Will I have significant fat loss occur around the orbital/eye socket area, resulting in a depression? No. This myth originates with the eye drop version of Bimatoprost, which was applied directly into the eye. There has been no recorded evidence of this occurring when used in its Latisse variation.
Fat atrophy caused by Latisse is appears to be reversible. If you see fat shrinkage that you find unattractive, you can stop using the Latisse and the process would be anticipated to gradually reverse. (Note use of "appears" and "anticipated").
Atrophy or loss of orbital and periorbital fat is an ageing process. This is often evident clinically as a deep superior sulcus defect and may result in enophthalmos. Orbital fat atrophy has been associated with other secondary causes such as orbital varix, orbital irradiation, scleroderma,1 and hemifacial atrophy.
There is no scientific evidence that shows that GrandeLASH-MD eyelash serum can cause orbital fat loss. That side effect is associated with prescription drug eyelash serums.
Bringing the fullness back into the orbit can be performed with injections of hyaluronic acid-based fillers such as Restylane or Juvederm or with fat grafting. Restylane and Juvederm offer a temporary correction as most fillers suitable for the orbit are resorbed by the body in 6 to 9 months.
The periorbital fat atrophy is most apparent with uniocular use and both doctors and patients need to be aware of this side effect before commencing treatment. The effects, however, appear to be reversible with treatment cessation.
Do the bags come back years later? Bags can return years later in some people as fat may return to the area as the skin becomes laxer there. However, this is not something that we typically see. Those that do see eye bags return do not experience until 15 or 20 years later.
“Noted in patients using medical Latisse form with the active ingredient for medical purposes and placing the product directly IN the eyes.” There is no evidence that I know of showing that if Latisse is used correctly (at the lash line) it has caused any problems with fat loss.
Exposure to the prostaglandin affects their metabolism, causing them to shrink. The shrinkage of the fat cells surrounding the eye causes enophthalmos—the eye becomes more sunken-in. The result is a deepening of the superior eye lid sulcus, while periorbital fat tissue seems to melt away.
If you stop using LATISSE® at any time, your eyelashes will return to their previous appearance over several weeks to months. Set your sights on growth. As the treatment progresses, you'll first begin to see changes in length. Then, gradually, you'll notice more thickness and darkness in your lashes.
Structural Fat Grafting for Upper Eyelids, Eyebrows, and Temples. Structural fat grafting is a procedure that harvests fat from an area or areas of your body and places it elsewhere. The procedure can be used on the upper eyelids, eyebrows, and temples to provide a more youthful appearance.
In conclusion, using MRI, we quantitatively showed that bimatoprost lowered the orbital fat volume and reduced the enophthalmos value. The enophthalmos could be caused by the bimatoprost-induced decrease in orbital fat.
Good candidates for eyelid rejuvenation with Latisse are:
Those with excessive upper eyelid skin with hooding.
Answer: Latisse forever
You may use it 3 nights a week for maintenance and darkness of the lashes. As to using Latisse indefinitely, as long as you have not experienced any of the Latisse side effects and you are using it as prescribed, then you should be able to continue using Latisse just as needed.
The loss of volume in the upper orbit is seen with all of the prostaglandin glaucoma drops but the effect is greatest for bimatoprost, the medication in Latisse. Studies suggest that as many as 50 to 60% of individual using prostaglandin glaucoma drops will develop deepening of the upper eyelid sulcus.
In addition to chronic irritation, Latisse has also been known to darken the eyelid skin and the iris color in people with light brown or hazel eyes, as well as potentially causing a “sunken eye” appearance by shrinking the layers of orbital fat around the eye socket.
The doctor went on to explain that although the loss of monolids may be appealing to some women, the use of the eyelash serums can often lead to asymmetrical loss of fat around their eyelids.
Wet a clean washcloth with cool water. While sitting up, apply the damp washcloth to the skin under and around your eyes for a few minutes using light pressure. Cut down on fluids before bedtime and limit salt in your diet. This will reduce the fluid retention that can cause bags under eyes.
Can Latisse Be Used on Lower Lashes? Dermatologists do not recommend using Latisse on lower lashes. Applying Latisse to areas beyond the upper lash line may cause excess hair growth in unwanted areas. For best results, Latisse should only be applied to your upper lash line.
Possible side effects. The most common side effects after using LATISSE® are an itching sensation in the eyes and/or eye redness, which were reported in approximately 4% of clinical trial patients. LATISSE® solution may cause other less common side effects which typically occur close to where LATISSE® is applied.
An under-eye fat transfer is a cosmetic procedure that uses fat from your body to fill in sunken, hollowed areas beneath your eyes. A fat transfer is a natural type of dermal filler. Your healthcare provider uses liposuction to draw fat cells out of your belly, hips or thighs.
Xanthelasma are yellowish-white lumps of fatty material accumulated under the skin on the inner parts of your upper and lower eyelids. The plaques contain lipids, or fats, including cholesterol, and usually appear symmetrically between your eyes and nose.
Fat repositioning involves using the fat that is in the lower eyelid and transferring it to this hollow line. This is often done by placing the fat in a pocket under the skin and muscle in the tear trough. This technique often reduces the hollows that patients complain about and have filler placed for.
Latisse is not approved for people under the age of 18. Also, it is not recommended for pregnant or breastfeeding women. Since this is a prescription drug, Latisse should not be used by anyone other than the person to whom it was prescribed. If you wear contact lenses, take them out before using Latisse.