Did Latisse cause fat loss around my eyes? (Photos)

Question

I am just now learning that Latisse can cause fat loss around the eyes, causing them to look more aged. I have used Latisse for about three years, and recently I have noticed that my under eye bags are more pronounced. Attached are photos. The first was taken in 2017, before I started Latisse. The second and third photos were taken today under different lighting. Are these bags caused by a loss of fat, or were they caused by something else?

Kenneth D. Steinsapir, MD · Answer

Stop using latisse and avoid any prostaglandin based lash growth products. Yes these products to make eyelashes long, thicker and darker. However, these products kill fat around the eyes and prematurely age the appearance. Stopping the product is likely to allow a bit of recovery. Any of the over the counter eyelash products that grow eye lashes likely contain a prostaglandin. Commonly the over the counter products contain isopropyl clorprostenate. Some also contain castor bean oil which also contains a prostaglandin. Don't use these products. I you have good photographs of this and are willing to be interviewed by the press, please contact me. I am trying to get the word out about these products.

C. Blake Perry, MD · Answer

The fat you are seeing under you lower lids is not related to Latisse. Latisse can cause fat atrophy around the orbit which gives you a hallow, sunken look. You have some fat coming forward which can be removed and repositioned surgically with an incision on the backside of the eyelid (transconjunctival lower lid blepharoplasty with fat transposition). You could also be a candidate for filler to help blend the lid/cheek junction.
Best to see an eyelid expert in your area.
Best of luck.

Jason Emer, MD · Answer

I dont see what latisse normally would cause around the eyes here. I see normal aging and you need plasmapen, lasers, fillers and skincare.  OR consider lower eyelid surgery for the bags. at home dermarolling can help. Best, Dr. Emer.

Camille Cash, MD · Answer

From your photo it appears you have fat herniation versus fat loss.  You can consider fillers to help camouflage the contour irregularities.  The treatment is done in the office and the results last up to one year.  For a more permanent solution you can also consider lower blepharoplasty.  This surgery will correct the fat herniation and smooth the under eye.

Justin Hellman, MD · Answer

To me that looks more like herniated orbital fat than fat loss. You would likely benefit from herniated orbital fat removal (lower lid blepharoplasty), possibly in conjunction with a CO2 laser treatment. Latisse causes more of a hollowing appearance (from fat loss rather than fat bulging out) and is usually noticed in the upper lids.

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