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Why Can't I Apply Latisse to Lower Lid or Eyebrows?

Doctor Answers 27

Some may be good candidates for other uses of Latisse, others may not!

Latisse is bimatoprost, that is the same medication as the glaucoma drop, Lumigan that is formulated to lower the intraocular pressure. For many years, ophthalmologists have seen patients using Lumigan produce darker, thicker lashes. This is the basis of Allergan's repackaging of the same drug into Latisse.

So, Latisse will most certainly work to thicken and darken the eyebrow and and lower eyelid lashes.

However the caveat is that the skin will also become slightly red and have increased pigmenation in these areas as well. If you look at the photos on the Latisse website, you can see this increased redness and pigmentation. However, some may like this look, as it may simulate the look of eyeliner.

The next caveat to using Latisse off-label on the lower eyelid is that when Latisse gets onto the ocular surface (which occurs more easily with application to the lower eyelid), several things can happen. First, the eye pressure can be lower. This effect is harmless in virtually all patients. Secondly, and more importantly, the drug can actually enter into the eye and increase the pigmentation of the iris. A person with light brown eyes can darken to dark brow. At most risk would be patients with blue or green eyes, who might darken to a hazel color. Finally, patients who have ocular surface disease or are conteplating eye surgery such as cataract surgery or LASIK may actually increase their risk of complications if they have Latisse entering the eye.

The bottom line is that the off-label uses can be powerful, beautiful results, but check with your experienced provider first to clarify if you would be a good candidate or a more risky candidate for these other less desireable side effects.

Austin Oculoplastic Surgeon
5.0 out of 5 stars 11 reviews

Using Latisse Elsewhere

Thanks for the question -

I would caution people a bit about using Latisse in off label applications. Specifically, the lower lashes get some of the medication when you close your eyes (the reason Allergan recommends using it at night). Placing medication on both lashes is likely to increase the dosage of the medication you're getting.

Dosage studies conducted by Allergan show that increasing the dosage or frequency of application does not change how quickly your lashes come in. What it does do is increase potential side effects (most commonly eye irritiation which can be serious).

Remember that Latisse is a drug, not a cosmetic. Becareful about using it in non-approved ways.

I hope this helps.

You can apply Latisse on your lower lid or brows

Latisse has been tested by Allergan to work on the eyelashes only. However, you will most likely get the same effect on lower eye lid and eyebrows.

When you blink or close you eyes after the solution have been applied at the base of lashes some of it will transfer to the lower lid as well. You will also run out of the product faster if you're using it in on more than one area.

Off label usage of Latisse has been working

Latisse is indicated and FDA-approved for the eyelashes on the upper eyelids. However, many people have been using it "off-label" on the eyebrows with some results. Just note that once you stop using the product, the results will eventually stop as well.

Peter Schmid, DO
Longmont Facial Plastic Surgeon
5.0 out of 5 stars 3 reviews

It's okay to apply Latisse on lower eyelashes and brows

We’ve had patients that have applied to the lower eyelashes and/or eyebrows. Latisse has only been FDA approved for the upper eyelashes and when you apply the correct way, some of the product is transferred to your lower eyelashes. The patients that have applied to the eyebrows have seen varied results.

Bruce E. Katz, MD
New York Dermatologic Surgeon
4.0 out of 5 stars 16 reviews

Latisse for eyelids and brows

I have patients who have tried Latisse for their eyebrows and have seen no results. It is likely that these hairs are more difficult to stimulate then the hairs on your eyelids.

As for use on the lower lids the main risk is increased pigmentation and erythema in the areas of application which could be more visible on the lower eyelid. Most patients feel that the redness and pigmentation that may occur on the upper lids is advantageous as it simulates a eyeliner.

If the product is applied as directed at night and the patient goes to sleep and closes their eyes, it is very likely that some of the product will make contact with the lower lashes as well so you may see a benefit on the lower lashes despite no direct application.

Some of my patients have used it on the lower eyelashes and are seeing results however remember this is an off label indication and is not the intended use of this medication

Shawn Allen, MD
Boulder Dermatologist
5.0 out of 5 stars 1 review

Upper lash application does help the lower lashes

Latisse is approved for use on the upper lashes, with the understanding that gravity and blinking promotes the distribution of the solution to the lower lashes. Application to the lower lashes is not recommeded as there is too much risk of corneal damage/abrasion and infection that can occur during the application process (brush getting in your eyeball). Sticking to the upper lash application does help the lower lashes too- so doing it this way minimizes your risks and gives the best benefits.

Latisse Use

Latisse is only recommended for use on the upper lash line. To use Latisse in another manner would be off label and I would not recommend doing that. 

Francis X. Fleming, MD
Kennewick Plastic Surgeon
5.0 out of 5 stars 4 reviews

Lower Lid- Off Label Use

The FDA has approved Latisse for use on the upper eyelashes.At this time all other uses are considered off label.Despite this many practitioners have utilized Latisse on the lower eyelashes and eyebrows with encouraging results.
Under these circumstances, many physicians are reluctant to use Latisse on the lower eyelashes or eyebrow.With more study the FDA will hopefully lift these restrictions.

Latisse for lower eyelashes

It is recommended for the upper lash line only because there is some transference of the product to the lower lash line, every time you blink. This allows one bottle to last longer. It also reduces the risk of undesirable side effects when limiting usage, particularly dryness and itchiness.

Latisse is only FDA approved for the eyelashes, however there are reports that it can achieve an improvement for brows as well.

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.