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Hi, it's Dr. Epstein. I'm going to talk this morning about the design of an eyebrow for a transplant. We have a patient today who over plucked her eyebrows. As a result, she's got a lot of asymmetry as well as impartial or incomplete length of the brows. When designing eyebrows, which I do typically three or four of these every week, there's a lot of things I take into consideration, not only where the original eyebrows were but also the shape of the face, in particular the shape of the orbital area. There's a whole variety of shapes in terms of how heavy the brow fat pad is, the shape of the eyes. These are all things which I take into consideration. It's a very important area obviously because it's framing the eyes.

In this case, let's take a look at our patient today and you can see that she had, in her case, asymmetry of her existing eyebrows. They were rather thin. She has a very long, thin well-defined face, very well-sculpted, so we didn't want to create eyebrows that were too sharp. In other words, I didn't want to create a very high arch. I do find that arches work better for particular ethnic groups. In particular, Asians tend to look better with more sharp eyebrows, not necessarily. Most of these things I'm talking about are relevant to women. Men is a different issue and that's the subject of another video. For a woman, most women do like to have well defined eyebrows. In this patient's case, I went ahead. This portion here is called the head of the eyebrow.

I brought it in. I like to make it somewhat flat, and I like to create a nice gentle arch through the body of the eyebrow. This point here corresponds to the outer aspect, somewhere between the outer aspect of the iris, which is called the lateral limbus and the lateral canthus, which is the outermost portion of the eye where the eyelids come together, and then I create a nice, gentle slope out here. You'll see that I do have a little bit of an arch down there. Her own natural hairs are a little bit lower. She can always pluck those or just leave them there and just have a little bit of fullness. And you can see here, just really a nice look. What's going to happen next is we're going to take the donor hair from the back with a single incision and then the hairs will get placed one at a time. And typically I anticipate in this case doing a procedure of around 500 to 550 hairs, just about all single hairs in this case. Sometimes I will use two hairs if patients have very fine donor hair. Her hair is actually amongst the most ideal. It's got a little bit of a curl to it, a little bit of a wave, so it's not a perfectly straight hair which can be a little more difficult with which to deal. And it'll also blend in nicely because it's not overly hard or course. It's somewhat of a soft hair.

The best thing is she was very happy when I showed out the marking. She's shaking her head and smiling. Anyway this is Dr. Epstein . . . and now laughing. This is Dr. Epstein. Thank you very much.

"Designer" Eyebrows: Go From Over-Plucked to Full and Fabulous

Dr. Jeffrey Epstein discusses designing an eyebrow before performing an eyebrow transplant. What does he consider when designing your perfect brow? Watch to find out!

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