A Doctor’s Review of Latisse (Pros/Cons, Pricing, and More)

Latisse (bimatoprost ophthalmic solution) 0.03%
Source: Latisse

What if I told you that with a prescription eyedrop and an applicator brush, your eyelashes could grow thicker, darker, and longer in a matter of weeks? Yes, this is actually possible with the help of a product called Latisse!

Latisse is used to treat an inadequate amount of eyelashes (i.e. hypotrichosis) and requires a prescription from a physician. In this article, I’ll review what you need to know about Latisse, including how it stacks up to over the counter lash serums!

RELATED: Èyes Are The Story MakeUp Q & A – Makeup for Dry Eye

Introducing Latisse (the ORIGINAL lash serum)

Approved by the FDA in 2008, after clinical studies were completed by 16 doctors nationwide, Latisse quickly gained popularity. The drug’s active ingredient is Bimatoprost, a prostaglandin analog used for the treatment of glaucoma. Prostaglandin analogs are a drug class designed to lower eye pressure.

These drugs have been widely used for the treatment of glaucoma in the United States since 1996, and have a favorable safety profile, although some side effects. Physicians and patients noticed that one side effect of the drop was eyelash growth.

It is not known exactly how they work, but researchers believe prostaglandin analogs increase the growth cycle phase of the eyelash hair. Once this was confirmed, Latisse was soon born.

RELATED: Here’s What You Need To Know About Glaucoma Eye Drops

What to expect when using Latisse

Those who use Latisse experience outstanding results! Clinical studies showed gradual lash growth over time, with some people beginning to see longer lashes as soon as 4 weeks, and full lash growth reported at 16 weeks.

Patients involved with the clinical studies found their eyelashes grew 25% longer. Furthermore, they had a whopping 106% increase in lash thickness and an 18% increase in lash darkness. Honestly, the before and after pictures from the studies are pretty remarkable. It is important to note that your eyelashes will return to their normal length several weeks or months after discontinuing Latisse.

How to apply Latisse

Latisse application takes place at night – once all makeup is removed, face cleansing and moisturizing are complete, and contact lenses are removed. Latisse comes with a dropper bottle and single-use applicator brushes. A drop is placed on the applicator brush and applied to the upper eyelid lash margin. The same process, with a different applicator brush, is repeated for the other eye. The applicator must be discarded after every single use.

Care should be taken not to get any excess Latisse in the eye, around the eye, or on the lower lid margin as this could result in unwanted side effects (more information below). Once Latisse is applied to the treatment area, tissue should be used to blot around the eyes to prevent this from happening. It is also important not to touch the tip of the bottle or the applicator brush to other objects, surfaces, or fingers as contamination can occur and lead to infection.

Side effects of Latisse

As with most medications, Latisse does have side effects. Below is a breakdown of each side effect from most common to least common.

1) Itching and redness

The most common side effects after using Latisse are itching and redness in the eyes. This is reversible and occurred in approximately 4% of patients in clinical studies.

2) Skin darkening

Fortunately, skin darkening has been reported to be reversible too. Care should be taken to wipe off excess solution on areas other than the upper lid margin. I find this is a common concern among my patients but it only occurred in 2.9% of patients involved in clinical studies.

3) Eye irritation, dryness of the eyes and skin, and inflammation along the eyelids

Patients with a history of blepharitis and dry eye syndrome may be more negatively affected. The active ingredient in Latisse can cause inflammation and the preservative in Latisse can lead to dry eye symptoms.

4) Brown darkening of the colored part of the eye

The last side effect reported was darkening of the iris. This is rare but likely permanent.

It is important to note that most patients tolerate Latisse well. With this in mind, if reactions occur, the prescribing provider should be contacted immediately. Patients who have had a history of inflammatory conditions, such as uveitis and macular edema, and patients being treated with a prostaglandin analog should use caution if considering using Latisse. Also, pregnant and nursing women should not use Latisse.

RELATED: Heterochromia: Having Two Different Colored Eyes

Latisse testimonials

These testimonials, directly from the manufacturer’s website, are from real patients who have used Latisse. The company states that none of the photos are retouched and none of the patients have mascara on.

“My lashes have gotten thinner and more sparse. That’s why I asked my optometrist about Latisse, hoping that it would help my lashes grow. Now that my lashes are longer and darker, I’m doing more to draw attention to my eyes; I cut my hair and I’m even wearing my contacts more just to show them off.” – Cindy

Latisse Before and After (1)
Source: latisse.com

“Eyelash extensions ripped my lashes out. I went to my doctor, who prescribed Latisse. I’ve been using it ever since. My lashes are longer, darker, and definitely fuller. I absolutely love Latisse.” – Menica

Latisse Before and After (2)
Source: latisse.com

“Being a blonde, I’ve always had light brown lashes with some blonde ones mixed in, which, as you can imagine, just disappeared on my face. They didn’t even show up in photographs! But since I have been using Latisse, my lashes are noticeably darker than my previous shade, which is fantastic! Without a doubt, I have become a believer in Latisse!” – Jenny

Is Latisse right for you?


  • Lash growth backed by clinical studies and patient testimonials.
  • FDA approved product.
  • A prescription is required, which means while using this product patients are under direct supervision of a physician should any issues arise.


  • Potential side effects.
  • Cost (outlined below).
  • A prescription is required, which is inconvenient for some patients, especially if access to a doctor is difficult due to work, geographic location, or insurance coverage.

How much does Latisse cost?

Latisse costs approximately $120 for a one month supply. The product includes one dropper bottle and 30 pairs of applicators. Also, pricing may vary depending on the pharmacy and if you get a 30 day or 90 day supply.

Some insurance plans may cover the generic version of Latisse, and there are coupons available at select pharmacies that lower the cost to around $50 for the generic version if there is no insurance coverage. In some states, patients can purchase Latisse directly from their doctor’s office.

Many brands are creating over the counter lash serums to compete with Latisse. These can easily be purchased over the counter or online. Their ingredients vary widely (more on that below) as do their prices.

As of this review, popular over the counter lash serums include:

The ease of access to these products and overall lower cost is appealing to consumers, giving over the counter eyelash serums a viable market.

Latisse vs over the counter lash serums

It is important to note that Latisse is the first FDA approved eyelash growth serum with safety and success profiles AND known ingredients. Compare this to the multitude of over the counter products that claim to increase eyelash growth (many without any real data backing their claim) and this marketing can be confusing.

Having a prescription product like Latisse guarantees you are getting the same product each time, with known ingredients that have been studied. Although getting a prescription to use Latisse can be a hindrance for some, it is helpful to have a physician teach patients exactly how to use the product. This includes ensuring proper application techniques as well as help with any issues, side effects, or questions that may arise.

Safety concerns

As you can imagine, most over the counter lash serums have a wide range of ingredients, and the safety profile of these products are often unknown. Some contain Isopropyl Cloprostenate, a synthetic prostaglandin analog that is regulated by the FDA, like the active ingredient in Latisse. The FDA warned in 2011 that these products should undergo clinical studies to ensure safety since they are using an active ingredient that is considered a drug. Instead, some companies have made what the FDA considers false claims, saying their product is cosmetic and does not contain a drug. The controversy continues today between the FDA and these companies.

On the other hand, Latisse is an ophthalmic solution, so if it gets in your eye, it is not expected to cause harm. But what about the over the counter serums? Unfortunately, many people experience a hypersensitivity reaction to the wide range of ingredients and preservatives in the over the counter lash serums. It is also important to note that when purchasing these products online, you cannot ensure it is the real product or if it is expired. Unfortunately, there have been reports and reviews about fake lash serums being distributed on online platforms.

RELATED: Everything You Need To Know About Dermal Fillers

Medical uses of Latisse

Aside from a beauty standpoint, Latisse has a place in optometry and ophthalmology practices. As always, it is important to check with your eye doctor or primary care doctor before beginning Latisse. With this in mind, the following eyelash problems can be medically managed using Latisse:

  • Thin and brittle lashes secondary to aging or false eyelashes
  • Lashes that are very light in coloration
  • Diseases that thin hair, such as a thyroid condition
  • Treatments that have caused hair loss, like chemotherapy

Furthermore, patient selection is important when prescribing Latisse. As previously mentioned, patients who are pregnant and nursing should avoid Latisse. Also, if a patient is already using a prostaglandin analog, Latisse may interfere with their treatment to lower eye pressure. Any patient who has a history of dryness or blepharitis should take careful consideration before starting Latisse since it can make matters worse.

Latisse and Rory

A prescription for Latisse is now available through the online women’s telehealth platform, Rory. The company was created to “open up a dialogue, and to give all women the education, tools, and support they need to be their own advocates in the healthcare system.”

Through a brief online visit, Rory has you provide their doctors with information on your symptoms, medical history, and lifestyle. If approved, you could have a Latisse prescription in no time!

My personal experience with Latisse

In my experience prescribing Latisse to patients, most of them have had great results in terms of eyelash growth. A lot of them have mentioned experiencing minimal side effects, most commonly some irritation or dryness and occasionally eyelid skin pigmentation.

Upon careful analysis, I discovered the most common reason they experienced side effects is from not getting close enough to their upper lash line when applying Latisse. But this hasn’t deterred many of them from using the product, especially since they reported the side effects they experienced were reversible after taking a few days off from using Latisse and being more careful with application.

Important things to consider

As a woman, finding out about a product that enhances eyelash growth is intriguing and exciting. Latisse is FDA approved, clinically studied, and used under the supervision of a physician.

As a consumer, I will admit the reported side effects of Latisse are little unnerving. Especially as a dry eye sufferer myself. But it’s comforting to know there is a low risk of side effects based on the results of the clinical studies, especially with the proper application technique. Also, it’s helpful to know what to look out for in case side effects do arise.

Personally, I would never use one of the over the counter lash serums due to their long list of ingredients, lack of FDA approval, and potential for unknown side effects. Keep in mind, this product is applied very close to your eye on a daily basis. In this case, saving money is not worth the potential problems that can occur.

Final thoughts

I will leave you with this. As eyecare providers, we regularly prescribe Bimatoprost, the active ingredient in Latisse, for many glaucoma patients. This drop is used inside of the patient’s eyes instead of on the eyelid. I would rather use a studied, ophthalmic drug as an eyelash growth serum than another product, plain and simple.

If Latisse is something that is appealing to you, hopefully after reading this review you have a better understanding of the product and can talk with your eye care provider to see if you’re a good candidate to begin using it.

What are your personal thoughts on Latisse? Leave your review in the comments below!

Latisse Review
  • Cost
  • Safety
  • Effectiveness
  • Convenience
Comments Rating 4.67 (6 reviews)


Latisse is an FDA approved medication used to treat an inadequate amount of eyelashes (i.e. hypotrichosis) and requires a prescription from a physician. If you’re looking for a safe and effective way to improve your eyelash growth and appearance, I highly recommend giving Latisse a try!


  • Lash growth backed by clinical studies and patient testimonials
  • FDA approved product
  • A prescription is required, which means while using this product patients are under direct supervision of a physician should any issues arise


  • Potential side effects
  • Cost
  • A prescription is required, which is inconvenient for some patients, especially if access to a doctor is difficult due to work, geographic location, or insurance coverage



  1. Erika September 29, 2020
  2. Ryan Corte, OD September 30, 2020
  3. Sandra Rowlings November 29, 2020
  4. Rachel S March 17, 2021
  5. Fran Bendheim March 18, 2021
  6. Sieu Thi Hang Chuan June 1, 2022
  7. steve smith June 10, 2022

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