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FADE TO LIGHT™ CREME
  • FADE TO LIGHT™ CREME
FADE TO LIGHT™ CREME
$60.00

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
This lightweight, skin-illuminating creme addresses multiple causes of hyperpigmentation and uneven skin tone. 

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    • Visibly brightens dull, tired complexions and revives suppleness

    • It improves the uniformity of the skin and revives youthful luminosity

    • Supports skin’s detoxification activities, clearing accumulated pigment deposits

    • It impedes future spots and helps maintain the flawless and radiant tone

    • It helps control pollution-induced hyperpigmentation, restoring clarity

    • Normalizes sebum production, minimizing blemish-related pigmentation

Skin Conditions

Hyperpigmented | Age & Sun Spots | Sun Damaged | Glycated | Discolored | Uneven Tone & Texture | Dry & Ashy | Tired & Sluggish | Energy-Depleted | Pollution-Exposed | Cigarette Smoke-Exposed. 

Home Care

Apply 1-2 pumps to over clean the skin morning or evening over following the application of serums or complexes. For accelerated brightening results, use Fade to Light™ Serum daily and follow with Fade To Light™ Creme. \n

Ingredients

Niacinamide (5%) | a multifunctional form of Vitamin B3 that significantly reduces signs of hyperpigmentation and normalizes signs of discoloration Red Algae (Palmaria Palmata) | clinically tested oligosaccharides from Palmaria Palmata, rich in xylans and galactans, target UV-induced pigment formation, age spots, ashy, dull, gray, and glycated complexion Thiotane | botanical amino acid L-Ergothioneine and the cell’s principal energizing antioxidant Liquid Crystals | bio-mimetic “skin-like” fatty acid molecules derived from olives mimic the skin’s own tridimensional structure and organization integral for maintaining healthy moisture levels Safflower Oil | protects from moisture loss, revives essential skin lipids, and encourages barrier protection Shea Butter | emollient “butter” from the karite nut tree softens skin and promotes surface barrier repair Glycerin | vegetable-derived hydrating molecule with superior water-holding capabilities
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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