Patients keep asking me about thinning eyebrows. Like hair on your head, eyebrows also tend to thin over time, making your eyes look smaller and more tired. When a patient comes to my office with thinning brows, the first thing I look at is the pattern of thinning. If the outer brows are thin, I check their thyroid, since low thyroid (and age) has been associated with thinning outer brows. If they have completely bald patches, it may be a sign of an autoimmune condition called alopecia areata, which may also affect the scalp and lashes. Over-tweezing can also cause eyebrow loss. When hair is repeatedly pulled out, the follicles are injured and may eventually develop scar tissue and stop growing hair. (So try to go longer between plucking sessions.)
Many of my patients with different types of eyebrow loss have had good results with Latisse, a prescription solution that grows lashes. It is not approved for growing brows and so its use is regarded as off label. However, some of the results so far have been noted to be excellent.
Small patches of hair loss can be filled in with brow pencil. Some of my patients have had their brows tattooed, otherwise known as permanent makeup. From what I’ve seen, the best results follow your natural browline, and are applied in short, hair-like strokes rather than a thick line. Ink can change color over time, so it may need to be retouched. A few of my patients have also had eyebrow transplants. This requires a very skilled surgeon and specialized technique to look natural.