Eyelash Transplant Vs Latisse?

Yes, Latisse only works on existing follicles, they can’t produce new ones. The drug lengthens the hair growth/production period during the anagen stage. However, results will not last if you stop using the product. Over time, the application routine can feel tedious and time consuming. Patients who have opted for eyelash transplantation often end up feeling liberated to have their very own naturally growing set of ideal lashes, without having to constantly rely on products or services. Unlike Latisse, you can also expand upon the number of your existing follicles by having additional grafts inserted. I have provided a link and video below which demonstrate the results of an eyelash transplant using specialized tools. 

   Latisse can help the eyelashes not only lengthen but thicken as well.  This will also help with a darkening effect.  Eyelash transplant may be an option, but I do not have any recommendations for that.

Latisse works on any active hair follicles, so as long as you have active follicles, even if the hairs are light or short, they will grow thicker, darker, and longer. If you've damaged any follicles irreparably with fake lashes and they don't have the ability to grow hairs anymore, then no, Latisse will not help there. I don't have any experience with eyelash transplants, sorry. But Latisse would be much less expensive and have absolutely no downtime, so in my opinion, it's worth a shot to try it for a few months and see how you respond.