Treat the underlying disorder if you pull your lashes

Sometimes patients pull on their lashes due to an underlying irritation or blepharitis of the lashes where they are bothered by sensations at the lash line, and getting this medically evaluated and treated is important before considering Latisse. Likewise, if this is a psychological problem it would be best to have this treated to curb that behavior before trying Latisse in my opinion.

As to the effectiveness, it requires follicles that can be stimulated by Latisse for it to work. If there are still a number of viable follicles, which there probably are, then Latisse should work for you. Of course, if you grow new lashes only to pull them out, there is not going to be much benefit.