Is Evolence Recommended for Filling Under Eye Hollows?

Evolence has been pulled from production and is no longer available.  It was a fair option for filling tear troughs, but fat transfer is my first choice and hyaluronic acids like Restylane my second favorite filler for around the eyes.  Fat is the best because I can get much more volume and it is your own natural tissue, which most people prefer.  Results are really great and last several years.

The hyaluronic acids are the safest for the reason you mention. They can be dissolved if it is too lumpy or if there is a complication, the filler might be digested helping prevent a further problem.

Dear Tina5 My wife, Dr. Lisa Airan and i wrote the first paper on the Non-Surgical Eye Lift in 2005. We describe the technique using Restylane and Perlane. We have treated thousands of patients with very few problems. We have been using Restylane in this area for over 7 years now and are very confident with the results- they last 8 months up to a year and a half. The results are very reproducaible and give a natural appearance. i have seen some cases where another product has been used... more

Evolence is a porcine derived collagen filler which, if done properly, can give a somewhat more natural appearance than the hyaluronic acid fillers. After all your skin derives its youthfulness from collagen. It is the breakdown of collagen which ages skin, so it seems logical that adding collagen to the dermis should assist patients in maintaining a more youthful look. However, the under eye area is definitely not a good place for Evolence. It is meant for deeper, thicker areas of... more

Evolence is notorious for lumping and must be quickly massaged. The thin skin in the eye area would increase the chances for lumps. My favorite in this area is Restylane.

Hi Tina5, Evolence and Juvederm are both indicated by the FDA to last the same amount of time - up to 12 months. Evolence is a moderately thick product and wouldn't be the first choice for the average person to use in the thin skin area under the eyes. Restylane and Juvederm work well in these areas. I would strongly recommend these products over Evolence.

Evolence is a great filler but it can't be dissolved with hyaluronidase. It also sets up very quickly and can be nodular if not massaged right away. Restylane has been used in the eye area for a while with a very good safety record. This is my choice. Going through Realself, you will see that a majority of the problems with fillers is in this area (tear troughs, eyes). That is why you need to pick your physician carefully. The tendency is to fill with too much filler....