Arora G, Arora S, Sadoughifar R, Batra N. Biorevitalization of the skin with skin boosters: concepts, variables, and limitations. J Cosmet Dermatol. 2020; 20:(8)2458-2462

Ayatollahi A, Firooz A, Samadi A. Evaluation of safety and efficacy of booster injections of hyaluronic acid in improving the facial skin quality. J Cosmet Dermatol. 2020; 19:(9)2267-2272

Bonté F, Girard D, Archambault JC., Desmoulière A. Skin changes during ageing. In: Harris J, Korolchuk V (eds). : Springer Singapore; 2019

Bukhari S, Roswandi NL, Waqas M Hyaluronic acid, a promising skin rejuvenating biomedicine: a review of recent updates and pre-clinical and clinical investigations on cosmetic and nutricosmetic effects. Int J Biol Macromol. 2018; 120:(b)1682-1695

Haswell N. Sun protection is essential to prevent skin cancer and premature ageing. J Aesthet Nurs. 2018; 7:(7)374-376

Haydont V, Bernard BA, Fortunel NO. Age-related evolutions of the dermis: clinical signs, fibroblast and extracellular matrix dynamics. Mech Ageing Dev. 2019; 177:150-156

Humphrey S, Brown MS, Cross SJ, Mehta R. Defining skin quality: clinical relevance, terminology, and assessment. Dermatol Surg. 2021; 47:(7)

International Society of Aesthetic Plastic Surgery. ISAPS global survey results 2020. 2020. (accessed 2 February 2022)

Kapoor KM, Saputra DI, Porter CE Treating aging changes of facial anatomical layers with hyaluronic acid fillers. Clin Cosmet Investig Dermatol. 2021; 14:1105-1118

Kleine-Börger L, Meyer R, Kalies A, Kerscher M. Approach to differentiate between hyaluronic acid skin quality boosters and fillers based on their physicochemical properties. J Cosmet Dermatol. 2022; 21:(1)149-157

La Gatta A, Aschettino M, Stellavato A Hyaluronan hydrogels for injection in superficial dermal layers: an in vitro characterization to compare performance and unravel the scientific basis of their indication. Int J Mol Sci. 2021; 22:(11)

Langton AK, Alessi S, Hann M Aging in skin of color: disruption to elastic fiber organization is detrimental to skin's biomechanical function. J Invest Dermatol. 2019; 139:779-788

Haddad A, Meski APG, Cazerta C Managing the aesthetic patient. J Drugs Dermatol. 2019; 18:(1)1438-1448

Nikolis A, Enright KM. Evaluating the role of small particle hyaluronic acid fillers using micro-droplet technique in the face, neck and hands: a retrospective chart review. Clin Cosmet Investig Dermatol. 2018; 10:(11)467-475

Nikolis A, Enright KM. Commentary: ‘evaluating the role of small particle hyaluronic acid fillers using micro-droplet technique in the face, neck and hands: a retrospective chart review’. J Dermatol Skin Sci. 2020; 2:(1)26-28

Turlier V, Delalleau A, Casas C Association between collagen production and mechanical stretching in dermal extracellular matrix: in vivo effect of cross-linked hyaluronic acid filler. A randomised, placebo-controlled study. J Dermatol Sci. 2013; 69:(3)187-94

Ypiranga S, Fonseca R. Hyaluronic acid for skin booster on the face. In: Issa M, Tamura B (eds). Cham: Springer; 2019

Improving patients' skin quality using skin boosters in aesthetic practice

02 June 2022
Volume 11 · Issue 5


Improving skin quality can have a huge impact on the way that patients feel about their appearance. During ageing, there is a disruption to the normal organisation of skin cells, and its overall capacity for repair is reduced. The main component of skin boosters is hyaluronic acid, and, with its known hydrophilic properties, skin boosters are used to improve skin hydration. They also have some biomedical and tissue regeneration potential. These treatments have become very popular and, therefore, as a practitioner, it is useful to be able to offer these treatments to patients. Patient selection and managing expectations are extremely important, as well as knowledge of products and how to use them safely and effectively. Incorporating skin boosters into an aesthetic practice can provide the opportunity to assist patients with improving their skin quality, and they can be offered to a wide range of patients of various ages and skin types.

The skin provides the primary protection for the body and is essential in the maintenance of general homeostasis. Overall skin quality has a strong influence on the perceived age, health and attractiveness of an individual. In the literature, it has been acknowledged by Arora et al (2020) that skin changes associated with ageing, such as loss of elasticity and turgor, can have a negative psychosocial impact.

Humphrey et al (2021) stated that the demand for improvements in skin quality is growing rapidly, as flawless skin is one of the most universally desired features. The quality of the skin has been shown to have a substantial impact on emotional health, quality of life, self-perception and interactions with others.

Skin quality among individuals of different ethnicities remains understudied within aesthetics in regard to skin ageing, but the literature has highlighted variations. Langton et al (2019) stated that, despite the protective effect of increased melanocytes and melanin, both intrinsic and photoaging still occur and cause the skin to be less resilient and elastic in ageing.

Register now to continue reading

Thank you for visiting Journal of Aesthetic Nurses and reading some of our peer-reviewed resources for aesthetic nurses. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Limited access to clinical or professional articles

  • New content and clinical newsletter updates each month