Therapeutic performance of needle injection versus needle-free jet injector system for polynucleotide filler in skin rejuvenation
Open accessAbstract
Background: Polynucleotide (PN) filler often causes pain and can lead to delivery inaccuracies when applied via intradermal injection using a traditional needle. Aims: To evaluate the efficacy of treatment and the pain during the procedure using conventional needle injection versus a needle‐free jet system for intradermal PN filler application. Methods: In this split‐face clinical trial, 10 Korean subjects were enrolled. Each subject received an intradermal injection of PN filler on one side of the face and a needle‐free jet injection using CureJet on the other side. Assessments included global and 3D skin imaging at each visit. Pain intensity was evaluated using visual analogue scale (VAS) scores during the injection. Additionally, patient satisfaction and adverse events were documented. Results: Findings revealed that Global Aesthetic Improvement Scale scores and patient satisfaction were significantly higher with the CureJet compared to the needle injection method. VAS scores were notably lower on the CureJet side. Improvements in both pore and wrinkle indices were observed from baseline, with a more pronounced improvement rate on the CureJet side compared to the needle injection side. Conclusions: Needle‐free injection of PN for aging skin was found to be effective in enhancing pore and wrinkle improvement, while reducing associated discomfort.
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A combination of PN with non-insulated microneedle radio frequency has demonstrated enhanced skin elasticity and wrinkle reduction.
“A combination of PN with non-insulated microneedle radio frequency has demonstrated enhanced skin elasticity and wrinkle reduction [171].”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [171]
The Introduction (page unavailable) reports that previous studies found PN injections enhanced skin elasticity, and the Results (page unavailable) show wrinkle improvement after needle-free PN jet injection. The paper compares needle and needle-free PN delivery; it does not report a treatment combining PN with non-insulated microneedle radiofrequency, so it does not support the claim about that combination. (LLM, conf=0.86)
Experimental — accuracy not yet measuredHPT and similar innovations have been adapted for PN-based products.
“More recently, HPT and similar innovations have also been adapted for PN-based products.”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [171]
The Introduction and Materials and Methods (Devices; page not provided) describe using the CureJet needle-free system to deliver a PN filler, supporting the claim that a delivery innovation has been used with a PN-based product. The paper does not identify HPT or say that HPT itself has been adapted for PN-based products. (LLM, conf=0.84)
Experimental — accuracy not yet measuredDespite limited sample size in some reported studies, PN treatment has yielded improvements in facial fine lines, overall skin texture, wrinkles, and tone.
“Despite the limited sample size in some reported studies, PN treatment has also yielded improvements in facial fine lines, overall skin texture, wrinkles, and tone [15,153,171,172].”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [171]
The Discussion acknowledges the small sample (N = 10), and the Results report improved wrinkles after needle-free PN injection. A Results figure caption describes improved skin tone in one representative case. The paper does not report improvements in facial fine lines or overall skin texture, and the tone observation is not a study-wide finding. (LLM, conf=0.86)
Experimental — accuracy not yet measuredIn Hong et al., no significant pre- to post-treatment differences were observed in conventional needle injection areas for pore index or wrinkle index.
“whereas no significant pre- to post-treatment differences were observed in the conventional needle injection areas for either parameter.”
In Hong et al., pore index improved significantly in needle-free jet injection areas at two weeks.
“statistically significant improvements in pore index (p=0.009) and wrinkle index (p<0.001) in the needle-free jet injection areas at two weeks”
In Hong et al., wrinkle index improved significantly in needle-free jet injection areas at two weeks.
“statistically significant improvements in pore index (p=0.009) and wrinkle index (p<0.001) in the needle-free jet injection areas at two weeks”
In Hong et al., pain intensity was significantly lower with needle-free jet injection than with conventional needle injection.
“Pain intensity was significantly lower in the needle-free jet injection group (VAS 2.9±1.52) compared with the conventional needle injection group (VAS 5.4±1.42; p=0.017).”
In Hong et al., overall patient satisfaction scores were significantly greater following needle-free injection than following conventional injection.
“Overall patient satisfaction scores were also significantly greater following needle-free injection (4.5±0.53 versus 3.9±0.73; p=0.019).”
In Hong et al., GAIS scores assessed by two independent dermatologists were significantly higher in CureJet-treated areas than in manually injected areas.
“Global Aesthetic Improvement Scale (GAIS) scores assessed by two independent dermatologists were significantly higher in the CureJet-treated areas (3.85±0.63) compared with the manually injected areas (3.60±0.52; p=0.037).”
Studies judged as having some concerns included Hong et al. [11], Vera et al. [14], and Kim et al. [8], primarily because of insufficient reporting of allocation concealment, deviations from intended interventions, or incomplete reporting of prespecified analyses.
“Studies judged as having some concerns included Hong et al. [11], Vera et al. [14], and Kim et al. [8], primarily because of insufficient reporting of allocation concealment, deviations from intended interventions, or incomplete reporting of prespecified analyses.”
DNA fragment Optimizing Technology (DOTTM), developed by PharmaResearch Co. Ltd., has been used in the production of both PN and PDRN formulations.
“DNA fragment Optimizing Technology (DOT™), developed by PharmaResearch Co. Ltd., has been used in the production of both PN and PDRN formulations [24,169,170,171].”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [171]
Materials and Methods > Devices (page unavailable) identifies a Pharmaresearch PN product, but does not describe how it was produced. Searches for DOT, DNA fragment Optimizing Technology, and PDRN found no passage saying the technology was developed by PharmaResearch or used to produce both PN and PDRN formulations. (LLM, conf=0.74)
Experimental — accuracy not yet measured
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Cites
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Research works printed but not linked: 14
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Cited by
Sorted by citations
Kim, S. T. (2025) · Pharmaceutics · doi:10.3390/pharmaceutics17081024 · Cited by 18 · see citing works
Alhussain, A. M., Turki M. Albusayys, S., Alfhadi, M. A., Bu Mozah, S. A., AlShammari, S. S. S., Alanazi, H. A. M., Adil Alqazanli, S., Nouruldeen Alabdullah, A., M. ALrashidi, N., Almazrou, A. A., et al. (2026) · Cureus · doi:10.7759/cureus.112403 · Cited by 1 · see citing works
- Authors
- Hong, J. Y., Lee, Y. H., Kim, H., & Park, K. Y.
- Affiliations
- Chung-Ang University Hospital (KR)
- CNP Skin Clinic Asan Korea
- Corresponding author
- Park, Kui Young
- Venue
- Journal of Cosmetic Dermatology
- Publisher
- Wiley
- Published
- 2024-10-07
- Volume
- 24
- Issue
- 1
- Pages
- e16595-e16595
- ISSN
- 1473-2130 (ISSN-L)
- 1473-2165
- PMC
- PMC11743049
- OpenAlex
- W4403200118
- Cited by
- 15
- References
- 0
- Citations by year
- 2026: 10 · 2025: 5
- FWCI
- 6.07
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- Journal of Cosmetic Dermatology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Dermatology › Facial Rejuvenation and Surgery Techniques
- Health Sciences › Medicine › Emergency Medicine › Intramuscular injections and effects
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmaceutical Science › Advancements in Transdermal Drug Delivery
- Keywords
- needle-free jet injection, intradermal injection, skin rejuvenation, facial aging, injection pain, pore size, wrinkle improvement, patient satisfaction, adverse events
- MeSH terms
- Dermal Fillers, Procedural Pain, Adult, Cosmetic Techniques, Face, Female, Humans, Injections, Intradermal, Injections, Jet, Male, Middle Aged, Needles, Pain Measurement, Rejuvenation, Skin, Skin Aging, Treatment Outcome, Patient Satisfaction
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