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There is no research to indicate that patients lose fat around the eyes after using Latisse. Side effects (including eye lid irritation and skin discoloration) resolve after discontinuing Latisse.
You've hit on an important question with Latisse. Many people have some degree of fat loss or lid skin tightening around their eyes after using Latisse for eyelash growth. Most find it unnoticeable or like the appearance, some decide to stop the medication, others keep going and have a little filler injected to get the look they want. The fat loss is more noticeable in older patients as they have already begun to naturally lose volume and like Cinderella, the eye changes will largely return to normal over time if Latisse is discontinued.
Periorbital fat atrophy has been described with Latisse usage and can cause this to occur. I would stop using the medicine and see a board certified dermatologist or plastic surgeon about replacing the volume loss with an injectable filler like restylane or belotero.
The combination of minoxidil and Latisse has not been studied. I don't advise use of minoxidil on the eyelids.
Thank you for your question in regards to Latisse.Yes, you have to continue using Latisse for lash growth. It is a maintenance application. When you stop using it, your lashes will go back to original length prior to Latisse. To be sure what is best for you, see two or more board-certified...