How to treat eyebrow mites? - briefly
Apply a topical acaricide—such as permethrin 5 % cream or a tea‑tree‑oil shampoo—to the eyebrows and rinse after the recommended time. If irritation persists, consult a dermatologist for prescription treatment.
How to treat eyebrow mites? - in detail
Eyebrow mite infestation can be eliminated through a combination of topical agents, systemic medication, and strict hygiene practices.
First, confirm the presence of Demodex folliculorum or Demodex brevis by microscopic examination of lashes or skin scrapings. Accurate diagnosis prevents unnecessary treatments.
Topical options:
- 0.5 % ivermectin cream applied twice daily for 2–4 weeks reduces mite count and alleviates inflammation.
- 5 % tea tree oil diluted with carrier oil, used once daily, exhibits acaricidal activity; avoid undiluted oil to prevent irritation.
- 2.5 % benzoyl peroxide gel applied once nightly eliminates mites and clears secondary bacterial overgrowth.
- 1 % metronidazole gel, twice daily, controls accompanying rosacea‑like redness.
Systemic therapy:
- Oral ivermectin 200 µg/kg single dose, repeated after one week, is effective for severe or refractory cases.
- Albendazole 400 mg daily for three days can be considered when oral ivermectin is contraindicated.
Supportive measures:
- Cleanse the eyebrow area with a mild, non‑comedogenic cleanser twice daily.
- Use a soft brush or clean cotton swab to gently remove debris from each hair shaft after cleansing.
- Replace pillowcases, towels, and makeup applicators weekly; wash them in hot water (≥60 °C) to kill residual mites.
- Avoid oily cosmetics and heavy creams that create a favorable environment for mite proliferation.
- Maintain a balanced diet rich in omega‑3 fatty acids, which may help modulate skin inflammation.
Follow‑up:
- Re‑examine the area after 4 weeks; if microscopic counts remain elevated, repeat topical treatment for an additional 2 weeks or consider a second oral ivermectin dose.
- Document symptom resolution and any adverse reactions to adjust the regimen promptly.
By integrating targeted pharmacologic agents with rigorous cleaning protocols, complete eradication of eyebrow mites can be achieved.