Evolence - A New Longer Lasting "No
Bruise" Collagen Dermal Filler
Evolence is a next
generation collagen filler with. The product provides several
benefits for injection correction of wrinkles:
highest
level of bruise avoidance
most
minimal of post injection swelling-
double the
duration of previous collagens
no
collagen pre-testing
One of the primary benefits of collagen is the minimal post
injection side effects such as bruising and swelling. The earlier
collagens Cosmoderm, Cosmoplast and the original Zyderm collagens
work great, but only for a few months.
Zyderm and Zyplast bovine collagen required pre-testing and patients
had to wait weeks to see if they "passed" the allergy sensitivity
tests. Once a decision has been made to use a filler, most patients
don't want to wait for testing.
Patients also demanded more longevity for their injection dollar.
The response from the dermatology industry was the hyaluronic acid
fillers such as Restylane and Juvederm. The tradeoff with the
HA fillers has been some swelling and along with that an increase in
potential bruising. (More about the differences below)
With the development and FDA approval of Evolence, collagen has once
again re-entered the filler market. Derived from porcine sources, it
may not be a selection for everyone, but for the broad
market, Evolence is a great addition to the available choices.
Evolence has been used in Canada, Europe and other countries since
2004 and has a proven safety and duration record with effects
lasting 6 to 12 months.
How is Evolence different from Hyaluronic Acid Fillers?
Dermal fillers that use hyaluronic acid (HA) absorb water and hold
water to create their effect. So from the perspective of action, HAs
are collagen substitutes and Evolence is a collagen replacement.
Evolence is a true structural agent that utilizes a
three-dimensional collagen matrix. The primary hyaluronic gels like
Juvederm, Restylane and Perlane all work very well to smooth
wrinkles and fill deep lines and folds. The choice of fillers is a
matter of preference because the end result is the same.
What is the upside of Evolence?
This collagen structure benefits patients as it is directly linked
to the minimal bruising and swelling that might result.
EVOLENCE® does not use chemicals for cross-linking like many other
products do, but instead uses natural sugar to improve durability.
The duration of Evolence is very similar to the hyaluronic gels.
What is the downside of Evolence?
Really, the only possible "downside" for some may be the source of Evolence. Because
Evolence is derived from porcine sources, some will
prefer to stick with the hyaluronic gels which are not sourced from
animals. The same collagen sources for Evolence have been used for many years to
replace heart valves since the tissue compatibility with humans is
so high.
Anything else I need to know about Evolence?
Yes. Evolence requires skilled injection technique. Make sure your
physician or injection nurse has been STAR certified. Dr. Pilest has
close to 3 decades as an injection specialist and is a trainer for
Radiesse, Juvederm and Botox and is of course a STAR certified
physician.
