Emerge Medical & Well Spa Latisse Form

Latisse Consent

Latisse ™ solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker, and darker.  Eyelash hypotrichosis is another name for having inadequate or not enough eyelashes.  LATISSE™ solution is applied once nightly directly to the skin of the upper eyelid margin at the base of the eyelashes using supplied FDA-approved sterile applicators2

Less than 4% of patients in studies reported the following adverse events:  Eye pruritus (red eye), conjunctival hyperemia (itching), skin hyperpigmentation, ocular irritation, dry eye symptoms, and erythema of the eyelid.

Latisse ™ solution is intended for use on the skin of the upper eyelid margins at the base of the eyelashes.  DO NOT APPLY to the lower lid. Although iridal pigmentation was not reported in clinical studies with Latisse™, patients should be advised about the potential for increased brown iris pigmentation which is likely to be permanent.  This has occurred when the same formulation of bimatroprost ophthalmic solution was instilled directly onto the eye.

Contraindications: LATISSE™ is contraindicated in patients with hypersensitivity to bimatoprost or any other ingredient in this product.

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