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If your eyes look small, tired, or hooded — even when you’re lean — there’s a good chance it’s from fat sitting above your eye, not just skin. That’s orbital fat, especially in the upper eyelid area. Some people have more of it genetically, and others gain it with age or water retention.
This fat pushes down on your upper eyelid crease and makes your eyes look smaller and puffier, especially in frontal lighting. Even with zero body fat, some people still have this issue because it’s not just subcutaneous fat — it’s deep orbital fat.
This thread is about how I started reducing that fat non-surgically using a protocol that combines:
Bimatoprost (brand name Latisse) is a prostaglandin analog originally made for lowering eye pressure. But when used long-term, it causes something called:
Prostaglandin-Associated Periorbitopathy (PAP)
What that means in plain English:
This is a side effect in glaucoma patients, but we can use it for aesthetics — targeting fat in the upper lid to make the eyes look more open.
protocol
Step 1: Get a dermastamp
Apply to the upper eyelid
1 small drop on each side.
When it starts working:
Why This Works
Because orbital fat is brown fat, and bimatoprost reduces brown fat. Glaucoma patients literally stop taking the drug because it makes their eyes look too sunken. That’s the look we’re trying to get — but controlled, on our terms.
This fat pushes down on your upper eyelid crease and makes your eyes look smaller and puffier, especially in frontal lighting. Even with zero body fat, some people still have this issue because it’s not just subcutaneous fat — it’s deep orbital fat.
This thread is about how I started reducing that fat non-surgically using a protocol that combines:
- Bimatoprost (a glaucoma drug known to cause orbital fat loss)
- Dermastamp (to help it absorb deeper)
Bimatoprost (brand name Latisse) is a prostaglandin analog originally made for lowering eye pressure. But when used long-term, it causes something called:
Prostaglandin-Associated Periorbitopathy (PAP)
What that means in plain English:
- It makes you lose fat around the eyes.
- Your eyes look more deep-set, less puffy.
- Upper eyelid hollowness increases.
This is a side effect in glaucoma patients, but we can use it for aesthetics — targeting fat in the upper lid to make the eyes look more open.
protocol
Step 1: Get a dermastamp
- Use a 0.25mm–0.5mm stamp. Do not use a roller — it’s too messy for the eyelid area.
- Sanitize it with alcohol before every use.
Apply to the upper eyelid
- Stamp just under the eyebrow arch and upper eyelid crease.
1 small drop on each side.
- Rub it in gently with a clean fingertip or applicator.
- Do this at night. Let it absorb without washing for 6–8 hours.
- You’ll see results in 4–8 weeks.
- Go slow. Overuse = too much fat loss = sunken eyes
- Too much bimatoprost = permanent hollowing. Go slow.
- It can cause skin darkening over time — especially in lighter skin tones.
- You may look worse for 1–2 weeks as things shift.
- This isn’t for under-eye fat. It’s specifically for upper eyelid puffiness.
When it starts working:
- Your upper lid will deflate slightly.
- Your crease will show more.
- Your eyes will look more “hunter” and alert in pics.
- No cutting, no fillers, no downtime.
Why This Works
Because orbital fat is brown fat, and bimatoprost reduces brown fat. Glaucoma patients literally stop taking the drug because it makes their eyes look too sunken. That’s the look we’re trying to get — but controlled, on our terms.
