Dr. Jeffrey Epstein is a world-renowned hair transplantation surgeon specializing in hair restoration procedures and he is the best eyebrow transplant surgeon in the Miami area.- He provides undetectable and natural-looking results that will enhance your facial features. For over 15 years, Dr. Epstein has specialized in this refined aesthetic procedure, having performed over 750 of them. His work has been featured in numerous media stories and published in scientific articles and textbook chapters, as well as has given multiple lectures on his techniques at national and international meetings
Understanding Brow Shapes
Eyebrow transplantation or Eyebrow Transplants is one of the most aesthetically challenging procedures to perform, but when done by experts, can provide an impressive result.
This procedure can be done by both the FUE or the FUG/strip technique, but most importantly requires the careful making of recipient sites for the hairs that will determine the direction and angulation of growth, as well as the aesthetic shape of what should be natural appearing eyebrows that complement the rest of the patient’s facial features.
Your Eyebrows Have Become Too Thin
Though one may not notice when he/she has full and well-shaped eyebrows, it’s very easy to identify if your eyebrows have become too thin or are practically absent. When this occurs, the appearance of your face may affect your self-esteem and reduce your confidence.
Due to developments in hair transplantation techniques over the past 10 years, eyebrow transplantation is possible and when performed properly, can provide beautiful results. Whether you’ve gone through permanent hair loss in the area or are starting to experience thinning due to over-plucking or genetic issues, an eyebrow transplant can restore your eyebrows.
Why Have An Eyebrow Transplant?
Eyebrow Tattoo or Daily Makeup?
There are other methods of making eyebrows appear fuller, such as with a tattoo or daily makeup application, but they have their drawbacks, one of which is that they are not natural solutions to your problem. As an eyebrow transplant takes the hair directly from your head, the hairs are permanent and can be done to appear as close as possible to what the patient desires.
Another advantage of the procedure is that it is virtually painless, and takes approximately 5 to 7 days from which to recover. This is true no matter whether the entire eyebrow or portions of the eyebrow are being restored.
Regrowth rates of the transplanted hairs tend to be quite high, although the occasional patient chooses to have a second procedure to achieve greater density.
Eyebrow Hair Transplant Before and After
* All patients are unique and individual results may vary.
Are You A Candidate?
The most common reason patients undergo an eyebrow transplant is to restore a more natural shape or improved density due to prior overplucking. Thinning due to getting older or a consequence of anemia or low thyroid levels is also a common reason, as is simply being born with thin eyebrows. Other indications include scarring from prior cancer surgery or trauma, or undesirable results caused by a prior less-than-ideal performed transplant. In fact, Dr. Epstein has particular expertise in these trauma and reparative cases, due to the enormous benefits it can provide to the patient. Some of these trauma case patients are kids in their pre-teens who have borne the scars of prior dog bites and other causes.
The Realistic Goal of Eyebrow Surgery
The patient needs to understand that the realistic goal of surgery is not necessarily perfection (although that is always strived for) but a significant improvement. The occasional patient will want a second procedure a year or more later to achieve greater density and or to make a minor change to the shape, however, the great majority- over 90% – of his patients undergo just a single procedure.
The procedure can be performed on patients ranging in age from (mature) nine-year-olds to those in their 70s. This is a safe and minimally invasive procedure. Prior tattoo or microblading is not a contraindication to the procedure being successful, although in some patients with scarring from prior tattoos there is a risk of a lower percentage of hair regrowth- in these cases, Dr. Epstein will make some slight alterations in his technique, as well as inject Growth Factors into the eyebrows to optimize regrowth. Finally, the patient must understand the need for regular trimming of the transplanted hairs, as these are scalp donor hairs and will usually continue to grow.
You can meet with Dr. Epstein in the Miami office if you live in or will be visiting South Florida. Here you can not only have a chance to discuss your goals and undergo a full evaluation but also see the modern facility that is designed with patient comfort and safety in mind. Our office is located in South Miami close to Coconut Grove, Coral Gables, Downtown Miami, and Miami Beach, and is just 20 minutes from Miami International Airport. The office is on the campus of South Miami Hospital (affiliated with Baptist Health) and provides covered underground parking and sufficient privacy. Please be sure to bring your parking ticket for validation.
Dr. Epstein is no stranger to webcams, having provided hundreds of patients consultations over the past five years. Today, this has become the most popular method for patients to “meet” Dr. Epstein, especially considering that most patients are traveling from out of town. Your consult can be performed just like a regular in-office consultation, with the doctor discussing with you your goals and explaining his recommendations in a formal manner from the comfort of your home, your office, or even your car. The most common formats for the webcam are FaceTime or Zoom, but other modalities are available.
BY PHOTO REVIEW
This is an easy way to have your case evaluated, without any charge. By sending your photos, along with information on your age, hair loss history, any prior therapies or procedures, family history of hair loss, and your goals, Dr. Epstein can provide his recommendations and advice. If desired, once you receive his recommendations, you can have a webcam or in-office consultation to learn more, however, by photo review you will have the opportunity to ask questions and speak with his assistant Roxy or Dannette who will be able to guide you through this process.
Eyebrow Hair Transplant Procedure
An Ideal Balance of Density and Naturalness
One of the best aspects of an eyebrow transplantation is that the procedure to have it done is rather straightforward. Depending on the extent of what you want to be done, whether a small amount of restoration in order to cover a scar or a full restoration to thick eyebrows, the procedure can involve the transplanting of anywhere from 50 to as many as 400 grafts per eyebrow, with each graft containing typically one or two hairs. This is a true aesthetic procedure, with every step that will determine the final outcome all personally performed by Dr. Epstein. This include:
- Designing the eyebrow, with patient input, to be assured that there is not only symmetry but that the shape complements the individual face and eye region structure and meets the patient’s goals. Most Patients take some oral sedation, and once the anesthesia is injected using the Wand (a computerized device that minimizes any sensation), there is essentially no discomfort.
- Graft dissection along with FUE or FUT graft harvesting. It is essential that the proper combination of one, two, and even occasionally three hair grafts when indicated are used to achieve the ideal balance of density and naturalness. Note that after years of experience, Dr. Epstein has determined that most eyebrows are better restored using primarily two hair grafts rather than exclusively single hair grafts
- Making each recipient site so that the desired angle and pattern of hair growth is achieved, and that the recipient sites follow the design chosen
- Graft placement so that each graft is placed so that the hair curl complements the desired direction of growth and that the grafts placed actuate the desired final result according to the recipient sites
Dr. Epstein Explains the Procedure
Natural Results in Eyebrow Transplants
The donor hairs are typically removed from the back of the head, using either the strip/FUG technique or the FUE technique. The decision as to technique will be determined by you and the doctor, depending on how you wear your hair, your ethnicity, and your goals and concerns. Sometimes hairs will be taken from lower down in the back of the head as indicated in order to obtain finer hairs. While the grafts are prepared under microscopes by our specialized eyebrow team (who have on average assisted on over 500 eyebrow transplant procedures), the doctor will make all of the recipient sites, which will then determine the direction and angulation of growth.
Eyebrow Shape and Density.
The grafts will then be placed one at a time into each recipient site, a process supervised by your surgeon while our assistants are the experts in performing this step. Several hours later, with most of the hairs transplanted, the eyebrows will be checked (and re-checked as many times as necessary) to make sure that both the patient and doctor are happy with the shape and density.
The procedure is not completed until the very best eyebrows possible are created. Depending on how many hairs are transplanted, the procedure typically takes four hours. Patients can leave the office, expecting little discomfort in the donor area.
Eyebrow Transplant Recovery
Tiny crusts around each transplanted hair and some redness are to be expected for the first five days or so, after which typically there is lessening pinkness which can be concealed with makeup. The occasional patient will have rather significant bruising and swelling around the eyes for the first three days, but most have only mild amounts. Sutures if used in the donor area will dissolve at several weeks, leaving a fine line scar, or if done by FUE, no linear scar at all and no need for sutures.
The transplanted hairs will fall out at around two to three weeks, then these hairs should start to regrow at four months. During the second and third week, the eyebrows actually look quite nice, given that the hairs have not yet fallen out. Over the next six months, the eyebrows will typically get denser and denser. Because the donor hairs come from the scalp most commonly, they require trimming usually every 10 to 14 days, and sometimes a bit of grooming is required as well.
There are very few risks, but they can include prolonged pinkness, poor growth of the transplanted hairs, and widening of a strip donor site. The occasional patient chooses to undergo a second procedure a year or more later to achieve greater density.
Real Patient Testimonials
Eyebrow Transplantation FAQs
The following questions are some of the more commonly asked questions when it comes to eyebrow transplantation, all of which you should know if you’re considering the procedure.
WHAT IS AN EYEBROW TRANSPLANT?
A procedure in which a plastic surgeon removes hair grafts from the scalp and implants the follicles into the eyebrow. The grafts usually come from the back of the head, and the transplant includes the follicle to ensure natural and healthy growth down the road.
It’s important to note that once hair grafts are removed, they need to be placed in special graft storage solution before being implanted successfully. You’ll find the procedure to be painless, as a local anesthetic is administered and many patients take an oral sedative.
HOW MANY TYPES OF EYEBROW SHAPES ARE THERE?
Everyone has a unique set of features, but certain eyebrow characteristics can be found in many people. Five standard brow types are most common: flat, curved, round, soft angle, and angled. We have the expertise to combine your desired results with a realistic outcome that’ll look as natural as possible.
WHY ARE MY EYEBROWS THINNING?
The human body is undeniably complex, and there could be several medical issues causing your eyebrows to become thinner. Some of the most common reasons include overplucking, genetics, a nutritional deficiency, or changes in hormones. Thinning eyebrows can also indicate an increase in stress, low thyroid levels, skin disorders, or even physical trauma to the localized area.
WHAT CAUSES EYEBROW HAIR LOSS?
Besides those listed above, eyebrow hair loss can occur for many reasons, including alopecia, eczema, psoriasis, thyroid issues, and seborrheic dermatitis. And this still doesn’t cover the complete list of potential causes. Lifestyle choices can also factor into eyebrow hair loss: poor diet and even drug abuse can exacerbate the issue. However, you don’t have to be doomed to hair loss forever, as you’ll find there are many treatments available to get your eyebrows back to their natural look.
HOW LONG DO BROW TRANSPLANTS LAST?
Thankfully, brow transplants provide long-term results and are a permanent solution for those looking for fuller eyebrows. The FUE technique can do wonders for hair transplants, and Dr. Epstein is internationally known for this technique. It’s common to start seeing growth anywhere from three to six months after the procedure, and you should be able to see your results by around 10 months.
For your eyebrows to reach full growth potential, you must take proper care of them while they heal. If you don’t follow the aftercare instructions the doctor gives you, it could lead to suboptimal results.
ARE EYEBROW TRANSPLANTS PAINFUL?
The procedure is painless. Many patients will also choose to distract themselves with music or their favorite TV show to pass the time. We will walk you through every step of the procedure before beginning so that you’ll know what to expect during every aspect of your visit.
WHAT IS RECOVERY LIKE AFTER BROW RESTORATION OR TRANSPLANT?
After the procedure the recovery process is surprisingly fast; however, there are still a few rules that you’ll need to follow. You’ll notice that transplanted hairs will start to fall out a few weeks after your procedure, and you’ll experience mild scabbing for the first three to five days. Your new hair will start to be visible between four and six months. Even though a handful of care requirements are associated with recovery, they aren’t complicated, and healing is much faster than expected for most people.
DOES INSURANCE PAY FOR EYEBROW TRANSPLANTS?
Unfortunately, insurance companies consider brow restoration non-medical cosmetic surgery procedures. Since eyebrow hair loss doesn’t affect your physical and mental health, the cost of these procedures is an out-of-pocket expense—but that doesn’t mean you can’t utilize financing as another option. Before you commit to anything, we’ll make sure you understand the total cost of the procedure so you can plan accordingly ahead of time.
CAN YOU GET BROW RESTORATION DONE AFTER MICROBLADING?
You most definitely can, but if you recently had eyebrow microblading, it’s important to wait at least six months before pursuing brow restoration or transplants. We may also suggest some pre-care routines leading up to your appointment to ensure the health of your brows and skin. You should not undergo a brow transplant shortly after receiving a microblading treatment. It’s vital that you share all these details with Dr. Epstein so he can better serve you throughout the process.
HOW LONG DOES AN EYEBROW TRANSPLANT SURGERY TAKE?
The time it takes to complete an eyebrow transplant is relatively short and may vary, but it should only take about four to six hours from beginning to end. The time it takes depends on how many follicles are transplanted. Completion time can also vary depending on the cosmetic surgeon’s expertise, one of the most important factors to consider when choosing where to get the procedure done. We are well equipped to provide stellar results, and we work efficiently to ensure a seamless experience for every patient.
HOW LONG WILL EYEBROW TRANSPLANTS LAST?
The length of this procedure partly depends on how many hairs are being transplanted. If it's on the lower end, the transplantation should take two to three hours. If it's on the higher end, then three to five hours is likely. The reason it takes this amount of time is due to the fact that each individual hair must be precisely placed onto the eyebrow.
WHAT IS THE CLOSEST EYEBROW HAIR TRANSPLANT CLINIC TO ME?
If you live in Miami or nearby, the Foundation for Hair Restoration is conveniently located at 6280 Sunset Drive, Suite 504, Miami, FL 33143, and Dr. Epstein’s is a Miami eyebrow transplant specialist with years of experience in permanently restoring hair to eyebrows.
WHO IS THE BEST EYEBROW HAIR TRANSPLANT SPECIALIST IN MIAMI?
Dr. Epstein is acclaimed for his work in natural-looking hair restoration, in particular FUE hair transplants and eyebrow restoration. With over 28 years of experience in hair restoration surgery with a background as a fellowship-trained facial plastic surgeon, Dr. Epstein has helped thousands of patients cope with hair loss and restore their confidence. Unusual for his field, Dr. Epstein holds board certifications in the fields of facial plastic surgery and otolaryngology/head and neck surgery is a Diplomate of the American Board of Hair Restoration Surgery, and is a Fellow of the International Society of Hair Restoration Surgery (FISHRS) and of the American College of Surgeons (FACS). Dr. Epstein is the leading specialist at his practice located in Miami, FL.
WHAT CAN I EXPECT AFTER THE PROCEDURE?
The recovery time for this procedure is typically five to seven days. While small crusts will appear around each hair during the first week and leave pink spots once they fall off, the pink typically fades over the next few weeks and leaves the area looking natural.
DO EYEBROW TRANSPLANTS LOOK NATURAL?
If done properly, absolutely. It is important that the surgeon pays particular attention to the angle at which they are creating the recipient sites for each individual follicle to be placed because this will dictate not only the shape of the eventual eyebrows but also the density of the transplanted hairs and most importantly the direction in which the hairs eventually grow. Particularly with the “head” of the eyebrow toward the bridge of the nose, it is important that the hairs typically grow more vertically and of course very close to the skin instead of perpendicular to the skin. As we get closer and closer to the “tail” of the eyebrow, then it is important for them to grow more toward the ears.
HOW SOON CAN I RETURN TO WORK?
In general, you can return to work immediately three days after the procedure. However, you may want to wait five to seven days for most if not all of the signs that you had the procedure done to disappear.
Why choose Dr. Epstein
- Dr. Epstein first attended Swarthmore College, then moved on to medical training at the University of Vermont College of Medicine.
- Trained in head and neck surgery/ear, nose, and throat at the University of Miami/Jackson Memorial Hospital, earning a fellowship from the American Academy of Facial Plastic and Reconstructive Surgery during this time.
- Then trained in the San Francisco Bay area and was awarded the Jack Anderson Memorial Award for achieving the highest score in the nation on his board exams.
- Has been recognized for many years as one of the Best Surgeons in America, and he has been continuously listed for years in Castle Connelly’s Top Doctor Guide, an unbiased rating of doctors in many different specialties.
- Founder and Director of the Foundation for Hair Restoration and Plastic Surgery.
- Unusual for his field, Dr. Epstein holds triple board certifications in the fields of hair restoration, facial plastic surgery, and otolaryngology (head and neck surgery), and is a Fellow of the International Society of Hair Restoration Surgery.
- He is an Assistant Clinical Professor at the University of Miami, a Fellow of the American College of Surgeons, and was previously the President of the Florida Society of Facial Plastic and Reconstructive Surgery.
- To give back to the community, Dr. Epstein provides pro bono reconstructive surgery to children, veterans, and other people in need.