Are many patients still complaining about periorbital fat loss? (Photo)

Question

doctors, i have come to see that some years ago, there was a scare among patients using latisse and worrying about periorbital fat loss. Many doctors explained that the side effect is more common when patients use this medication as a glaucoma treatment, with the drops applied directly into the eye, BUT NOT ON the eyelid as used for growing eyelashes. Are many patients still complaining about this side effect? Please see my attached photos, does it look like i have periorbital fat loss? ***UPDATE: Replaced photos September 24, 2018

Jason Emer, MD · Answer

No, this is not typical with Latisse, however, it can happen as a normal part of aging. Fillers, lasers, and microneedling/PRP can improve under the eyes. My patients try to get non surgical treatments to avoid surgery. We use PRP and stem cells there often. I suggest consulting with an expert to develop a treatment plan best suited for your short and long term goals. Best, Dr. Emer

Mehryar (Ray) Taban, MD, FACS · Answer

Your photos are cropped so unable to see. Latisse can cause periorbital fat loss but it is not common. Aging and weight loss can also cause periorbital fat loss. If you do have fat loss, then stop the Latisse. Filler injection may be a treatment.

Amy Y. Paul, DO, FAAD · Answer

Some patients perceive that they have periorbital fat loss, but it is difficult to pin the problem directly on the Latisse.  Everyone has some normal fat loss as time goes on, so some of your periorbital changes may be hereditary and a factor of time.  If you feel the Latisse is worth it, continue using it as it does a wonderful job of keeping the lashes long and dark, but you could also stop it and see if you are happy with the way your eyes stay.  If you do look into fillers under the eyes, be sure to go to a very experienced board-certified dermatologist or plastic surgeon or oculoplastic surgeon who has your safety at the forefront of treatment.  Best of luck!

Ahad Mahootchi, MD · Answer

The short answer is yes. It seems to affect some more than others. The changes are very slow but are additive over time.I can't see that you have it by the pictures but there may not be enough time elapsed. 
I just treated a young woman who does filler injections for a living. She wanted her own lids done as she really had a deep sulcus of the upper lid. She showed me her pictures over the last decade and the slow fat loss and ptosis are easy to see over time. However, her lashes are beautiful.

Are many patients still complaining about periorbital fat loss? (Photo)

Answers (4)

Answer: The short answer is yes.

Answer: The short answer is yes.

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Everything you need to know about Latisse

Our mission is to create a world where every investment in modern beauty is Worth It.

Are many patients still complaining about periorbital fat loss? (Photo)

Answers (4)

Answer: The short answer is yes.

Answer: The short answer is yes.

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Recommended reading

Everything you need to know about Latisse

Our mission is to create a world where every investment in modern beauty is Worth It.