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Evolence

What it is: Evolence is an injectable dermal filler composed of porcine collagen. Evolence injections are designed to fill facial lines and wrinkles caused by aging and the natural loss of collagen in the skin.  Evolence is FDA approved and distributed internationally as Evolence or Evolence Breeze.

What it addresses:  Augmentation and/or restoration of facial volume, including the correction of various facial conditions, including:

- Lines
- Nasolabial folds
- Sunken cheeks
- Wrinkles

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Question

Is Evolence better than Juvederm?

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!

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Asked by: Celeste from Los Angeles, CA  

Answers (2)

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1
November 20, 2008

I Prefer Juvederm or Restylane to Evolence

Michael Law, MD
Michael Law, MD
Board Certified
Plastic Surgeon
Answer by Michael Law, MD

Evolence is a porcine (Pig) derived collagen product used to provide soft tissue augmentation. Although no allergic reactions have been reported with Evolence, there have been several reports of nodule formation in the lips.

In my Raleigh, North Carolina Plastic surgery practice we do NOT use Evolence. I am more comfortable using Juvederm, Restylane, perlane or Prevelle Silk as a temporary filler and fat grafting for individuals seeking permanent results.

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2
September 13, 2008

Evolence should not be injected into lips

Steven Weiner, MD
Steven Weiner, MD
Board Certified
Facial Plastic Surgeon

Evolence is a collagen filler that has been shown in studies to last up to 12 months.  It's an alternative to Juvederm, not necessarily better.  It has been promoted as being a more natural filler, and if that's important to you, then you can switch.  I have been cautioned by the company to not use it in the lips because it can cause nodules.  However, Evolence Breeze will be able to enhance the lips when it is FDA approved in about a year.  It has also been shown to have less bruising and swelling than the HA's like Juvederm and Restylane, which is one advantage.  A disadvantage is that it can sometimes be felt for a couple weeks.

Steven Weiner, MD Facial Plastic Surgeon  Destin, Florida

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