Biostimulation – is it the end of Botox and fillers?

Biostimulation – sounds promising but what is actually behind it? Facts first: Biostimulation is the triggering of the body’s own natural, self-healing and self-regenerating mechanisms. Biostimulators work similarly to conventional dermal fillers, but with the body’s own collagen.

What exactly is the difference between hyaluronic fillers and biostimulators, how and where they can be used and when you can see the result explains Dr. Sonja Sattler, founder and director of the Rosenpark Clinic in Darmstadt in the VIDEO interview.

How do biostimulators and hyaluronic fillers differ?

“Compared to hyaluronic acid, biostimulators are not used as fillers in modern aesthetic medicine. Hyaluronic acid is injected under the skin or into the skin to correct a wrinkle or build volume. The fillers bind water, hydrate the skin and are broken down again. This is quite different with the use of biostimulators. Biostimulators integrate into our collagenous or connective tissue, where they activate our own cells to form new tissue. This means that they do not initially act as fillers. It’s the stimulation of our cells that subsequently leads to tissue formation.”

How were biostimulants used in the past?

“Especially in the U.S.A., calcium hydroxylapatite was used as an alternative to hyaluronic acid as a volume filler. Here it was recognized very early on that the skin felt very firm and taut after treatment and that there was almost a lifting effect. This finding is also used today at our Rosenpark Klink. We do not use calcium hydroxylapatite but also polylactate (lactic acid) in diluted form as a filling material, but use it to activate the fibroblasts. And that’s called biostimulation.”

When is biostimulation used?

“It’s really great to use biostimulators in areas where we don’t really want to fill. For example, on the neck, décolleté, but also on the face. You can fill the entire cheeks with biostimulators, so that small wrinkles disappear in the long term and the entire face tightens a little. But biostimulation can also be used on the body, for example on the insides of the upper arms or in the PO area. You can even inject into areas of cellulite, on the thigh, or even above the knee if there’s been a lot of sagging elastosis there after all.”

Can it lead to the unwanted “pillow face”?

“An unnatural, puffy face, which is seen when too much hyaluronic acid filler has been injected deeply is not seen after the use of biostimulants.”

When do you see the results?

“The patient doesn’t see anything at first after injection of the biostimulants. Only in the course of the week four, five, six days later the biostimulation starts and then usually lasts for more than a year. You don’t see the final result until two, three months later.”

Is the treatment similar to hyaluronic fillers?

“If there is uneven distribution of material under the skin, eventually the body will stimulate a little more in one place than another. Then there may be small lumps under the skin. Of course, this should not happen. That is why we attach extreme importance to a good preparation of the biostimulation and to a very even insertion of the biostiumlators. After the treatment, the material can only be distributed, but not removed. This is the big difference from hyaluron filler. Hyaluron can be removed with Hylase, even after the fact.”

How expensive is a treatment?

“How much a treatment with biostimulators costs depends on the area that is to be treated. You can actually say: an area of ten by ten centimeters costs at least 500 to 600 euros. That means: if you want to treat the face completely, it would cost about 1000 euros.”