毛发单元移植行眉毛美容性修复再造

Aesthetic eyebrow reconstruction by using follicular-unit hair grafting technique

目的 探索应用毛发单元移植技术治疗各种原因所引起的眉毛永久性缺损。方法 切取近后发际区域处含有完整毛发毛囊的条形头皮组织 ,在手术放大镜下 ,将其分割 ,制备成毛发单元 (每单元含 1～ 3根毛发 )即显微毛发移植物。然后 ,将这些移植物按眉的自然走向植入到眉毛脱失区内预制的洞穴中。结果 自 1998年 4月至 2 0 0 0年 2月 ,共完成了 32例 4 8侧眉的美容性再造。所有患者一期手术均取得满意的美容效果。经 1年以上的临床随访再造眉毛生长良好。即使在瘢痕区域内 ,成活率也可达到 95 %。再造的眉形态走向较自然 ,接近于正常的眉毛。结论 毛发单元移植技术再造的眉毛与其它方式相比 ,手术方法简便 ,创伤小 ,更加自然 ,是目前眉毛美容性再造的理想方法。

Objective To search a new option for aesthetic reconstruction of the eyebrow. Methods Under local anesthesia, a scalp strip was harvested from the back of the head, closed to the hairline. Under 2 times magnification, the strip was then divided into a series of follicular\|unit micrografts with 1 3 hairs. Usually,150 micrografts were needed per eyebrow in a man whereas 100 micrografts in a woman. After the micro\|slits or micro\|slots were prepared in the recipient site, the grafts were implanted into the holes, parallel to the original hair directions. Results From Apr 1998 to Feb 2000, thirty\|two patients with 48 eyebrow\|losses, resulted from burn scar, skin grafting, chemical peeling, lesion excising or congenital loss, were treated by this one\|session operation. All of the patients were satisfied with the results. The grafted hairs grow in the direction of normal eyebrow, which achieve 95%～96% survival even in a scarring area. The appearance of the reconstructed eyebrows was more natural, close to the normal eyebrow, compared to the traditional methods. Conclusion The above mentioned technique is a simple, safe and effective method for eyebrow reconstruction. It might be an ideal method for eyebrow reconstruction with the appearance much closer toa normal eyebrow.