How can I stop my eyebrows hair loss? I have aloe alopecia also. How can I make my eyebrows grow back?

Question

Hello I have aloe alopecia my eyebrow are falling out. They are so bad that they are leaving bald spots! I'm 17 years old. I've went to the dermatologist many times but they don't seem to help. My parents have spent over $1000 in the dermatologist. I have tried rogain,pills,creams, and eyebrows injection but they don't work! I just don't know what to do anymore. If any dermatologist or doctor can help me by recommending me a treatment or something that will help me thanks.

Ariel Ostad, MD · Answer

Thank
you for your question, first thing is to have bloodwork and a full evaluation
to check a range of tests that may be affecting your alopecia. If you have had
any injections, there should be some hair growth. However, depending on the
strength of the injection, which can range from a mild to a strong medication
that will ultimately affect the growth of your eyebrows. Speak with your
dermatologist, after an analytical overview of your tests, and also ask about
the strength of the medication that was injected because that is important.

Ali Emre Karadeniz, MD · Answer

Bimatoprost is an ophthalmic solution that has shown to grow eyelashes as a side effect. There are also experiments on its use for hair loss but has not been approved yet. It may be tried on eyebrows although it is not approved for this application yet.

Jeff Donovan, MD, PhD · Answer

There are many reasons for eyebrow hair loss.  The assumption here is that you have alopecia areata. Alopecia areata of the brows can be challenging to treat. But a simple rule exisits- if you still have scalp hair (no alopecia areata in the scalp), there is still a high chance you'll experience regrowth to some degree. Here are a few general comments applicable to anyone with eyebrow hair loss from alopecia areata. 1. I always advise blood test for your thyroid levels ( a test called TSH). Vitamin B12 levels, iron levels (a test called ferritin) and vitamin D (a test called 25 hydroxy vitamin D) can also be considered. If any of these are abnormal - fix it!2. increasing the concentration of steroid injections in the brows. Steroid injections in the eyebrow is easy to do but many physicians worry about side effects such as causing a small indentation (the medical term is atrophy). There may be other long term risks as well. Short term, the risks are fairly low - a common error however is not injecting enough steroid or not injecting frequently enough (ie every 5 weeks)3. Sometimes a short 8 week course of steroid pills (called Prednisone) can be considered. This is not appropriate for everyone and there are a few short term side effects (sleep problems, mood changes, weight gain).  The most feared complication of Prednisone pills is a broken bone in the hip (called avascular necrosis). This is extremely rare with 8 weeks of pills. There is always a concern that once the pills are stopped in 8 weeks the hair will fall out again. This can occur but sometimes this 8 week boost is all that is needed to reset things and one can keep the eyebrow hair growing with Rogaine or steroid injections 4. Other treatments include immunosuppressive pills like methotrexate and sulfasalazine. These aren't for everyone and there are potential side effects of taking immunosuppressive pills. However, this small risk needs to be weighed against just how important eyebrows are. 5. Other options like diphencyprone and squaric acid be considered but unfortunately these are available in only a very very small proportion of centers in the USA and a small proportion of centres in Canada6. Another option would be the off label use of bimatoprost (which you may know more commonly as Latisse). Latisse is FDA approves for eyelash loss in those with thin eyelashes. It can help a small proportion of those with alopecia areata. Taken together, there are options. The frustrating thing about alopecia areata is it is unpredictable. But on the flip side - we can't always predict who will benefit from the treatments I outlined above. But many do!I sincerely hope some of this information proves helpful.

How can I stop my eyebrows hair loss? I have aloe alopecia also. How can I make my eyebrows grow back?

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How can I stop my eyebrows hair loss? I have aloe alopecia also. How can I make my eyebrows grow back?

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