What Is Coldex Technology and Why It Matters for Patients

The manufacturing process behind most hyaluronic acid dermal fillers has remained largely unchanged since around 2015. Evolysse, developed by Simit Labs in France, is an exception. Standard HA filler production exposes hyaluronic acid to heat during cross-linking, which degrades the long-chain HA molecules and requires higher concentrations of BDDE (butanediol diglycidyl ether) bonds to maintain structural stability.

Coldex technology removes heat from the process entirely. By cross-linking just above freezing temperatures, Simit Labs preserved the natural structure of the HA chains, which required less BDDE to achieve stable cohesion. The practical outcome for patients is a product that integrates more naturally into tissue, produces less post-treatment swelling, and carries a lower risk of adverse inflammatory events including granulomatous reactions. For providers who have experienced or witnessed adverse outcomes with other fillers, that safety profile is a meaningful clinical consideration.

Form vs. Smooth: Rheology, Use Cases, and How to Think About the Difference

Form and Smooth occupy distinct positions on the rheological spectrum, and understanding that difference is the foundation for effective product selection.

Form is a mid-grade G prime product with structural lift capacity. It is most comparable to RHA3, Define, and Versa in terms of performance properties. Its primary use cases are the lateral and medial cheek, temples, nasolabial folds, marionette lines, and chin shadow. Providers consistently note that Form integrates into tissue without adding unwanted bulk, and that it maintains natural facial movement during animation, a quality that becomes particularly relevant for patients concerned about looking overdone in candid photos. One to two syringes routinely achieves what previously required significantly more product.

Smooth is a lower-viscosity product that sits in the same general category as RHA 1, Redensity, Belotero Balance, and Refine. Despite its thin consistency, Smooth has strong cohesivity, which contributes to durability that thinner products often sacrifice. It is the preferred lip product for most providers using the Evolysse line, as well as the product of choice for perioral lines, lip border definition, and any superficial placement where product visibility or texture is a concern.

The two products work well together. A common technique involves placing Form in deep fat pad layers and along the lateral cheek foundation, then layering Smooth superficially in the midface and perioral area to add softness and suppleness without additional structural volume. This approach has been applied effectively for both volume loss associated with weight loss and standard midface rejuvenation in mature patient demographics.

Juvo: Published Evidence and What Patients Actually Notice

Juvo is the Evolysse neurotoxin. A comparative study conducted at the University of Pennsylvania, peer-reviewed and published in JAMA, evaluated four neurotoxins using 3D imaging and muscle strain mapping. Juvo was the top-performing product in that analysis. For providers navigating a market with six neurotoxins available, that level of objective, head-to-head clinical evidence is a useful tool in patient consultations.

In practice, patients who have used multiple toxins tend to describe Juvo as delivering effective wrinkle reduction without the sensation of heaviness they experienced with other products. Providers note strong onset speed, consistent duration, and a precision that encourages a few additional injection points in the frontalis relative to other toxins.

What to Expect Next: Evolysse Sculpt

Sculpt, Evolysse's high-G prime volumizer for deeper structural applications, completed clinical trials with Juvederm Volift as the comparator and is currently awaiting FDA approval. Once cleared, Sculpt will complete a three-tier filler line alongside Smooth for superficial refinement and Form for soft tissue projection, giving providers a full-face treatment option within a single product portfolio.

Read The Full Video Transcript Below

Full Video Transcript

Orlando Injector featuring Kyle Farr, Evolysse Top Trainer

Orlando Injector: Welcome to the Orlando Injector channel, where we talk all things aesthetics, from injectables to business, complications to confidence, and everything in between. But let's be real, even with my years of experience, I don't pretend to know it all. And that's what this channel is all about. I am bringing you the experts, the pros in their niche that are ready and willing to give you the tips and tricks that you can immediately put into action. And I am so excited for our next guest. He is

Orlando Injector: ...let me introduce to you Mr. Kyle Farr. Welcome, my friend.

Kyle Farr: Hi. Thank you so much for having me.

Orlando Injector: I'm so excited. I can't believe that you were able to find an hour in your wild schedule. I feel like every time I see you, you're on another plane in another state. So, thank you.

Kyle Farr: Absolutely. I'm I'm happy to be here and excited to chat.

Orlando Injector: Well, being Evelyn's top trainer, these products have truly transformed my practice. So, Eveiss and Juvo are top movers in my practice, but not only from a business standpoint, but they've transformed my results as well for my patients. And as I'm going and hosting these Eveismies where we're educating providers, I'm finding that there is a huge gap between the moment that a provider receives a box of samples of ease and then the moment they start utilizing it. I'm walking into these offices and I feel like these samples are collecting dust. And what I'm hearing is that they don't know how to pick up smooth verse form. They don't know how to utilize it. They don't know where best to inject the these products in which areas. So, I felt who better than to have the conversation with you to kind of like spread some education and give some clarity as to how we utilize these products in our office and how they've become successful for our patients and our results. So, I wanted to dive right in into kind of the bread and butter of what Eve is and what makes it so unique. We all know that obviously hyaluronic acid is the main hydrating molecule in our dermal fillers and they have to be bonded with those bonds called BDDE bonds or butane dilelycol ether bonds, right? They cross-link these HA. I practice that word quite a bit. It's a it's a it's a big one. It's a big one. She's a big one. But we have to cross link these HA chains, right? But Eve is such a unique product and I always love talking about in Eveless Academy how our manufacturing process for our dermal fillers has kind of remained stagnant for 10 years since 2015 when like Tioxane launched. Right. So Eve is so unique in how we manufacture this dermal filler. Can you walk us through exactly what Coldex technology is?

Kyle Farr: Yeah. So I think coldex technology, the way I like to describe it when I go in, it's just kind of like the next step in that new manufacturing phase. We know like one of the quickest ways to degrade hyaluronic acid is to expose it to heat. But just above those freezing temperatures, we're able to maintain that longchain hyaluronic acid, which then requires, you know, less BDDE to create that chemical covealent bonding to to put these molecules together to. Then what Simitase Labs did who are the formulator of of Eveise they said you know what instead of not adding any heat at all let's let's do it cold. So Simit is a lab over in France and they they developed Eveise that we now have here with with Eveis and doing it cold is going to not add any heat to that hyaluronic hyaluronic acid gel at all. And we know like one of the quickest ways to give them structure, support, integrity, things like that, right? We basically preserve that natural HA molecule, right? And in preserving that, it leads to a more pure product. It translates into our patients as less adverse events, less swelling factor, better integration into the folds, and just a more pure product that we're utilizing for our patients. So utilizing a product that's as close to its purest form, I mean obviously there's still BDDE bonds or else we would have no longevity. It would last 24 hours, but utilizing a product that

Orlando Injector: is as pure and preserved as you can get is so important to me. I mean me personally, I experienced what feels like decades ago an inflammatory granulomous reaction where my face exploded and I had to go on highdose steroids. It was a complete disaster. after I had to dissolve everything. So, utilizing a product that is as pure as you can get when it comes to a hyaluronic acid dermal filler makes me so much more comfortable as a provider to use these products in our patients knowing what I went through experiencing that inflammatory granulitous reaction.

Kyle Farr: Absolutely. And I think, you know, you bring up a really good point, too. A lot of, you know, you you have the fortunate, you know, um you're fortunate in the fact that you're in a big practice. You have other providers to rely on. like myself, I'm I'm solo, you know, it it's just me. I have a medical director in Michigan and I have close colleagues that I can reach out to, but especially when I'm out educating and if I'm going into more of these solo practices or um small group practices, I'm like, you know, you you want to turn to those products where you have more of an anticipated outcome. And I think anything we can do to lower that likelihood of adverse reactions happening the better. Not only for our own sanity and so we can sleep at night but for our patients benefit as well.

Orlando Injector: I agree. So from a realological standpoint we know that form and smooth are quite different. Right? So we know form on a like the realological spectrum is more of that robust a higher G prime product that can really pack a punch whereas smooth is your more viscous product more watery consistency. I always like to equate it to form is my cake and smooth is kind of like my icing, right? So form is my like soft tissue project. Whereas smooth is kind of like my refiner. Um it's like for that furning, those lip lines. It's safe to be placed in that superficial dermis without worrying about those lumpy bumpies because it's such a viscous, such a thin product. So we know obviously it's FDA approval is the nasal labial folds, marionette lines, oral commasers and mental crease for both products. From a realological standpoint, my go-to areas are that soft tissue projection. So, I love Form and I'd love to to pick your brain on where you utilize these products. But I love Form for specifically for temples, for like a medial cheek augmentation like the apple, the soft tissue in the apple or that fat pad right there just to project it out. I love it for nasal labial folds, marionette line, chin shadow. And then smooth for me is like I said, my refiner, my lip line. Smooth is my go-to lip product. I mean, every lip nails it with smooth. And I actually in later in the conversation want to get to what I experienced and what I've kind of changed since utilizing the these products now for almost a year. Smooth is my go-to lip product. Smooth is my lip line. Smooth is my furning. But what I've learned is smooth behaves differently in different tissue densities, right? So, we know that if somebody has a thinner tissue, then smooth might behave better for them in the marionette lines versus form. Form is still that kind of like mid-grade G-prime product. It's not robust like comparison to Lyft or Volua or Rads. It's not on that spectrum of like bony augmentation. It really is a soft tissue projector for me. So, I'd love to hear

Orlando Injector: where you like to utilize these products.

Kyle Farr: No. Um, I think a lot of our injection techniques are probably very similar in nature

Kyle Farr: Form is definitely my go-to for my especially if I if I have a patient who's healthy BMI, good skin integrity, that's kind of like my go-to. And the picture will show of the model. This is kind of exactly what I did with her. You know, it's typically I'll start I like to start a lot lateral to medial, deep to superficial. And once we kind of restructure that that lateral foundation on them and sometimes that means surgical intervention, sometimes it doesn't. Form a lot of the time is right now it is like restructuring that that lateral cheekbone to kind of put back in that that highlight on the cheek. So when they're catching the light reflex, it's hitting the top of the cheek giving them more of that youthful look. And then I love to really use like little pillows of form kind of deep. So um in the deep fat pad layer to kind of replenish that midface volume. And then I'll do a lot of linear threading of form in the midface to kind of help support the the superficial fat pads in that animation zone on that anterior midface. And then sometimes if I feel like I just need a little bit more suppleness to it, especially in the midface, that's where I'll go with smooth. And I might actually add in some smooth in there as well. on the model that I have. That's what we did on her just because I didn't necessarily want to add a ton more volume or risk her feeling like there's heaviness, but I just wanted a little bit more health to the tissue. And I think smooth does a a really good job at that. I think both of them though, what I really find is they're both very flexible within the tissue, which is nice. So, they're they're going to especially form when you place it above muscle. We talk about it kind of being that more of a structural type product, but when it is placed strategically in that superficial layer, it has that ability, I find after it integrates in to really stretch and move with the tissue and still allow the patient to have that really natural movement. So when they do catch themselves in maybe candid photos with animation and things like that, they don't look overdone and their results kind of go noticed but undetectable.

Orlando Injector: I totally agree and I I love layering them as well. I think form does a really good job at because of its realology. You can inject it still superficially, not too super not in that superficial dermis, but kind of in that like superficial fat pad, but you can also go deep on bone with needle as well and still get that projection for. It really has become the workhorse of my day. like I go through gallons of form every day because it really is it could be utilized all over the face and it really integrates so nicely and like you mentioned I think it does kind of protect that natural like dynamic expression it doesn't like weigh down the patient especially when you're injecting in the apples of the cheek I find that if you're using a product that I feel is like doesn't have an appropriate realological property for that medial cheek it can really weigh that cheek down especially during those aging years when that fat pad is descending and really kind of just sit heavily in that area and I feel like form has really become like my go-to product in that like soft fat pad of the medial cheek and then I'll blend it up on bone in that lateral cheek and then even in the temple I'm layering it in that subdermal layer with canula and it kind of just integrates so nicely like it really is um like I said like the workhorse of my day because I I can just like I can paint her everywhere. Now, I will say when I first started utilizing these products, Form was my go-to lip product. I don't know what it was about Form. I felt like Form um just was working for me at that time. And then I was finding that Form was kind of overpowering my patients anatomy and their borders. So, I started shifting towards smooth. And the moment I touched one lip with smooth, I'm like, I can't believe I was ever using form. Smooth is a gamecher when it comes to lips. I feel like you can inject it in like a vaa voom larger luscious lip and then I can inject it in my little villagers with the my 75-year-old lips that are really tight compartment and it it lands every time. What's your go-to lip product?

Kyle Farr: I'm with you. Smooth is my is my go-to lip product. I've also found though if I have a patient who wants more of a robust lip and they have the anatomy for it, I'll do kind of I I'd call it like a hybrid lip where I might use form in there to create some structure um and kind of give it that firm solid structural support and then kind of fluff it or kind of add that smooth in there to give that suppleness and sexiness to it. That can work really well too. But I would say a majority of my my patient population like smooth is my go-to. I tell patients and I tell trainees that I meet like it's what I have in myself. Um and it's I love it. I mean it gives me just that very natural undetectable look but then it also has buildability to it as well if you want to create more.

Orlando Injector: I totally agree. And what I find to be so fascinating with form verse smooth is when you're holding two syringes, one form, one smooth in each hand and you're blinded. smooth is so much harder to push out of the syringe because of that stickiness, because of that cohesivity. And I always love talking about this because injectors will, let's say, I back fill all of my lips. So back filling smooth out of a syringe that's a 31 gauge 8 mm. It takes a little bit of extrusion force, right? Like there's a little thumb pressure that you have to use in comparison to other similar realological property products, right? And it's because of that cohesivity, because of that stickiness. And that's something that you want in a product that's really thin, because typically when you're using a product that is as thin as smooth that can be placed superficially without worrying about lumpy bumpies, you typically lose longevity because it's not cohesive enough, right? We know that that cohesivity is that degree of attraction between those BDDE bonds. So having a product that does have that hard push even though it's it's relatively thin is actually like cool to see in real time how the realology of that product works. And then forum I always joke is like the syringe is like prelubed because it just like comes out like butter.

Kyle Farr: Yeah, I know it does. And especially with the 27 gauge needle. I always tell people like ignore that 30 gauge needle that's right now packaged with form. Use that 27.

Orlando Injector: Why is that in there?

Kyle Farr: I don't know. I heard a rumor. I mean, you hear a lot of rumors from, you know, you talk to. I think the I think it's going to switch out eventually to just 22 27s. Um, but, you know, and I I teach, too. I don't I don't back fill. I know there's a lot of discussion on back filling in the industry. I think as trainers, we know we just have to know how to use these products out of the syringe. So, I I think from an ergonomic standpoint, for me, it works better. But, kind of back to what you were saying about form, too. Like that that's my go-to product. I when I go into a training, they're like, "What do you like the best?" like form. I would say if I I call it my deserted island filler. If if I were to be on an episode of Survivor, which I joke and I'm like I I wouldn't last 15 minutes into an episode of Survivor if if we're going to be honest here. But if I had to glampers, we're glampers. Okay. We're glampers, right? If I had to choose one thing to bring with me, it would be form because I could I can really create a good look and get somebody feeling more confident, rejuvenated with with form. So that's that's what I always try to pick like what's my deserted island filler and

Orlando Injector: like you it's Form's constantly what I'm reaching for.

Kyle Farr: Yeah, it is wild. What I also love about Form and it came out in the clinical trials when they were getting their FDA approval is how much less product you need to achieve a great result. So, the number one thing that I always when we're doing our didactic portion in the Eveis Academy is I go through those clinical trials and I talk about how they needed 20% less of these products to achieve a statistically significant result. And I always say like I know that sounds like gimmicky and it sounds like marketing terms and all this stuff, but that is the one thing that I see actually translate in my chair every day. Like the amount that you can accomplish with one to two syringes of form is actually wild.

Orlando Injector: It is. Do you find that?

Kyle Farr: Absolutely. I mean, we just saw it yesterday. I was I was in an office training in Indiana and they had they were traditionally using another competitor on the market. And I said, you know, here's here's what I want you to do. I want you to inject this way. Do this and this. And they're like, wow. like the the result they got without and they were like typically I'd have to use a lot more of the other product to to get this result and it it can feel like at times it's like the syringe that doesn't end sometimes because you're you're able to do so much with it and I think that's just again as these manufacturing processes develop and evolve and get better and better and that just gives us better results for our patients in the long run and it and it also changes the way we we inject a little bit too because these products evolve and change and you can't, you know, I can't go in and use these products the same way that I would use something else because they are they're different. They're unique. You have to, it's like dating somebody new or something. You know, you got to spend some time getting to know them a little bit. And when you do though, and you invest that time in yourself as an injector, you'll really start to see superior outcomes in the long run.

Orlando Injector: I agree. Speaking of, there are two things that you mentioned. So, I want to talk about buckets and then I want to talk about incorporating a new product and how scary that can be for a provider. So, number one, buckets. I always like to put products into buckets because I feel like as injectors, it allows us to kind of wrap our head around how to utilize these products, right? So, and I would love your opinion cuz you might I think it's so cool how like I'll go into a practice and I'll be like Lyft and Voluuma are like the more bony projector jawline lateral cheek products and they're like, "Oh, I use those in the lips." And it's so cool. I say that to say it's so cool to see how everybody utilizes products so differently, but all can be equally successful. So, it really is how the artist uses their paint, right? Not necessarily the paint. But with that being said, I like to kind of simplify it and put products into buckets. So for me, I feel like form is in the same bucket as maybe define is maybe in the same bucket as Versa is in the same bucket as maybe RHA3 or if there was like a two and a half available um and RHA23. And then I feel smooth is in the bucket with redensity, with refine, with Bellotero balance, with those products. Tell me how you

Kyle Farr: feel about my buckets and if you would put anything else in those buckets or take No, that's that's I mean that's basically how I align. I I think when we look at the the manufacturing and the realological properties of them, like if you're used to like an RHA3, again, an amazing product kind of started this change for how we make dermal filler. form is kind of like my RHA3 and then smooth is kind of like my RHA. I'm kind of like you. I'm a 75, you know, it's it's just a little bit different. But if it if there was a 1.75, that's what it would be, right? And I found when I've used these, you know, form and smooth the way that I would previously use those, I I'm getting very very similar results if if not superior. And it kind of allows the injector to be like, okay, so if I'm traditionally using this product here, then I could typically pick up this product form here and replace it there.

Orlando Injector: And it kind of like visually allows them to like grasp it because me as an injector, and I know we were talking about this earlier, I am terrified to pick up a new product because the reality is that we are resultsdriven industry, right? So like you mentioned before we jumped on this call that something that you see happen a lot is we have this great successful Eveis Academy. We really connect with the providers. We have great results in the chair and then we leave and then they immediately the next patient that comes in they they grab the path of least resistance and it's their product that has been tried and true in their hands. Even though maybe form and smooth might even be an more elevated result. they're comfortable with X product in their hand, so they immediately grab that. How do you how do you talk to the provider that is terrified about trying something

Kyle Farr: new, regardless of how much we say it's the best thing since sliced bread, right? We initially kind of do, and I sound so like clinical when I say this, it's like you got to do like a root cause analysis too, though, to be like, you know, what what's making you do that? Is it and or and maybe it's a number of things feeding into that. Is it you as the injector fearful of trying something new or not fearful but just cautious of doing that again because this is a cash paying industry customer satisfaction patient satisfaction outcomes are so important to what we do that can definitely be part of it. I think a lot of it too is especially right now there there's such this push that you know the patients choosing what they want because of certain things and we're we're losing focus on the outcome is really what they're here for. it's not necessarily the the product being used. Um, and so I like when I personally it's the artist that they're paying for the artistry, not the actual product. And I and I'll joke, but I'll say you my studio space that I'm at where I see patients in, I I share it with my best friend who's a a very successful hair stylist, and I use her as an example. People sit down in her chair all day to get their color done, extensions done. They don't say, you know, hey, hey, hey, real quick before you start, you know, you're using Redkin, right? And then if she says, no, I I useqi or I use this, they're not like, whoa, whoa, whoa, I'm out of here, then. You know, I'm only I'm only a Redkin girl. That's the only thing that I can do. You know, we have to be able to get past that a little bit with with patients and and be like, you know, you're here for the outcome and these are the tools that I'm most comfortable using to get these results in the end.

Orlando Injector: Totally. I think it's how you deliver it with confidence, right? I always tell like if a patient comes in from a new patient to me and they're like, "I've only used Wrestling Kiss in your lips." And I'm like, "Great, your lips look great, but you want to use the product that your injector is most comfortable delivering a result with." So, I never ever in any training I do, I never ever bash a product. I respect every product that's on the market. But I think it comes down to your confidence in how you explain why you're using X product over let's say in that scenario wrestling and kiss right there's never been a moment where they're like I want KISS you know like they've never fought it because I think you just you deliver it with

Kyle Farr: confidence and facts and clinical data and they're like okay well that makes sense. No, and I tell patients too, I I focus on those are good products. They're great products, but now we have products too. I focus a lot on that I like to feed in like the manufacturing stuff that's there too. We're able this newer technology is designed to mimic more naturally of what we have in our bodies. And I think right now there there is a big push for wellness and and natural type stuff in our industry. So, it's good to see that these hyaluronic acid gels that we're using are that pendulum is shifting to to developing them to be more like what we naturally have occurring in us biologically.

Orlando Injector: Yeah. And speaking of results, I want to now share my screen. Let me see if I can figure this out, guys. Share my screen with and show a before and after of Kyle's and have him kind of walk through this. So, let's pull this up. Here we go.

Kyle Farr: Awesome.

Orlando Injector: All right, Kyle, walk us through.

Kyle Farr: All right. So, this was actually this is my one of my really good friends' moms who came

Kyle Farr: reason I I like to show this picture, she had actually undergone weight loss surgery and had lost a significant amount of weight. And we know one of the unique things about the Eve label is that there is an indication in there for replenishing volume loss after experiencing weight loss. So, this patient had had that and just was, you know, she feels so much better and so more vibrant after losing all of this weight and she's more active with her grandkids and just in life in general, but she was kind of telling me her face just doesn't reflect that she felt. So, that was the goal was to kind of correct that volume loss. And we see this when we have rapid weight loss, we're going to see that that tissue descent and that volume loss really kind of starts to to show. So what we did on her is I actually used form initially um in her lateral cheek superficially and then also um a pretty good amount deep to replenish that deep volume replenishment as well. I then went superficially with um in the superficial fat pad layer with form as well. That was all done with um needle primarily and then I was gonna ask that. Yep. I do needle point injections, especially if I'm putting those little pillows in the deep fat pad replenishment. And then I used a canula with form um superficially in the superficial fat pads in her midface. And when I'm educating and teaching, I'm kind of like, you know, we're not just we're we're very strategic though when we have to put this in there. And and you know, we we have to think thoughtfully. You have to learn the extrusion force of it's kind of like you almost need to like practice it. It's like you're cocking a bathtub or icing a cake. You want it to look very smooth and even. So, I I want injectors that I'm training to imagine that they're like 3D printing a shape for her cheek to kind of give her structural support in there. So, that's kind of what I did was used form to kind of create this. It kind of looks like a crow's foot or something to kind of or a bon that might be inside of like a princess skirt at Disney World or something to kind of help put that shape back in her midface if if that makes sense. Yeah. And then I kind of then used smooth with it as well to kind of provide some more of that suppleness and softness to the cheek to kind of create that really nice smoothed out look. I did use a little bit of smooth just to kind of soften that that cheekbone um transition there so it wasn't so harsh. And then we snuck just a little bit of smooth in her lips. She was a little hesitant to lip filler, but we just stuck a little bit in there to kind of pop that uh border on her lip and just kind of pull in a little bit more hydration to her natural lip to kind of keep everything looking really natural and and soft.

Orlando Injector: I think she looks so much more lifted. Did you inject anything in her pregel sulcus?

Kyle Farr: We did. Yep. Sorry. We also we softened her prejel sulcus as well. That one I used a little bit of form in there. just a few struts to kind of give it some structural support and then smooth kind of in there as well. Kind of like that the hybrid use of those products kind of um using both.

Orlando Injector: He looks just lifted. I you know what I'm loving about our industry these days is I feel like we're not seeing those dramatic before and afters that we used to see with like stark maleficent cheeks. I feel like you really it looks like true artistry and I know you being like a fabulous makeup artist like you are truly like painting the face and making them look so lifted and refreshed but without really pinpointing like what you did. Like nobody could look at this and be like God like it's not obvious but she looks refreshed. She looks lifted. She looks rejuvenated. She looks rested. It looks like you performed a full jawline. I think for me looking at this as with injector eyes, I think the biggest bang is like that pre-uricular volume that you addressed for her because I think it really kind of gives her that lifted appearance.

Kyle Farr: Yeah, it's and this I like to say too with these products like this looks really good here. This is you know an immediate before and after type situation. I really find it's like you got to allow that you know 28 days. You got to allow these four weeks for these to kind of integrate into the tissue, kind of become one with the body, and they look so much better after that. It's just kind of one of those things that it it's going to look good to look great, you know, 3 to four weeks down the road.

Orlando Injector: Well done, my friend. I mean, that looks fantastic. Was she thrilled?

Kyle Farr: Yeah, she loves it. I mean, she just you could tell like even when she walked out and then I saw her a few weeks later, we we went to a thing that we were both at, a birthday party, and she was like, "Oh my god, I'm just loving it." You know, it just looks so good. it, you know, and that's that's really the most rewarding part about what we do. We just, you know, help help give them a little boost.

Orlando Injector: I love that. Well, let me share. I'm going to stop sharing. Well, let me see if I can pull up mine. Do we see her? Yes. Okay, perfect. So, um I have so many before and afters with Eve, and it's so exciting because I have like a whole folder of them because I'm always so proud of what these products can do. But I I love this before and after because it's truly just peroral rejuvenation. Um so for her what I did was a little bit in the nasal labial fold utilizing form with a 25 by 1 and 1/2 in canula and then I went into that little purform fossa or purform region with a 27 gauge and on bone injecting a little form there. For this this transformation was two syringes of Eve's form. Um, so then I went into her marionette line, chin shadow region with canula as well, um, and pregel sulcus. So I really just laid like small threads of form. I love form because I think it integrates so nicely into the tissue, but it doesn't pack like tremendous bulk. I feel like it really softens over time. Um, but this is the bread and butter of my patients. I have a very mature demographic. For her, it's really just softening that texture in that chin shadow region and really kind of like softening the shadows that she's experiencing. Um, later we did end up going back in and doing a little bit of lips, but just like your patient, she was so hesitant. Mhm. So, I did end up doing a little bit of smoothing in her lips down the road. Uh, the goal was to soften her gels, and I feel like we were able to achieve that with just two syringes of form. I did basically a half and a half in each nasol labial fold and then a half and a half in each marinet line chin shadow and she was thrilled. She was happy.

Kyle Farr: Oh, it looks absolutely beautiful. I mean, what when you're doing something like that, what tissue layer are you primarily in? More super like deep dermis, superficial, subq, would you say?

Orlando Injector: I would say subq in her marionette line. Yeah. And then a combination in her nasal labial fold. Okay. For my patient demographic, I can't get away with just a purform injection. they have like fully extended nasal labial folds. So, I have to pick up that canula.

Kyle Farr: Um, but I really think it just layers so nicely in any of those layers. And I think, you know, Alexa, this is like a beautiful example of a lot of these patients and, you know, I'm I'm the first one to tell people my background being a lot in in the surgical realm is like a facelift is always the gold standard. You know, that that's going to be, but it's the gold standard across the board, but, you know, that doesn't always fit into everybody's lifestyle, you know, at the time. And the fact that we have products now that will allow us to maybe buy them a little bit more time or kind of just get them to a point in life where they we where they can do that is is really really nice and I think you know that's a great example of that for sure.

Orlando Injector: Thank you. I love how beautifully these products just work throughout the entire face and I'm so excited for sculpt to come down the pipeline. Hopefully by the end of the year we get some sculpts cuz I feel like it's going to be a gamecher for the portfolio. I feel like there is I always tell any like new injector starting out, you don't need 10 different products. You need a super high G prime product that'll have great longevity on bone. You need like that middle of the road G prime product that's like form that could be the workhorse of your day. And then you need something that's thin enough that can be placed superficially without worrying about like I always say lumpy bumpies. And then you need a strong evidence-based great neurotoxin. But that's really all you need is like three fillers and a neurotoxin. Maybe a bio stimulator just to work in some regeneration.

Kyle Farr: But it's it's a good example though and I use a lot of analogies. It's it's kind of like what art really is too. I mean, art really boils down to primary colors, you know, and it's that you don't need 96 markers to be able to create a whole piece of artwork. You know, you can do things with those and blending and using things in different amounts in different areas. You know, I think, you know, when it comes to a business standpoint as well, when you try to have too much stuff, you know, you you dilute things down too much and you just can't be successful when you're trying to to

Orlando Injector: offer everything and everything under one roof. Well, speaking of neurotoxins, let's talk about our girl Juvo for a second. Juvo, I'm sure, as are you, like we are top accounts for Juvo because even and we were just talking about this before we started the call. We purchase every neurotoxin from a business standpoint. I don't know why we do that. I love the practice I work for, but we do we have every all six neurotoxins on the market are in our fridge. But we are only top 50 accounts for JVO because we continue to pick up this product over and over again for so many reasons for our patients even while having access to all six neurotoxins. And I was really excited that article in or that publication out of the University of Pennsylvania out of Jamma came out where they put all four neurotoxins head-to-head for the first time and really compared objectively how well they perform and Juvo really stuck out. It's cool to have like an actual publication that objectively shows using that 3D imaging and that heat mapping and then and the strain the muscle strain showing how well it performs. How do you talk about Juvo to your patients, to other providers, knowing we have so many options on our plate?

Kyle Farr: Yeah, it is it's it's the talks that I use. It it goes in my patients face. I mean, I tell them again, it's like for me personally, if they're like, "Oh, are you going to use another brand tox?" I'm like, "Nope. This is this is what I use. This is what I'm most confident in. You know, your goal being here today is wrinkle reduction, and this is the this is my weapon of mass destruction when it comes to to to handling that." And I think, you know, that the perchuk study you're referring to is is phenomenal, especially when you're introducing the idea of using a different neurotoxin or considering it. It's that, you know, one, we do have evidence-based, you know, research now that supports the use of it and that it has that that proven efficacy from a a peer-reviewed standpoint. I think an interesting point of that too that I didn't know is like Dr. Perk, from what I was told, had not used Juvo prior to the study. It was it was new to her, I think, even there. And I I I used that this last week at a training because the guy was like, "Well, I've never used it before." And I'm like, "Well, you know, neither had this physician who who did this study." And now she does. And now she does use it, you know, because it it came out um the findings in the article, it's, you know, again, I I really take it back to this is what I use. My patients love the rewards program. They they love, you know, everybody loves being able to save money. So that rewards program is a benefit. And I I absolutely love the results that that fast onset, the duration, the way it feels. I think, you know, if you really deep dive into the manufacturing of it, um vacuum drying, all that stuff, I think all of those things are what have led it to be, in my opinion, one of the top neurotoxin that we currently have in the US market.

Orlando Injector: I get the question often when I'm in an ambulis academy. Do you inject it the same as you would any other neurotoxin or do you kind of change your pattern of injections, your recon? How do you inject Juvo when you're comparing it to other products on the market?

Kyle Farr: Yeah, I did I definitely it's a very precise tax is what I say, you know. So, I think initially I'd have to think back to when I was using a lot of other things. I definitely do probably a few more injection points in the forehead because of that precision. I now use the Nava Click syringes and I know I get a lot of flack from there. No, I haven't used pricey, but I love them. I It's It's It gives me such precise placement and dosing. And I think that paired with Juvo is just the perfect mix for a great treatment. So, because of that syringe that I use, I use a 2 ml dilution, which I know is off label, but that just makes it on my blue syringe that I use, every click is one unit. So, I have a very precise placement of my tox. But I would say like initially really just like the frontalus muscle is where I've maybe had to add a couple more injection points just because of that precision. But then it's when I think you know what's changed my injection pattern I mean there's a lot of things that have. I mean I Kodafana has changed a lot of my injection patterns and techniques that I use because of the findings that he comes out with from an anatomical standpoint you know and how we do things. So that's you know I know it's a long long answer to the question but no it's accurate. So I I agree. I mean, with the line of conversion and the frontalus and shifting away from that fivepoint injection technique to a three-point injection technique, I always say it's all about just looking at your patient's unique anatomy. If you're like, as far as the fivepoint versus three-point injection technique, if your patient has a strong tail in the corrugator, you're going to have to knock that out as well. You can't do a threepoint injection technique on that patient. And obviously as we grow as providers, we can really separate our neurotoxin treatments from the provider down the street because we're really looking at our patients unique anatomy and not just kind of like blanket injecting them with the same pattern on everybody. For me, find I talk about off label. I do an even wilder reconstitution of 1.5 which makes like my hash marks odd. So, I always joke that like only sociopaths use that because it's a wild way to count. Like I don't we don't have naval clicks. I've never used them. I probably should, but two units is like three hash marks. So, it gets a little funky. But it's so funny how what you've trained on since day one or what you learned since day one is just normal. And I didn't know how not normal it was until I started until I started training. And they were like, "Oh god, that is horrible." I'm like, I know, but it's my horrible and it works for me. But I think what's important about Juvo is that precision.

Orlando Injector: And I do find that I do have to do a couple more pokes in the frontalis. But otherwise, I think it is such a a beautiful product. I think the biggest response that I hear from patients is they get the same freeze without the heaviness. And I feel like that's kind of like the the pattern that I see. Do you feel the same way?

Kyle Farr: Yeah, I patients really like that. And I I get a lot of compliments from my patients too that they feel like, you know, the ones that have been with me for a long time, they've kind of seen me go through a couple different toxins that I've used and they're like, "This one I really like." They seem to get the longevity out of it. The quickness of it setting in and then just like you said, not that that heavy feeling. They're just really the patient satisfaction that I see with it is is just really really superior.

Orlando Injector: I agree. So, shifting gears to like kind of our last topic. I really wanted to pick your brain. I don't own my own practice. I work for um plastic surgery office. And so, I would love to hear your thoughts on kind of the business side of things when it comes to incorporating these products into your practice and kind of how you price them in comparison to other HA injectables and how they've kind of transformed you from like an operations standpoint.

Kyle Farr: Yeah, I think you know one of the biggest things I I talk to and again it's it's not as much of a discussion in trainings if if I'm at a practice that's a big practice or maybe they don't have you know a lot of say over purchasing things like that but I was and I I've been in touch with a gal that I talk to quite a bit now from a training and we kind of bounce ideas off of each other now long term and it's it's helped her shift her focus too like instead of diluting yourself into multiple we can use the bucket analogy again but now with buckets we'll we'll talk companies that you're trying that you're doing business with. You know, pricing is always better when you kind of optimize your portfolio with with one company. And that's probably the biggest most important thing I've learned in business, especially the economic changes that we have going on in our country and all of that stuff. I want to be able to always offer affordability of of having the best pricing. Pricing, I have to consider it. I know, not to sound cocky or, you know, we'd say the same thing. I know I'm really good at what I do, but I still have to watch my pricing because from where my office is at in in the downtown walkable area, you can walk to four or five other places to get this done. Oh, wow. So, I have to have that. You know, pricing is something to consider as well. And I want to continue to to bring my patients value and also an accessibility thing, too. I want this to be something that's not so overpriced that not, you know, most people could come and get done. So, I think when you stick with one company though or you optimize your portfolio with one company, that's where you're going to be able to get that advantage and the affordability. And I talk a lot about how much I appreciate Eveless because of all that extra stuff they can do because they're a beauty focused only brand of

Orlando Injector: the marketing support that you can get, the swag, the like the my patients are loving the Neato squishy balls that they have right now for for during injections. my daughter is loving.

Kyle Farr: I know exactly. My kids have taken most of them from the office. I have to hide them now when they come to visit. Um but all of that stuff and I I've not seen that, you know, a lot of other places in or with a lot of other companies in the industry. And a lot of the times it's because those companies hands are tied because they have medical indications to to their products that are sold by them as well. And so one of the things that I really appreciate about David, you know, as you know, the CEO of of Eveless is that his his dedication is to being a beauty only brand. So that we're we're able to bring this added value to the practice. It's not just selling us a product. It's all of that other stuff that they're able to bring with us as well. Just like in your personal, you know, more of that, you know, monogamy type situation really does build a stronger, healthier business as well. I totally agree to

Orlando Injector: kind of piggyback off of what you were saying. Like Evelyn is so much more than just great products that yes, they have great HA injectables. They have a great neurotoxin, but when you partner with a company like Eveless, you're getting so much more than just great products. You're partnering with a company that is the only company that offers co-branded opportunities, marketing opportunities. And I always tell providers that yes, you get these things at different tier purchases, but they could easily pocket 100% of that profit margin and they take a piece of it and pour it back into you.

Kyle Farr: And the reps are just built different.

Orlando Injector: They come and ask, "How can I support you? What can I do? How can I elevate your brand?" They're creating billboards on hightraic streets to not only drive in new business, but also elevate your appearance as a provider in the area. So, I think there's so much more to Everis than, like you said, than just great products. It truly is a company that is built on reinvesting back in you. And your success is their success.

Kyle Farr: And it's like, I scratch your back, you scratch mine. And like you said, when you kind of trim the fat of your inventory, you're able to like strengthen that relationship. And it only benefits you long term when you're able to kind of pull in these co-branded opportunities that they offer. Mhm. And I think I mean they're they're incredible what they do. I mean I when I teach a training people like well what is there? The billboard I think is really cool. I I use that one quite a bit. I joke I'm like I I like we we have a real busy interstate by us 275 that kind of goes past the airport. So I love to get a billboard right by the Delta terminal because I joke my my clients fly Delta. Like I know I know where my cl like you know I'm going to be right by that McNamera terminal. So that's where I'll be you know. Not Spirit. Not Spirit.

Orlando Injector: No no not not Frontier. Uh, not nothing against Spirit of Frontier, you know, but just I I want my client flies Delta, you know, so I'll joke with that or I'll say I like like the commercial. I

Kyle Farr: remember when that was an option. I used to do that. I did the commercial and I was like, okay, let's see what this is like. And the the crew came in and I thought it was entertaining that they got hair and makeup for me and I was like, I'm bald, but okay, we can, you know, and a makeup artist. Gal had an easy easy day. But the the crew, the film crew that was in, the the gal that came in to produce our commercial, like she'd worked for Netflix. She's done things for all kinds of like I mean it was it was a legit commercial.

Orlando Injector: Yeah. It wasn't some content creator with a camera.

Kyle Farr: It was not a con a local content creator with a camera. She had flown in from LA to do this, you know, and she does she had done all kinds of things for Netflix and reality TV and all these types of things. And it was it was a hu like when I really step back and look I'm like this was a major investment. You know it was it was a production that was given to us to help increase and and boost our business and kind of relegitimize ourselves with our current patients who are going to be seeing this stuff. And it was a it was really kind of a nice warm fuzzy moment. We were like wow they really do this took a lot for them to offer this you know to us.

Orlando Injector: I agree. And you just looking at social media this week, all of like the Gallentine's events that all the reps are doing and I'm seeing so many like Eveless cookies everywhere and tables set up and like they really do have they really are built on like such a supportive like foundation for offices. So yes, great neurotoxin, yes, great HA injectables, but so much more as a company to partner with them. Even from

Kyle Farr: like a a trainer standpoint, my experience with them is unmatched. Like they take care of their trainers as well.

Orlando Injector: Oh, they do. And they're the reps.

Kyle Farr: They're out there. They're some of the most genuine. And kind of what you mentioned earlier, I it doesn't it's their smallest accounts. They treat like their biggest accounts. You know, they they want to see their small, you know, just starting out in a salon suite succeed just as much as the person in the $5 million buildout med spa down the road. you know, it is they are there for them equally. There there's definite there's there's 100% equity across the board, which I think is really refreshing to see.

Orlando Injector: I agree. Well, I'm so glad that we had this conversation. I selfishly was so excited. Guys, we had never met prior to this, so I was so excited to kind of pick your brain and how you're using these products. And I am excited to say that like we're kind of very similar. And I think it all comes down to just learning tissue and how it performs in your hands and stuff like that. So, I feel like these products are so versatile and so beautiful and have strong longevity and strong safety profiles and I am so excited for Sculpt to come down and kind of put the bow on the package and round it out. Any day now, any if the FDA is listening any day now, if you want to just shove us that approval, we would be super happy. And I think Sculpt went against Lyft in the clinical trials, right?

Kyle Farr: Yeah. Yes.

Orlando Injector: I'm so excited to see it all. I'm so excited to continue growing. But if if a provider wanted to find or a patient, if somebody wanted to find you, how do they find you in Detroit? Tell us your Instagram handle, your website, all of it.

Kyle Farr: Yeah, my Instagram handle is just Detroit Medsppa on Instagram. And then on the internet, I'm just kylefaresthetics.com. You can find us on there if you're a patient or an injector. I always love collaborating too. So I I tell trainings probably much like you do when I leave like once I've left here the relationship doesn't end. You know, you can always reach out. We can collaborate. I'll help you as much as I can. You know, that's the joy of technology now and that we're attached to our devices is, you know, you always have somebody to reach out to after.

Orlando Injector: Yeah, I agree. And what a great Instagram handle to lock down, by the way.

Kyle Farr: I locked that one down quick. Oh, yeah. We got that one.

Orlando Injector: Well, thank you, my friend. Uh, when do you have your next academy? I am out. Uh I'm home this for the rest of the weekend and then next week we have EA. So more love to see it. Thank you my friend. You have a great day.

Kyle Farr: Thank you. All right. You too. for today.