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Blepharitis from Eyelash Extensions: Signs It’s Time to See Your Eye Doctor

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An image of an adult getting eyelash extensions put on by a trusted professional.

Eyelash extensions are a popular beauty trend, offering fuller, longer lashes without daily mascara application. 

But as stunning as they look, they can sometimes lead to an uncomfortable condition known as blepharitis. If you’ve noticed redness, irritation, or crusting around your eyelash line after getting extensions, despite proper care, it’s time to see your eye doctor.

Blepharitis is a common issue that can affect your eye health and vision or contribute to dry eye disease when left untreated. 

It doesn’t mean you have to give up having fake eyelashes. However, blepharitis can be chronic, so you should follow your eye doctor’s advice on how often you should wear fake eyelashes.

What Is Blepharitis? 

Blepharitis is an inflammation of the eyelids that affects the area where your eyelashes grow. It often presents with redness, swelling, irritation, and flaky skin around the lower or upper lash line. 

While blepharitis isn’t typically a serious or sight-threatening condition, it can be quite uncomfortable. Blepharitis can also lead to complications if untreated, including styes, dry eye, or even lash loss. 

The 2 main types of blepharitis are:

Common Blepharitis Symptoms

Symptoms to watch for:

  • Red, irritated, or swollen eyelids
  • Crusting around the lash roots
  • Waking up with dry eyes
  • Sensitivity to light
  • Frequent tearing or watery eyes

While blepharitis can develop naturally, eyelash extensions may heighten your risk. 

How Eyelash Extensions Can Cause Blepharitis 

Eyelash extensions don’t directly cause blepharitis, but applying, wearing, and maintaining them can create a breeding ground for irritation and bacteria.

Allergic Reactions

The adhesive glue used for lash extensions can contain irritants like formaldehyde, which may trigger allergic reactions in some people. The resulting inflammation can lead to blepharitis-like symptoms.

Bacterial Buildup

Extensions can make it harder to clean your lashes thoroughly, allowing bacteria, dead skin cells, and cosmetic residues to accumulate along your lash line.

Blocked Oil Glands

The eyelash extensions’ added weight and placement can interfere with your natural oil glands, leading to clogged ducts and posterior blepharitis.

Irritation from Friction

When your extensions are too long or applied poorly, your lashes can rub against your eyelids and cause irritation and inflammation over time.

A close-up image of someone with blepharitis symptoms.

Caring for Your Extensions & Your Eyes 

Does this mean you need to quit extensions altogether? Not necessarily, but proper care of your lashes and eyelid hygiene is essential. Follow these tips to help minimize your risk of developing blepharitis while enjoying your extensions. 

Choose the Right Type of Extension 

Not all lash extensions are created equal. Look for hypoallergenic materials and formaldehyde-free adhesives to reduce your chances of a reaction. Lash technicians may recommend lighter extensions or shorter lengths to minimize eyelid irritation and strain. 

Choose a Reputable Technician 

Always go to a certified, experienced lash technician. They should follow strict hygiene practices, such as sterile tools and high-quality adhesives. A reputable lash technician will also assess your natural lashes and give you honest advice on what works for your eye shape and lash type. 

Do a Patch Test 

Before committing to lash extensions, ask your technician to perform a patch test with the adhesive. This simple step can help identify potential allergies or sensitivities before they escalate. 

Proper Cleaning Techniques 

Keeping your lash extensions clean is critical to preventing blepharitis. Here’s how to do it right:

  • Use a gentle, oil-free cleanser or a lash-safe cleansing foam made for extensions
  • Avoid rubbing your eyes or scrubbing at your lashes to prevent damage & irritation
  • Clean your lashes every 3 days to remove debris & bacteria & help prevent buildup

Take Regular Breaks from Extensions 

Consider giving your natural lashes a break every few months to minimize wear and tear on your lids and prevent long-term irritation. Using growth serums or nourishing mascaras during this downtime can help keep your natural lashes healthy and strong. 

Adopting these habits can help protect your lashes and your overall eye health.

When Should You See Your Doctor? 

When you’re experiencing persistent redness, swelling, or discomfort despite proper lash care and eyelid hygiene, it’s time to book an appointment with your eye doctor. Blepharitis that is left untreated can lead to long-term complications like:

Your eye doctor can identify the underlying cause of your symptoms and provide targeted treatments such as medicated eye drops, prescription ointments, or even in-office procedures like BlephEx

Prompt, professional care is key to clearing the issue and preventing future flare-ups, so don’t hesitate to seek help. 

Get Symptom Relief Today to Protect Your Lashes

Your eyes are precious, and taking proactive steps to protect them while wearing lash extensions is crucial. If blepharitis symptoms affect your comfort or eye health, contact our team at Advance Eye Care Center for tailored solutions. 

Dr. Myles Bokinac smiling in his optometry office.

Written by Dr. Myles Bokinac

After graduating with honours from the University of Waterloo School of Optometry, Dr. Bokinac was excited to return to his home province of Saskatchewan. Dr. Bokinac brings a wealth of experience to the practice as a recipient of the College of Optometrists in Vision Development’s Award for Excellence in Vision Therapy, as well as the Ocular Sciences’ Contact Lens Award for Excellence in Contact Lens Care.

Dr. Bokinac participates in volunteer eye care missions to Mexico, and is active in the Saskatchewan Association of Optometrists as an assessor of the Jurisprudence Exam and as an appraiser for the Standards of Practice Committee. When he’s not at work, you can find Dr. Bokinac spending time with his wife and 2 children, or volunteering with the Grand Coulee Volunteer Fire Department.

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