FAQ

• Usually 1 - 2 per day 
• Yes commonly see blepharitis , demodex and not so clean lashes 
• Dry eye symptoms are also common
• Traction allopecia

• I usually take a photo with my slit lamp (microscope) camera to show them exactly how their eyelash extensions look
• Eye safe lash cleansers DAILY are 100% recommended
• Lighter extensions / not as dramatic 
• Taking breaks
• With dry eye patients,  it becomes important to treat their underlying dry eye before, in an ideal world I would love for lash artists to send a patient to an optometrist to figure out if the client had pre existing blepharitis or if this was a result of their lash extensions

• Daily lid hygiene is 100% important 
• Whether not you have lashes, removing eye make up every single night is important
• See your local optometrist Q2 years
• If you have dry eye,  make sure you treat it before getting eyelash extensions

• Ocusoft,  Zocufoam are two brands I currently recommend to patients in clinic 
• - Ocusoft
  - Zocufoam
  - Avenova products
  - we love eyes
  - BIHOCL
• Be very mindful a lot of lash cleansers from lash artists, especially if you are taking a concentrated product and adding in distilled water, may not be the best for your clients
• Specific ingredients are hard to identify given there are so many different chemicals that exist on the market.  One thing to bear in mind is preservatives are required in cosmetics and products to prevent any bacteria issues.  However anything that stings the eye generally is an irritant.   Secondly,  anything with a fragrance like rose is not generally recommended for the ocular surface
• Stay tuned, some exciting news in this department .. 

• Styes, recurrent dry eye disease complaints,  pain, contact dermatitis,  etc  
• You should never feel your eyes ,  remind your clients this,  if so they may have underlying dry eye disease which should be looked at prior to lashing 

• 100% no.  Either the eye is slightly open (some patients have this chronically because of poor lid apposition and at night is called lagopthalmos),  hence the formaldehyde in the cyanoacryate is irritating their eye OR just the eye being open for that 1-2 hours could be irritating them 
• Consider putting a preservative free eyedrop in prior to the client getting lashed

• As per above - their eyes could be open
• If the client is wearing contact lenses, remove , napping in CL can cause redness

• Cosmetic grade- ethyl cyanoacrylate = pure = good
• Sds sheets 
• Cyanoacrylate when cured releases formaldehyde 
• Consider using a foam pad , applying preservative free artificial tear or gel , RInse with saline after
• Ethyl 2 cyanoacrylate is the most common ingredient used and actually i one of the best - other hypoallergenic brands (?) could simply be marketing and they will still cause issues, ideally less cyanoacrylate is better but ? 

• I think it is within scope as long as it is NOT a prescription medication 
• ie) any eyedrops recommended should be PRESERVATIVE FREE
• In Canada systane ultra PF,  Refresh PF,  Hydrasense, Hylo are able to be found over the counter 
• If your client is still suffering, dry eye is NOT treated with PFAT - send them to see a dry eye doctor (find a dry eye doctor on mydryeye.ca)

To be honest, I have not 

• Cyanoacrylate is the number one likely cause due to fumes released being formaldehyde 
• Cyanoacrylate is a key ingredient in all lash glues, which is essential to bond the eyelash with the eyelash extension.   If your client develops contact dermatitis, they may be sensitive to this ingredient or with the formaldehyde byproduct released as a fume during lashing.
• Carbon black unlikely 

1. Ensure the manufacturer of your lash adhesive is able to provide an SDS sheet (safety data sheet) if requested.  An SDS (formerly known as MSDS) includes information such as the properties of each chemical ingredient; its hazards and safety precautions for handling, storing, and transporting.
   
   
2. Most medical grade lash adhesives will contain “Ethyl-2-cyanoacrylate” as a key ingredient.  A ‘sensitive client’’ adhesive usually still contains cyanoacrylate which means it still has the potential tol cause contact dermatitis. 

• You can’t and it doesn’t really matter because it is treated the same way
• Avoid the irritant or allergen 
• Possible steroid

(we used to be taught to have our clients come in and remove the lashes but is that safe to do so when an allergy is present? Should we even work near their eyes when symptoms are present?)

• Most of the lash adhesive removers are actually acetone based which means they can cause more irritation to the client that is already irritated, in which case consider leaving it as is and sending to a local optometrist for a low dose steroid ointment 

Flonase was being used by lash artists by applying a thin layer to the eyelid before the service to limit allergic reactions. Is this safe? Why or why not?

• NO please do not
• Fluticasone is a steroid that is meant to be applied to mucosal lining of NOSE not the eye
• Not tested and can cause detriment especially with long term use can cause cataracts and glaucoma

lash artists tend to use this as a scare tactic with our clients when they aren't washing their lashes. 

• Two types demodex follicuarum and demode brevis both exist in the follicles and sebaceous glands around the eye 
• Should never be used a a scare tactic
• Over accumulation 100% can cause issues - should see the eye doctor in that case (demodicosis) 

Yes above

• Itching, burning, irritation similar to dry eye symptoms ‘
• US - optometrists can prescribe a medication called XDEMVY ( lotalinar solution), in canada,  tea tree oil products, and other lid hygiene recommended 

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