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Arriving 2027

Our dry eye treatments launch in 2027. The details and pricing here are so you can plan ahead — bookings will open closer to the time.

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Step three · Restore

LipiFlow®

TearScience™ thermal pulsation by Johnson & Johnson

The one treatment that warms your eyelids from the inside — directly against the glands themselves — while pulsing gently from the outside to push the softened oil out. Twelve minutes, both eyes at once, and the most studied treatment of its kind.

$575per eye
$1,100both eyes · one session
Book a dry eye assessment How it works
outer cup pulses on the closed lid inner warmer sits UNDER the lid cornea stays clear — the Activator is vaulted
A CROSS-SECTION THROUGH YOUR EYELID outer cup — gentle pulsing pressure, from base to opening oil released onto your tear film inner warmer — 42.5°C held directly against the glands oil glands inside your eyelid
What LipiFlow is

Heat applied where the glands actually are

Along the rim of each eyelid sit around 25–30 tiny meibomian glands. They release the oil that seals your tears in place. When that oil thickens and hardens, the glands block, your tears evaporate too quickly, and your eyes feel dry, gritty and tired by evening. This is meibomian gland dysfunction — the leading cause of dry eye.

Here is what sets LipiFlow apart. A single-use sterile Activator is placed on each eye. Part of it sits underneath your eyelids, resting against the inner surface — the side the glands are actually on. That element holds a steady therapeutic temperature of around 42.5 °C directly against them for the full twelve minutes.

At the same time, an outer cup resting on your closed eyelid inflates and deflates in a wave, squeezing along each gland from its base toward the opening — a milking motion that pushes the oil out as it melts. The Activator is vaulted so nothing ever touches your cornea, and sensors monitor heat and pressure throughout.

Johnson & Johnson call this Vectored Thermal Pulsation. It was the first system of its kind cleared by the FDA, and it remains the most extensively studied.

Why we chose it

Why not just use a warm compress?

A fair question — and the honest answer is that a compress is doing something quite different.

It heats the correct side

A compress warms the outside of your lid, through the skin. LipiFlow warms the inner surface — the side the glands are on.

It holds the temperature

A compress begins cooling within a couple of minutes and needs reheating again and again. LipiFlow holds ~42.5 °C for the full twelve.

It expresses while it heats

Melting the oil achieves little if nothing pushes it out. The outer cup pulses along each gland while the heat is still working.

Your cornea is protected

The Activator is vaulted so it never touches the surface of your eye, and sensors watch heat and pressure the entire time.

See it for yourself

LipiFlow, explained in a couple of minutes

If you'd rather watch than read, this covers what the treatment involves.

What's happening

Blocked, warmed, then cleared

Blocked

Thickened oil hardens in the gland and plugs the opening. Nothing reaches your tears.

Warmed

Twelve minutes of steady warmth melts the plug back into a flowing oil.

Cleared

Gentle expression empties each gland, and your own oil reaches the tear film again.

Your visit

Twelve minutes, both eyes at once

You recline in the chair and the device does the work. Most patients describe it as a warm, gentle massage.

1

Assessment

We examine your glands, lids and tear film to confirm meibomian gland dysfunction is what's driving your symptoms.

2

Numbing drops

Anaesthetic drops go in first so the Activator sits comfortably. Contact lenses come out beforehand.

3

Activator placed

The single-use Activator is positioned under each eyelid and over the closed lid, vaulted clear of your cornea.

4

Twelve minutes

Steady inner-lid heat and outer pulsation run together, automatically. Then you're done — and you can drive yourself home.

The benefits

Why patients choose LipiFlow

It treats the root cause of evaporative dry eye rather than topping up your tears from the outside.

Treats the cause, not the symptom

Drops replace moisture for an hour. Clearing the glands restores the oil layer that keeps your own tears from evaporating.

One appointment, no downtime

Twelve minutes in the chair. You can drive yourself home afterwards and carry on as normal.

Results that last

Improvement builds over the weeks after treatment. Published studies report benefits sustained for twelve months in many patients, and longer in some.

The most studied option

LipiFlow was the first thermal pulsation system cleared by the FDA and has over a decade of published clinical research behind it.

THIN OIL LAYER Too little oil — tears evaporate too quickly SEALED AGAIN A restored oil layer holds your own tears in place Oil — seals the tear film in Water — nourishes the eye Mucin — anchors the tear LipiFlow restores the top layer
The technology

A decade of evidence behind it

LipiFlow® is made by TearScience, a Johnson & Johnson Vision company. It was the first thermal pulsation system cleared by the FDA for meibomian gland dysfunction, and it has been used in well over half a million treatments worldwide.

Independent reviews of the evidence have consistently found that a single twelve-minute session improves gland secretion, tear break-up time and patient-reported symptoms. It is the most extensively researched treatment in this category by some margin.

flexible, single-use, fitted to your lid
Good to know

Questions patients ask

Does it hurt?
Most people find it comfortable, and describe it as a warm massage around the eyes. Numbing drops go in beforehand so the Activator sits easily. You may feel gentle pressure as the outer cup pulses — that is the part doing the work.
How long does it take?
The treatment itself runs for twelve minutes and both eyes are done at the same time. Allow a little longer for the drops and for getting settled. There is no downtime afterwards.
How often will I need it?
Improvement tends to build over the weeks following treatment rather than appearing straight away. Published research reports benefits lasting twelve months in many patients, and longer in some. How often you would benefit depends on your glands, so we reassess rather than booking you onto a fixed schedule.
Can I wear my contact lenses?
Lenses need to come out before the treatment and should stay out for at least an hour afterwards. Bring your glasses along for the trip home.
Who isn't a candidate?
LipiFlow is intended for adults with evaporative dry eye caused by meibomian gland dysfunction. We would hold off if you have an active eye infection or inflammation, recent eye surgery or injury, certain eyelid abnormalities, or if your glands have already atrophied to the point where there is little left to unblock. Your assessment covers all of this before anything is booked.
Is it covered by insurance?
Generally not. Dry eye treatments are not covered by OHIP, and most vision plans don't include them. We also don't direct bill for dry eye services — payment is made at your visit and we'll give you a detailed receipt to submit yourself. Please check with your insurer before booking if coverage matters to you.

Assessment first, always

Dry eye has several causes, and blocked meibomian glands are only one of them. We'll examine your glands, lids and tear film first and recommend LipiFlow only if it genuinely fits what we find — often alongside cleaning the lid margin first, so the glands can actually drain once they're opened.

Individual results vary. LipiFlow® and TearScience™ are trademarks of Johnson & Johnson and its affiliates.

The pathway

Rinse · Clean · Restore

Three treatments that work best together — each one preparing the eye for the next.

Your own tears, protecting you again

Book a dry eye assessment and we'll tell you honestly whether LipiFlow is the right step for your eyes.

Book an assessment