Eyebrows are one of the most critical aesthetic elements that determine the expression of your face, the meaning of your gaze and your overall facial symmetry. Therefore, any micro-surgical intervention in the eyebrow area requires much more artistic precision and technical expertise than standard hair transplantation. Traditional Classic FUE Eyebrow Transplant used in applications and taken by shaving the donor area 1-2 millimeters in length. disadvantages of short hair follicles in eyebrow transplantation, seriously jeopardizes the naturalness and aesthetic success of the results.

When our team, led by Dr. Handan Yavuz in our Nişantaşı clinic as Istanbul Eyebrow Transplant, analyzes the revision (correction) requests from patients, they see that the biggest complaints are the artifacts that occur after classical shaved FUE. The biggest problem with short hair follicles (grafts) is that the angle at which they are placed under the skin and the natural bending curve of the hair cannot be “verified with the naked eye or under a magnifying glass”. Since the root is the size of a pinhead and completely shortened, the direction of hair growth is largely based on a theoretical guess for the physician, which makes aesthetic errors inevitable.

Another major limitation of short hair follicles is that the depth of placement cannot be monitored live by the physician. Pushing the roots too far under the skin during transplantation (deep transplantation) prevents hair growth or leads to ingrown, ingrown hair and cystic formations under the skin. Roots left superficial are dislodged during the first wash. In unshaven Long FUE, the entire body of the hair allows us to adjust the depth like a scale.

“What Causes the ”Grass Man" Image?

The main reason for the unnatural eyebrow disasters that you can frequently see on the internet or in your environment, which grow steeply, exhibit a hedgehog appearance and are unnatural, is the faulty eyebrow transplantation applications with short roots and wrong angles. These problems, which we evaluate within the scope of the risks of shaved eyebrow transplantation, are caused by the following physiological and technical reasons:

• Angle Deviation during Skin Healing: The natural eyebrow hairs should grow slantingly just above the skin at an almost parallel angle (10 to 15 degrees). A graft transplanted short in classical FUE can easily change direction in the first 10 days after the operation due to the stretching of the tissue during the processes of skin shrinkage, crusting and edema. Since the hair is short, this deviation cannot be noticed until the healing is complete and the hairs begin to grow upright at 45-60 degree angles.
• Failure to Determine the Natural Curl Direction of the Hair: Each human hair has a genetically determined direction and curve. When the hair is cut to 1 mm in length, it is medically impossible to understand in which direction this curve bends. If the direction of curvature of the root is reversed, when the hair grows, your eyebrow will bend uncontrollably inward or outward, which can cause your eyelids to sink or distort the eyebrow form. raised eyebrows problem.
• Late Aesthetic Mistakes: In operations with short roots, you need to wait at least 6-8 months to understand whether the result is natural or not. After the shock shedding phase, the error only becomes visible when the hairs grow. In this process, the patient has to live with an artificial appearance for months and the correction process requires extra time and budget.

Graft Trauma (Crush Injury) and Root Damage at the Cellular Level

When analyzed at the surgical microscopic level, the mechanical stress to which the cells are exposed during the transplantation of short hair follicles is much higher. In the classical FUE method, after the grafts are separated from the nape of the neck, they are transplanted directly into the dermal papilla (dermal papilla), the most sensitive part of the root, with transplant tweezers (forceps).follicle base) and try to insert it into the canal. The slightest excess pressure applied during this placement causes a crush injury to the follicle, which we call “crush injury”. Crushed hair follicles have half the chance of holding under the skin or the capacity to produce healthy hair.

Oysa Long FUE tekniğinde, kökün kendisi yerine 2-4 cm uzunluğundaki kıl şaftı forseps ile tutulur. Kök hücresine hiçbir mekanik temas olmadan, kıl gövdesi bir kılavuz gibi kullanılarak kök kanala güvenle kaydırılır. Bu hücresel koruma avantajı, donör saç köklerinin canlılığını %98’e varan oranlarda korumasını sağlar. Kısa saç kökleri kullanıldığında ise köklerin fiziksel hasar görme ihtimali kaçınılmaz bir dezavantaj olarak cerrahın karşısına çıkar.

Mechanical Friction and Root Loss Risks during the Crusting Phase

The first 10 days of scabbing and healing after eyebrow transplantation is the most critical phase for the permanent fusion of the transplanted follicles to the tissue (neovascularization). Short hairs transplanted after classical FUE take up almost no space above the skin surface and do not form a physical barrier to protect the transplantation area. In this case, friction against the pillow during sleep, the slightest mechanical contact during putting on and taking off clothes, or pressurized water during face washing can cause the short roots to dislodge (graft loss) along with the crusts.

In the Long FUE method, long hair strands form a natural, flexible protective net over the transplanted skin area. Friction and contact impacts that may come from outside are first absorbed by the long hairs and are prevented from reflecting to the root level. In this way, the crusting phase is overcome by minimizing the risk of mechanical damage. The fact that short hair follicles lack this protection causes the patient to have an extremely stressful and restrictive healing process during the post-operative care period.