Can Latisse cause loss of fat cells around the eye area and or other long term problems?

Ophthamologists and current studies have indicated that Latisse for cosmetic uses might cause PAP - a sinking in of the eyes with long term use and loss of fat and fat cells around the eyes. Do you believe this is a possible concern. It has been noted in patients using medical Latisse form with the active ingredient for medical purposes and placing the product directly IN the eyes, as opposed to just on the lash line, as in Latisse usage. What are your thoughts on this controversy that has been gaining interest in the past two years or so?

I think the key here is something you said yourself. “Noted in patients using medical Latisse form with the active ingredient for medical purposes and placing the product directly IN the eyes.” There is no evidence that I know of showing that if Latisse is used correctly (at the lash line) it has caused any problems with fat loss.

Is Latisse meant to be used in the eye?

It is NOT meant to be used IN the eye. Even though the active ingredient for the medical use (glaucoma) and the cosmetic use is the same, the chemicals in the base are different and the dosing is different. Patients with glaucoma have changes in their eyes that don’t occur if the glaucoma isn’t present.

Is the glaucoma causing the problem itself?

We have not observed this problem in any of our patients. Open to more evidence, but so far there doesn’t seem to be a legitimate concern. Please don’t put Latisse deliberately IN your eyes on a regular basis!  A drop or two occasionally, if you miss your eye it’s not a problem. Read more here. Also, it’s hard to understand what the mechanism of action would be on fat cells, since fat cells are actually rather difficult to shrink ……as we all know!

I hope this helps,  Dr. I

Dr. Brandith Irwin, MD

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Hi, I’m Dr. Irwin, and I believe that consumers deserve a medically trained and unbiased skincare advocate. That’s why I write these skin care tips and guides.

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