Today’s global cosmetics market is worth an estimated $532 billion, with projections for it to reach $863 billion by 2024.1 The false eyelashes industry—just one segment of the marketplace—is expected to reach over $1.7 million in the next four years.2
Consumers around the globe have adopted the false eyelashes trend in the last decade as part of a popular South Korean skincare movement called “K-beauty,”3 says Bridgitte Shen Lee, OD, during a lecture at SECO 2019 in New Orleans.
This category of ocular aesthetics includes four types of eyelash trends: extensions, falsies, lifts/tints, and growth serums. But with each category of enhancements comes possible ocular surface complications, Dr. Shen Lee says.
For ODs with patients who use fake eyelash products, education is key. Knowledge of each option, the potential side effects, and proper treatment for such manifestations can ensure optimal results.
Eyelash extensions involve gluing a cluster of false lashes onto human eyelashes—a process typically taking three to four hours. An initial session can cost as much as $400, Dr. Shen Lee says. Customers should ideally return for a refill every two weeks, costing $50 per visit.
Common ocular surface complications found extension users include:4
• Demodex (eyelash mites)
• Dry eye symptoms (itchiness, inflammation)
• Meibomian gland dysfunction (MGD)
• Madarosis (natural eyelash loss)
Women who develop such complications likelly do not clean their eyes and wear makeup over the extensions, according to Dr. Shen Lee. “They often do not want to pay $50 to get a refill [of eyelashes] more often when they should,” she says.
If these patients continue to practice unhealthy eyelash management, their worst case scenario is developing madarosis and severe dry eye or ocular surface disease.
The goal, Dr. Shen Lee says, is to catch patients at the beginning of their eyelash extension sessions to teach them proper management.
Falsies are a cluster or whole strip glued onto the eyelid margin, going over the lashes. Nowadays, eyelashes are often glued under the natural eyelashes to create more of a “lifting” effect, Dr. Shen Lee says.
One of the safer procedures with falsies uses a magnetic eyelash to avoid side effects similar to those of eyelash extensions. This involves placing two strips of eyelashes with tiny magnets at the top and bottom on either side of a human eyelash.4
However, the glue used to attach falsies onto human lashes are made with cyanoacrylate (as an adhesive) and formaldehyde or formaldehyde derivatives. The chemicals are major culprits behind ocular side effects—similarily seen with extensions—on the skin and eyes.
Additional side effects can include corneal abrasions, keratitis (from chemical contact), and compensating incomplete blinks (from weight of lashes).
1. Cosmetic Products Market by Product (Skincare products, Haircare products, Color Cosmetics, Fragrances, Personal care products, and Oral care products), by Form (Solutions, Creams, Lotions, Ointments, Suspensions, Tablets, Powders, Gels, Sticks, and Aerosols), by Application (Lips, Eyes, Eyebrows, Nails, and Face), by Distribution Channel (Online, Beauty salons, Specialty stores, Direct selling, Departmental stores, Pharmacy, and Supermarkets), by Region (North America, Europe, Asia Pacific, Latin America, and the Middle East & Africa) - Global Industry Perspective, Comprehensive Analysis and Forecast, 2017 – 2024. Zion Market Research. Available at: https://www.zionmarketresearch.com/report/cosmetic-products-market. Accessed 3/1/19.
2. False eyelashes market research report – forecast to 2023. Market Research Future. Available at: https://www.marketresearchfuture.com/reports/false-eyelashes-market-2921. Accessed 3/4/19.
3. Shin L. Inside the booming Korean skincare market. Fast Company. Available at: https://www.fastcompany.com/3038283/why-korean-skincare-is-booming. Accessed 3/4/19.
4. Shen Lee B. Ocular aesthetics: Lash obsessions. Eyecare Business. Available at: https://www.eyecarebusiness.com/issues/2018/september-2018/ocular-aesthe.... Accessed 2/27/19.
5. Campaign for safe cosmetics. P-phenylenediamine. Available at: http://www.safecosmetics.org/get-the-facts/chemicals-of-concern/p-phenyl.... Accessed 2/27/19.
6. Mocan MC, Uzunosmanoglu E, Kocabeyoglu S, Karakaya J, Irkec M. The association of chronic topical prostaglandin analog use with meibomian gland dysfunction. J Glaucoma. 2016 Sep;25(9):770-4.