Eyebrow loss with plugs firmly attached to the root - how can I treat this? (Photos)

Thank you for sharing your story and photos. I can feel how exhausting and disheartening this journey has been for you, and it’s completely understandable to feel overwhelmed after trying so many treatments with limited results.

From what you describe — eyebrow loss beginning in your teens, more than 75% gone, firm plugs at the roots, and recent scalp shedding — it sounds like you may have a scarring or inflammatory form of alopecia, such as frontal fibrosing alopecia (FFA) or another cicatricial alopecia. These conditions can be progressive, and early recognition is key to slowing further hair loss.

A few important points:

Firm plugs at the roots: This can indicate active inflammation at the follicle level. Treatments that reduce inflammation or immune-mediated damage are often necessary to stabilize hair loss.

Current therapy: Hydroxychloroquine is commonly used for inflammatory alopecias, but response can take several months and isn’t always complete. Monitoring by a dermatologist experienced in hair disorders is important.

Next steps:

Consider a scalp or eyebrow biopsy if not already done, to confirm the diagnosis and guide targeted therapy.

Treatments like topical or intralesional steroids, calcineurin inhibitors, or systemic anti-inflammatory agents may help slow progression.

Hair transplant or cosmetic solutions (microblading, permanent makeup) can be considered only once the disease is inactive, to prevent graft loss.

Supportive care, gentle skincare, and protecting remaining hairs from trauma are important.

I understand the emotional toll this has taken. Connecting with a dermatologist who specializes in hair loss and alopecia can help provide a clear plan and hope for management, even if regrowth is limited.

You’ve been incredibly thorough and proactive — the next step is getting the right specialist evaluation to protect what’s left and explore any treatment options safely.