Dr. Epstein is likely the most experienced eyebrow transplant surgeon in the world, performing on average 3 to 4 procedures weekly. He has authored several textbook chapters on his techniques, given many lectures at international scientific meetings, and his patients come from throughout the world. He takes advantage of his background as a board certified facial plastic surgeon, and is driven to provide state-of-the-art techniques and the most aesthetic approaches.
The indications for performing the eyebrow transplant procedure include loss of hair from over-plucking, electrolysis, genetics, low thyroid and other hormonal etiologies, and trauma. In each case, Dr. Epstein will individualize the procedure for the patient, taking into account the patient’s goals, gender, facial structure (in particular the brow and eye region), and existing eyebrows. Some patients have had prior permanent makeup, which can usually be nicely concealed as well as made significantly more natural appearing.
Working with his specially designated eyebrow team, a benefit provided by the large number of these procedures he performs, Dr. Epstein will first discuss with the patients his/her goals, go over the plan and anticipated design of the eyebrows, then proceed with the procedure in a safe and comfortable environment. The key aesthetic step is the making of the recipient sites, in which he utilizes tiny blades 0.5 mm in size, carefully angled to the exact direction of growth. The hairs then get meticulously placed one at a time into the recipient sites, with from 50 to as many as 350 grafts placed into each eyebrow as indicated. This is a technique that Dr. Epstein has truly mastered, and as the before and after photos and unsolicited patient testimonials show, he has many very happy patients.
Patients from throughout the US and throughout the world travel his Miami or New York City offices to undergo a procedure. Consults can be conducted in person in the Miami or New York City office. However, more than 60% of his patients obtain their consultation by internet, sending photos of their eyebrows to be evaluated, allowing the procedure to then be performed on a fly in/fly out basis.