Dr. Islla Paiva · Master's degree and specialist in Orofacial Harmonization
Quick answer
Collagen biostimulators are injectable substances, such as poly-L-lactic acid, calcium hydroxylapatite and polycaprolactone, that stimulate the skin to produce new collagen. They are indicated to improve skin firmness and support, and the result appears gradually, over weeks to months. The number of sessions depends on the type and on the age of the skin, and in studies the improvement is followed for about 1 to 2 years. They work better as part of a plan, combined with other treatments, and they are not the first step for someone who has never had any procedure.
Who it is for
The skin on my face feels looser than it used to.
I already get the toxin and take care of my skin, and I want to take the next step.
I want more firmness without adding volume to my face.
I had one session of biostimulator and do not know if I need to repeat it.
How I do it
Collagen biostimulators are injectable substances that make your skin produce new collagen, little by little. I recommend them to give the skin more support and help prevent wrinkles from setting in over time. The effect is not that of a filler. You do not leave here with a different face, because the firmness comes over the months.
There are three truths about them that I make a point of telling you first. The first is that one session is far too little for ten, twenty years of aging. People between 60 and 70 need to stimulate more often, and in those cases I recommend sessions every 60 days. The second is that, very often, the biostimulator on its own does not rejuvenate, and what rejuvenates is the combination with toxin, fillers and peels. The third is that, if you have never had any procedure, I do not start with it. I start with botulinum toxin and skin care, and the biostimulator comes later.
At the consultation, I look at your age, the degree of laxity and how your skin is doing to choose the type of biostimulator, the area and the number of sessions. Here at the clinic we believe in regenerative aesthetics, which respects the skin's biological time. A biostimulator does not work miracles on its own, and I would rather tell you that first than promise what it does not deliver.
Cases
BeforeAfter
IPSpecialist, master's degreeIslla Paiva
Two years of follow-up
What bothered the patient
Rejuvenation of the whole face, built over two years.
What was done
Full Face 3D across several layers, beyond hyaluronic acid: regenerative aesthetics and combined therapies.
What can happen
Swelling and small bruises after each session. The result is gradual.
Cases published on my Instagram. Disclosure follows Brazilian Federal Council of Dentistry (CFO) Resolution 196/2019. Results vary from person to person and depend on individual evaluation.
What can happen
After the application, swelling, bruising, redness and tenderness may appear at the site, and they are usually mild and short-lived. Small nodules may also form under the skin, which need to be followed up at the return visit. More serious complications are rare, but they exist, which is why the application must be performed by a qualified practitioner with knowledge of anatomy. Let me know beforehand about pregnancy, breastfeeding, allergies, autoimmune or other diseases and any medication you take regularly. The result is gradual and varies from person to person, and the indication comes out of the consultation.
Frequently asked questions
How long does the effect of a collagen biostimulator last?
It depends on the type of biostimulator and on how your skin responds. The result does not show right away: it comes gradually, over weeks to months. In studies, the improvement is followed for about 1 to 2 years. Since we keep aging, maintenance is part of the plan.
What cuts the effect of the biostimulator short?
What gets in the way of the result is the same thing that speeds up skin aging: unprotected sun, smoking, excess alcohol and a diet high in sugar. Another thing that gets in the way is doing a single session and stopping, because one session is far too little for ten, twenty years of aging. If you take any medication regularly, tell me at the consultation so I can guide your case.
What are the types of collagen biostimulators?
The most studied are poly-L-lactic acid, calcium hydroxylapatite and polycaprolactone. All of them are injectable and work by stimulating the skin to produce new collagen. They differ in the number of sessions and in how long they last. Which one goes into your plan, and in which area, I decide at the consultation.
Can I start caring for my face with a biostimulator?
If you have never had any procedure, I do not start with it. The right place to start is botulinum toxin and good skin management, and the biostimulator comes later, as part of the treatment. Keep in mind that, very often, it does not rejuvenate on its own, and what rejuvenates is the combination of techniques.