What to Do If You Lose Your Eyelashes During Chemotherapy

The prospect of losing your hair can be overwhelming enough when undergoing chemotherapy, let alone hearing from your healthcare provider that may lose your eyelashes, as well.

Eyelashes are an important feature for most people, particularly women. They frame the eyes and, as with all hair, can be central to a person's self-image and sense of self-esteem.

Fake Eyelashes in a box
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Losing Eyelashes During Chemotherapy

Hair loss (alopecia) is a ​common side effect of chemotherapy and isn't just limited to the hair on your head. It is not uncommon to experience hair loss on one's legs, arms, pubic hair, eyebrows, and, yes, even the eyelashes.

It's important to remember, though, that not everyone undergoing treatment will lose their hair. Each person responds differently to chemo, with some classes of the drug more likely to cause hair loss than others. The drug dose itself can also be a factor, with lower doses often resulting in less lost hair.

The problem with losing your eyelashes is that it is not always easy to conceal if you want or need to. You may be able to cover your head quickly with a wig or a cap; false eyelashes are not so simple (and not a viable option for many men).

Even more bothersome is the fact that eyelashes often do not fall out until well after chemotherapy has been completed. Moreover, some will experience the thinning or shortening of lashes rather than a complete loss, while others will go through recurring cycles of loss and regrowth.

Simple Tips for Thicker Eyelashes 

Even if you don't lose your eyelashes during chemo, you will likely find that they'll be pretty delicate. Those who do lose them will often find that the regrown lashes are fine, prone to breakage, or visibly sparse.

Reducing Eyelash Loss

To help minimize the loss of your lashes:

  • Refrain from rubbing your eyes (or patting your lashes to see if they are still there).
  • Use a cotton ball and a natural eye makeup remover to gently wipe any makeup from your eyes.
  • Avoid heavy mascaras, especially waterproof ones or those that require warm water to remove. These can be too harsh on delicate lashes.

False Eyelashes

False eyelashes are an option that many consider but check with your healthcare provider before using them. There is always a risk of infection when using these products, and it's possible to have an allergic reaction to the glue. 

False eyelashes are available at most drugstores and cosmetic counters, costing anywhere from $3 to $100 a pair. Before putting them on, you should always spot test the glue on the inside of your arm to confirm whether or not you have an allergy.

If you have not used false eyelashes before, they can be a little tricky. This is especially true if you have no real eyelashes on which to situate the false ones. In this case, you may want to speak with someone at the cosmetic counter who can give you tips or even apply them for you.

Pharmaceutical Options for Growth Promotion

A newer, topical treatment may help you re-grow your lashes. Latisse (bimatoprost ophthalmic solution) is an FDA-approved product used to stimulate eyelash growth and darkening. It is applied topically to the base of the lashes each night. Results can vary and are typically seen after eight weeks of use.

As with the false eyelashes, you should check with your healthcare provider or oncologist before use and always do a spot check on your arm. Insurance may cover the cost of Latisse but will most often require a pre-authorization letter or phone call from your practitioner.

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3 Sources
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  1. Rossi A, Fortuna MC, Caro G, et al. Chemotherapy-induced alopecia management: Clinical experience and practical adviceJ Cosmet Dermatol. 2017;16(4):537–541. doi:10.1111/jocd.12308

  2. Kim YJ, Chung JK. Bilateral Eyelid Contact Dermatitis and Toxic Conjunctivitis due to Acrylate-Containing GlueAnn Dermatol. 2014;26(4):543–544. doi:10.5021/ad.2014.26.4.543

  3. Allergan, Inc. LATISSE: Highlights of Prescribing Information.