dec;48(23):4769-4777. doi: 10.1007/s00266-024-04289-3. Epub 2024 Aug 1.
Follicular unit hair transplantation has greatly elevated the results of eyebrow restoration. However, unnatural and unbeautiful-looking results are still often seen after the surgery.
This study focused on poor eyebrow transplantation, discussed its possible reasons, and offered refined proposals.
A retrospective analysis was performed on 100 patients who were dissatisfied with the results of eyebrow grafting and came to our department from 2011 to 2021. Demographic characteristics, primary disease, and clinical data were objectively summarized and analyzed for these patients.
The patients' medical charts and photographs were analyzed and summarized into the following outcomes: Thirty-six patients (36%) had sparse eyebrows. Forty-one patients (41%) had eyebrows with inhomogeneous density and disordered growth direction. Eleven patients (11%) did not have single-hair grafting. Seven reconstructed eyebrows (7%) had a poor connection with the remaining eyebrows. Five new eyebrows (5%) had inconsistent hair characteristics with the original eyebrows. Lower hair survival rates, insufficient understanding of naturally beautiful eyebrows, and inadequate communication with patients were the main reasons for poor outcomes.
Good reconstructed eyebrows should have a high hair survival rate, and hair growth direction and characteristics should also be consistent with the natural eyebrow to achieve ideal surgical effects.
This journal requires that authors assign a level of evidence to each article. For a full description of these Evidence-Based Medicine ratings, please refer to the Table of Contents or the online Instructions to Authors www.springer.com/00266 .
毛囊单位毛发移植极大地提升了眉毛修复的效果。然而，术后仍常出现不自然、外观不佳的结果。
本研究聚焦于眉毛移植效果不佳的情况，探讨其可能原因，并提出优化建议。
对2011年至2021年期间来我科就诊的100例对眉毛移植效果不满意的患者进行回顾性分析。客观总结并分析这些患者的人口统计学特征、原发疾病及临床资料。
对患者的病历和照片进行分析并总结出以下结果：36例患者（36%）眉毛稀疏。41例患者（41%）眉毛密度不均且生长方向紊乱。11例患者（11%）未进行单根毛发移植。7例重建眉毛（7%）与其余眉毛衔接不佳。5例新眉毛（5%）与原眉毛的毛发特征不一致。毛发成活率低、对自然美观眉毛的认识不足以及与患者沟通不充分是效果不佳的主要原因。
良好的重建眉毛应具有较高的毛发成活率，且毛发生长方向和特征也应与自然眉毛一致，以达到理想的手术效果。
证据级别IV：本刊要求作者为每篇文章指定证据级别。有关这些循证医学评级的完整描述，请参考目录或作者在线指南www.springer.com/00266 。
