Alopecia in eyebrows

What is it?

Madarosis, commonly known as eyebrow alopecia, is a term that refers to the partial or complete loss of the eyebrows. This affectation can also occur in the eyelashes, and responds to the name of ciliary madarosis.

This type of hair loss is a multifactorial disease, regardless of age, it can be related to the rhythm of life. Loss of eyebrows and eyelashes is almost always temporary. However, it is necessary to know the cause of it in order to carry out the most appropriate treatment.

In addition, it is important to note that it is not a disease in itself, but rather a symptom that alerts us to the presence of another pathology or condition such as:

  • Common alopecia, arerata or by extraction (hair removal)
  • Scars from trauma or burns
  • Fibrosing frontal alopecia
  • Inflammation or irritation of the skin in the area
  • Hormonal factors
  • Stress, pathological nervous state, or trichotillomania
  • Dermatitis, seborrheic dermatitis, or eczema (psoriasis)
  • Radiation therapy around the eye area
  • Chemotherapy
  • Hypothyroidism
  • Systemic lupus erythematosus
  • Immunodeficiency
  • Syphilis or leprosy (low incidence)

The hair of the eyebrows is finer and grows at a slower speed than that of the head, approximately one third of the speed compared to other areas. Therefore, hair loss on the eyebrows is visible for longer than hair loss.

However, we can compensate for this lack of hair through different techniques, and even use certain treatments to completely restore the eyebrows.

Who is affected?

It affects men and women indistinctly. Although historically it has always been a problem that has concerned women more, men are increasingly interested in this technique.


The first step to start treating baldness in this area is to establish the cause, since the loss of the eyebrows can be associated with other types of alopecia.

  • Medical treatments such as:
  1. Minoxidil (oral and topical minoxidil improves follicular growth by promoting blood flow and oxygen supply to the hair follicle).
  1. Prostanoids
  • Mesotherapy: using products that stimulate the follicle that stopped its regeneration phase and thus recover the hair.

And when the follicular loss is total and it is impossible to recover the hair of the eyebrows:

  • Hair graft with FUE technique: It is important to note that you have to be very careful with this area, since the design of the eyebrows is very particular and you have to achieve a shape that is respectful of the patient's facial anatomy and a natural result after the operation. . Also, the hair follicles should be angled so that the hair growth is the same as that of the natural eyebrows.