Injectable Fillers: Q&A

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New Injectables - Worth It?

Of all the new injectables coming out (Evolence, Prevelle, Reloxin, etc.), which ones are working the best? Are they better than what is already out there (Botox, Juvederm, etc.)?

7 Doctor Answers | Asked by anon
+2

Botox, Juvederm, and Radiesse set the standard for injectables

Overall, when I see these new products coming out of Europe, I do not see any that are better than what is currently being used. The gold standard is still set by Botox, Juvéderm and Radiesse. Evolence is based on porcine collagen, and I think it is a step backward. The industry is going away from using animal products. Why go backwards? Evolence lasts 6 or 7 months, but so does Juvéderm and Radiesse lasts 10 months to a year. Reloxin produces results similar to Botox and... more
+2

You can't go wrong with Juvederm

Juvederm, Restylane, and Prevelle Silk are all injectable wrinkle fillers made from hyaluronic acid. Evolence is a porcine(pork)collagen based filler. Many more wrinkle fillers are awaiting approval by the FDA so it will become increasing difficult to keep them all straight. Fillers differ in formulation. Some are more plumping and some last longer than others. There is also a significant difference in cost. The key is to find the right office with a great injector who has access to the... more
+2

New products - beware of hype

I agree with the other doctors. What we have now - Botox, Restylane, Perlane and Juvederm family products - are great injectables and have a proved safety and efficacy track record. We know how long they last, we know they are safe, and we know whast to do if anything ever goes wrong. I am skeptical about the new products. Evolence is made from pig skin, and I feel in this day and age we don't need to resort back to using animal derived products. Prevelle we tried in the office on several... more
+2

Not every "me-too" product is as good as the original, but some are better

It seems that every pharmaceutical company wants to get into the cosmetic injectable business these days. More and more fillers, trying to grab some of the business that Juvederm, Restylane and Radiesse have the lion's share of, are coming out now or in the near future. Many are not improvements of what we currently have, however, and some are clearly inferior. My favorite fillers are Juvederm Ultra, Juvederm Ultra Plus, Radiesse and Artefill. These four fillers fill (no pun intended) all... more
+2

Choose a knowledgable and ethical provider to help you separate reality from hype

Advancing technology is a way of life, even in cosmetic medicine. Having said that, it can be very difficult for the layperson (and even the professional!) to separate hype from reality. In general, I would stick to treatments that have a proven record of safety and efficacy. Newer treatments may offer additional benefits compared to older treatments, but in some (but not all!) cases these benefits may be unproven or there may be other drawbacks. An honest and knowledgeable provider should... more
+2

Ignore the early marketing and stick with proven injectables

In cosmetic medicine and surgery, you will find 90 percent marketing and 10 percent science. And the marketing comes before the science. So we don't know about the new products. Evolence may have real promise, but I would not use it now except in a research study. The fact is, we do have excellent products like Botox and Juvederm right now that have strong science behind them. Don't be the first to try out something new. Many new products and procedures fall by the wayside with... more
+1

New Injectables - Reloxin vs. Botox

Prevelle is a hyaluronic acid based filler. It requires no down time and is very well tolerated. It is inexpensive in comparison to Juvederm and Restylane but not as long lasting. Prevelle is absolutely not a replacement for Juvederm but a nice option for first time users or people on a budget. Evolence is a porcine (pig) collagen. There have been reports of lumps and bumps in the lips with this product. Reloxin, a product similar to Botox will soon be available once it receives... more
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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