Dr. Preema Vig explains regenerative aesthetics, which stimulates the skin's own collagen and elastin production rather than just filling wrinkles or freezing muscles. She uses polynucleotides, Profhilo, energy devices, and topical treatments, often combined with traditional injectables, tailored to each patient's face and goals.
Chapters
What is regenerative aesthetics and how is it different from traditional aesthetic medicine? I am Dr. Preema Vig, Medical Director of Dr. Preema London Clinic in Mayfair, London. Having worked in aesthetic medicine for more than 2 decades, I have seen a significant shift towards regenerative aesthetics and treatments that focus on improving skin quality and supporting the body's own biological processes. But what does regenerative aesthetics actually mean? Traditionally, aesthetic treatments have often focused on correcting a specific concern. For example, botulinum toxin can reduce muscle movement, while dermal fillers can restore or support facial volume. Regenerative aesthetics takes a different, although often complementary, approach. Rather than simply replacing volume or temporarily changing a particular feature, regenerative treatments aim to stimulate or support processes within the skin and underlying tissues, such as collagen and elastin production, cellular communication, hydration, and tissue repair. It is important, however, to understand that regenerative aesthetics is a broad term. Not every treatment described as regenerative works in the same way, and the word regenerative should not be interpreted as meaning that a treatment can completely reverse aging, or regenerate tissue to its original state. In my practice at Dr. Preema London Clinic, regenerative aesthetics is part of a wider approach to healthy aging. This can include injectable treatments such as polynucleotides and skin remodeling or biostimulatory injectables, alongside non-injectable technologies designed to stimulate collagen and improve skin quality. Polynucleotides, for example, are injectable products used in aesthetic medicine. To support skin quality and tissue repair. They are particularly interesting in areas where improving the condition of the skin itself may be more appropriate than simply adding volume. Profhilo is another injectable treatment used to improve skin hydration, elasticity, and tissue quality, while Profhilo Structura is designed specifically to address changes within superficial facial fat. We can also stimulate the skin without injectables. At Dr. Preema London Clinic, technologies including Sofwave, Silfirm X, LDM Triple, and other energy-based treatments may form part of a regenerative or collagen-stimulating treatment strategy, depending on the individual patient. We have also introduced topical biostimulation with Revision DE J-Biostim, providing another approach for patients interested in improving skin quality without injections. This is why I don't see regenerative aesthetics as one particular treatment. It is a treatment philosophy. As we age, several things happen simultaneously. Collagen production changes, elastin changes, skin becomes thinner. Fat compartments and facial structure change. Hydration and cellular function can change too. Treating just one of those changes will not necessarily address the others. My approach is therefore to assess the face and skin as a whole and decide what, if anything, needs replacing, what needs supporting, and where we can encourage the patient's own tissues to function more effectively. Sometimes that means regenerative treatment alone. Sometimes it means combining regenerative treatments with established aesthetic treatments such as botulinum toxin or carefully placed dermal filler. And sometimes the most appropriate recommendation is to do very little. For me, the objective of regenerative aesthetics is not to make somebody look different. It is to improve skin quality, support tissue health, and help patients age well while preserving their individual facial characteristics. That combination of structural support, skin quality, and regenerative medicine is an important part of what we call the Dr. Preema Method at Dr. Preema London Clinic in Mayfair, London. If you are considering regenerative aesthetic treatments, the appropriate treatment will depend on your skin, facial anatomy, age, medical history, and what you are hoping to achieve. A consultation and individual assessment should always come first.
