COLLAGEN BIOSTIMULATORS IN THE FACIAL AND BODY REGIONS: MECHANISMS OF ACTION, CLINICAL EVIDENCE, AND THERAPEUTIC SAFETY
DOI:
https://doi.org/10.63330/aurumpub.068-008Keywords:
Aesthetics, Biostimulation, Collagen, Tissue regeneration, Tissue remodelingAbstract
Collagen biostimulators are resources used in aesthetics to stimulate biological responses associated with collagen production and remodeling, contributing to tissue quality and structure. This study aimed to gather, analyze, and synthesize scientific evidence on the mechanisms of action of collagen biostimulators and their potential applications in facial and body aesthetics. This is an integrative literature review with a qualitative and exploratory approach, conducted between July and August 2026 using the PubMed/MEDLINE and ScienceDirect databases. Articles published between 2021 and 2025 were considered, with 12 studies selected after applying the inclusion and exclusion criteria. The results demonstrated different biostimulation mechanisms, including fibroblast activation, stimulation of neocollagenesis, macrophage modulation, angiogenesis, reduction of inflammatory processes, and tissue regeneration. Evidence related to extracellular matrix preservation and improvement of characteristics associated with skin aging was also identified. However, the findings reinforce the need for individualized assessment, appropriate indication, professional monitoring, and compliance with health regulations. It is concluded that collagen biostimulators have potential to promote tissue remodeling and regeneration, although further clinical studies are necessary to expand the understanding of their safety, effectiveness, and aesthetic applicability.
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AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA). Avaliação da Anvisa mantém PMMA para as indicações já aprovadas no país. Brasília, DF: Anvisa, 2025. Disponível em: https://www.gov.br/anvisa/. Acesso em: 28 ago. 2026.
AGÊNCIA NACIONAL DE VIGILÂNCIA SANITÁRIA (ANVISA). Recomendações sobre o uso de preenchedores dérmicos dentro das indicações aprovadas. Brasília, DF: Anvisa, 2026. Disponível em: https://www.gov.br/anvisa/. Acesso em: 28 ago. 2026.
BRASIL. Lei nº 12.842, de 10 de julho de 2013. Dispõe sobre o exercício da Medicina. Brasília, DF: Presidência da República, 2013. Disponível em: https://www.planalto.gov.br/ccivil_03/_ato2011-2014/2013/lei/l12842.htm. Acesso em: 28 ago. 2026.
CAO, C. et al. Oral intake of chicken bone collagen peptides anti-skin aging in mice by regulating collagen degradation and synthesis, inhibiting inflammation and activating lysosomes. Nutrients, v. 14, 2022. DOI: https://doi.org/10.3390/nu14081622.
MA, Y.-X. et al. Silicified collagen scaffold induces semaphorin 3A secretion by sensory nerves to improve in-situ bone regeneration. Bioactive Materials, v. 9, p. 475-490, 2022. DOI: https://doi.org/10.1016/j.bioactmat.2021.07.016.
MUNAVALLI, G. et al. COVID-19/SARS-CoV-2 virus spike protein-related delayed inflammatory reaction to hyaluronic acid dermal fillers: a challenging clinical conundrum in diagnosis and treatment. Archives of Dermatological Research, v. 314, p. 1-15, 2022. DOI: https://doi.org/10.1007/s00403-021-02190-6.
NOWAG, B. et al. Calcium hydroxylapatite microspheres activate fibroblasts through direct contact to stimulate neocollagenesis. Journal of Cosmetic Dermatology, v. 22, p. 426-432, 2023. DOI: https://doi.org/10.1111/jocd.15521.
OH, S. et al. Poly-D,L-lactic acid stimulates angiogenesis and collagen synthesis in aged animal skin. International Journal of Molecular Sciences, v. 24, 2023. DOI: https://doi.org/10.3390/ijms24097986.
OH, S. et al. Poly-L-lactic acid fillers improved dermal collagen synthesis by modulating M2 macrophage polarization in aged animal skin. Cells, v. 12, 2023. DOI: https://doi.org/10.3390/cells12091320.
TRENTINI, M. et al. Apple derived exosomes improve collagen type I production and decrease MMPs during aging of the skin through downregulation of the NF-κB pathway as mode of action. Cells, v. 11, 2022. DOI: https://doi.org/10.3390/cells11243950.
WANG, J. et al. The biological effect of recombinant humanized collagen on damaged skin induced by UV-photoaging: an in vivo study. Bioactive Materials, v. 11, p. 154-165, 2022. DOI: https://doi.org/10.1016/j.bioactmat.2021.10.004.
ZHANG, Y. et al. In vivo inducing collagen regeneration of biodegradable polymer microspheres. Regenerative Biomaterials, v. 8, 2021. DOI: https://doi.org/10.1093/rb/rbab042.
ZHAO, B. et al. Human exosomes accelerate cutaneous wound healing by promoting collagen synthesis in a diabetic mouse model. Stem Cells and Development, v. 30, p. 922-933, 2021. DOI: https://doi.org/10.1089/scd.2021.0100.
ZHAO, M. et al. Astragalus polysaccharide hydrogels with drug-carrying super self-assembly from natural herbs promote wound healing. ACS Nano, 2025. DOI: https://doi.org/10.1021/acsnano.5c03744.
ZHAO, Y. et al. Janus membrane with intrafibrillarly strontium-apatite-mineralized collagen for guided bone regeneration. ACS Nano, 2024. DOI: https://doi.org/10.1021/acsnano.3c12403.
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