Microblading for Alopecia: What to Expect

Microblading for alopecia can recreate the appearance of eyebrows. However, results vary based on skin condition, hair loss stability, and long-term maintenance needs. Understanding safety considerations, realistic results, and ongoing care is essential before deciding if this option is right for you.

In this guide, you will learn how the process works, what results can realistically look like, safety considerations, maintenance expectations, alternative options, and who may benefit most from this treatment. 

If you have questions or want a professional assessment, contact Alternative Laser Health at (905) 451-4545, or send us a photo for a free consultation. We’re located at 37 Dundas Street West, Mississauga, ON.

Can Microblading Help With Alopecia?

Microblading helps with alopecia by recreating the appearance of eyebrows where hair has thinned or stopped growing. Alopecia is a condition that causes partial or complete hair loss and can affect the eyebrows, resulting in patchy areas or total brow loss.

This technique works by placing pigment into the upper layers of the skin using fine, hair-like strokes that mimic natural brow hairs. While it does not restore hair growth, it can improve symmetry, shape, and definition when hair loss is stable. Results vary based on skin condition, sensitivity, and how well it holds pigment. 

Types of Alopecia and Brow Loss

Below are the types of Alopecia:

Alopecia Areata

Alopecia areata is an autoimmune condition that affects about 2% of the population at some point in their lifetime. It causes the immune system to target hair follicles, leading to sudden, patchy hair loss that can involve the eyebrows as well as the scalp. Microblading for alopecia areata can help restore the appearance of eyebrows when hair loss is stable and skin is healthy. 

Alopecia Totalis and Universalis

Alopecia totalis and alopecia universalis are advanced forms of autoimmune hair loss that result in the complete loss of scalp hair (totalis) or all body hair (universalis), including the eyebrows. Because there is no natural brow hair to blend with, the treatment results depend entirely on pigment placement and skin response. However, you may require more frequent maintenance due to the absence of natural hair support.

Trichotillomania

Trichotillomania is a compulsive hair-pulling disorder that can lead to thinning or complete loss of eyebrow hair. It affects up to 2% of the population and may cause uneven or patchy brow loss over time. We offer microblading for trichotillomania when the pulling behavior is well-controlled. However, results depend on skin condition and the likelihood of ongoing pulling, as repeated trauma can affect healing and pigment retention.

Scarring Alopecia

Scarring alopecia occurs when inflammation, injury, burns, surgery, or medical treatments permanently damage hair follicles and replace them with scar tissue. This results in permanent hair loss, including the eyebrows. In some cases, cosmetic brow treatments can help improve the appearance of brows by adding definition to areas where hair no longer grows. Suitability depends on scar depth, skin texture, and circulation. 

What Results Can Look Like

Results vary depending on skin condition, the type of hair loss, and how well the skin holds pigment. When natural brow hair is present, the results are more blended and realistic. In cases of complete hair loss, the appearance is created entirely through pigment and may look softer or more powder-like over time.

The colours are usually darker after the treatment and gradually fade during the healing period. You will see an improvement in your eyebrows within a few weeks. However, outcomes are cosmetic and do not restore hair growth.

Is Microblading Safe With Alopecia?

It can be safe for people with alopecia, but microblading sensitivity considerations are especially important. Autoimmune-related hair loss can make the skin more reactive, fragile, or prone to irritation, which may affect healing and pigment retention.

We recommend getting a consultation with our eyebrow specialists to determine whether treatment should be postponed or avoided.

Microblading Contraindications for Alopecia

We don’t recommend microblading when there is:

• Active hair loss

• Inflamed, irritated, or broken skin in the brow area

• Open wounds, infections, or skin conditions affecting healing

• Recent use of medications that significantly thin the blood (without medical approval)

• Severe skin sensitivity or a history of poor wound healing

• Significant scarring that limits circulation or pigment retention

• Autoimmune conditions that are not well-controlled

Microblading Maintenance for Alopecia 

Below is how to maintain your microblading:

• Expect the first touch-up once healing is complete, usually within 4–8 weeks

• Plan for maintenance appointments every 6–12 months, depending on skin response and pigment retention

• Fading may occur sooner when there is little or no natural brow hair to support the pigment

• Protect the brow area from sun exposure to slow colour fading

• Avoid exfoliating or active skincare products near the brows once healed

• Keep the skin hydrated using gentle, approved products

• Schedule maintenance only when the skin is calm and free from active irritation or flare-ups

Microblading vs Powder Brows for Alopecia

Below is a table comparison of microblading and powder brows:

Feature	Microblading	Powder Brows
Technique	Hand-drawn, hair-like strokes	Soft shading using a machine
Best for	Partial brow loss with some hair present	Extensive or complete brow loss
Look	Individual hair strokes	Filled-in, makeup-like finish
Blending with natural hair	Easier when some brow hair exists	Does not rely on natural hair
Longevity	May fade faster without hair support	Often lasts longer and fades more evenly
Skin sensitivity	May be less suitable for very sensitive skin	Often better tolerated on sensitive skin
Maintenance	Touch-ups may be needed more frequently	Typically requires fewer touch-ups
Consistency	It can vary if skin heals unevenly	More uniform results over time

Who Should Consider Microblading for Alopecia?

This option may be suitable for people who:

• Have stable eyebrow hair loss with no recent flare-ups

• Have healthy, intact skin without active inflammation or irritation

• Want a defined brow shape without daily makeup application

• Understand that results are cosmetic and require ongoing maintenance

• Are comfortable scheduling touch-ups to maintain colour and shape

Schedule a Consultation to Discuss Your Treatment Options

If you’re considering treatment or want expert guidance, contact Alternative Laser Health at (905) 451-4545, or send us a photo for a free consultation. Our eyebrow specialists will review your skin, discuss realistic outcomes, and help you decide on the safest next step. We are located at 37 Dundas Street West, Mississauga, ON.

FAQs

What tool is used during the microblading procedure?

A handheld tool with fine needles is used to deposit pigment in controlled, hair-like strokes. This tool allows for precise placement and natural-looking results.

Are there any other cosmetic techniques better for complete eyebrow loss?

Some cosmetic techniques, such as powder brows, can provide more consistent results when there is little or no natural hair present. A consultation helps determine which option is most suitable.

Is microblading safe for people with eyebrow hair loss?

Microblading can be safe when hair loss is stable, and there is no active irritation or inflammation. A consultation is necessary to assess sensitivity, medical history, and suitability before treatment.

What is the most common cause of eyebrow hair loss?

The most common causes include autoimmune conditions, hormonal changes, stress, and repeated trauma such as over-plucking or hair pulling. Identifying the cause helps determine whether cosmetic treatment is appropriate.

Can eyebrows grow back after microblading?

Microblading does not prevent natural regrowth if hair follicles are still active. If the underlying cause of hair loss resolves, eyebrow hair may return over time.