Eyebrow Hair Loss: Causes, Solutions, and When to See a Doctor - Dermatology

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Eyebrow loss


Hello Doctor: Recently, I have noticed that my eyebrows have been falling out in large amounts, specifically the outer half.
It looks quite striking, and it has naturally affected my self-confidence.
Currently, I am using an eyebrow pencil to fill in the outer half to make it appear more natural.
Can you tell me why this is happening? Will my eyebrows grow back in the future? Do I need to see a doctor? Thank you! Hsinchu, Apple 4/9

pinggu, 30~39 year old female. Ask Date: 2002/04/09

Dr. Zheng Lizhen reply Dermatology


The causes of hair loss in the outer half of the eyebrows include alopecia areata, hypothyroidism, discoid lupus erythematosus, leprosy, among others.
Please consult a dermatologist for an examination.

Reply Date: 2002/04/09

More Info


Eyebrow hair loss can be a distressing issue, especially when it affects your confidence and self-image. Understanding the potential causes and solutions for eyebrow hair loss is essential for addressing the problem effectively.

Causes of Eyebrow Hair Loss
1. Alopecia Areata: This autoimmune condition can cause hair loss in patches, including the eyebrows. The immune system mistakenly attacks hair follicles, leading to hair loss. In some cases, the hair may regrow, but it can also lead to more extensive hair loss.

2. Hormonal Changes: Hormonal fluctuations, particularly in women, can lead to changes in hair growth patterns. Conditions such as polycystic ovary syndrome (PCOS) can cause hormonal imbalances that may affect eyebrow hair.

3. Nutritional Deficiencies: Lack of essential nutrients, such as vitamins A, C, D, E, and B vitamins, as well as minerals like zinc and iron, can contribute to hair loss. A well-balanced diet is crucial for maintaining healthy hair.

4. Skin Conditions: Conditions like eczema, psoriasis, or dermatitis can affect the skin around the eyebrows, leading to hair loss. Inflammation or irritation can disrupt the hair growth cycle.

5. Over-Plucking or Waxing: Frequent grooming practices, such as plucking or waxing, can damage hair follicles over time, leading to thinning or loss of eyebrow hair.

6. Stress: High levels of stress can lead to a condition known as telogen effluvium, where hair follicles enter a resting phase and hair falls out more easily. This can affect all body hair, including eyebrows.

7. Medical Conditions: Certain medical conditions, such as thyroid disorders or autoimmune diseases, can also lead to hair loss, including in the eyebrows.


Solutions for Eyebrow Hair Loss
1. Consult a Dermatologist: If you notice significant eyebrow hair loss, it’s essential to consult a dermatologist. They can help identify the underlying cause through a physical examination and possibly recommend blood tests or a biopsy if necessary.

2. Topical Treatments: Depending on the cause, treatments such as corticosteroids may be prescribed to reduce inflammation and promote hair regrowth. Minoxidil, a topical solution commonly used for scalp hair loss, has also been used off-label for eyebrow regrowth.

3. Nutritional Supplements: If nutritional deficiencies are identified, taking supplements or adjusting your diet to include more vitamins and minerals can help. Foods rich in omega-3 fatty acids, antioxidants, and proteins are beneficial for hair health.

4. Gentle Grooming Practices: Avoid over-plucking or harsh grooming methods. Instead, consider using a brow pencil or powder to fill in sparse areas while allowing the hair to regrow naturally.

5. Stress Management: Incorporating stress-reducing activities such as yoga, meditation, or regular exercise can help manage stress levels and potentially reduce hair loss.

6. Hair Growth Serums: Some over-the-counter products claim to promote hair growth. Look for those that contain ingredients known to support hair health, but consult with a dermatologist before starting any new treatment.


When to See a Doctor
If you notice sudden or patchy eyebrow hair loss, or if the hair does not seem to be regrowing after a few months, it is advisable to seek medical advice. A dermatologist can provide a proper diagnosis and tailor a treatment plan to your specific needs. Additionally, if you experience other symptoms, such as changes in skin texture or color, it’s essential to address these with a healthcare professional.

In conclusion, eyebrow hair loss can stem from various causes, and understanding these can help you find the right approach to treatment. While it may take time for hair to regrow, with the right care and professional guidance, you can improve the health of your eyebrows and regain your confidence.

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