22 April 2018
One of the trends to take Asia by storm is the use of Skinboosters to achieve dewy, radiant and luminous skin. Better known in Asia as “水光针” (Mandarin) and “Mulguang” (Korean), Skinboosters are a type of dermal filler treatment using Hyaluronic acid fillers. Tiny, microinjections of HA are placed under the skin; more specifically in the dermis layer of the skin, to improve skin hydration, glow and radiance. Hyaluronic acid is a naturally occurring substance in the skin and is important in maintaining skin hydration and the ability of the skin to repair itself.
This is what a vial of Skinbooster looks like.
Traditionally, HA fillers have been used to fill correct deep wrinkles and loss of facial volume. As we age, the concentrations of collagen, elastin and hyaluronic acid in the skin decrease. This accounts for the thinner skin and loss of skin hydration that occurs in aged skin, which causes wrinkles and skin laxity.
HA fillers correct wrinkles and loss of facial volume by two mechanisms - (1) volumisation (i.e. filling) - HA draws water molecules into these tissues, increasing tissue volume, skin turgor and lubricates tissue and (2) stimulation of collagen formation by cross-linked HA and formation of elastin. Interestingly, when placed in the skin, HA fillers have been found to improve the structural integrity and the appearance of aging skin!
The first HA filler designed specifically for “skin boosting” properties was Restylane Vital. (note: Restylane Vital Light has a lower concentration of HA and can also be used for the same purpose in more delicate areas such as the neck)
HA fillers for Skinboosters improve skin texture and appearance by the following ways:
(1) Skin hydration-by injecting HA fillers into the skin, the HA molecules can draw water molecules up to 200x its weight into the dermis, resulting in improved skin hydration, roughness and fine wrinkles. When injected into acne scars, Skinboosters can also “lift” depressed acne scars.
(2) Stimulating the synthesis of collagen and elastin in the skin.
(3) Restore dermal scaffolding support in a more homogenous and diffused pattern (more than localised injections for wrinkles and volume correction).
This concept of using HA fillers for skin enhancement without targeting wrinkles was first introduced in 2008. Multiple tiny doses of HA filler (Restylane Vital) into the dermis layer of the skin of patients in a study monthly for 3 sessions. In the study, skin elasticity and skin roughness of the subjects improved with the greatest improvement was seen 24 weeks after the last injection.
Subsequent studies have also lent support to the above findings and the finding that monthly serial injections are essential for sufficient stimulation of the skin for evident improvement in skin quality. Significant improvement in skin brightness, hydration, elasticity and texture were reported also reported in these studies. Correction of fine wrinkles was also reported in these studies!
1. Brighter and radiant skin
2. Improved skin hydration
3. Smoother skin
4. Improved fine wrinkles
5. Improvement in acne scars
Skinboosters can be injected into the skin of the face, neck, chest and hands to achieve the above results.
Numbing cream is first applied to the area(s) that the Skinbooster will be performed- typically the face- for 15 to 30 minutes.
Once the skin is numbed, multiple tiny intradermal injections of Restylane Skinbooster are placed in the skin approximately 1cm apart. About 0.02-0.03mls is injected each time. This can performed using an machine injector or manually using the Restylane Vital syringe.
Improvement in skin brightness, hydration, texture and fine wrinkles can be seen after 1 session. For optimal results, serial monthly injections for 3 months is advised. Results can last for 6 months. Thereafter, you can choose to do a maintenance every 6 months.
Most patients are suitable for this procedure, unless you are allergic to the ingredients in the filler. If you feel that your skin feels dry, dull and wrinkled, I would recommend you to try Skinboosters. Depressed acne scars can also be “lifted” with Skinboosters.
Immediately after Skinbooster injections; mild redness and very fine needle marks that are hardly visible.
Commonly after Skinboosters, patients may experience temporary redness and fine needle marks for up to a week. Compared to fillers placed subdermally (e.g. nose fillers), there is very little risk of blood vessel occlusion. Other rare complications are hematoma formation (bruising),swelling, skin infection and allergy.
Just as for fillers injected elsewhere in the face, alcohol and medications that thin the blood should be avoided.
More recently, Skinboosters has been combined with vitamins, Glutathione, Botulinum toxin (Botox) and Polydeoxyribonucleotide (PDRN) in a “skin cocktail” for additional benefits to the skin! I usually individualise this cocktail for patients who request for a boost to their Skinboosters.
What are the benefits of this cocktail?
1) Vitamins-antioxidant protection and enhanced cell regeneration
2) Glutathione- whitening and antioxidant protection
3) Botox-shrink pores, reduce skin oil and sweat production and reduce fine lines for even smoother skin
4) Stem cells/growth factors
5) Rejuran-Salmon DNA enhances skin healing and rejuvenation for improved skin elasticity, collagen synthesis, hydration, tone, texture and reduced fine lines and wrinkles.
Read my detailed post on Rejuran Healer here.
One of the most exciting developments in the field of Skinbooster is the introduction of Teosyal Redensity I- a HA filler packed with amino acids, antioxidants and Vitamin B6 for additional skin hydration, radiance and skin revitalisation. The great thing about Teosyal Redensity is that it combines all the goodness of Skinbooster and antioxidants for the added lightening, glows and radiance that surely everyone can benefit from.
Rejuran HB is another improved version of Skinbooster that combines the benefits of Salmon DNA from Rejuran Healer with hyaluronic acid from Skinboosters.
Applying Hyaluronic acid to the skin either through HA-based skincare or makeup can help with moisturisation to the skin. However, the skin’s absorption of this HA into the dermis for deep skin hydration and collagen synthesis to see a improvement in skin hydration, brightness, radiance, acne scars and texture is negligible.