This 50 yr old man’s pet dog decided to have this man’s eyebrow for breakfast. A large chunk of his left eyebrow was bitten off and swallowed by the dog. This poor guy landed at the hospital along with his very loved dog. The tissue was obviously lost but the man had no ill feelings for the dog.
The Eyebrow is a unique facial aesthetic unit and it’s importance to the face is apparent only when it is disfigured with loss of the hair bearing skin like in this case. Likewise, reconstruction of the eyebrow is challenging because the thickness and direction of the eyebrow hair which is unique and not easy to replicate with hair transplants from other hair bearing areas. Fortunately for this patient we could achieve an optimum result.
Pic 1- The patient at presentation (above) and 6 months later (below). With close follow up, good post-operative scar-management and lots of hand-holding- an aesthetically beautiful outcome was achieved. The patient is happy, the dog is still the darling of the family and the surgeon is super thrilled to this day. 🧔🐕👨⚕️
Pic 2: Swipe on the above instagram post to see the steps of the Reconstruction Surgery (viewer discretion advised)
On careful examination of the wound site, the lateral end of the hairy eyebrow was remaining. I used a surgical technique called “island flap” to mobilise the hair bearing skin medially. The island flap involves the base of the flap being attached- thus maintaining blood supply to the flap while covering the middle portion of the eyebrow with hair bearing skin. Two advancement flaps one medially and one superiorly to supplement the island flap was done to complete the reconstruction.
DR. RAGHURAJ HEGDE 