What are the methods for eyebrow tattooing?
I. Eyebrow Tattooing Method
Suitable for individuals with congenital sparse eyebrows, asymmetrical brow shapes, or partial eyebrow loss. Under local anesthesia, a tattoo ink matching the patient's skin tone is selected. Following a pre-designed brow shape, the ink is injected into the skin using a tattoo machine, ensuring penetration does not exceed the dermis layer. Advantages include simplicity and ease of execution, though close inspection may reveal a lack of three-dimensional texture.
II. Localized Eyebrow Reconstruction Surgery
Suitable for minor eyebrow defects or displacement, such as V-Y plasty or Z-plasty procedures. Performed under local anesthesia. During surgery, care is taken to avoid damaging hair follicles.
II. Local Eyebrow Reconstruction Surgery
Suitable for minor eyebrow defects or displacement. Examples include V-Y plasty and Z-plasty procedures. Surgery is performed under local anesthesia. As long as hair follicles remain intact during surgery, future eyebrow growth will not be affected. Postoperative local compression bandaging is applied for 5-7 days, with skin sutures removed after 10-14 days.
III. Crawling Flap Eyebrow Reconstruction
Suitable for defects not exceeding one-third of the eyebrow-nasal region. Performed under local anesthesia. Using the lateral one-third of the nose as the pedicle, an incision is made in the temporal two-thirds of the eyebrow area. This brings the temporal one-third and nasal one-third into proximity, temporarily forming a fold in the middle one-third.After 3 weeks, use the temporal third as a pedicle to flatten the fold, transpose it nasally, and suture. If both sides have less than 1/3 nasal-side defects, bilateral procedures may be performed simultaneously.
IV. Contralateral Eyebrow Flap Transplantation
Indicated for unilateral eyebrow defects.Performed under local anesthesia. Make an arc-shaped incision at the affected side corresponding to the brow ridge. Subcutaneously dissect to create a wound bed matching the normal eyebrow width. Divide the healthy eyebrow into upper and lower sections, make transverse incisions, then create parallel incisions above the eyebrow to form a flap with the medial end as the pedicle, matching the width of the affected wound bed. Rotate the flap and transplant it onto the affected wound bed.
V. Scalp Transplantation Methods
1. Retroauricular Scalp Flap Method: Suitable for unilateral eyebrow defects, bilateral eyebrow defects, or sparse eyebrows. Performed under local anesthesia. For unilateral defects, design the affected side's eyebrow shape based on the healthy side. For bilateral defects, design based on an ideal eyebrow shape.Make a local incision and dissect the wound bed, ensuring it is slightly wider than the designed eyebrow shape to prevent narrowing due to insufficient hair growth from damaged follicles at the scalp graft edges. Harvest a graft from behind the affected ear and transplant it onto the prepared wound bed on the affected side. Directly suture the donor site.Island Flap Technique: Following the course of the superficial temporal artery, an island scalp flap is designed according to the extent of eyebrow deficiency and transplanted into the affected area. Suitable for male patients with thick eyebrows.
3. Temporal Lateral Flap Technique: A narrow, elongated flap is designed in the temporal region ipsilateral to the eyebrow defect. The flap undergoes delayed transfer in one stage.
4. Ring Drill Cluster Grafting: Suitable for smaller defects. The technique resembles rice transplanting. Small patterned defects are created in the affected eyebrow area using a ring drill. Simultaneously, grafts are harvested from denser scalp areas and transplanted onto the prepared patterned defects, followed by gentle compression and bandaging.