What is the biostimulation?
With the term biostimulation (or biorevitalization, bioregeneration, biointegration, biorestructuring, or even facial mesotherapy, or finally “vitamins” or “micro-needling”) we mean an injective medical technique aimed at improving the quality of the skin.
The skin is an extremely complex organ, with a multiple, varied, cellular composition, that renews itself continually. The renewing cycle of the cutaneous tissues is of about 20-30 days in young people, but as time goes by it becomes progressively slower, with the fundamental cells of the connective tissue, the fibroblasts, loosing their capacity to produce the essential substances of the skin, that is, hyaluronic acid, collagen, elastin and all the other molecules that make it up. Moreover, the skin is our organ of contact with the outside environment and therefore with solar radiation (the first cause of skin ageing after one’s own age) together with any pollutants and is therefore submitted to ageing and degenerative processes also caused by external factors.
Biostimulation is that medical treatment which aims at reintegrating those substances into the skin that our organism is not able to produce in sufficient quantities, such as hyaluronic acid and some amino acids. The decrease of hyaluronic acid in the dermis is one of the most important causes of cutaneous ageing as this substance is largely responsible for its hydration, for the reproductive capacity of the fibroblasts and for the synthesis of collagen. To reintroduce these substances is to “nourish” the skin. However, their reintroduction must only take place via injections; because if they are taken orally they are digested and are no longer active in the required place.
Administering active substances at the level of the cutaneous metabolism, intracutaneously or subcutaneously can be compared to taking food supplements, and is capable of inducing a rapid and efficient renewal of the organ of the skin. This type of treatment is usually inserted into a wider corrective programme that also includes the use of suitable cosmetics, the use of chemical peeling or laser and the possible use of injectable fillers.
Therefore, the treatment is indicated in the prevention of skin ageing (both time and photoageing), but also as a complementary therapy in the case of a surgical operation or other aesthetic-medical treatments.
The product that we use most commonly is made of hyaluronic acid, both stabilized (Restylane Vital®) and non-stabilized (Viscoderm®). These are similar gels to those used as fillers but with greater chemical-physical characteristics of fluidity, which make them less able to fill but they are extremely able to attract water and therefore to hydrate, to stimulate the formation of new collagen, and to contrast the formation of free radicals. Essentially, therefore, they are able to revitalize the skin.
In some cases the precursors of the synthesis of hyaluronic acid and some amino acids are injected, which are useful to increase the synthesis of the essential proteins at the level of the skin. The various products can also be injected together in the form of a “cocktail” and the result will be a global improvement of the skin tissue with the recuperation of tone, elasticity and compactness.
The most commonly treated areas are the face, neck, décolleté, the back of the hands, but the whole surface of the skin can be treated.
The treatment is not, however, effective in contrasting a sagging of a muscular-cutaneous type.
What can you expect after the biostimulation?
The revitalization programmes have rare contraindications and are useful for all types of skin and age groups. In fact, this is both a preventative and curative method and is therefore useful in both young people, as prevention against ageing of the tissues, and for mature patients (excellent after the menopause) in reducing and contrasting the ageing of the skin.
The treatment is composed of a series of micro injections (so-called “mini jabs”) over all the area to be treated. In general, at least 3–4 sessions are needed according to a protocol that varies according to the characteristics of the skin (phototype, age, lifestyle, oxidative stress etc.) and to the products used. Only in the case of skin conditions (like some autoimmune diseases, proven allergy to the active ingredients used, and infection of the area to be treated) is it best not to carry out the treatment.
The procedure causes slight discomfort, which is normally well tolerated, and leaves the skin slightly reddened, which disappears within a few hours. In the hours following the treatment, some active ingredients cause an abundant attraction of water with a consequent intense hydration. This can cause a certain swelling of the treated areas, which, however, is normal and should not cause concern because it will be rapidly absorbed. The most common after-effect is the presence of the injection marks.
Biostimulation is compatible with cutaneous filler infiltrations used for the correction of wrinkles, with laser, pulsed lightor with surgery, producing, in fact, a synergy of actions.
Before and after the treatment it is advisable not to expose oneself to sunlight or use sun lamps, and to avoid aggressive aesthetic treatments (depilatory waxing), whilst on the day of the session you must come for the treatment without make-up.
The duration of the benefits from this method vary according to the initial situation and to the patient’s lifestyle (sun, smoking etc.), but generally it is necessary to repeat cycles of treatment in the course of time.