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December 25, 2008

Evolence: The New Collagen

Watch out, Restylane.  Get ready for real competition, Juvederm.  Evolence is here.

Evolence's features:

  • Evolence is a soft-tissue filler designed to plump up wrinkles, folds, and lips (like Restylane and Juvederm).
  • It works immediately.  There is no waiting time for its effects.
  • It has been available since 2004 in Europe, where its safety profile has been excellent.
  • It is composed of porcine collagen (made from pigs).  (Note to my Jewish readers:  Ironically, Evolence was originally developed in Israel.  A council of rabbis did bless this product and gave it a special dispensation for use by Jewish patients!)
  • Unlike older collagen products made from cows, Evolence has produced virtually no allergies, and allergy skin testing will not be necessary.
  • Moreover, while the old collagens (even the human collagens) lasted just 1-3 months, Evolence should last 6-12 months--a longevity roughly equivalent to Restylane and Juvederm.
  • Collagen products have always been associated with less bruising and swelling.

My opinion is that Evolence could totally supplant Restylane and Juvederm if it continues to perform as well as it has on my initial patients.  Why am I so bullish?  Less bruising and swelling.

Hyaluronic acid products (like Restylane, Juvederm, and Elevess) work like chemical sponges.  They plump up an area by grabbing water.  This process necessarily creates post-injection swelling.  The major complaint amongst my injectable patients has always been swelling and bruising.

In contrast, my early experience with Evolence has demonstrated very little swelling and bruising.  Some patients have even said that they don't need to wear any cover-up make-up after Evolence injections.

This should really boost its appeal to women who have big events in the next few days--or among women who don't want their husbands to know that they are being injected with fillers.  With Restylane and Juvederm, women do wait until their husbands are out of town, so that the swelling and bruising have vanished before the spouse returns.  With Evolence, women should be able to schedule an injection session even when their husbands are in town, or even on the day of a Holiday party when they want to look their best.

From a plastic surgeon's standpoint, the absence of swelling should make it easier for me to do very fine filling and to obtain near-perfect results.  With Juvederm and Restylane, the swelling always partially obscured the fold, and I could never be certain my injection was accurate.  With less swelling, Evolence should provide better results and greater satisfaction.

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Comments

cosmetic surgery upland

It good to know that this process necessarily creates post-injection swelling,it is the major complaint amongst my injectable patients has always been swelling and bruising.Thank's for sharing.

by: sphin

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