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As biostimulators continue to gain traction in aesthetic medicine, their integration with other aesthetic procedures is emerging as a leading trend. Combining therapies can yield enhanced results, offering synergistic effects that support natural regeneration, longer-lasting outcomes, and more holistic facial rejuvenation.

Why Combine Treatments?

Biostimulators like PLLA, CaHA, or RH collagen work by activating fibroblasts and enhancing the production of collagen and elastin. However, their effects are gradual. When paired with more immediate interventions, such as hyaluronic acid fillers, neuromodulators, energy-based devices (e.g., RF, microneedling), or chemical peels, patients can benefit from both instant results and long-term skin improvements.

Common Combination Protocols

  • Biostimulators + HA Fillers: This is one of the most popular combinations. While HA provides volume restoration and contouring with instant gratification, biostimulators work in the background to improve skin density and elasticity over time.
  • Biostimulators + Toxins (Botulinum Toxin): Administering a neuromodulator to reduce dynamic lines can allow biostimulators to work more effectively by minimizing repeated muscle movement in treated areas.
  • Biostimulators + Microneedling/RF: Energy-based treatments trigger micro-injuries and further stimulate fibroblasts, complementing the regenerative actions of collagen stimulators. This duo often leads to improved skin texture and firmness.
  • Biostimulators + Peels or PRP: In protocols aiming to resurface or rejuvenate the skin, adding biostimulation can elevate the longevity and quality of outcomes.

Timing and Sequencing: A Critical Factor

Combination treatments require expert timing. Administering procedures too close together can cause irritation or interfere with product performance. Typically, practitioners:

  • Begin with neuromodulators, allowing 10–14 days for effect.
  • Inject HA fillers for immediate contouring.
  • Apply biostimulators in a layered approach, often in separate sessions.
  • Introduce energy-based or resurfacing treatments once the skin has stabilized.

Best Practices and Considerations

  • Patient Assessment is Key: Not all patients benefit equally from combined treatments. A thorough consultation determines appropriate pairings based on age, skin condition, and aesthetic goals.
  • Start Conservatively: Especially when integrating biostimulators with devices, a conservative protocol minimizes the risk of inflammation or overcorrection.
  • Educate Patients: Set realistic expectations. Biostimulators take time to show results, but they can significantly enhance the effects of faster-acting therapies.

Clinical Outcomes and Patient Satisfaction

Studies and anecdotal reports highlight increased patient satisfaction when biostimulators are combined with complementary treatments. Results tend to be more natural, balanced, and durable. Over time, the skin becomes thicker, firmer, and more radiant, with fewer touch-up needs.

 

e-BIOSTIMULATORS Team