Plastic and Reconstructive Surgery
Summary: Smooth hairs of the head and nape areas were used as donor sources in favorable transplant but are straight, rough, and fast growing, and require frequent maintenance. This is the first case of eyelashes transplant described by extraction of follicular units using leg hair as a donor source; the results were compared with the results of other patients with a similar procedure with donor hairs from the nape area. While the two patients reported that many eyelashes had improved significantly within three months of posting molding, less frequency pruning was required (every 5-6 weeks) compared to nape hair eyelashes (every 2-3 weeks). . In addition, in eye hair eyelashes, the need to knock to curl natural eyelashes was eliminated. Favorable transplantation using pedal donor fur in hirsute women may result in good cosmetic results and require less maintenance compared to nape donor hair.
Eye-eye eyelashes, shading from small foreign companies and irritants and taking part in the recurring eye-catching. They also play an important aesthetic role in the view of beauty, human expression, and personal interaction2 – individuals. suffering from madarosis reports low self esteem and confidence.
There are several methods for recreating eyelashes using head hair from the donor safe area, including grafting follicular unit reverse, follicular unit strip surgery, or Follicular Unit Extraction (FUE). These hairs are usually used in place of a bundle, rather rigidly, and grow quickly. Such features require that the hair is often transplanted, including curling, hitting, and trimming, and potential with an unusual look from thick donor hair.
This case report describes the results of patients with FUE transplanting a favorable transplant using legs hair as a donor source compared to other patients who have undergone a similar procedure (same surgeon, same technique) with a nape area used. as the donor’s hair source.
Two women were born with thin, thin eyelashes and no medical history to explain the condition (eg alopecia areata, trichotillomania, erythematosus lupus, trauma, blepharitis, eyelid surgery, thyroid disease, ectodermal dysplasia, or radiation / chemotherapy). Both women requested treatment for lack of length and integrity of their natural eyelashes but did not want an approved prostaglandin analogue (bimatoprost ophthalmic solution), which requires continued use. Both abandoned eyelashes and false eyelashes due to loss of prospective eyelashes and quite natural appearance.
Patient 1, Hispanic 20-year-old woman with an eyelid length of 3.8 cm (Fig. 1), was quite good that pedal hair could be used as a donor source in the FUE procedure. Patient 2 was a 35-year-old Hispanic woman with an eyelid length of 3.5 cm. In contrast to patients 1, nape hair was used as a donor source in its procedure as it was less suitable for the use of leg hair. Both patients were operated within one week of each other using cos and nape hair removal methods previously reported.
The cornea was first made anesthetized by proparacaine hydrochloride solution (0.5%) and was lubricated with Maxitrol (neomycin sulphates and polymyxin B and dexamethasone ophthalmic suspension; Alcon Laboratories, Ft Worth, Tex.). Afterwards corneal plastic eye shields were inserted. Local anesthesia (about 2-4 ml per eyelid) consisting of a 1: 5 bupivacaine and lidocaine mixture 1: 100,000 were injected into a subaneaneous layer of the lower two-thirds of the upper outfits. A rotating tool (UGraft prototype appliance; Keck-Craig, Inc., Pasadena, Calif.) Was used for cutting cutting device (Rotary Updated; Dr. U Devices Inc., Redondo Beach, Calif.). author. A back axis is cut at the top of a custom tent that focuses away from the follicles, thereby reducing trauma for grubbing during extraction. The texture at the top of the pin draws the paste up as it reduces the follicle, which reduces the accuracy with which the operator must track the angles of the follicles under the surface of the skin. Patient 1 demanded 20-gauge punches due to a small girl of leg hair, but a patient wanted 2 to use 19-gauge punches due to softer peaks caused by nape. Only individual hair follicles were picked for grafting in both patients, and all the skin was removed around the grafts removed.
Hypodromic needle tips were customized to create curved slices to give natural implant curl (away from the front eyelid edge) and minimize the risk of trichiasis. Incidents were located in the lower tarsal limit between current or better eyelashes follicles than them and under them. There were 31 paste derived by Patient 1 per eyelid, and 25 graft derived by the patient per eyelid. Chalazion clamps were not used.
After the surgeries, no dressing was necessary. Maxitrol ointment was applied to the eyelids and borders the lower tarsail for antibiotic prophylaxis and moisturization. Both patients used the wool until their scraps fell within 7 days. Patients were also advised to flush the upper clothes with distilled water, to remove debris through the fine aid of the Q opinions, and to avoid the eyes or to perform any rough handling of the surgery job.
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