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TOTAL AGE CORRECTOR MULTI-ACTION RESTORING SERUM
  • TOTAL AGE CORRECTOR MULTI-ACTION RESTORING SERUM
TOTAL AGE CORRECTOR MULTI-ACTION RESTORING SERUM
$79.00

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 multi-tiered and concentrated serum that restores devitalized, age-ravaged skin leaving it instantly illuminated, soft, dewy, and fortified. \n

Actions


    • Rapidly enhances smoothness, firmness, elasticity, deep hydration, and luminosity

    • Visibly lifts, volumizes, and redensifies contours

    • It helps prevent signs of glycation, restoring density and resiliency

    • Boosts skin’s natural reparative reserves to correct the signs of past damage

    • It helps protect the skin from daily internal and external aggressors

    • Enhances the beneficial effects of resurfacing treatments, peels, micro-needling, dermaplaning, injections, and laser treatments

Skin Conditions

Deep Lines & Sagging Contours | Devitalized | Sun Damaged | Discolored | Sluggish | Dehydrated. 

Home Care

Using fingertips, gently massage 1-3 pumps of serum over facial contours, smoothing upwards over the forehead, sculpting the eye area and cheekbones, cheeks, jawline, neck, and décolletage until completely absorbed. Apply a thin layer AM | PM under your treatment moisturizer or another product. \n

Ingredients

Uplevity™ | an anti-gravity tetrapeptide that firms, defines, and sculpts facial contours Matrixyl® Synthe’6® | a facial architectural peptide that supports six skin rebuilding essentials for smoother, stronger, volumized, line-free skin Rubixyl® | a cell-signaling corneotherapy peptide that strengthens epidermal structures and prevents inflammation-induced signs of aging Red Algae | protects and restores elasticity and firmness; transforms stiff, dull skin to resiliency and youthfulness Niacinamide | a multitasking form of Vitamin B3 that orchestrates a multi-pronged reparative synthesis, improving barrier function and energizing skin tone Carob Seed Extract | Phyto-repair molecules that accelerate the recovery capacity of damaged skin Mung Bean Sprout Stem Cells | protects collagen and ECM (extracellular matrix) from harmful environmental conditions and photo-damage Liposhield™ (Phyto-Melanin) | helps shield the skin from exposure to High Energy Visible Light (HEV) Aquaxyl | provides immediate and long-term cellular hydration for more youthful-looking and acting skin Garden Sprout Extract | supports your skin’s natural detoxifying enzymes while promoting the elimination of environmental toxins
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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