Evolence differs from many other dermal fillers used to correct moderate to deep wrinkles and folds. Instead of being based on hyaluronic acid, like Juvederm, or bovine (cow) collagen, like Botox, Evolence comes from porcine (pig) collagen that has been purified. One of the greatest benefits of using pig collagen is that it is the most similar to our own tissues and thus requires no allergy test, as other treatments do. It also claims to cause less bruising and swelling at the injection site.
Who Performs Evolence?
Only medical doctors can perform an Evolence treatment. Your dermatologist may be able to provide the treatment or give you a referral to a qualified plastic surgeon. In either case, it is crucial that the doctor has been trained by the manufacturer. Many patients have complained that Evolence results in lumpiness and bruising that remained or grew worse after treatment. These two side effects can be caused if the substance is not injected deeply enough into the skin. Your doctor should warn you about the potential side effects before the treatment. Your doctor can prevent lumps during the injection process by massaging the area between two fingers or against underlying bone.
Your doctor should also be board-certified by a recognized national organization. If your doctor is a dermatologist, you can check with the American Board of Dermatology and the American Academy of Dermatology. If your doctor is a plastic surgeon, you can check with the American Board of Plastic Surgery and the American Board of Cosmetic Surgery. Always ask your doctor if he is board-certified and through what organization.
In November 2009, Johnson and Johnson announced that they would cease selling Evolence, but that all existing doses were still safe and approved for use. This may make it more difficult to find an Evolence specialist as supplies are limited.