Refinements in Brow Reconstruction: Synergy Between Plastic Surgery and Aesthetic Medicine

Abstract

Objective: The purpose of this study was the introduction in clinical practice of the combined application of traditional reconstructive surgery and intense pulsed light (IPL) for the restoration of a post-traumatic eyebrow defect. Case: The authors present a case of surgical eyebrow reconstruction with an axial temporal hair-bearing scalp island flap. A persistent localized erythema and a marked difference in hair density in comparison with the contralateral one harmed the eventual surgical outcome. Results: A combined sequential treatment with IPL achieved both hair density and skin erythema reduction, and eventually allowed for a very satisfactory result. Conclusions: Our experience demonstrated the efficacy of the integrated multidisciplinary approach involving traditional plastic reconstructive surgery and the innovative new technologies in aiming for perfection.

Eyebrow Reconstruction Using a Composite Skin Graft from Sideburns

“…Because eyebrow hair is short and of a small diameter, use of pedicled scalp flaps 4 can result in a “brush-like” appearance, as the hair is much denser and thicker than that of the original eyebrow. Although this might be acceptable for men, it is not suitable for women 5 ; however, the use of intermediate hair 6 or postoperative laser treatment 7 might address this problem.…”