The effectiveness of polynucleotides in esthetic medicine: a systematic review
Open accessAbstract
Background: Polynucleotides (PN), popular in biorevitalization, show promise in the current sphere of esthetic medicine due to their regenerative properties, previously used in wound healing. Currently, research investigates their use in esthetic medicine. The aim of this review was to synthesize the existing literature, focusing on the effectiveness of PN in esthetic medicine, which is concentrated on skin rejuvenation by providing patients with multiple benefits and the least side effects. Methods: A systematic electronic search was conducted in Embase, Medline, and Cochrane to identify primary research studies evaluating the effectiveness of polynucleotides in esthetic medicine, published in English between January 01, 2010, and January 01, 2024. A narrative synthesis was reported according to the Preferred Reporting Items for Systematic Reviews and Meta‐Analyses statement. The quality of evidence was assessed using the Critical Appraisal Skills Programme checklists. PROSPERO Registration: CRD42024588712. Results: Nine studies, of low and moderate quality, were included in this review, describing a population of 219 patients receiving PN treatment. A variation was present regarding procedural characteristics, such as injection areas and techniques. Polynucleotide injections have shown promising outcomes in reducing wrinkles, improving skin texture, and enhancing elasticity, with statistically significant results in several studies. While side effects are generally mild and transient, patient satisfaction is moderate to high, suggesting PN treatment as a well‐tolerated and effective cosmetic intervention. Conclusion: Polynucleotides offer promising potential in esthetic medicine; however, there is limited consensus regarding their optimal use. Rigorous, high‐quality studies are essential to validate the effectiveness and safety of PN.
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These observations are consistent with contemporary literature describing nucleotide-based therapies as well tolerated across a range of dermatologic applications.
“These observations are consistent with contemporary literature describing nucleotide-based therapies as well tolerated across a range of dermatologic applications [16,18].”
From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [16]
The Results (Adverse Events) report no severe adverse events and generally mild, transient side effects; the Abstract (Results) describes PN treatment as well tolerated. But the review focuses on esthetic skin rejuvenation, so it does not establish tolerability across a broader range of dermatologic applications. (LLM, conf=0.82)
Experimental — accuracy not yet measuredRecent reviews suggest that PN-based therapies function primarily as biostimulatory agents that improve tissue quality through progressive dermal remodeling rather than immediate structural correction.
“Recent reviews similarly suggest that PN-based therapies function primarily as biostimulatory agents that improve tissue quality through progressive dermal remodeling rather than immediate structural correction [16,17].”
From Polynucleotides and Polydeoxyribonucleotides for Skin Rejuvenation, Postoperative Scar Prevention, and Wound Healing: A Systematic Review of Randomized Clinical Trials (2026) · cites this paper as [16]
The Conclusions describe PN as promoting collagen production and tissue repair, and the Discussion describes a lasting improvement in skin status rather than merely immediate hydration. The Results also report skin-texture improvements over weeks to months. The review does not establish the claim’s specific contrast with immediate structural correction. (LLM, conf=0.82)
Experimental — accuracy not yet measuredPN has exhibited excellent tolerability in both in vitro and in vivo models, with no notable side effects reported.
“Similarly, PN has also exhibited excellent tolerability in both in vitro and in vivo models, with no notable side effects reported [149].”
From Comparison of Polynucleotide and Polydeoxyribonucleotide in Dermatology: Molecular Mechanisms and Clinical Perspectives (2025) · cites this paper as [149]
The Results (Adverse Events) report no severe adverse events, but several studies reported mild effects such as pain, edema, and pruritus. The Materials and Methods (Eligibility Criteria) exclude animal and in vitro studies, so this review does not support the claim about tolerability in both in vitro and in vivo models. (LLM, conf=0.89)
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- Authors
- Lampridou, S., Bassett, S., Cavallini, M., & Christopoulos, G.
- Affiliations
- Imperial College London (GB)
- Sian Aesthetics, Highgate London UK
- Centro Diagnostico Italiano (IT)
- University of Ulster (GB)
- Corresponding author
- Lampridou, Smaragda
- Venue
- Journal of Cosmetic Dermatology
- Publisher
- Wiley
- Published
- 2024-12-08
- Volume
- 24
- Issue
- 2
- Pages
- e16721-e16721
- ISSN
- 1473-2130 (ISSN-L)
- 1473-2165
- PMC
- PMC11845969
- OpenAlex
- W4405151257
- Cited by
- 41
- References
- 21
- Citations by year
- 2026: 31 · 2025: 10
- FWCI
- 3.20
- 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 › Dermatology › Dermatologic Treatments and Research
- Health Sciences › Medicine › Urology › Periodontal Regeneration and Treatments
- Keywords
- polynucleotides, skin rejuvenation, wrinkle reduction, skin texture, skin elasticity, cosmetic injection, patient satisfaction, treatment safety
- MeSH terms
- Cosmetic Techniques, Esthetics, Humans, Polynucleotides, Rejuvenation, Skin, Skin Aging, Treatment Outcome, Patient Satisfaction
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