This question is for HT doctors and their representatives. I would be most grateful for expert opinions either here or in a PM. I've been researching female eyebrow transplants quite a while and would like to proceed but feel I have received mixed messages.

1) Please tell me whether it is possible to achieve a natural, pretty result augmenting existing eyebrows.

2) What is the most acute angle possible without compromising growth?

3) How likely is the possibility of losing native hairs permanently?

4) How satisfied have women with existing eyebrows been with the outcome of this surgery? (I know people without any eyebrows are more likely to be happy.)

5) I know the frequency of this procedure is increasing but are people thrilled with the natural results the way they are with scalp HTs?!!

I very much appreciate any insight you can provide based upon your experience.

In my professional opinon you should look for a plastic surgeon to do this work maybe a facial plastic surgeon look for one of these M.D's for this procedure

Thanks for the reply. What is your profession? This is still an HT procedure so I believe the skills of an HT professional are of the utmost importance. Although I agree the aesthetic sensibilities of a plastic surgeon would be an asset, this is delicate HT surgery which requires different skills than wielding a scalpel.

I am a M.D and just find this interesting and very political so I have divuldge myself in research and information I happen to know that a facial plastic surgeon with some ht background will be your best result the type of training in plastics will give you a experienced doctor for this intricate procedure will be most helpful

You should look at dr. epstein. he has plenty of facial hair examples.

I appreciate the input. I was really hoping for first-hand professional experience as I have received varying impressions of patient satisfaction. I've even spoken to a few patients - but their circumstances were different from mine so I'm looking for more specific experiential info.

eyebrow,

I know you've been seeking and considering eyebrow surgery for a long time. I certainly agree that you should have answers to these questions before proceeding.

If I am correct, you've also spoken to a few first-rate surgeons about this procedure. Did you ask the physicians you consulted with so far these questions? If so, what did they have to say about it?

Best wishes,

Falc

Some eyebrow info for you on Dr Feller web site - Eyebrow link - FUE

Spex highlights an excellent case by Dr. Feller.

Regarding Try Again's thread, I do NOT think that you need a facial plastic doctor to get an eyebrow repair. You need a hair doctor who has artistic aptitude.

I am a facial plastic surgeon, fellowship trained, previously on faculty at 2 teaching universities, and I have done LOTS of eyelid, eyebrow, forehead, and face procedures along with hair which has become my focus. And do you know how many eyebrow cases that I have seen? One. And that was a result of trauma. Now if you have an area disfigured by trauma, then a face doc like me would be important to get the area prepared for the best outcome from a transplant, and since I can do FUE, I probably can do the entire procedure well.

But, for your average female that over-plucked for decades, you need an excellent FUE doc, who will be honest enough to explain to her that scalp hair and eyebrow hair are very different. What we can offer is an acceptable option, but it will require upkeep, trimming and will never look as good as the hairs that God designed for eyebrows.

I have seen some fairly aggressive ads recently and had the opportunity to meet a patient (also a relative) of a doctor that promotes eyebrow transplants as a fantastic option. While everyone views things differently, I don't think that one of his "best cases" lived up to the ads or my expectation after hearing him tell me about the procedure.

So for a patient like Dr. Feller shows, this is an excellent option; but for the average female, I still think that there is work to be done in improving the state-of-the-art.

Dr. Lindsey McLean VA

Dr Lindsay, Thank you so much for your candor. I am sadly aware that nothing will compare to my once-lovely eyebrows but am tantalized by the hope of some improvement... What disappointed you about the results you saw? What do you think needs to be done to improve the state-of-the art? Do you think the transplant you saw is an improvement over doing nothing or just not as impressive as scalp HTs you've seen?

I appreciate your time and thoughts.

Falc, I have received differing opinions on risks and outcomes. I want to believe the most optimistic but Dr. Lindsay addresses what is holding me back... I also wonder if different doctors can achieve flatter angles than others. If eyebrow HTs with an excellent doc had the same predicted and verified success and patient happiness as scalp HTs, I'd be there in a minute!