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Mon Nov 26, 2012 1:21 pm  |
I just read an article about this procedure in the current W magazine...it involves radio frequency to stimulate collagen and elastin production.
A quick Google search shows this is not entirely new, but apparently not well known.
Anyone know anything about this?
Thanks, BFG |
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Thu Dec 13, 2012 8:29 pm |
A radio frequency device just came up in a thread I started about sebaceous hyperplasia, so now I'm looking for info regarding RF.
When I saw your post, I looked up the W article. Are you referring to Evolastin? Have you learned any more about it? |
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havana8
Moderator
 
Joined: 09 Sep 2005
Posts: 3451
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Sat Dec 15, 2012 10:50 am |
Some of the quotes on their facebook page are interesting:
In a clinical study published in the Archives of Dermatology by six leading dermatologists, evolastin delivered one-third of the improvement of a traditional facelift. Even plastic surgeons who are trained to perform facelifts have taken notice of this breakthrough technology.
"No more scalpel. No more stitches. Evolastin uses tiny needle pricks to erase the years. Evolastin utilizes radio frequency energy at a very specific level in the tissues of one’s face to produce a three dimension rejuvenation of not only collagen, but elastin fibers, as well as hyaluronic acid. So in essence with the Evolastin procedure, doctors are creating new volume, giving patients, plumper more youthful skin." - California Life blog review on Evolastin
"Based on the pioneering research performed by Dr. David Goldberg and several other internationally recognized laser centers, it has become clear that the Evolastin technique not only produces the new collagen seen with many non-invasive approaches, but also uniquely creates new elastin." - Skin Laser and Surgery Specialists
"While a variety of quality devices will address tightening, some of them require more than one treatment. Another feature unique to ePrime is the single treatment precision delivery of energy and the real-time feedback. This really sets a new standard for predictability and reproducibility." – Dr. Lori A. Brightman, The Aesthetic Guide
"An ingredient that all skin care enthusiasts will know is 'Hyaluronic Acid.' This key skin ingredient has been offered effectively in filler as it can penetrate in the dermis. Now evolastin has been clinically proven to stimulate not only elastin production but also Hyaluronic Acid production. Presently Hyaluronic Acid (plant based) is used in Botox filler, but here the key point is that evolastin is actually stimulating your own Hyaluronic Acid production." - The Global Beauty World
A couple of related articles:
3-D imaging confirms volumizing effects of fractional bipolar RF (evolastin)
http://dermatologytimes.modernmedicine.com/dermatologytimes/Cosmetic+Dermatology/3-D-imaging-confirms-volumizing-effects-of-fractio/ArticleStandard/Article/detail/770087
TURN UP THE VOLUME WITH evolastin!
http://www.beautyinthebag.com/wordpress/page/2/?s=evolastin&x=32&y=18 |
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Sat Dec 15, 2012 1:15 pm |
I've never heard of this so I was doing some reading about it. Below are a couple of things I found interesting. I looked for the clinical study papers and on their website they say coming soon. It looks like the needles go to a depth of 2mm and the machine software is set up in a way that regardless of the different tissue density or collagen amount it is still able to deliver the exact temperature for the exact amount of time. This seems to me that that would be able to help with the difference in results that a lot of people get with this kind of treatment. Basically it make the procedure more idiot proof so regardless of your skin type or the competence level of the Doctor giving the treatment the results should be more uniformed. Also it is nice that you don't have to do a series of treatments to see results. It is just one treatment. It doesn't say if it can be redone again at a later date. It is expensive though at $3000 to $4500 depending on the area you live in. Also that it can be done on any skin color. The link below to the PDF is kind of confusing because it talks about both eMatrix's and eprime. This information is about eprime/evolastin.
http://syneron-candela.com/na/treatment/evolastin/clinical
http://syneron-candela.com/sites/default/files/ePeM_ABG_Oct11_0.pdf
This device features a handpiece containing a series of five pairs of insu- lated needles that penetrate the skin to a depth of approximately 2 mm, which is where targeted dermal remodeling takes place. Efficacy for the lower face has been demonstrated in literature viaelastometry.2Additionally,ePrime’s efficacy and safety are enhanced by its Intelligent Feedback System, which allows real-time monitoring of intra- dermal temperatures to maximize safe delivery of therapeutic energy3 at sci- entifically-validated doses.4
With ePrime, each needle pair operates independently, with separate and independent monitoring as well, so if the tissue at one needle site differs from the one next to it the software will still be able to deliver the requisite energy to raise the tissue to the target temperature of exactly 70° C for the exact required time.” |
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Everything has beauty but not everyone sees it |
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Sat Dec 15, 2012 4:15 pm |
| This looks encouraging, but only if it's true.... How would this RF differ from Thermage and Titan which gave not so encouraging real life results? The later 2 have no needles and evolastin has? |
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Sat Dec 15, 2012 4:59 pm |
| daler wrote: |
| This looks encouraging, but only if it's true.... How would this RF differ from Thermage and Titan which gave not so encouraging real life results? The later 2 have no needles and evolastin has? |
I have the same question, Thermage did nothing for me but cause a lot of pain going thru it. Well to be a bit fair, when I did thermage, I didn't nec have tons of issues, but I also did not see anything change. |
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Reluma, PMD. Never sit on a fence, you get shot by both sides. |
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Sat Dec 15, 2012 5:48 pm |
| Tiny wrote: |
| daler wrote: |
| This looks encouraging, but only if it's true.... How would this RF differ from Thermage and Titan which gave not so encouraging real life results? The later 2 have no needles and evolastin has? |
I have the same question, Thermage did nothing for me but cause a lot of pain going thru it. Well to be a bit fair, when I did thermage, I didn't nec have tons of issues, but I also did not see anything change. |
Without being able to read the clinical studies it hard to say for sure but I think the big difference is being able to control the "damage" to the skin better. If it works like it says I would think you are not able to "overheat" the skin/tissue because it controls how much heat or energy is going into the tissue exactly and it does it deeper in the skin at 2mm by using the needles. Thermage and other type of treatments have to go through the skin surface so I would assume that the temperature of the laser needs to be higher/hotter to reach down to the 2mm level. Maybe because of that it can cause some unwanted damage. For lack of a better term kind of like melting some of the fat in the face.
ETA: Here's a YouTube video with 3 before and afters. I think the first 2 look better the third one I don't see a lot of difference.
http://m.youtube.com/#/watch?v=5UR6M2GGiac&desktop_uri=%2Fwatch%3Fv%3D5UR6M2GGiac
OMG they use some long needles for the pain block in this video.
http://m.youtube.com/watch?feature=related&v=Wy6Y623lULA |
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Everything has beauty but not everyone sees it |
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Sat Dec 15, 2012 6:15 pm |
Here's another video from the Dr's show.
http://m.youtube.com/watch?feature=related&v=V0wYdPQ2GDc
ETA: in this video they say that the eprime also creates new elastin and hyaluronic acid in addition to collagen. I guess the other RF devices just create collagen. |
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Everything has beauty but not everyone sees it |
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Sat Dec 15, 2012 7:58 pm |
| the way I see it that the needles will pass thru the epidermis so the epidermis ll be heated too, unless the needles have some mechanism that only the needle tips get heated... anyways, I hope this thing gives results! |
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Sun Dec 16, 2012 2:27 pm |
There was one thread on realself that talked about disastrous results, but I couldn’t find many other patient reviews. It does sound promising; I think I’ll start saving, and by the time I have enough to afford the procedure, there will a lot more evidence available.
I wonder how much of the improvement is related to just the needles – in addition to the RF, don’t you essentially get a 2 mm dermal roll, too? I had trouble with the videos and couldn’t see how densely the skin is pricked.
I read a couple comments saying the results were about 1/3 of the improvement of a facelift, but wouldn’t the Evolastin results last longer, since you’re producing collagen, elastin, and hyaluronic acid? Or do facelifts contribute to production as well?
I’m sorry I responded to BFG’s post titled Evolastin by asking if she was referring to Evolastin…don’t know what I was thinking! |
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Sun Dec 16, 2012 3:28 pm |
| jwaduveev wrote: |
I wonder how much of the improvement is related to just the needles – in addition to the RF, don’t you essentially get a 2 mm dermal roll, too? I had trouble with the videos and couldn’t see how densely the skin is pricked. |
This is a good video. These are the things I learned from it.
1.The average treatment is about 150 pulses or pricks with the handheld piece.
2.Procedure is about 45 mins. With numbing time included about and hour and half total time.
3.See results in about 3 to 4 months. This gives enough time to see collagen grow.
4.Cost $1200 to $2000. This is a lot cheaper then what I read about earlier and seems more reasonable.
5.The treatment is good for a year or two but might want to do another round later as you continue to age.
6.The machine cools the surface while heating the inside.
7.The heat or energy is just between the needles that are deep in the skin.
8.The procedure is called Evolastin. The machine is called eprime.
9.The girl in the video said it didn't hurt at all but you can tell by her face she is pretty numbed up.
They do show you in the video what the actual needles look like on the hand piece but it is hard to see.
http://m.youtube.com/watch?feature=relmfu&v=LrJoQ7zGVqU
ETA: This is a link to the resume of the Doctor in the video. He seems pretty sharp.
http://www.scripps.org/physicians/5152-edward-ross-md |
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Everything has beauty but not everyone sees it |
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Sun Dec 16, 2012 3:48 pm |
Here's some FAQ about evolastin. The site also has some other information.
http://www.waveplasticsurgery.com/nonsurgical-procedures/evolastin/?gclid=CMO2pYL_n7QCFeiPPAodWA4APg
evolastin FAQs
How it works?
The applicator handpiece on the evolastin device inserts 5 pairs of very fine, electrically isolated, bi-polar Radiofrequency(RF) microneedles 1-2 mm into the skin automatically from a single use cartridge. Distinct, individual zones of thermal injury are created between each pair of needles as Radiofrequency(RF) energy is delivered into the deeper parts of the skin for a specific period of time at predetermined temperature settings. Specialised sensors inserted in each of the needles measures the skin temperature. Thermal injury is assured as real-time temperature monitoring adjusts energy ten times a second to achieve optimal target temperatures. The resulting specific injury to the deeper parts of the skin causes the body’s naturally occurring cascade of healing responses to be initiated, ultimately resulting in both new collagen and new elastin production which helps increase the thickness of the skin, whilst also improving the elasticity and firmness of the skin . Due to the precision of the technology deployed, treatment variability is eliminated and the patient’s individual healing is assured.
About microneedles
A sterile, single-patient-use cartridge houses the microneedle array of 5 pairs of 32 gauge electrodes—similar to those used to deliver neurotoxins (Botox). Sensors within the electrode tips continually measure tissue temperature and impedance(resistance) during treatment for optimal treatment control and effectiveness. With evolastin, we can-for the first time-select tissue temperature and time-at-temperature as clinical end-points. Energy delivery is precisely controlled based on real-time feedback from the sensors rather than subjective patient response. As a result, treatments are automatically customized for each patient based on their skin response, ensuring consistent clinical results.
What happends if the microneedles are placed too deeply?
They are designed not to (at a 20° angle, the target is 1-2 mm into the dermal layer of the skin) but admittedly, the thickness of skin does vary from patient to patient. Studies have shown even when the needles extend into the subcutis layer(layer beneath the skin), the RF energy will continue to follow the path of least resistance (lower impedance in skin vs. fat) and most of the energy will still ultimately be deposited into the deeper parts of the skin.
What happends if the microneedles are placed too superficially?
The evolastin system is designed to recognize differences in impedance and will adjust the energy being delivered accordingly. Superficial insertion is associated with low tissue impedance. In such a case, the system is design to detect this situation, and shut down the RF energy to protect the epidermal layer and prevent superficial heating / burning. If the needles are repeatedly extended into the air, for example, the evolastin console will recognize infinite impedance and identify a cartridge failure and therefore cease the treatment.
Is it painful?
Because there is a need to use the needles to deploy the RF energy effectively, local anaesthesia is used so that the procedure can be performed painlessly. Of course there will be a stinging sensation whilst the local anaesthesia is administered throughout the face, although every attempt will be made to minimise this through careful technique. Once however the local anaesthesia has been injected no further pain will be felt when the treatment is actually performed.
Who is the ideal candidate for the evolastin procedure?
The ideal candidate for the evolastin procedure is typically someone who has some mild to moderate degree of skin laxity that wants to improve their skin firmness and volume and perhaps is not fully ready clinically for a skin tightening procedure such as a facelift. Patients who have more advanced levels of skin laxity are best dealt with via Facelift procedure. Nonetheless patients with more advanced and obvious laxity of the skin-but who have already ruled out an invasive surgical facelift-may also benefit from the evolastin procedure. However these patients will need to understand that the evolastin procedure in these circumstances will never mimic or achieve the results obtained with a surgical facelift.
How should I set my expectations?
It’s important for patients to understand that although the revolumising effects from the new collagen and elastin production in the skin from the evolastin treatment will improve skin laxity and some lines and wrinkles, it is not as obvious an effect or a substitute for a surgical facelift. As a very rough rule of thumb and for comparative purposes, it probably delivers approximately 25% of the effects of a surgical facelift. Therefore patient must adjust their expectations accordingly. The aim is for an improvement in firmness and laxity of the skin but it does not give the exact similar lifting effects that a facelift does. All expectation and limitations, as well as your suitability will of course be discussed during the consultation.
What is dermal heating and importance of it?
Dermal heating is an important concept in rejuvenation. All skin tightening devices work via a similar mechanism. By delivering enough heat through RF or light based energy deep into the dermis, they create a “unique healing process” through both mechanical and biochemical effects that lead to an initial contraction of the collagen fibers followed by a well-documented wound response with dermal(deep skin) remodelling and ultimately new collagen formation. In order to successfully deliver enough energy deep into the dermal tissues to cause an effect however, the skin must also be sufficiently be cooled prior to, during and after the treatment.
Experience have shown that achieving consistent clinical efficacy while maintaining patient comfort during treatment has long been a challenge for non-invasive RF systems. Most users agree that existing Radiofrequency, Infra red and other energy based systems bulk heating approaches to address skin laxity produce variable results, with some patients experiencing significant improvement and others none at all. The evolastin treatments uniquely deliver more energy deeper into the skin than competitive, bulk heating and non-invasive fractional devices, which studies have shown result in greater dermal volume and improved skin elasticity. Since treatment variability is eliminated with evolastin, improved treatment outcomes can reasonably be expected from this new technology.
What makes evolastin different?
Up until now with the existing energy based machines, energy used to heat the skin to stimulate new collagen formation has been primarly surface deployed. The problem was that although a certain amount of energy was released onto the outer surface of the skin, it was never quite certain what precise amount of energy was actually getting into the deeper parts of the skin to stimulate the collagen production. By using the aforementioned fine needles however, e PRIME is the first minimally invasive aesthetic device to precisely target and deliver specific and precise RF energy directly into the deep dermis for significant tone, volumetric and elastic improvements of the skin. Unlike other approaches that require multiple treatments due to uncertain energy delivery, a practitioner can now be assured that evolastin will deliver the treatment temperature they specify in a single treatment. Furthemore evolastin’s patented Intelligent Feedback Systems (IFS) measures impedance and monitors temperature real time to constantly adjust power levels regardless of varying skin conditions or skin types.
Moreover, unlike many other non-invasive treatments that cannot use local anaesthetic because it interferes with the treatment, the evolastin treatment can and must be performed with a local anaesthetic. This allows optimal treatemtn temperatures to be reached to achieve results while managing patient comfort. The patient’s response to pain is not used to determine how much energy is to be delivered, as with other technologies, and there is no need to deliver lower, less effective energy levels to avoid patient discomfort. With evolastin it is also possible to achieve more predictable results in a single treatment while providing a positive patient experience.
What is the risk to the epidermis(top layer of skin) and/or dermal structures?
The design of the evolastin has been developed to minimise risk to other structures. In addition to the integral cooling plate which cools the surface of the skin, the inner end of the needle shaft is sheathed in insulation to protect the top layer of skin during treatment. Furthermore, within the dermal layer of skin, bipolar RF energy takes the path of least resistance, bypassing and protecting other key structures such as adipose tissue (fat cells), sweat glands, sebaceous glands, hair follicles.
How long is the evolastin treatment?
The evolastin treatment is a one-time procedure and to perform the treatment on the face and and neck typically lasts approximately one hour, including pre-treatment anaesthesia delivery.
What can I expect in the immediate post treatment period?
Initially you could expect to see some surface damage to the skin which looks like lines of pin pricks. Your face will be puffy and tender throughout the first day gradually becoming tingly and sore- ice packs however will help to ease this. You may experience some itchiness and pain along the jaw bone and around the front of the ear area. This can take a while to ease. Oral painkillers usually suffice to help this. Intermittent bruising and yellowing of the skin may occur throughout the forthcoming days also along with a hot sensation and itchiness. Bumpy uneven skin and tenderness in the lower areas of the face may also be evident and cause you discomfort.
In the first few days there may be small pimple like spots which can be sore and itchy and look like chicken pox in the treated areas. The swelling can take some time to subside and is especially evident from the 3rd to the 7th day-when you smile you will particularly notice this as this manifests itself predominantly around the mouth area. Bruising can be kept to a minimum by taking arnica pre and post procedure however you may develop small bruises or a yellowish hue in your skin tone which you may wish to cover with make-up in the first few days post treatment.
Are there any side effects?
evolastin has an excellent safety record and the treatment is usually well tolerated by patients. The fractional(specifically targeted) treatment approach protects the tissue surrounding the treatment zones. Side effects are generally mild and include redness, superficial bruising and swelling.
When will I see the results and how long will they last?
Most patients report seeing improvement 6-8 weeks post treatment. Because however new collagen requires time to fully develop, optimal results will not be observed for at least 3 months post-treatment.
As occurs of course with all anti-ageing treatments, time never stands still. As a result you will continue to age according to the laws of time and physics, and of course on your lifestyle and skin maintenance routine. However it would be safe to say that after receiving most successful treatments you will always look somewhat better than you would have looked had you never received any such treatment!
How do results differ from other technologies?
As already mentioned, the evolastin treatment triggers a surge of growth activity within the dermis to significantly increase skin thickness and volume. While patients are excited to see improvement in their skin tone within several weeks, the production of collagen continues typically for up to 6 months or more. Patients therefore can expect a lasting, natural, more youthful appearance from evolastin.
It is important to remember however that apart from surgery, no other treatment approach actually “tightens” the skin. All light-and energy-based technologies can only induce an injury to the skin which should initiate a healing response that ultimately leads to an improvement in skin laxity. What separates evolastin apart from all of these other skin tightening technologies is our ability to consistently deliver a fractionated(specifically focused) zone of known thermal injury specific to the deep dermis, where the potential for new collagen and elastin production has been demonstrated. The only variable left in the skin rejuvenation equation with evolastin is the patient’s healing response—some patients will just respond differently than others, regardless of the technology. With all other light- and energy-based approaches, the treatment technology itself remains a variable in the this equation. Since evolastin eliminates treatment variability, clinical outcomes must be based solely upon individual healing responses.
Does evolastin have U.S.A. FDA 510(k) clearance?
evolastin has two FDA indications for use– in dermatologic and general surgical procedures for electrocoagulation and hemostasis and for the treatment of wrinkles.
It also has CE approved marking. |
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Everything has beauty but not everyone sees it |
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Sun Dec 16, 2012 4:12 pm |
One thing we all MUST avoid is to get laser treatments in spas and saloons ( hair removal laser being an exception), ONLY by MDs trained in the particular device..
I don't think realself has a page dedicated to eprime/ evolastin reviews or does it? I read some reviews in general laser resurfing reviews but didn't see one for eprime specifically.. did I miss it? Thanks |
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Sun Dec 16, 2012 5:00 pm |
Thanks Cookie, it appears from this before n aftre photo that evolastin ll plump up and firm the skin but it does not give a face lift like effect at all... |
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Sun Dec 16, 2012 6:57 pm |
| If this is a photo taken by a physician's office, they need more practice. In the second photo she is looking up and the pic is taken from a slightly different angle with an orientation looking slightly up from the chin - both of these differences can make a face look more perky. |
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Sun Dec 16, 2012 7:59 pm |
| mismis wrote: |
| If this is a photo taken by a physician's office, they need more practice. In the second photo she is looking up and the pic is taken from a slightly different angle with an orientation looking slightly up from the chin - both of these differences can make a face look more perky. |
They do this for a reason, you know  she is also wearing mascara in the after photo n before I noticed this, i was like her eyes really opened up after the procedure.... |
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Sun Dec 16, 2012 8:21 pm |
| daler wrote: |
| mismis wrote: |
| If this is a photo taken by a physician's office, they need more practice. In the second photo she is looking up and the pic is taken from a slightly different angle with an orientation looking slightly up from the chin - both of these differences can make a face look more perky. |
They do this for a reason, you know she is also wearing mascara in the after photo n before I noticed this, i was like her eyes really opened up after the procedure.... |
...And it looks like she's had her eyebrows shaped (and maybe slightly darkened) and it also looks like she's had filler to her lips.
My experience with procedures that use lots of heat is that they also have a tendency to melt fat - not on everyone, but definitely for some. |
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Sun Dec 16, 2012 8:26 pm |
| daler wrote: |
| mismis wrote: |
| If this is a photo taken by a physician's office, they need more practice. In the second photo she is looking up and the pic is taken from a slightly different angle with an orientation looking slightly up from the chin - both of these differences can make a face look more perky. |
They do this for a reason, you know she is also wearing mascara in the after photo n before I noticed this, i was like her eyes really opened up after the procedure.... |
I wish we could see more chin/neck in the photo. And for her not to be looking up! |
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Esthetician working at a Med-spa. Love the Clarisonic! |
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Sun Dec 16, 2012 8:27 pm |
| LauraLizzie wrote: |
| daler wrote: |
| mismis wrote: |
| If this is a photo taken by a physician's office, they need more practice. In the second photo she is looking up and the pic is taken from a slightly different angle with an orientation looking slightly up from the chin - both of these differences can make a face look more perky. |
They do this for a reason, you know she is also wearing mascara in the after photo n before I noticed this, i was like her eyes really opened up after the procedure.... |
I wish we could see more chin/neck in the photo. And for her not to be looking up! |
I wish we see more before n after for evolastin, as of now it looks just as disappointing as theramge... |
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Sun Dec 16, 2012 11:08 pm |
I have watched a lot of YouTube videos on this procedure today and I wonder if the person on Realself that had such a problem with this is because they had both shots of anesthesia and an anesthesia cream applied on their skin before the procedure. I have yet to see any video that has mentioned any cream being put on the skin. Maybe either the cream was not wiped off properly or at all and it got deep into her skin and that can cause a big problem.
The dermatologist injected 4 shots of anesthesia and applied anesthesia cream on my skin before the procedure. When my skin became numb the doctor performed procedure with a minimally invasive aesthetic device.
ETA: There are a few more picture of before and after on this link.
http://www.waveplasticsurgery.com/nonsurgical-procedures/evolastin/?gclid=CMO2pYL_n7QCFeiPPAodWA4APg |
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Everything has beauty but not everyone sees it |
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Mon Dec 17, 2012 8:31 am |
| Thanks, Cookie - these are much better pictures. Is this a one-time procedure or can one have cummulative improvements over a few treatments? Very interesting! |
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Mon Dec 17, 2012 9:27 am |
| mismis wrote: |
| Thanks, Cookie - these are much better pictures. Is this a one-time procedure or can one have cummulative improvements over a few treatments? Very interesting! |
From what I've read and saw on the videos most of the Doctors are saying it last from 2 to 4 years but of course we continue to age. They say you can do another procedure but to wait at least 6 months to see the final results from the first one. |
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Everything has beauty but not everyone sees it |
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Mon Dec 17, 2012 10:17 am |
| CookieD wrote: |
I have watched a lot of YouTube videos on this procedure today and I wonder if the person on Realself that had such a problem with this is because they had both shots of anesthesia and an anesthesia cream applied on their skin before the procedure.
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Did you read all the comments on Realself? It seems like a lot of people had problems with the procedure. On the other hand, the original poster had the procedure done in April, 2011 so there has probably been a lot of refinement since then, and Realself does tend to get the bad reviews. I'm not someone that is opposed to lasers or procedures (although I'm not really a fan of face lifts), but I do think there is some risk. I had Ulthera done almost two years ago, and while I am fairly pleased with the tightening effect around my jaw line, there is a spot on the side of my face where the texture of the skin was "damaged". I can best describe it as a crinkling effect - what you might see if you used a hot iron on a synthetic fabric. I've finally been able to correct it with laser resurfacing, but that was sort of a last resort. So all I'm saying is to just be careful. |
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Mon Dec 17, 2012 11:32 am |
| Panda1 wrote: |
| CookieD wrote: |
I have watched a lot of YouTube videos on this procedure today and I wonder if the person on Realself that had such a problem with this is because they had both shots of anesthesia and an anesthesia cream applied on their skin before the procedure.
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Did you read all the comments on Realself? It seems like a lot of people had problems with the procedure. On the other hand, the original poster had the procedure done in April, 2011 so there has probably been a lot of refinement since then, and Realself does tend to get the bad reviews. |
I did read all that I could find on realself. The links in one of my post above are all that I saw.
If you saw others I would love to read them. I know people have had all kinds of different experiences both good and bad with different kinds of laser or RF treatments. I really was surprised that there were so few posts about evolastin especially because there are quite a few videos about evolastin from different news/TV shows. I wonder if it does work and why it isn't more popular. |
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Everything has beauty but not everyone sees it |
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