Eyebrow Reconstruction in Dormant Keratosis Pilaris Atrophicans

The document reports a successful case of eyebrow reconstruction in a 33-year-old man with dormant keratosis pilaris atrophicans, a benign hereditary disorder that leads to scarring and alopecia of the eyebrows. The patient had experienced relapsing-remitting symptoms since infancy, with significant eyebrow hair loss during adolescence. Prior to surgery, he was treated for mild ongoing inflammation with topical pimecrolimus cream. The reconstruction was achieved using individual hair follicle micrografts from the occipital scalp, with 100 grafts transplanted into each eyebrow initially, followed by an additional 50 grafts later to increase density. The patient showed no complications and was satisfied with the cosmetic outcome at the 4-year follow-up. This case is presented as the first of its kind and suggests that micrografting can be a successful treatment for eyebrow restoration in patients with dormant inflammatory cutaneous disease, although further studies with larger patient cohorts are needed to confirm these findings.