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City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
  • City Lips® - Lip Plumper Gloss
City Lips® - Lip Plumper Gloss
$39.00

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

A plumping lip gloss that provides an immediate & long-term solution. It helps restore by delivering deep hydration for instant plumping & long-lasting comfort, while smoothing out the appearance of lip lines & wrinkles.

- Delivers an instant plumping effect for a fuller look 
- Reduces the look of “smoker’s lines” & lip wrinkles 
- Deep lasting hydration
- Increases the look of lip volume
- No stinging or burning - No capsium, cinnamon, menthol, or ginger

User group study: After only one use
95% said their lips look & feel smoother
90% said their lips look & feel plumper
90% said their lips look & feel more hydrated
*Results may vary

KEY INGREDIENTS
+ Hyaluronic Acid Spheres
+ Oligopeptides
+ Soothing Moisturizing Oils
+ Peptides & Ceramide Blend

No parabens, sulfates, mineral oil, phthalates
Cruelty-free
Science-backed ingredients & lab-tested
Based in CA, USA

Featured in Vogue, Allure, Refinery29, Brit+Co, ABC, NBC, CBS, Town & Country, and more

Product details

• Made in United States
• Ingredients: Hydrogenated Polyisobutene, VP/Hexadecene Copolymer, Phenyl Trimethicone, Ethylhexyl Palmitate, PPG-51/SMDI Copolymer, Silica, Petrolatum, C12-15 Alkyl Benzoate, Dipalmitoyl Hydroxyproline, Microcrystalline Wax, Tribehenin, Glycerin, Octyldodecyl PCA, Tetrahexyldecyl Ascorbate, Caprylic/Capric Triglyceride, Water/Aqua/Eau, Caprylyl Glycol, Benzyl Nicotinate, Flavor, O-Cymen-5-OL, Silica Dimethyl Silylate, Simmondsia Chinensis (Jojoba) Seed Oil, Sorbitan Isostearate, Sucrose Distearate, Hydrogenated Vegetable Oil, Ceramide 2, PEG-10 Phytosterol, Sodium Cocoyl Amino Acids, Butylene Glycol, Sodium Saccharin, Sarcosine, Crithmum Maritimum Extract, Magnesium Aspartate, Potassium Aspartate, Sodium Hyaluronate, Palmitoyl Oligopeptide, Palmitoyl Hexapeptide-12, Citrus Grandis (Grapefruit) Peel Oil, Cananga Odorata (Ylang Ylang) Flower Oil, Citrus Aurantium Bergamia (Bergamot) Fruit Oil, Glycine Soja (Soybean) Oil, Stearyl Glycyrrhetinate, MAY CONTAIN: Titanium Dioxide, Iron Oxide, Synthetic Wax, Red 7 Lake, Stearyl Triethoxysilane, Trimethylsiloxysilicate, Polymethylsilsesquioxane, Isopropyl Titanium Triisostearate, Blue 1 Lake, Yellow 5 Lake, Red 6 Lake, Triethoxycaprylylsilane, Red 40 Lake, Calcium Aluminum Borosilicate, Tin Oxide, Mica, Red 27 Lake, Carmine, Calcium Sodium Borosilicate, Synthetic Fluorphlogopite, Copper Powder, Ferric Ferrocyanide, Benzoic Acid, Bismuth Oxychloride. May Contain Carmine as a color additive.
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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