Evolence, lumpiness, massage and approaching your physician.

Otto Joseph Placik, MD answers: How to approach doctor about techniques for Evolence?

How do you question your doctor about possible techniques not used when giving Evolence? I have lumps, doesn't really look like I've had a filler (except for my new marionette lines due to lumps). I didn't have any kind of massage with injection, told not to touch my face for 6 hours. There was actually substance left in the syringe (that I paid for) that my lines could have definitely used. How do I approach this topic?


Otto Joseph Placik, MD
4 months ago
By Otto Joseph Placik, MD - Chicago Plastic Surgeon

Although massage may be recommended it is not necessarily required in all cases.

I have found that some massage may actually cause or worsen bruising and so I use it selectively in patients.

It is also important to realize that massage does not necessarily guaranteee that you will not have bruising.

Discuss with your surgeon, his/her choice to massage.

Evolence is firmer than hyaluronic products and while it has benefits of minimal bruising and comparable longevity, some physicians prefer not to use it due to paitent reports of lumpiness. For this reason, many physicians avoid using it in the superficial layers of the skin where it may have a tendency to be more visible.

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