Posted: 11/04/09

Today we received word from Johnson and Johnson that Evolence, a cosmetic wrinkle filler, is being discontinued effective immediately. Our office evaluated Evolence last November when it came on the market and decided not to use it in our practice even though it was being marketed heavily here in Knoxville. (Scroll down to read our original post.)

On his RealSelf.com blog today, Tom Seery noted that Evolence "failed to gain traction" against alternative hyaluronic fillers like Juvederm. On RealSelf.com patients complained about Evolence's results more than any comparable wrinkle treatment, with only 35% saying Evolence was "worth it."

The important thing to remember is that just because a product is new does not mean it is better. The key is to find the right Knoxville office with a great injector who has access to the latest products and is willing to look past the marketing hype.

(November 2008)

There is a new filler made from pork collagen on the market called Evolence. It is being advertised here in Knoxville. We have decided not to carry Evolence in our office at this time. With the variety of new fillers on the market, it is important to understand that just because a product is new, doesn't mean that it is better.

Evolence is not the first filler we have passed on. Recently we evaluated and decided not to carry Artefill, Sculptra and Elevess because we did not feel they brought value to our patients.

A benefit of collagen fillers versus hyaluronic acid fillers is that some patients may experience less swelling initially after the injection with collagen. However, Evolence is not approved to be used in the lips, the area most likely to swell.

In addition, there are reports of side effects not seen with Juvederm or Prevelle. These include the development of hard nodules: small areas of firmness under the skin at the treated sites that may be noticed when the areas are pressed upon.

There is a different form of Evolence that is used in Europe called EVOLENCE® BREEZE™. It has a more finely textured consistency and therefore should be able to be used in the lips. We will evaluate it if it becomes available in the United States. As Dr. Reath points out, "you can't go wrong with the gold standard- Juvederm".

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Before and After Photos