Regenerative medicine

What it is and when it makes sense

Regenerative medicine covers techniques that work with your own biology to improve skin quality: biostimulators that activate collagen production, polynucleotides that act on cellular repair, exosomes and growth factors. They do not add volume: they improve tissue quality from within.

It makes sense when what has changed in your skin is quality, not shape: loss of firmness, dull texture, reduced elasticity, decreased overall density. Also in preventive phases — younger skin that starts to lose density and wants to maintain the ground before needing restoration.

It does not make sense if you are looking for an immediate change or a volume boost: that is not its role. Inducers need time — weeks and months — for your own body to build what it will build. Confusing biostimulation with filler is the first source of disappointment.

My approach

Before indicating a biostimulator I study what type of loss your skin has: superficial dermal, deep dermal, support tissue. Not all inducers act at the same level — Sculptra, Radiesse, Profhilo, polynucleotides, biostimulating threads — and choosing the right one for the layer you need is the most important part of the plan.

I work in staged protocols. Regeneration is cumulative: one session contributes, two multiply, and consistency over time is what consolidates the result. That is why I always propose a plan of months, not a single session — with follow-up that lets me see the real response and adjust.

What the consultation looks like

The first visit is an assessment. I analyse the skin — its quality, elasticity, density and texture — and propose a specific protocol based on the findings. I explain which inducer makes sense, how many sessions, at what intervals and what to expect at each stage.

If we decide to move forward, the session takes place in the practice and usually lasts 30 to 45 minutes depending on the technique. I apply topical anaesthesia when appropriate. Post-treatment discomfort is mild — some sensitivity, occasional inflammation lasting hours — and most patients return to normal life the following day.

What to expect and how long results last

The effect of a biostimulator is progressive. First clinical signs appear between 4 and 8 weeks; the result consolidates at 3–4 months and keeps building for additional months. It is an invisible process at first and visible in the end — very different from an immediate filler.

How long results last depends on the inducer: Sculptra and Radiesse can maintain effect for 18–24 months; Profhilo and polynucleotides require more closely-spaced sessions to consolidate. Periodic maintenance — usually one or two sessions a year — is what preserves the result without over-treating.

When I do not recommend regenerative medicine

I do not propose biostimulation when you are looking for immediate change: that is not its function. Nor when the loss is purely structural — a marked descent of tissue — and what is needed is volumetric restoration first, and biostimulation second.

Nor when active medical contraindications are present — autoimmune disease flares, infection in the area, pregnancy or breastfeeding — or when you have received recent inducers whose result is still building. Layering stimuli without giving them time to work is the most efficient way to turn a good plan into a bad one.

Frequently asked questions