Guide To Eyebrow Transplants at Crown Clinic

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Eyebrow transplant

Eyebrow hair transplants are surging in popularity as women and even some men seek ways to permanently restore or establish hair in the area. The process
typically involves removing a section of hair from the back of the patient’s head  and grafting the hair to the eyebrow, augmenting the existing brows or replacing them completely if a patient has lost all their natural brows. The procedure typically
involves 300-400 hairs transplanted into each brow – so 600-800 in total. Maintenance of the
eyebrows is needed thereafter, as the hair continues to grow at the
same rate as on other parts of the body.
The procedure has increased in popularity as awareness of the availability of the operation has spread.
Patients tend to seek eyebrow transplants for four reasons:
* They have permanently damaged their brows through over-plucking. Pencil thin lashes have been very fashionable previously, particular in the 1980s and 1990s when women mimicked the look of stars such as Baywatch’s Pamela Anderson who always had thin brows.
The result is that significant numbers of women permanently damaged their brows to such an extent that they were left with a completely bald or very patchy brows.
* They were born with naturally thin brows and want to bolster their eyebrow hair – particularly as the bushier look has become fashionable in recent years, thanks to the Duchess of Cambridge and supermodels like Cara Delevingne both favouring a fuller brow.
* They damaged their brows in an accident – they might have been burnt off in a fire or a road traffic accident. Several victims of acid attacks in countries like Pakistan have received eyebrow transplants.
*  They have previously suffered from Trichotillomania – the compulsive plucking of eyebrows and other body hair.
Key points about eyebrow transplant surgery & choosing the right surgeon
Eyebrow transplants are perfectly safe but, as with any cosmetic procedure, it is vital to pick a good surgeon.
The procedure was pioneered in the UK by Asim Shahmalak at Crown Clinic  – he is one of the world’s pre-eminent hair transplant surgeons.
Dr Shahmalak, who also has consulting rooms in Harley Street, is best know for his work with male celebrities such as the model Calum Best, Coronation Street star Jack P Shepherd  and former footballer Didi Hamann, who all had FUE (follicular unit extraction) transplants at Crown Clinic. Dr Shahmalak has also worked with the TV doctor Christian Jessen who had two FUT (follicular unit transplantation) procedures at Crown Clinic. This is the more traditional form of hair transplantation, where a strip of skin is cut from the scalp to obtain the donor hair.
After learning the eyebrow transplant procedure in the United States, Mr Shahmalak introduced the operation to the UK.
When choosing a surgeon, it is worth looking if they are recognised by respected professional bodies. Patient testimonials are helpful.
It is always worth checking who they have worked with before and whether they were happy with the results.
As with any surgery, there can be complications such as infection but these are rare.

The Procedure

During a follicular unit transplantation (FUT) eyebrow hair transplant procedure, the donor area is prepared first. An
area (2 inches X 3/8 inch) of scalp in the back of the head is numbed
with a local anesthetic. That section (scalp strip) is removed and the
gap is sewn back with stitches. The scalp strip is given to a
technician who cuts and separates the hair tissue into single hair
follicular grafts. The grafts are then one by one implanted into the
brow.
Donor hair can also be harvested using the follicular unit extraction technique (FUE) – this is where the donor hair grafts are removed individually from the back and side of the scalp rather than in strip.
Both techniques are used to harvest donor hair for more conventional hair transplants for the scalp.
The eyebrow transplant procedure takes approximately 3-4 hours and costs around £4,000-£5,000 depending on the number of grafts..
It is performed under local anaesthetic and many patients comfortably fall asleep during the procedure.
The results are permanent and you will see some immediate differences with a new outline. The full results are typically expected within 12 months for a standard FUE or FUT eyebrow transplant.
Hair grows in three stages so don’t be alarmed if you see some shedding after the hair transplant – it is normal.

What maintenance do the new eyelashes need?

The transplanted eyebrows come from head hair and therefore the new
eyebrows grow just like they would on the head. That means they need to
be trimmed regularly, just like head hair. They may also need to be curled
so that they blend perfectly with the existing natural eyebrows.
Trimming and curling is easily done and Crown Clinic provide patients
with a beauty kit to do this. This is very rarely an issue for patients, as most are used to plucking and shaving some part of their body regularly.
Patients find that with this simple
maintenance their new brows perfectly blend with existing brows.

Case study 

Asim Shahmalak travelled to Pakistan several times to provide free eyebrow, eyelash and hair transplants to women horrifically scarred in acid attacks.
He took a team from Crown Clinic to a clinic Karachi where the operations were performed.
One of the women he helped was Kanwal Ashar, 26, who had acid thrown over her by a man who had been stalking her after she had turned down his proposal.
She had been working in a beauty salon and the man became obsessed by her.
The pictures show how her eyebrows – burnt off in the acid attack – were completely rebuilt by Mr Shahmalak.
She said: “I cannot thank him enough – he worked with great patience to rebuild my brows and the results are remarkable.”
Mr Shahmalak said:  “I am just glad that I am able to make a difference to these women’s lives.”
As well as carrying out the transplants, he helped trained local doctors and technicians in his techniques so that his work could carry on at local hospitals on his return to Britain.
He said: “It was wonderful see how the women’s lives had been improved by the surgery.
“I wept when I first heard what had happened to them.
“Their stories were heartbreaking – scarred for life because you want to better yourself and work as an hair hostess.
“Doused with acid because you turned down a man’s proposal – people were better treated in the Middle Ages.
“It was incredibly moving to see the smiles on their faces after we performed the surgery. They had given up hope of ever getting help because the Government in Pakistan cannot afford to do anything for them. We were their last hope.
“They are not accepted by society because of their disfigurement. They cannot get jobs and, in some case, they have been disowned by their families and left to beg on the streets.
“They are too frightened of reprisals to tell the police who has attacked them and even if they did, they have no faith that the culprits will be brought to justice.”
Mr Shahmalak, a skilled former NHS general surgeon, said that he had investigated the availability of sulphuric acid while he was in Karachi and found it could be bought for as little as 15p a bottle near to where he performed surgery on the women.
He said: “It easy to buy with no questions asked. And as long as the authorities turn a blind eye to horrific cases like these, the attacks will continue.”
Mr Shahmalak worked with the Karachi-based charity Smile Again which had found patients needing surgery.
One such case was a six-year-old girl doused with acid by her father for refusing to go to school who, sadly, was too young to help.
Mr Shahmalak also performed the first eyelash transplant in the UK – on a Manchester woman back in 2009.

Our Surgeon

Dr. Asim Shahmalak

Dr Asim Shahmalak is a world-renowned hair transplant surgeon who performed the UK’s first eyelash transplant in 2009. He runs Crown Clinic – one of Britain’s most successful and best known hair transplant clinics. He has treated a number of high-profile industry leaders and celebrities including the medical broadcaster Dr Christian Jessen, best known for Channel 4’s Embarrassing Bodies.

Related Articles

Spurs manager Antonio Conte is one of a number of people in football who have benefitted from a hair transplant.

Another is the Liverpool manager Jurgen Klopp, who has been very open about seeking help with his hair.

Conte, 52, looks completely different in the before and after pictures shown on this page and is likely to have had several procedures to boost his hair.

Like a lot of men, Conte started losing his hair in his late 20s and early 30s when he was a successful player in the Italian league and playing for the Italian national team.

He was pictured several times during this time showing all the signs of advanced male pattern baldness.

Since becoming such a successful manager, Conte has had at least two hair transplants to cover up the bald areas at the front of his hairline.

It is likely he would have opted for a FUE (follicular unit extraction) procedure. This is where the grafts are removed individually from the back and sides of the scalp and then replanted in the balding areas.

Around 80% of patients coming to Crown Clinic to our consultant surgeon Asim Shahmalak now opt for FUE.

This is a big change on five years ago when the majority of our patients chose the more traditional method of hair transplantation known as FUT (follicular unit transplantation) or strip surgery.

The advantage of FUE over FUT is that there is less scarring. Most FUE patients are simply left with some red pin pricks where the donor hair is harvested and replanted which go away after a few weeks.

Famous Crown Clinic FUE patients include the Coronation Street star Jack P Shepherd, model Calum Best, and the football pundit Didi Hamann.

FUE is slightly more expensive than FUE because it requires more time to carry out. This is because the donor grafts are removed individually rather in one single strip of skin which is surgically removed, which is what happens under FUT.

Crown Clinic’s most famous FUT patient is the TV doctor Christian Jessen who has had two FUT transplants with Dr Shahmalak. Scarring is greater with FUT and all patients are left with a lined scar on the scalp where the strip for the donor hair is removed. This soon heals and if you wear your hair relatively long, like Christian Jessen, it is very difficult to see the scar because the hair grows over it. However, the scar is visible if you like to wear your hair short or shaved, like Calum Best, so we recommend FUE for all patients who like their hair short. Around 20% of Crown Clinic patients still prefer FUT. There is evidence to show that slightly few grafts are lost in the donor hair harvesting process by removing the grafts in one go – so that is an advantage of FUT.

Conte has not spoken about his hair transplants, so we don’t know for sure which method he chose.

Whichever one it was, he is to be congratulated on his choice and the work of his hair transplant surgeon because he has an excellent result.

Dr Asim Shahmalak from Crown Clinic is one of the world’s leading hair transplant surgeons.

He is the surgeon to the stars and has performed procedures for celebrities including Jack P Shepherd from Coronation Street, the model Calum Best and the TV doctor Christian Jessen.

He has pioneered new hair transplant procedures in the UK such as eyelash, eyebrow, beard and sideburn transplants.

His main clinic is close to Manchester Airport and he also has consulting rooms in Harley Street.

A former general surgeon in the NHS, he switched to hair transplantation private practice 15 years ago and is one of the most acclaimed surgeons globally in FUE (follicular unit extraction) and FUT (follicular unit transplantation) hair transplant procedures

Are more women enquiring about hair transplants/procedures/treatments and if so why? Is demand growing?

Asim Shahmalak said: “Yes, more women are enquiring about hair transplants. They are still far outnumbered by men but around 10% of my patients are female.

“Most of them come because they have permanent thinning hair and this can be even more damaging to a woman’s self-esteem than a man’s simply because it is more unexpected and it can have a devastating impact on a woman’s confidence.

“I also treat increasing numbers of women for eyebrow and eyelash transplants. Most eyebrow transplants are down to women permanently damaging their brows due to over-plucking. Hair is transplanted from the scalp and replanted in the brows.

“I also do eyelash transplants on women. I was the first surgeon in the UK to perform an eyelash transplant here – way back in 2007 on a young woman from Greater Manchester. Most eyelash transplant patients seek treatment after suffering from trichotillomania – a condition where sufferers rip out their eyelashes due to psychological issues. Hair is extracted from the scalp and replanted in the upper eyelid. Because it is scalp hair, it goes as it would on the scalp when replanted in the eyelid so it can curl when longer and needs to be straightened. I provide kits so patients can do this themselves.

“Demand is growing for general female hair transplants. The reason for this is greater awareness that hair transplantation is the only long term solution to permanent hair loss in women.

“There is also a lot of concern about hair extensions and the damage they can cause to the scalp. Women can wreck their hair with hair extensions which can pull out their natural hair and cause permanent damage to the scalp.

“Lots of women have seen successful male transplant patients such as Calum Best or Jack P Shepherd and thought, ‘That could work for me, too.’”

Why have women been slower than men to enquire about hair procedures?


Asim Shahmalak said: “I think women have been slower than men to enquire about hair transplants in the past because they thought that hair transplants were a ‘man thing.’ You didn’t read about women having procedures and there was this assumption that while women could benefit in lots of ways through plastic surgery – breast enhancements or browlifts or facelifts – hair transplantation was not for them. One of the reasons is that a lot of female hair loss is hormonal and non-permanent. The hair eventually grows back and so hair transplantation is not necessary.

“However, a significant number of women do suffer permanent hair loss for a number of reasons including the same hereditary reasons which is the main factor in men going bald. A receding hairline at the front ages a woman far more quickly than a similar condition in men. You expect some women in their eighties or nineties to have thinning hair, but not in their forties or fifties. It is those younger middle aged women who are coming to me for help in increasing numbers.”

Are more younger women enquiring about hair transplants/procedures/treatments and if so why?

Asim Shahmalak said: “Yes, more young women are inquiring about treatments and there is a simple reason: vanity. In the age of social media, where we can all enhance our appearance with photographic filters, a hair transplant is like having a permanent positive filter on your hair. You can wave goodbye to bad hair days and have the hair you have always wanted every day.

“So many young people want to look their best when sharing pictures on Facebook and Instagram and come to me for procedures which will improve their self confidence and how they present themselves to their friends and the world on social platforms.”


Are more women going through the menopause enquiring about hair transplants/procedures/treatments and if so why?

Asim said: “Menopause is a natural physiological process that all women experience at some point in their lives. During this time, the body goes through numerous physical changes as it adjusts to fluctuating hormone levels. Many women have unpleasant symptoms during menopause, including hot flashes, mood swings, and insomnia. Hair loss is another common occurrence.


“Hair loss tends to be subtler in women than it is in men. Most women experience overall hair thinning rather than noticeable bald spots. The thinning can occur on the front, sides, or top of the head. Hair may also fall out in large clumps during brushing and showering.

“Research suggests that hair loss during menopause is the result of a hormonal imbalance. Specifically, it’s related to a lowered production of estrogen and progesterone. These hormones help hair grow faster and stay on the head for longer periods of time. When the levels of estrogen and progesterone drop, hair grows more slowly and becomes much thinner. A decrease in these hormones also triggers an increase in the production of androgens, or a group of male hormones. Androgens shrink hair follicles, resulting in hair loss on the head. In some cases, however, these hormones can cause more hair to grow on the face. This is why some menopausal women develop facial “peach fuzz” and small sprouts of hair on the chin.

“For women going through menopause, the cause of hair loss is almost always related to hormonal changes. However, there are many other factors that can contribute to hair loss during menopause. These include extremely high levels of stress, illness, or a lack of certain nutrients. Diagnostic blood tests that can help rule out other causes of hair loss include thyroid tests, and/or a complete blood count.

“Hair loss may make you feel self-conscious about your physical appearance, but the condition isn’t permanent in most cases. Obviously where it is non-permanent a hair transplant is not appropriate.

“However in some cases the hair loss is permanent and a hair transplant is appropriate. We have seen growing number of post-menopausal women seeking help for the same reasons of vanity that attract younger women to the clinic.”

Do you have any concerns about the hair transplant industry, particularly the popularity of going abroad?

Asim Shahmalak said: “I have great concerns about the numbers of patients of both sexes going to countries such as Turkey for hair transplant procedures.

“Do you really want to take a risk on such an important decision on what could be a completely unregulated clinic? The main drawback of going abroad for a procedure is that patients have almost no recourse if the procedure goes wrong or they don’t get the result they desired.


“Do you really want to start legal proceedings in a Turkish court and would you have the first idea about what to do? If you need further care from the surgeon, you will need to fly thousands of miles for a remedy which again may not work. It may be a little more expensive to have treatment in the UK but it is money very well spent.


“One of the main areas of my work is repair surgery. Patients come to me after having a terrible experience in a country such as Turkey and ask me to repair the damage. In most cases, I can help and sort out their problems but, in a few cases, nothing can be done and patients can severely damage their appearance by going to an unregulated ‘cowboy clinic’ abroad.


And I would be keen to know if you have any case studies of women who have had the procedure who would be able to tell me about their experience?


Asim Shahmalak said: “Most of my female patients would rather not be fully named and pictured when talking about their hair transplant procedures.


“But several have been so pleased with the results that they are okay to share pictures and their experiences in a way where they are not fully identified. Here are some of my very happy former female patients.”

He maybe the world’s richest man, but all those riches could not save Elon Musk’s hair.
That is why the founder of the Tesla car company transformed his appearance with a hair transplant.
You can see the remarkable change in his appearance in the before and after pictures below.

His hair is clearly thinning at the front in the before picture on the left, taken in his 20s.

Fast forward more than 20 years and the 50-year-old Musk has a full head of hair in the after picture on the right.

Musk will almost certainly have had a Follicular Unit Extraction transplant – chosen by 80% of the patients at Crown Clinic.

With FUE, the donor hair is extracted individually from the back and sides of the scalp – keeping any scarring to a minimum.

Celebrity patients of our consultant hair transplant surgeon Dr Asim Shahmalak who have had FUE transplants include Jack P Shepherd from Coronation Street, the footballer Didi Hamann and the model Calum Best.

Dr Shahmalak also offers the more traditional method of hair transplantation, FUT – follicular unit transplantation.

With FUT, all the donor hair is removed in one go by surgically cutting a strip of skin from the scalp. The donor grafts are then extracted from the strip by technicians and replanted in the balding areas of the scalp by Dr Shahmalak in the same way as FUE.

The TV doctor Christian Jessen has had two FUT transplants at Crown Clinic with Dr Shahmalak. We don’t recommend FUT for patients who like to wear their hair short or shaved because the scarring is more noticeable than FUE. If you grow your hair slightly longer, as Christian Jessen does, the scarring cannot be seen.

Whatever method he chose, Elon Musk is to be congratulated on his transplant – his new hair looks fantastic.