I had a client come to me and i am pretty sure there is a thread on here somewhere if you do a search basically some alopecia sufferers still have lashes but may be very fine and sparse, my particular client had alopecia totalis (i think if i remember correctly) so didnt have any lashes so there was nothing to extend with the lash extensions, we did have fun trying lots of different strip lashes out though and after alot of practice she was able to get them very very close and they looked perfect so you could do something like this.