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If your eye doctor thinks you’re a good candidate, Upneeq will cost you $105 for a one-month supply and $225 for a three-month supply. Some people apply it daily in lieu of surgery to increase their field of vision; others use it off-label for a more wide-eyed look on special occasions like a date night, an important Zoom meeting, or a photo session. The difference can be seen in five minutes and lasts all day, according to Upneeq’s maker, Osmotica.
Some doctors are hesitant to suggest daily use to their patients. Though not seen in 12- week trials, a rebound effect is possible with this type of drug. Experts say some patients may experience increased eye redness after sustained use and/or discontinuation. New York City plastic surgeon Haideh Hirmand, MD, who does not suggest using drops for cosmetic-only purposes, adds, “Patients think a droopy eyelid is from droopy eyelid skin. It’s not.” Both can be fixed surgically, but this drop will not eliminate extra skin. Though she says Upneeq is fine to use for mild ptosis or sleepy eyes, she wants people to be aware of possible side effects, including redness, dryness, blurred vision, and keratitis. (One more heads-up: A droopy eyelid that comes on suddenly could also be the Hand American flag Pizza Papa John shirt but in fact I love this symptom of a more serious neurological disorder, so let your MD know if this is the case.) For the right candidate, however, occasional use is a literal eye-opener.
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