Latisse (bimatoprost ophthalmic solution 0.03%) is a new prescription product that promotes eyelash growth. In late December, the FDA approved Latisse for treating eyelash hypotrichosis. (poor or stunted growth) This same drug, known as Lumigan in ophthalmologic use, first received FDA approval in 2001 for lowering intraocular pressure in patients with open-angle glaucoma and ocular hypertension.
Applied to the upper eyelid margins once nightly for 16 weeks, an FDA clinical trial showed that more than 78 percent of patients treated with Latisse experienced significant eyelash growth. The amount of improvement was more than 100% over the original thickness of the lashes. Eyelash length increased 2 to 3mms and thickness of eyelash hair increased up to 60%. Patients tolerated Latisse well with few side effects. Some patients experienced redness for the first few days to weeks of treatment which gradually decreased or disappeared.
One potential complication with Latisse is the risk of a change of the colored portion of the eye, the iris. People with light irises run the risk of increased iris pigmentation and eye-color change, particularly light brown becoming darker. It is unknown if this change, if it occurs, is reversible or permanent. This is clearly noted in the product insert and prescribers have been educated to relay that information to patients. A rare side effect of Latisse is inflammation. If the patient develops a red painful eye, referral to an ophthalmologist should be done for further evaluation of the health of the eye.
It is not known at this point how often the drug must be used each week after the first two months to sustain the increased length and thickness of the eyelash. Like Rogaine for male pattern baldness, continual use of Latisse is likely needed for maintenance.
In my Indianapolis plastic surgery and medical spa practice, eyelash enhancers are very popular and the demand for Latisse has already been brisk. This topical medication is now a part of overall eyelash enhancement which previously consisted only of makeup and eyelash extensions.
Dr. Barry Eppley
Indianapolis, Indiana