Polynucléotides

Polynucléotides – Complete guide: technique, results, recovery, risks, cost. Compare verified clinics in Belgium.

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Polynucleotides, Simply Explained

If you're looking to improve tired, crepey, or dull-looking skin without "changing your face," you've probably come across polynucleotides. They are an injectable treatment, but they are not fillers. Rather than adding volume, polynucleotides gradually encourage the skin to repair and renew itself.

What Are They, Really?

Polynucleotides (sometimes referred to as PDRN, although the two terms are not strictly identical) are purified DNA fragments, most commonly derived from salmon or trout.

This may sound surprising, but there is a scientific reason for it. The DNA of these species is highly biocompatible with the human body and is generally very well tolerated. Once injected into the skin, polynucleotides act as biological signals that stimulate fibroblasts, the cells responsible for producing collagen, elastin, and other components essential to healthy skin.

Why Do They Need to Be Injected?

Polynucleotides only work when they reach the deeper layers of the skin. The molecules are too large to effectively penetrate the skin barrier when applied as a cream or serum.

For this reason, the treatment is delivered through injections into the dermis or, in some cases, through microneedling. This allows skin cells to interact directly with the polynucleotides and activate the desired regenerative processes.

What Can They Improve?

Polynucleotides are primarily used to improve overall skin quality.

Potential benefits generally include:

  • Improved hydration.
  • Softer, more supple skin.
  • Improved skin texture.
  • Reduced crepey appearance in certain areas.
  • Gradual improvement in skin elasticity.

They are particularly popular in delicate areas where fillers may be excessive or inappropriate, including:

  • The under-eye area.
  • The neck.
  • The décolletage.
  • Areas of the face showing early signs of skin aging.

They are also frequently used to prepare the skin before other aesthetic treatments or as part of a broader skin rejuvenation plan.

What Should You Expect During Treatment?

A typical treatment course consists of two to three sessions spaced several weeks apart.

Before treatment, a numbing cream may be applied to improve comfort. The injections themselves typically take between 10 and 20 minutes, depending on the area being treated.

After treatment, it is normal to experience:

  • Mild redness.
  • Slight swelling.
  • Small bruises.
  • Temporary tenderness at the injection sites.

These effects usually resolve within a few days, and most people quickly return to their normal activities.

When Will You See Results?

It is important to understand that polynucleotides do not provide immediate results like some fillers.

Their effects rely on the gradual stimulation of the skin's natural repair mechanisms. Improvements therefore typically develop over several weeks following the start of treatment.

Results may then last for several months, often between six and nine months, depending on the individual's skin, treatment protocol, and personal characteristics.

Are Polynucleotides Safe?

Polynucleotides are generally considered well tolerated when administered by a qualified professional.

Because they do not create volume, they avoid some of the side effects associated with traditional dermal fillers. The most common reactions are temporary redness, swelling, and bruising.

An important contraindication is a known allergy to fish or fish-derived products. A medical consultation remains essential to assess your individual situation and determine whether this treatment is appropriate for you.

A Word About the Evidence

The available scientific evidence is encouraging.

Several clinical studies and real-world observations have reported improvements in skin quality, hydration, elasticity, and patient satisfaction following treatment.

However, polynucleotides remain a relatively new approach in aesthetic medicine. Some of the available evidence comes from small studies, and further research is ongoing to confirm certain long-term benefits.

A reputable clinic should therefore present polynucleotides as a promising treatment supported by growing scientific evidence, while avoiding guarantees or unrealistic expectations.

FAQ

What are polynucleotides?

Polynucleotides are purified DNA fragments injected into the skin to stimulate natural repair mechanisms, collagen production, and overall skin quality improvement.

Are polynucleotides fillers?

No. Polynucleotides are not fillers and do not add volume. Their purpose is to improve skin quality gradually rather than reshape facial contours.

What is the difference between polynucleotides and PDRN?

PDRN (polydeoxyribonucleotide) consists of smaller DNA fragments. Polynucleotides generally contain longer and more viscous DNA chains. In practice, the two terms are sometimes used interchangeably depending on the product.

Are polynucleotides made from salmon?

Yes. Most products currently available are made from purified DNA extracted from salmon or trout and then highly processed to ensure safety and tolerance.

Is it really DNA from salmon sperm?

Yes. The DNA is typically extracted from salmon or trout sperm and then purified through strict manufacturing processes. The final product no longer contains the original biological components and is intended for medical use.

Can polynucleotides replace fillers?

Not necessarily. The two treatments serve different purposes. Fillers restore lost volume, while polynucleotides primarily improve skin quality.

How many treatment sessions are needed?

Most treatment protocols involve two to three initial sessions spaced several weeks apart, followed by maintenance treatments if recommended by the practitioner.

When do results become visible?

The first improvements are often noticed after several weeks. Results generally continue to develop gradually after each session.

Are polynucleotide injections painful?

Discomfort is usually mild to moderate. A numbing cream is often applied beforehand to improve patient comfort.

Can I return to normal activities after treatment?

Yes. Most patients resume their normal activities immediately or within 24 hours after treatment.

What are the possible side effects?

The most common side effects include redness, mild swelling, bruising, and temporary tenderness in the treated areas.

Can people with fish allergies receive this treatment?

In general, a known fish allergy may be a contraindication. A medical assessment is necessary before considering treatment.

Can polynucleotides be used under the eyes?

Yes. The under-eye area is one of the most common treatment areas for polynucleotides, particularly to improve the quality of thin, crepey skin.

How long do the results last?

Results can last for several months, often between six and nine months, although this varies between individuals and treatment protocols.

Are polynucleotides scientifically proven?

The available studies are generally positive and show improvements in skin quality along with a favorable safety profile. However, larger studies are still needed to strengthen the overall level of scientific evidence.

Medical sources and references

  • Eliana A, et al. A Real-Life Assessment of Injectable Polynucleotides High Purification Technology in Aesthetic Medicine for Skin Rejuvenation. Journal of Cosmetic Dermatology. 2026. (PMID: 41482668; PMC12759169)
  • Ziade G, et al. Prospective Observational Study of Polynucleotide Injections for Periorbital Rhytides. Journal of Cosmetic Dermatology. 2026. doi:10.1111/jocd.70736 (PMC12905022)
  • Lee YJ, et al. Comparison of the effects of polynucleotide and hyaluronic acid fillers on periocular rejuvenation: a randomized, double-blind, split-face trial. Journal of Dermatological Treatment. 2022;33(1):254-260.
  • Pak CS, et al. A Phase III, Randomized, Double-Blind, Matched-Pairs, Active-Controlled Clinical Trial to Compare Polynucleotide Filler and Hyaluronic Acid Filler in the Correction of Crow's Feet. Journal of Korean Medical Science. 2014;29(Suppl 3):S201-S209.
  • Lee KWA, et al. Polynucleotides in Aesthetic Medicine: A Review of Current Practices and Perceived Effectiveness. International Journal of Molecular Sciences. 2024;25(15):8224. (PMC11311621)
  • Kim YJ, et al. Polydeoxyribonucleotide Promotes Wound Healing via the Adenosine A2A Receptor. Annals of Dermatology. 2016;28(5):616-623.
  • Galeano M, et al. Polydeoxyribonucleotide stimulates angiogenesis and wound healing in the genetically diabetic mouse. Wound Repair and Regeneration. 2008;16:208-217.
  • Polynucleotides and polydeoxyribonucleotides in dermatology: a narrative review. Journal of Cutaneous and Aesthetic Surgery (JCAS).
  • Polydeoxyribonucleotides as Emerging Therapeutics for Skin Diseases: Clinical Applications, Pharmacological Effects, Molecular Mechanisms and Potential Modes of Action. Applied Sciences (MDPI). 2025;15(19):10437.
  • Expert Perspectives: Evidence-Based Applications of Polynucleotides in Aesthetic Medicine and Dermatology. Clinical, Cosmetic and Investigational Dermatology. 2025.
Medical Disclaimer
This article is intended for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. It is based on peer-reviewed medical research, clinical guidelines, and expert-reviewed medical literature to provide clear, reliable, and up-to-date information for patients. Always consult a qualified healthcare provider with any questions you may have regarding a medical condition or treatment.
We do not promote any specific treatment, product, or provider, and there are no conflicts of interest influencing the content.
All before-and-after photos shown on this page are licensed stock images intended for illustrative purposes only. They do not depict actual patients of the surgeons listed on our site. Results may vary based on individual anatomy and treatment plans.

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