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ANTIOXIDANT DEFENSE COMPLEX
  • ANTIOXIDANT DEFENSE COMPLEX
ANTIOXIDANT DEFENSE COMPLEX
$49.00

Latisse Patient Consent Form

Thank you! Your medical questionnairehas been submitted successfully.
Please fill out all required fields.

1. Ocular History (Eyes)

Are you currently using any prescription eye drops for Glaucoma or ocular hypertension? (e.g., Lumigan, Xalatan, Timolol)
Have you ever been diagnosed with high eye pressure (Ocular Hypertension) or Glaucoma?
Have you had any eye surgery in the last 6 months (Cataract, LASIK, etc.)?
Do you have a history of eye inflammation (Uveitis or Iritis)?
Do you have any active eye infections or chronic "dry eye" symptoms?
Do you wear contact lenses? (Note: Lenses must be removed before application)

2. Medical History

Do you have any known allergies to Bimatoprost or other prostaglandins?
Are you currently pregnant, planning to become pregnant, or breastfeeding?
Do you have a history of skin sensitivity or eczema on your eyelids?

3. Informed Consent & Risks

Please initial next to each point to acknowledge you understand the potential side effects:

Permanent Pigmentation: I understand that Latisse may cause increased brown pigmentation of the colored part of the eye (the iris), which is likely permanent.
Skin Darkening: I understand that darkening of the eyelid skin may occur but is typically reversible if the product is discontinued.
Hair Growth: I understand that hair growth can occur in any skin area that Latisse frequently touches; I will blot any excess solution.
Common Irritation: I understand that eye redness, itchiness, and dryness are common side effects.

Patient Attestation

I certify that the information provided above is true and accurate to the best of my knowledge. I have been informed of the potential side effects and the proper application technique.

Details
Combines 18 antioxidants* to defend skin from free radicals, the common component of all skin problems. \n \n*Contains more stable antioxidants at dose-dependent percentages than any antioxidant product reviewed among brands sold in department and drug stores, spas, medical offices, on television, and on the internet. \n

Actions


    • Inhibits free radicals that lead to inflammation, dryness, aging, and age spots

    • Softens, smoothes, hydrates

    • Reduces redness

    • Increases hydration and radiance

Skin Conditions

All Skin Types | Post Procedure (Laser, Microdermabrasion, Etc.) | Sunburn \n

Home Care

Unless otherwise directed, apply 1-2 pumps to the face, neck, and around the eyes in the morning before moisturizer and sunscreen. It may also be blended with other complexes, serums, moisturizers, and masques. \n

Ingredients

6 Superfruits | Acai Berry, Gogi, Noni Fruits, Mangosteen, Pomegranate, and Coffee Berryrank, are among the most powerful using the natural antioxidant grading system*. White & Green Teas | neutralize free radicals from smog, tobacco smoke, and other forms of air pollution for fresh, hydrated, comfortable skin – no matter how bad the air gets. Astaxanthin | the most potent antioxidant carotenoid found to date. An orange pigment from microalgae, it is 1000 times stronger than vitamin E, protects from inflammation, surface dryness, and DNA damage by UV radiation and ozone, and interrupts the aging process aggravated by sugar, browned foods, and alcohol. Ergothioneine | a superior antioxidant to CoQ10 and Idebenone, this unique amino acid found in mushrooms is the key energizing antioxidant for your cells; protects from ozone in smog and plane cabins, brightens skin and interrupts the aging process aggravated by sugar, browned foods, and alcohol
Materials + Care

We prioritize quality in selecting the materials for our items, choosing premium fabrics and finishings that ensure durability, comfort, and timeless appeal.
Shipping + Returns

We strive to process and ship all orders in a timely manner, working diligently to ensure that your items are on their way to you as soon as possible.

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