LEARN, SHOP & CHAT ABOUT PLASTIC SURGERY, BEAUTY AND ANTI-AGING





Mehryar (Ray) Taban, MD
Expert Profile



User Photo For: mytaban
Mehryar (Ray) Taban, MD
Oculoplastic surgeon | Views: 53098


Friendname: mytaban
Business Name: TabanMD
Website: www.TabanMD.com
 
Location: 435 N Roxbury Dr, #104
Beverly Hills, CA 90210
United States
Telephone: 310-278-1839
Languages Spoken: English




Post a reply Ask Mehryar (Ray) Taban a question Return to Mehryar (Ray) Taban's homepage



Ask An Expert > Mehryar (Ray) Taban Message Board > I would like to have two granulomas removed from under my right eye from evolence. Any MD skilled in Cleveland to remove?
AUTHOR MESSAGE
Default User Photo
vernedog
,
I would like to have two granulomas removed from under my right eye from evolence. Any MD skilled in Cleveland to remove?
Present for five years. Injected under right eye in Canada for under eye bags.


 



mytaban
Oculoplastic surgeon
Beverly Hills, CA
United States
View My Professional Profile
Oculoplastic surgeon in Cleveland  December 3, 2011 12:06 PM

See Dr Julian Perry at Cleveland Clinic.


arnioldkleinmd
Dermatologist
beverly Hills, CA
United States
View My Professional Profile
Rise and Fall of Evolence  December 8, 2011 2:05 AM


Somewhere around 2008, I was invited to New York City to discuss a filler for wrinkles distributed by Johnson and Johnson called Evolence®. Evolence® was a porcine (pig) collagen based agent that had a poor track record in Europe. Yet J& J?s richly paid US consultants said it was a wonderful filler. I was very concerned about the poorly designed U.S. studies, including the drug?s ability to produce allergy, and the fact that it injected like cement. Since 2004, it was well known in the European medical community that this filer performed poorly and the majority of physicians in Europe refused to use it,
However, Johnson and Johnson were convinced that their US consultants (Gary Monheit, Rhoda Narins, Fred Brandt and Corey Moss)* were correct in their assessment of Evolence®, and created an entire company division around this incredibly revolutionary product. Evolence® was approved without a meeting of the FDA advisory panel Plastic Surgery Devices because of the remarkable data produced by J&J?s US consultants*. Johnson & Johnson launched Evolence® in September of 2008 with an aggressive advertising, marketing, and sales campaign. Yet in spite of their best efforts, Johnson & Johnson stopped marketing the wrinkle filler in 2009, a little more than a year after it was launched. What was J&J?s reason? It was a politically correct version of what the US public reported. The US medical community cited ?Evolence?® as a lousy product that produced lumps upon injection into the face.
Johnson & Johnson now has more significant problems than Evolence?s failure. Johnson & Johnson agreed to a consent decree, which is a serious regulatory action of the U.S. Food and Drug Administration (FDA).
Inflammatory reactions like those to Evolence are best treated by someone skilled in the use of injectable 5fu and
Kenalog into filler reactions.


vernedog
  December 8, 2011 8:26 PM

Thank you for the time you spent to answer this truthfully. I am also a medical professional, RRT, who understands the risks of procedures.




 



 

Welcome to the Ask An Expert section of our website! Our network of board certified physicians can answer any questions that you may have regarding plastic surgery, skin care, dermatology and other conditions. Popular topics include tummy tuck, liposuction, rhinoplasty, acne scars, facelift, breast augmentation and more. This frequently asked questions section is opened to everyone and you need to set up an account with Makemeheal before you can ask your own question. This service is absolutely free and is available to those who are interested in learning more about a particular cosmetic procedure, treatment or product.

Before asking a question, we recommend you to browse through our existing collection of questions and answers to ensure that the question you want to ask have not already been answered by our highly experienced experts. This will help you save time and get an answer more quickly. When asking a new question, we recommend you to be very detailed so that our experts could formulate a more precise & professional answer.

Of course, this service is not a substitute for a doctor visit or a consultation with a plastic surgeon or cosmetic dermatologist. The answer you will find here only serve as initial directions of thoughts and not as specific instructions. You should remember that it is utterly important to consult a skilled specialist prior to scheduling any type of treatment in order to get acquainted with possible contraindications. Only a one-on-one meeting will enable your cosmetic surgeon to properly evaluate your condition, conduct examinations and explain their results.