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EQUALIZING SERUM
  • EQUALIZING SERUM
EQUALIZING SERUM
$59.00

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
Strengthens skin’s natural moisture barrier and reduces sensitivity | Provides a shield against harsh or drying environments and creates a smooth-as-glass finish for flawless makeup. 

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    • Even the roughest, most porous skin is smooth-as-glass

    • Makeup looks smooth and flawless every time

    • Skin feels moist, supple, and exceptionally comfortable — inside and out

    • The skin often becomes less sensitive over time

Skin Conditions

All Skin Types | Rough Texture | Poor Barrier Function | Fine Surface Lines | Uneven Makeup Application | Environmentally-Exposed. \n

Home Care

Gently smooth 1-3 pumps of Equalizing Serum over moisturizer, PowerPlexes, or chemical sunscreens and under Perfect Skin, foundation, Solar Defender SPF 30, or physical sunscreens containing titanium dioxide and zinc oxide. Wait until Equalizing Serum is dry (about 1-2 minutes) before applying products placed over the Serum. \n

Ingredients

Silicone Blend | non-comedogenic breathable barrier; provides smooth-as-glass finish Ceramides*| skin-fortifying lipid; moisturizes within skin Jojoba Oil | moisture-control oil similar to skin’s own natural oils; keeps lipids fresh Hazelnut, Borage, Kukui Nut, Rose Hips Seed & Evening Primrose Oils | lipid-rich plant oils; moisturize within the skin Camellia Sinensis Oil | soothing oil from Green Tea Tocopheryl Linoleate | moisturizing vitamin E; forms moisture reservoir for 16-20 hours Retinyl Palmitate | antioxidant Vitamin A; protects from environmental aging and irritation Cholecalciferol | Vitamin D; texturizes and conditions rough skin Lithospermum Extract | soothing red extract from seaweed.
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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