diff --git a/app/scripts/controllers/permissions/index.js b/app/scripts/controllers/permissions/index.js
index 97503ec78828..9f5f6cd459f8 100644
--- a/app/scripts/controllers/permissions/index.js
+++ b/app/scripts/controllers/permissions/index.js
@@ -306,6 +306,40 @@ export class PermissionsController {
     }
   }
 
+  /**
+   * Expose an account to the given origin. Changes the eth_accounts
+   * permissions and emits accountsChanged.
+   *
+   * Throws error if the origin or account is invalid, or if the update fails.
+   *
+   * @param {string} origin - The origin to expose the account to.
+   * @param {string} account - The new account to expose.
+   */
+  async addPermittedAccount (origin, account) {
+    const domains = this.permissions.getDomains()
+    if (!domains[origin]) {
+      throw new Error('Unrecognized domain')
+    }
+    this.validatePermittedAccounts([account])
+
+    const oldPermittedAccounts = this._getPermittedAccounts(origin)
+    if (!oldPermittedAccounts) {
+      throw new Error('Origin does not have \'eth_accounts\' permission')
+    } else if (oldPermittedAccounts.includes(account)) {
+      throw new Error('Account is already permitted')
+    }
+
+    this.permissions.updateCaveatFor(
+      origin, 'eth_accounts', CAVEAT_NAMES.exposedAccounts, [...oldPermittedAccounts, account]
+    )
+    const permittedAccounts = await this.getAccounts(origin)
+
+    this.notifyDomain(origin, {
+      method: NOTIFICATION_NAMES.accountsChanged,
+      result: permittedAccounts,
+    })
+  }
+
   /**
    * Finalizes a permissions request. Throws if request validation fails.
    * Clones the passed-in parameters to prevent inadvertent modification.
@@ -419,6 +453,22 @@ export class PermissionsController {
     })
   }
 
+  /**
+   * Get current set of permitted accounts for the given origin
+   *
+   * @param {string} origin - The origin to obtain permitted accounts for
+   * @returns {Array<string>|null} The list of permitted accounts
+   */
+  _getPermittedAccounts (origin) {
+    const permittedAccounts = this.permissions
+      .getPermission(origin, 'eth_accounts')
+      ?.caveats
+      ?.find((caveat) => caveat.name === CAVEAT_NAMES.exposedAccounts)
+      ?.value
+
+    return permittedAccounts || null
+  }
+
   /**
    * When a new account is selected in the UI, emit accountsChanged to each origin
    * where the selected account is exposed.
diff --git a/app/scripts/metamask-controller.js b/app/scripts/metamask-controller.js
index 5f01893d2258..247e0d612e4d 100644
--- a/app/scripts/metamask-controller.js
+++ b/app/scripts/metamask-controller.js
@@ -576,6 +576,7 @@ export default class MetamaskController extends EventEmitter {
       getApprovedAccounts: nodeify(permissionsController.getAccounts.bind(permissionsController)),
       rejectPermissionsRequest: nodeify(permissionsController.rejectPermissionsRequest, permissionsController),
       removePermissionsFor: permissionsController.removePermissionsFor.bind(permissionsController),
+      addPermittedAccount: nodeify(permissionsController.addPermittedAccount, permissionsController),
       legacyExposeAccounts: nodeify(permissionsController.legacyExposeAccounts, permissionsController),
 
       getRequestAccountTabIds: (cb) => cb(null, this.getRequestAccountTabIds()),
diff --git a/test/unit/app/controllers/permissions/mocks.js b/test/unit/app/controllers/permissions/mocks.js
index 7e44dc62b649..dbc08dfc0e91 100644
--- a/test/unit/app/controllers/permissions/mocks.js
+++ b/test/unit/app/controllers/permissions/mocks.js
@@ -330,6 +330,24 @@ export const getters = deepFreeze({
       },
     },
 
+    addPermittedAccount: {
+      alreadyPermitted: () => {
+        return {
+          message: 'Account is already permitted',
+        }
+      },
+      invalidOrigin: () => {
+        return {
+          message: 'Unrecognized domain',
+        }
+      },
+      noEthAccountsPermission: () => {
+        return {
+          message: 'Origin does not have \'eth_accounts\' permission',
+        }
+      },
+    },
+
     legacyExposeAccounts: {
       badOrigin: () => {
         return {
diff --git a/test/unit/app/controllers/permissions/permissions-controller-test.js b/test/unit/app/controllers/permissions/permissions-controller-test.js
index 58cd0f552b82..4dda203ff077 100644
--- a/test/unit/app/controllers/permissions/permissions-controller-test.js
+++ b/test/unit/app/controllers/permissions/permissions-controller-test.js
@@ -461,6 +461,93 @@ describe('permissions controller', function () {
     })
   })
 
+  describe('addPermittedAccount', function () {
+    let permController, notifications
+
+    beforeEach(function () {
+      notifications = initNotifications()
+      permController = initPermController(notifications)
+      grantPermissions(
+        permController, ORIGINS.a,
+        PERMS.finalizedRequests.eth_accounts(ACCOUNT_ARRAYS.a)
+      )
+      grantPermissions(
+        permController, ORIGINS.b,
+        PERMS.finalizedRequests.eth_accounts(ACCOUNT_ARRAYS.b)
+      )
+    })
+
+    it('should throw if account is not a string', async function () {
+      await assert.rejects(
+        () => permController.addPermittedAccount(ORIGINS.a, {}),
+        ERRORS.validatePermittedAccounts.nonKeyringAccount({}),
+        'should throw on non-string account param'
+      )
+    })
+
+    it('should throw if given account isn\'t in keyring', async function () {
+      await assert.rejects(
+        () => permController.addPermittedAccount(ORIGINS.a, DUMMY_ACCOUNT),
+        ERRORS.validatePermittedAccounts.nonKeyringAccount(DUMMY_ACCOUNT),
+        'should throw on non-keyring account'
+      )
+    })
+
+    it('should throw if origin is invalid', async function () {
+      await assert.rejects(
+        () => permController.addPermittedAccount(false, EXTRA_ACCOUNT),
+        ERRORS.addPermittedAccount.invalidOrigin(),
+        'should throw on invalid origin'
+      )
+    })
+
+    it('should throw if origin lacks any permissions', async function () {
+      await assert.rejects(
+        () => permController.addPermittedAccount(ORIGINS.c, EXTRA_ACCOUNT),
+        ERRORS.addPermittedAccount.invalidOrigin(),
+        'should throw on origin without permissions'
+      )
+    })
+
+    it('should throw if origin lacks eth_accounts permission', async function () {
+      grantPermissions(
+        permController, ORIGINS.c,
+        PERMS.finalizedRequests.test_method()
+      )
+
+      await assert.rejects(
+        () => permController.addPermittedAccount(ORIGINS.c, EXTRA_ACCOUNT),
+        ERRORS.addPermittedAccount.noEthAccountsPermission(),
+        'should throw on origin without eth_accounts permission'
+      )
+    })
+
+    it('should throw if account is already permitted', async function () {
+      await assert.rejects(
+        () => permController.addPermittedAccount(ORIGINS.a, ACCOUNT_ARRAYS.c[0]),
+        ERRORS.addPermittedAccount.alreadyPermitted(),
+        'should throw if account is already permitted'
+      )
+    })
+
+    it('should successfully add permitted account', async function () {
+      await permController.addPermittedAccount(ORIGINS.a, EXTRA_ACCOUNT)
+
+      const accounts = await permController.getAccounts(ORIGINS.a)
+
+      assert.deepEqual(
+        accounts, [...ACCOUNT_ARRAYS.a, EXTRA_ACCOUNT],
+        'origin should have correct accounts'
+      )
+
+      assert.deepEqual(
+        notifications[ORIGINS.a][0],
+        NOTIFICATIONS.newAccounts([...ACCOUNT_ARRAYS.a, EXTRA_ACCOUNT]),
+        'origin should have correct notification'
+      )
+    })
+  })
+
   describe('finalizePermissionsRequest', function () {
 
     let permController
diff --git a/ui/app/store/actions.js b/ui/app/store/actions.js
index 26806d7f23c6..3de821b5ea03 100644
--- a/ui/app/store/actions.js
+++ b/ui/app/store/actions.js
@@ -1227,6 +1227,20 @@ export function showAccountDetail (address) {
   }
 }
 
+export function addPermittedAccount (origin, address) {
+  return async (dispatch) => {
+    await new Promise((resolve, reject) => {
+      background.addPermittedAccount(origin, address, (error) => {
+        if (error) {
+          return reject(error)
+        }
+        resolve()
+      })
+    })
+    await forceUpdateMetamaskState(dispatch)
+  }
+}
+
 export function showAccountsPage () {
   return {
     type: actionConstants.SHOW_ACCOUNTS_PAGE,