What is Upneeq?
What kind of treatment is the Upneeq consent form for?
Upneeq is a non-surgical injectable treatment designed to improve ptosis, or drooping eyelids.
- Intended for individuals with acquired eyelid droop.
- Offers a subtle lift, enhancing eye appearance.
- Results can be seen within minutes and last for several hours.
- Safe, FDA-approved treatment with minimal downtime.
- Consultation required to determine suitability.
Some patients may experience mild side effects such as eye irritation.

- It is a legal and ethical requirement in the UK
- Confirms you understand the treatment and possible side effects
- Helps set realistic expectations and ensures safe practice
- Builds trust between you and your practitioner
- Your signed confirmation of informed consent
Potential side effects of Upneeq treatments
Upneeq treatments may lead to several common side effects.
- Eye irritation
- Dry eyes
- Headache
- Blurred vision
- Increased tear production
Rare side effects may include allergic reactions or elevated heart rate.
Who is the ideal candidate for this treatment?
The ideal candidate for Upneeq treatment typically includes those looking to elevate their eyelids for a more youthful appearance.
- Adults over 18
- Non-pregnant and non-nursing individuals
- No known allergies to ingredients
- No pre-existing medical conditions affecting eye pressure
Consultation is essential before treatment.
Aftercare advice for best results
Follow these aftercare tips for optimal healing and results with Upneeq.
- Avoid touching or rubbing your eyes for at least 24 hours.
- Steer clear of heavy exercise or swimming for a few days.
- Use prescribed eye drops as directed.
- Keep your head elevated while resting.
Always follow your healthcare provider's instructions.
How to fill the consent form?
To complete the consent form, carefully read each section outlining the treatment, potential risks, and expected outcomes. Ensure you understand all information before proceeding. Fill in personal details accurately and confirm agreement by ticking the required boxes. The form must be signed digitally to confirm your informed consent.
