Jacksonville Evolence doctors
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David C. Pearson, MD
Jacksonville Facial Plastic Surgeon
1835 East West Parkway Suite 19, Fleming Island |
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Scott Trimas, MD
Jacksonville Facial Plastic Surgeon
1361 13th Ave South Suite 125, Jacksonville Beach |
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Armando Soto, MD
Orlando Plastic Surgeon
7009 Dr. Phillips Blvd. Suite 100, Orlando |
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Don N. Lerner, MD
Jacksonville Facial Plastic Surgeon
836 Prudential Drive Suite 1802, Jacksonville |
Recent Answers
Physicians were notified today that Evolence was immediately pulled from the US market. Why do you think J&J took this action?
It is my opinion that Evolence was pulled for several reasons. The first is that they never achieved the market share that they were looking for and just couldn't compete with the hyaluronic acid fillers, Restylane and Juvederm. Secondly, the product required a lot more product to achieve the same degree of correction and it didn't work in the lips. Finally, I believe that patients had a higher incidence of lumpiness after the injections which was uncommon with the other fillers.
There's all this hype about Evolence coming to the U.S. soon but I say what's the point in having another filler if it isn't better than what I already use... Is Evolence supposed to be better than Juvederm? Or does Evolence work in certain areas better than Juvederm? I normally get Juvederm in my lips and nasolabial folds and would really like to know how Evolence performs in those areas. Thanks!
You know, it's always interesting to see what claims a company makes about the longevity of their injectable fillers versus what patients actually report to us. Evolence is being touted as lasting longer than previous collagens such as Zyplast and Cosmoplast (Cosmoplast is human collagen). The claims are that it lasts up to 12 months. The package insert only shows 6-month data showing that Evolence is no worse than Restylane.
Indeed, there is a recent study in the medical literature from this year suggesting that Evolence lasts up to 12 months. However, there is also a recent study from this year suggesting that NASHA gels (e.g., Restylane) lasts up to 18 months (Dermatol Surg. 2008 Jun;34 Suppl 1:S2-8;). Both studies included "re-treatment"--a second injection--as needed.
Of course, the real test will be patients' perception of the results. I'm pretty sure I've never seen a Restylane patient get 18 months (I usually tell them to expect 4-6 months from Restylane and maybe 6+ months from Juvederm).
Time will tell whether Evolence lives up to its hype. I hope it does, but I'm always a skeptic.
