Talking with your doctor about Evolence

Stephen Mandy, 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?


Stephen Mandy, MD
4 months ago

First, a concerned approach reflecting your thoughts is more likely to find a sypmpathetic ear than a confrontational approach.   Most physicians inherently want to please their patients.  Evolence is a collagen, and unlike the hyaluronic acid fillers, may have a bit more firmness and integrate into the surrounding tissue a little more slowly.  Although massage is often recommended as part of the injection process, it is not essential in all instances.  Usually lumps are more obvious to touch than to see, and will soften and integrate into the tissue over a few days to several weeks.

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