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					  PATIENT EDUCATION
                                                                     LATISSE     FEB/MAR 2009




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                               Laboris Nisi ut Aliquip Consequat


                              increasing
your
success
with




                            Evolve Medical Associates is pleased to introduce LATISSE 0.03% (bimatoprost
                            opthalmic solution), as the newest member of our skin care product lineup.


                            LATISSE is the first and only FDA-approved prescription treatment for hypotrichosis (another
  This guide includes:      way of saying inadequate eyelashes). It is a once-a-day treatment that involves applying
                            LATISSE to the base of your eyelashes every evening. Clinical studies have shown that 78%
  1. What is LATISSE?       of people using LATISSE saw significant improvement in the length, fullness and darkness
  2. Changes to expect      of their lashes. Although a few people will start noticing changes after 4 weeks of treatment,
                            most will begin to see improvement after 8 weeks. The full effect of LATISSE occurs at 16
    during treatment
                            weeks.
  3. How to apply LATISSE
  4. Tips for success       This guide is a compilation of information provided by Allergan. More information is available
  5. Frequently asked       at www.Latisse.com. You can also call and speak with us directly: 704.362.2232 or
     questions              704.540.2772 or email: EvolveMed@gmail.com.




SOUTHPARK 704.362.2232                  www.EvolveMeToday.com                            BALLANTYNE     704.540.2772	
  PATIENT EDUCATION
                                                                        LATISSE   FEB/MAR 2009




          What
is
LATISSE?
 LATISSE™ is a prostaglandin analog, indicated to treat hypotrichosis of the eyelashes by increasing their
 growth including length, thickness and darkness. The active ingredient bimatoprost has been used since 2001 to
 lower high eye pressure in people with glaucoma. Bimatoprost is a compound derived from fatty acids that bind to
 receptors in the eyelashes that may be involved in the development and re-growth of hair follicles. The true
 mechanism by which LATISSE works is unknown, but the manufacturer (Allergan) speculates the growth of eyelashes
 occurs by increasing the percent of hairs in, and the duration of the anagen or growth phase.

 In clinical studies LATISSE™ solution was evaluated for its effect on overall eyelash prominence in a multi-center,
 double- masked, randomized, vehicle-controlled, parallel study including 278 adult patients for four months of
 treatment. The primary efficacy endpoint in this study was an increase in overall eyelash prominence as measured by
 at least a 1-grade increase on the 4-point Global Eyelash Assessment (GEA) scale, from baseline to the end of the
 treatment period (week 16). LATISSE™ was more effective than vehicle as measured by the GEA score, with
 statistically significant differences seen at 8-week (50% with Latisse vs. 15% with placebo), 12-week, (69% with
 Latisse vs. 20% with placebo) and 16-week (78% with Latisse vs. 18% with placebo) treatment durations.

 Full effects are expected at 16 weeks. Overall, an average of 25% increase in length, 106% increase in fullness/
 thickness and 18% increase in eyelash darkness was seen in the clinical study patients.

 After the 16-week treatment period, a 4-week post-treatment period followed during which the effects of bimatoprost
 started to return toward baseline. The effect on eyelash growth is expected to abate following longer term
 discontinuation.

 Please read on to find out how to get the most out of your LATISSE treatment!




SOUTHPARK 704.362.2232                           www.EvolveMeToday.com                      BALLANTYNE   704.540.2772	
  PATIENT EDUCATION
                             LATISSE   FEB/MAR 2009




        Changes
to
expect
during
treatment




SOUTHPARK 704.362.2232   www.EvolveMeToday.com   BALLANTYNE   704.540.2772	
  PATIENT EDUCATION
                             LATISSE   FEB/MAR 2009



        How
to
apply
LATISSE




SOUTHPARK 704.362.2232   www.EvolveMeToday.com   BALLANTYNE   704.540.2772	
        PATIENT EDUCATION
                                                                      LATISSE   FEB/MAR 2009




              Tips
for
Success



     Once you know how to apply LATISSE™, it's important to understand a few simple tips to help you make
     your treatment as effective as possible.

     Follow these guidelines for best results:

     Think routine
     Try to incorporate LATISSE™ into your nightly routine — for example, after you've washed your face and
     brushed your teeth.

     Keep it handy
     Store the LATISSE™ bottle near your other skin care products or toothbrush, so you won't forget to apply
     it each night.

     Have patience
     LATISSE™ (bimatoprost ophthalmic solution) 0.03% takes time to work. Only use it once a night, and
     don't overuse it, as this may increase the chance of experiencing eye redness or itchiness.

     Start fresh
     If your eye makeup remover leaves an oily residue on your eyelids, wipe off any excess oils with soap and
     water to ensure a clean surface before you apply LATISSE™.

     Follow the rules
     Always use the sterile, disposable FDA-approved applicator provided in the kit. Don't try to apply
     LATISSE™ with a cotton swab. The LATISSE™ applicator is specially designed to hold a drop and release a
     drop, as well as ensure safety and maximize effectiveness.

     Don't play catch up
     If you miss a dose one night, don't apply more just to catch up. Simply apply LATISSE™ the next evening
     and stay on schedule.

     Beware of germs
     Don't let the tip of the bottle or applicator contact your fingers or any other unintended surface, in order to
     avoid contamination.

     Chart your progress
     When you start using LATISSE™ solution, be sure to mark your calendar and take pictures throughout
     weeks (0, 4, 8, 12, 16), so you can have your own "Before & After Gallery."

     Talk to your doctor for some additional tips for success.




LATISSE™ solution is a prescription treatment for hypotrichosis used to grow eyelashes, making them longer, thicker and darker.

Hypotrichosis is another name for having inadequate or not enough eyelashes.


Important Safety Information
Do not use LATISSE™ solution if you are allergic to one of its ingredients.

LATISSE™ solution is intended for use on the skin of the upper eyelid margins at the base of the eyelashes. DO NOT APP
If you have a history of abnormal IOP, you should only use LATISSE™ under the close supervision of your physician.
      SOUTHPARK 704.362.2232                       www.EvolveMeToday.com                     BALLANTYNE 704.540.2772	
LATISSE™ use may cause darkening of the eyelid skin which may be reversible. Although not reported in clinical studies, LATISSE
increased brown pigmentation of the colored part of the eye which is likely to be permanent.
   PATIENT EDUCATION
                                                                                    LATISSE    FEB/MAR 2009




FAQ’s
What
you
need
to
know
about
LATISSE
What is LATISSE™ (bimatoprost ophthalmic solution)                        LATISSE™ solution is the first and only prescription
0.03%?                                                                treatment approved by the FDA for inadequate or insufficient
                                                                      eyelashes, growing them longer, fuller and darker.
     LATISSE™ solution is a prescription treatment for
hypotrichosis used to grow eyelashes, making them longer,             What if I forget to apply one night? Or a few nights?
thicker and darker.
                                                                          If you miss an application or a few, don't try to catch up.
What is hypotrichosis of the eyelashes?                               Just apply the LATISSE™ treatment the next evening and
                                                                      stay on schedule.
     Hypotrichosis is another name for having inadequate or
not enough eyelashes.                                                 What happens if I stop using LATISSE™?

How does LATISSE™ work?                                                   If you stop using LATISSE™, your eyelashes are
                                                                      expected to return to their previous appearance over several
     The active ingredient in LATISSE™ is bimatoprost.                weeks to months.
Although the precise mechanism of action is not known,                     Any eyelid skin darkening is expected to reverse after
research suggests that the growth of eyelashes occurs by              several weeks to months.
increasing the percent of hairs in, and the duration of, the               Any darkening of the colored part of the eye known as
anagen (or growth) phase. Lashes can grow longer, thicker             the iris is NOT expected to reverse and is likely permanent.
and darker because bimatoprost can also prolong this growth
phase.                                                                What are the possible side effects of LATISSE™?

How do I apply LATISSE™?                                                  The most common side effects after using LATISSE™
                                                                      solution are an itching sensation in the eyes and/or eye
     LATISSE™ is a once-a-day treatment you apply yourself            redness. This was reported in approximately 4% of patients.
each evening to the base of the upper eyelashes. See the full         LATISSE™ solution may cause other less common side
instructions in this guide                                            effects which typically occur on the skin close to where
                                                                      LATISSE™ is applied, or in the eyes. These include skin
How soon will I see results?
                                                                      darkening, eye irritation, dryness of the eyes, and redness of
     LATISSE™ users may see results starting at 4 weeks               the eyelids.

with full results after 16 weeks. The growth is gradual                   If you develop a new ocular condition (e.g., trauma or

overnight, over time.                                                 infection), experience a sudden decrease in visual acuity, have
                                                                      ocular surgery, or develop any ocular reactions, particularly
Is LATISSE™ a replacement for mascara?                                conjunctivitis and eyelid reactions, you should immediately
                                                                      seek your physician’s advice concerning the continued use of
     No, LATISSE™ does not work in place of mascara.
                                                                      LATISSE™ solution.
However, mascara is a nice complement to LATISSE™to help
make your new longer eyelashes look even more attractive.             What should I do if I get LATISSE™ in my eye?

Is LATISSE™ different from nonprescription products                       LATISSE™ solution is an ophthalmic drug product. If any
that indicate eyelash growth?                                         gets into the eye, it is not expected to cause harm. The eye
                                                                      should not be rinsed.



SOUTHPARK 704.362.2232                                    www.EvolveMeToday.com                          BALLANTYNE    704.540.2772	
   PATIENT EDUCATION
                                                                                      LATISSE     FEB/MAR 2009



Are there any special warnings associated with                         What is skin hyperpigmentation?
LATISSE™ use?
                                                                           This is a common, usually harmless condition in which
     LATISSE™ solution is intended for use on the skin of the          patches of skin become abnormally darker than the
upper eyelid margins at the base of the eyelashes. Refer to            surrounding skin color. This occurs when an excess of
Illustration 2 below. DO NOT APPLY to the lower eyelid. If you         melanin, the brown pigment that produces normal skin color,
are using LUMIGAN® or other products in the same class for             forms deposits in the skin. Hyperpigmentation is a possible
elevated intraocular pressure (IOP), or if you have a history of       side effect of LATISSE™
abnormal IOP, you should only use LATISSE™ under the
close supervision of your physician.


     LATISSE™ use may cause darkening of the eyelid skin
which may be reversible. LATISSE™ use may also cause                            More
Questions?
increased brown pigmentation of the colored part of the eye
which is likely to be permanent. It is possible for hair growth
to occur in other areas of your skin that LATISSE™ frequently
                                                                               We’re
here
to
help!
touches. Any excess solution outside the upper eyelid margin
should be blotted with a tissue or other absorbent material to
                                                                           If you have any additional questions or concerns, please
reduce the chance of this from happening. It is also possible
                                                                       contact us!
for a difference in eyelash length, thickness, fullness,
                                                                           We can be reached by:
pigmentation, number of eyelash hairs, and/or direction of
eyelash growth to occur between eyes. These differences,
                                                                           EMAIL: EvolveMed@gmail.com
should they occur, will usually go away if you stop using
LATISSE™
                                                                           Phone: 704.362.2232 (Southpark Office)
Who should I tell that I am using LATISSE™?                                            704.540.2772 (Ballantyne Office)

     You should tell your physician you are using LATISSE™                 Or, please stop by our location and our staff will be
especially if you have a history of eye pressure problems. You         happy to assist you.
should also tell anyone conducting an eye pressure screening
that you are using LATISSE™.                                               Southpark: 4423 Sharon Road
                                                                                   	        Charlotte, NC 28211
Who should NOT use LATISSE™?
                                                                           	                (across from Southpark Mall)

     Do not use LATISSE™ solution if you are allergic to one
of its ingredients.                                                        Ballantyne:	 9852 Rea Road
                                                                           	                Charlotte, Nc 28277
What are the ingredients in LATISSE™?                                      	                (2nd floor at the Village Shops at
                                                                           	                Blakeney)
     Active ingredient: bimatoprost
     Inactive ingredients: benzalkonium chloride; sodium
                                                                           ,
chloride; sodium phosphate, dibasic; citric acid; and purified
water. Sodium hydroxide and/or hydrochloric acid may be
added to adjust pH. The pH during its shelf life ranges from
6.8 — 7.8.




SOUTHPARK 704.362.2232                                     www.EvolveMeToday.com                           BALLANTYNE      704.540.2772	

				
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