Eyebrow Baldness

Dear Doctor,
I’m a 41-year old female and in the last six months my eyebrows started falling out to the point of almost complete “eyebrow baldness” (I don’t wax or tweeze them, so that’s not it). The dermatologist I saw did a scalp test and that was all fine and bloodwork done revealed nothing abnormal. He has prescribed twice-a-day application of topical Clobex. Does that sound like it’s on the right track of proper treatment? What about those “eyebrow growth stimulator” lotions I’ve heard about. Are they worth trying?

Thanks for your time and have a great day. Kind regards

Clobex is a topical steroid, so I would ask your prescribing physician what the working diagnosis is. Biotin deficiency has been strongly linked to hair loss and, when severe, can even lead to loss of the eyebrows and lashes. Deficiency is rare, but can be caused by excessive consumption of raw eggs, which contain high levels of the protein avidin, which binds biotin strongly. Biotin can be taken orally.

Another diagnosis that needs to be ruled out is alopecia areata, and a biopsy may be indicated for this. The Internet is not a place for a comprehensive review of your problem, but your doctor should be able to go over this with you if he spends the right amount of time, as I do with every patient I see.