A reversible eye enhancement contact lens comprises a main body comprising a first surface and a second surface opposite the first surface, the main body having a diameter, a base curve, a peripheral thickness, and a center thickness, wherein, one or more of the diameter, the base curve, the peripheral thickness, or the center thickness are configured such that a dSag is less than 1.3% when comparing a first orientation of the main body with at least a portion of the first surface abutting an eye of a wearer and a second orientation of the main body with at least a portion of the second surface abutting the eye of the wearer; the main body further comprising a first region corresponding to the scleral region of an eye; a second region corresponding to the limbal region of an eye; a third region corresponding to an iris region of an eye; wherein colorants are incorporated into the first region, the second region, the third region, or combinations thereof and configured to create a cosmetic design in the first orientation that is different than the cosmetic design in the second orientation. The cosmetic designs in the first and second orientations may differ in colorant, color, limbal design graphics, inner effect design graphics, outer effect design graphics, barrier layers, clear coat base layers, or combinations thereof. The colorants may comprise metal oxide pigments, coated metal oxide pigments, organic dyes, interference pigments, and combinations thereof.