Eyebrow Reconstruction By Dr. U For A Teen With A Congenital Nevus

The Hair Peace Foundation recognizes that hair transplant surgery can mark a pivotal new chapter in the lives of certain individuals struggling with extremely severe forms of cosmetic disfigurement. On behalf of the organization, founder, Sanusi Umar MD accepted a new pro-bono opportunity to perform an eyebrow reconstruction for a young man with a large facial congenital nevus.

The Effects of a Congenital Nevus on  Childhood and Self Esteem

A congenital nevus results when melanocytes (which are benign pigment-containing cells) multiply rapidly forming very noticeable and dark patches of skin. These regions can be either raised or flat. About 1% of newborns throughout the world are affected by this condition. In 15% of these instances, the congenital nevus occurs on the head and/or neck, as in this particular patient.

In most cases, having a large facial mole does not adversely affect one’s health. However, it can have a devastating impact on a person’s emotions, psychology, and overall self-esteem. Children often feel like they don’t fit in. They typically experience being constantly stared at. In worse cases, they can also be made fun of or bullied. Surprisingly, support organizations like report that even adults can be the perpetrators of insensitive, hurtful words or actions.

Our physical appearances largely affect how other people perceive us which in turn impacts our confidence. Individuals with noticeable birth defects are given a unique learning experience to cultivate a solid sense of self and worth, from within, despite looking very different. While this builds enormous inner strength, patients like this young man still have a yearning to fit in and feel like everyone else.

Dr. Umar’s Eyebrow Transplant with Leg Hair Reconstructs A New Right Eyebrow From Ground Zero

This patient was born with a congenital nevus covering much of the right side of his face.

Patient with congenital nevus on face as a small child.
Patient with congenital nevus on face as a small child.

He underwent plastic surgery which positioned a skin graft from the beard area to replace the dark patches of skin. However, this procedure left him without a right eyebrow, up until his late teens when he met Dr.Umar.

Plastic surgery to remove the congenital nevus above the eye removed the right eyebrow. Dr. Umar's eyebrow reconstruction with leg hair offers the promise of creating a new brow that resembles the left side.
Plastic surgery to remove the congenital nevus above the eye removed the right eyebrow. Dr. Umar’s eyebrow reconstruction with leg hair offers the promise of creating a new brow that resembles the left side.

Dr. Umar is the first hair transplant surgeon in the world to perform eyebrow restoration using leg hair, using specialized technology that he invented to safely remove body hair follicles. This procedure was published in the highly esteemed medical journal, Plastic and Reconstructive Surgery-Global Open.

Unlike head hair, which is very thick and grows indefinitely, leg hair is a far more accurate match for eyebrow hair. Also, it is able to remain at a short length. These characteristics of leg hair were extremely important for this patient’s case, as the chief goal was to reconstruct the right eyebrow from a bare surface so that it would mirror the left one. This is quite different from most other eyebrow transplant procedures where patients with sparse brows on both sides strive for better density and definition.

Laser Hair Removal for Patient’s Right Cheek

The skin graft taken from the patient’s beard region achieved a more normal looking skin coloration. However, as he reached adolescence, thick beard hair started to grow on his right cheek.

Prior to the eyebrow transplantation, Dr.Umar permanently removed the hairs with laser treatment.

The Dr.UGraft ™ Hair Transplant Device for Leg and Body Hair Extractions

Leg and body hair grows at very sharp angles whereas head hair emerges from the scalp, closer to ninety degrees. The highly acute configuration of non-head hair cannot be addressed with conventional punch tools without the risk of severing the follicle.

Also, leg and body donor surfaces receive more exposure as most people like to wear shorts, short sleeves and swimwear. They don’t receive the level of concealment offered by regular head hair.

Dr. Umar’s patented invention, the Dr.UPunch i™ is uniquely engineered to safely extract all types of hair angles, leaving behind no noticeable redness or scarring.

This special tool offered this patient the promise of a very accurately constructed right eyebrow. Additionally, his surgery would leave his leg donor region looking virtually untouched, as it did prior to surgery.

Here are before and after photos of the patient’s eyebrow transplant with leg hair, performed by Dr. Umar.

Patient before and after right eyebrow reconstruction with leg hair
Patient before and after right eyebrow reconstruction with leg hair.*

The use of leg hair grafts allowed the thickness of hair on the left and right sides to closely match. Also, Dr. Umar carefully inserted the follicles to resemble the growth patterns and length of the left eyebrow.

Dr. Umar’s Eyebrow Reconstruction  Marks a Pivotal Turning Point in Teen’s Life

Thanks to this highly specialized eyebrow transplant procedure using leg hair, this patient no longer has to feel self-conscious about having just one eyebrow. At his age, individuals are continuing to learn how to relate to others, forming crucial and lasting emotional patterns.

With two eyebrows, this patient is able to feel much more like everyone else, giving him far greater social confidence to interact with his peers.

Next Hair Transplantation Steps

Dr. Umar and this young man are now discussing plans to construct sideburns on the right side of the face.

The Hair Peace Foundation feels honored to have helped this patient embark on a brand new chapter in his life through the right type of eyebrow reconstruction.  Hair transplant surgery, in general, is often regarded as a nice-to-have. But, as this story shows, it can profoundly liberate a person on an emotional level and how they experience the world. We hope to bring more light to such stories, not only to share the make-over side of these experiences but also as reminders for us all to be compassionately aware of the humanity within each and every person we come across.

The Hair Peace Foundation is delighted and honored to help our pro bono candidates for hair transplant surgery embark on brand new chapters in their lives.
The Hair Peace Foundation is delighted and honored to help our pro bono candidates for hair transplant surgery embark on brand new chapters in their lives.

Frequently Asked Questions – Eyebrow Reconstruction and Hair Transplant Surgery

How does the Hair Peace Foundation select pro bono candidates for hair transplant surgery?

The Hair Peace Foundation has a board of advisors whose members consist of hair restoration doctors and previous patients who select candidates on the basis of financial need and the extent of cosmetic damage they face. Upon selection, the candidates are then referred to an appropriate specialist within the Hair Peace Foundation’s network of hair transplant surgeons.

Besides leg hair, what other hair grafts can be used for brow transplantation or eyebrow reconstruction? 

Any area of the body which produces fine hair, resembling brow hair, may be used as grafts for eyebrow transplant surgery. Nape hair, armpit hair and even pubic hair can be considered for donor follicles. With the versatility offered by the Dr.UPunch i™, patients can often choose their area of preference.

Are procedures using the Dr.UPunch i ™ only available at Dr. Umar’s clinic?

The Dr.UPunch i ™ (as well as other devices in the Dr.UGraft™ advanced FUE hair transplant system) is being offered to surgeons across the globe. These capabilities of these devices are in the process of becoming widely available to patients.

Continue reading “Eyebrow Reconstruction By Dr. U For A Teen With A Congenital Nevus”

Welcome to Our Forum

Our goal is to help people who are suffering from severe, traumatic hair loss caused by accidents, disease or extreme botched hair transplant surgeries. We understand how crippling to your self-esteem hair loss can be in general, and even more when it is the result of a traumatic event. We want to help you get back on the path to confidence.

If you think we can help, please contact us. We are waiting to hear your story.

If you would like to donate your skills as a provider or volunteer, please contact us.


– The Hair Peace Foundation Team

Bill’s Story

”Any time you have an opportunity to make a difference in this world and you don’t, then you are wasting your time on Earth.”
– Roberto Clemente

First of all, let me say I am someone who has, for over thirty years, dealt with the anguish and shame of a hair transplant gone wrong. But before I elaborate on that decades long experience, I must share the other part of me.

I have traveled around the world for years and talked with people like Mother Teresa, the Dalai Lama and Billy Graham about the meaning of life and written three books about it. I couldn’t help but learn a few things, and the main thing I learned is that benefiting others changes the world for the better. Just imagine what kind of world we would live in if instead of trying to get as much as we each could from each other, we instead spent our time trying to benefit others?

Our client Bill, with His Holiness, the Dalai Lama
Our client Bill, with His Holiness, the Dalai Lama

Another truth that I’ve learned about being human is that we each have two hearts. I recently read a short book about Mother Teresa titled, “I Loved Jesus in the Night.” In it she talks about her decade’s long struggle with her two hearts: one that is divine and filled with spiritual joy, and the other, her very human heart that was often filled with darkness and emptiness. Besides having to live with both these experiences, Mother Teresa felt the hypocrisy of outwardly being a role model to many who lived in a spiritual darkness and saw her (Mother Teresa) as a joyful, shining example of spiritual attainment, while within her own heart she often felt dark and void of happiness. I recount Mother Teresa’s struggle because her struggle has very much been my own as perhaps it has been yours. I, like Mother Teresa (and perhaps yourself), had developed some spiritual and religious progress throughout my life while much to my surprise, still retaining some of my very human desires, fears and frailties.

To make a long story short, both my parents died when I was twelve years old. They died six months apart and I had the unfortunate (or fortunate depending on where you’re standing) of being present when they unexpectedly died.  Of course it threw me into a psychological and spiritual turmoil, and as I moved through my teenage years I craved attention and acceptance from the world and the people around me. Television became my teacher and it taught me a “fake truth.” I call it “fake” and a “truth” because it is true and yet it’s ultimately fake or at best limited. Television tells us that if we look and act like the people on tv, we will be happy.  So like many others of my generation, I grew up imitating those people on tv. I tried to look and act perfect in order for people to love me. The truth of this is that many people will love or accept us more if we look perfect, but it’s a fake truth because ultimately our real happiness is going to come from what is within us and not from without.

Now let’s fast forward to my being eighteen years old and my hair is falling out faster than you can say, “androgenic alopecia.” Since my self esteem was based mainly on being accepted by the world, I got depressed (especially when all the bald jokes started coming my way). I went to a psychologist who had worked in Hollywood for years, “I saw many movie stars as clients,” she told me, “and when they started losing their looks—they became depressed because they were afraid of losing their fans. You’re like that, you see people as fans.”

But she (my psychologist) immediately suggested a hair transplant, and so at the age of twenty years old, I started my hair transplant journey. And this fact together with the dark, painful and comedic disasters that followed that decision also bring up another truth I’ve learned about life: whenever you’ve done something that may have been stupid and ended up causing you endless amounts of pain—you must make use of it! And the way to use it, to transform it from a stupid, shameful and regrettably selfish and wasteful time of your life into something life giving and divinely inspired is to share it; to offer it to those around you so that they may avoid the mistake you made, and if they can’t avoid the mistake you made—at least by sharing your experience you have a chance to help others not feel alone in their time of struggle while possibly providing them with the information that will help them find their way out.

In my book “Tying Rocks to Clouds” I wrote about my hair transplant experience in the chapter titled, “My Greatest Teacher.”

“It seems like a lifetime since I returned the hat, but it was only seven years ago. I returned it to Dave, who had taken it from a lost and found box at school.

It was a common plaid English cap, but for me, it was a special hat. I hid behind that hat for three years. It hid my pain. During the three years I wore that hat, I never took it off when there was another person in the room. Even now, I remember the agony, the pain, the self-hate,the isolation.

I wore the hat because of a bad hair transplant I got when I was twenty years old. A hair transplant was a lengthy process thirty years ago. Over the course of a year, I visited a plastic surgeon once a month. At each visit, he transplanted hair from one region of my scalp to another, which is a nice way of saying he drilled holes in my head the size of pencil erasers and replaced the empty pits with hair grafts taken from other parts of my head.

“Before you know it,” the Doctor said, “the hair will be hanging in your eyes.” I clung desperately to that hope, which supported me until it slowly dissolved, leaving me alone with a self I hated.

Even now, it is hard for me to believe how far gone I was. I was “done,” as I sometimes say. I was like one of those clowns who has painted himself into a corner— I had nowhere to turn.

Day and night I walked around with that hat on, afraid to let people see me without it. I remember the absolute loneliness I felt while sitting in the plastic surgeon’s office after he had drilled holes in my head. I could feel the drill against my head, hear and feel the tendons and skin ripping. I smelled the skin burning from the drill. I even felt the drill against my skull—when it would move no longer.

Once, the doctor left the room after the drilling and cutting. The blood trickled down my cheek. The office door was ajar, and a couple walked by and poked their heads into the office to ask for directions. They saw me. I was humiliated, yet I sat there and managed to smile through my wincing and tense face. Afterward, I left his office wishing I were invisible, that I didn’t exist. But I did exist, and I hated myself for it. I hated existence.

I lived alone while the plastic surgery was being done. I was fortunate to have saved enough money so I didn’t have to work. I spent a lot of time thinking. I figured that after the hair transplant was done, I’d go back to being who I was, as though nothing had happened, probably without telling my friends about what had happened.

Gradually I realized that the hair transplant wasn’t working the way I thought it would. And now, at the age of twenty I didn’t just have my baldness to be ashamed of, but I had a mangled hairline that looked like tufts of doll’s hair sticking out together with scars that were scattered around the back of my head. My poetry spoke of my deepest despair:

Its walls are woven of darkness and oak,
the floors of loneliness and mire.
The roof is a rhyme, lulling to sleep;
the door is but a liar.

Born of songs that eternally weep;
its veins are poisons that claw and seep.

Come lie within me;
hide from tomorrow today.
Feel my darkness within your soul,
and never wander astray.

I began to have fantasies about dying because I never thought I could be happy again. I didn’t want to commit suicide, but each night when I went to bed, I prayed that my life would end. Sometimes I lay in bed wishing I were dead. I even imagined myself as a corpse, leaving the world and its troubles behind. I thought it might be possible to die by letting go of my connection to the body, emotions, and thoughts. Detachment from my body, emotions, and thoughts was made even easier when I saw I had suffered because of possessing those three things. Maybe without attachment to them, I would stop breathing and disperse, and there would be nothing left of me.

I had that fantasy many times. Sometimes, the room grew dark, even though my eyes were open. There was always a hope of dying. I started to enjoy the feeling of well-being the fantasy gave me. I felt light and ecstatic. After the fantasy was over, however, I was distraught at finding my problems hadn’t gone away.

One day, while experiencing the fantasy, I found myself in a deep place. My sense of body or self had faded away. There was darkness all around, and I felt as though I barely existed. Suddenly, a golden light enveloped me. A Presence was there in the darkness with me and it was unconditionally loving.  I recognized that this Presence was connected with God and then I asked my first question of what was to be the beginning of a new life.

“God, why the hell are you screwing me over in life? I’ve tried to do everything right, and here I am at the age of twenty and I just want to die!”

“If you sincerely try,” the voice said, “we will show you.”

After that experience, I started to come out of my depression. Each time I encountered a fear, I just remembered that loving Presence and then I was filled with the courage to walk through the fear. After three years, however, I still wore my hat.

Even now, I often wonder how I avoided the insanity I wrote about.

Death without dying,
hurting without pain.
Art thou crazed,
perhaps insane?

In the summer heat, I wore the hat to hide my head, and since I thought a hat looked weird with a T-shirt, I wore a jacket. I thought my head would be less noticeable with a hat on it and the hat less noticeable with a jacket. I smoked a lot of marijuana in order to forget why I wore the jacket. One deception after another, designed to hide from myself.

I used to lift weights a lot at a local gym. Since I couldn’t work out with my hat on, I wore a bandanna. One day a guy said, “I wish I was more like you.”

“Why is that?”

“Because you dress any way you want. You don’t care what people think about you. I would be afraid to wear a bandanna like the one you wear. People might make fun of me.”

I was filled with a kind of horror at the pitiful irony of what he had said. After three years, I knew it was time to stop wearing my hat. I began to go for walks at night without my hat. In the darkness, no one could see me, and I could gradually learn to feel comfortable without it. Feeling the night breeze on my head was a new sensation. I felt elated and scared at the same time. I felt I was alive again.

I had recently moved into a house I shared with five friends. One day, I decided to let them see me without my hat. I gathered my courage at the bottom of the basement stairs and climbed the stairs after remembering the Presence I had experienced years before. I was afraid, but I was tired of being afraid, and it was time for it to end.

“Morning, Bill.”

“Hi, Bill.”

There were no stares. I don’t think they really noticed. After all this time, it was no big deal. Then I began to wonder . . . How many things are like that? Before we do them, they seem impossible. Afterward, it’s no big deal. How can anyone really understand the personal hells we must each go through? Perhaps the inner experience of shame and suffering is common to all, even though it appears in many guises and forms.”

Now I wish I could say everything was fine after those profound experiences thirty years ago, but it wasn’t. And that’s why I recounted the story about Mother Teresa having two hearts because I had had a life changing spiritual experience which had dramatically increased my “spiritual esteem,” but not necessarily my self esteem and every once in a while “the bad hair transplant thing” would still bother me. For the next three decades, I had to learn to ignore and let go of the stares or comments that people made about my doll’s hair hairline. There was the Nepali waiter twenty-five years ago who asked me about my hair transplant on my first date with a beautiful French woman when I lived in Nepal.

“Excuse me sir,” he said, “I see that you have a hair transplant. I was thinking of getting one. As you can see, “ he said while pointing to his head, “I am going bald and wonder how much does it cost?”

And there was the Kmart cashier from just five years ago who was ringing up my two sticks of deodorant, pack of Juicy Fruit and box of Q-tips when she said (loud enough for the other people in line to hear), “You gonna get anymore of those plugs?” There were three people in line behind me and I tried not to look at them as she continued talking, “because my boyfriend—he’s bald—and he was thinking about getting some plugs, but he’s got a nice round head, so he shaves it. So it looks good. So are you gonna get anymore?” I mumbled something, grabbed my bag and as I walked away she called to me, “Don’t you worry honey—you look fine anyway.”

And not that long ago, I took a class at the university, and a classmate told me that the two young women sitting behind me were pointing at the scars on the back of my head during class and sticking their fingers down their throats as though they were going to gag.

So for the last thirty years I’ve had to grin and bear it when it came to my hair. I’ve learned the fine art of caring less of what people think of me, even when they are talking to me and simultaneously staring at the top of my head. I could never fix or normalize the way my hair looked because all the donor hair from the sides and back of my head had been destroyed by the first hair transplant I had thirty years ago— back in the dark ages of hair transplants.

Years ago, a friend took me to a psychic. “Why did I have to go bald?” I asked her.

She went into a trance and smiled, “We have a saying here in the higher spiritual realm,” she said. “And it goes like this: sometimes God comes knocking at the front door and no one answers, so God goes to the back door and knocks and again no one answers. So God has to go in through the roof and when God does, God knocks off a few shingles.”

I had to laugh because as much as my bad hair transplant caused me angst, it was instrumental in changing my life for the better. It was the place where my life cracked open and I couldn’t be a fake person anymore. I became a better person, concerned with other’s well being and not just my own. Suffering will do that to a person—it develops compassion.

Then a couple years ago, a friend sent me a link to a website about new developments in hair transplantation. It turned out that there are several doctors in the world who are using body and beard hair to repair previously irreparable hair transplants. These new techniques are not just an antidote to baldness; they can dramatically change the appearance of those disfigured by accidental trauma.

So why am I telling you all this?  Recounting my hair transplant roller coaster ride—especially when it is so personal, and a bit embarrassing?

Because as Roberto Clemente said, “Any time you have an opportunity to make a difference in this world and you don’t, then you are wasting your time on Earth.”

I offer you this story because I hope to make a difference through my story, and in six months I will offer an update because Dr Umar, a member of the Hair Peace Foundation, is also someone who wants to make a difference in the world. He has offered to repair my previously irreparable hair transplant.  This brings me to the last of the things that I’ve learned that I will share with you today. We each have a unique way to benefit the world: it may be through offering our story, it may be through offering our surgical skills or it may be through offering something as simple, but as life changing as our kindness. What is most important is that we offer when the opportunity arises—and the opportunity is always arising right now.

Follicular Unit Extraction: Is Nape Hair Safe For Hair Transplant?

Follicular unit extraction (FUE) is a hair transplant technique that proffers many advantages over its major competitor, strip surgery. One of the greatest benefits of FUE is its ability to select and harvest donor hair beyond the confinements of the traditional linear strip. But this ability has also begun to raise questions amid the hair transplant patient community. In particular, a rise in the use of nape hair has become a cause for inquiry.

Dr. Umar, a world-leading follicular unit extraction practitioner, has become known throughout one such online patient community—the Hair Transplant Network—for his impressive FUE using nape hair. But with nape hair being outside the safe donor area (SDA), or the “safe zone,” people are asking:

  • Is nape hair okay to use for long-term graft survival?
  • Will nape hair fall out quicker than hair from the mid-rear scalp?
  • Will a transplant procedure using hair from the nape cause obvious scarring?


Anyone would hate to undergo a procedure transplanting nape hair, only to have that transplanted hair fall out a few years later. Patients want results that will not only look great, but will last. Dr. Umar addresses the above concerns, debunking the notion that nape hair is necessarily DHT susceptible. He states that, in most cases, nape hair is more resistant to the testosterone metabolite than hair in the areas of baldness. True, nape hair is not in the SDA; however many patients have been treated with enduring success using hair outside the SDA. This includes hair from the nape of the neck and behind the ears. The use of such donor follicles is especially idea for an individual with a more depleted donor source, for whom strip surgery is not an option anymore. Nape hair is also ideal for those seeking a softer, more natural-looking hairline due to its fine caliber. And in regard to scarring, any scars as a result of FUE are typically negligible no matter where the hair is extracted.

Ultimately, the choice to trust the use of non-SDA hair long-term comes down to the patient. Finer caliber hairs, such as those from the nape and legs (in body hair transplant, another subset of FUE), are growing in popularity as a resource for better hairline design and for eyebrow transplantation. Thus far, the long-term results have been promising.