Intralesional treatments refer to injections directly into the skin affected by alopecia areata, such as the scalp or eyebrows. Dermatologists do not inject eyelids with steroid to regrow eyelashes – only an ophthalmologist (eye surgeon) can do this, and typically will not do it either as the risk may outweigh the benefit. Intralesional corticosteroid injections (triamcinolone acetonide/Kenalog) are the most commonly used. Patients can decrease the discomfort of these injections by applying numbing cream one hour before treatment. Patients usually receive injections every 4-6 weeks. The exact frequency of injections will be determined by your dermatologist.