TITULO polinucleotidos

Polynucleotides 2026 | Complete Guide of Questions and Answers | ABesthetic

🧬 Polynucleotides (PN / PDRN)

Complete guide to the regenerative treatment that uses salmon DNA to rejuvenate skin, treat dark circles, hair loss and acne scars.

📌 Over 80 questions answered with medical rigour

🧬 Salmon DNA in your face? The truth about the treatment revolutionising Korean skin

"Are you telling me you're going to inject salmon sperm into my face? Isn't that… weird?"

Yes, technically it's true. Polynucleotides are extracted from the gonads (reproductive organs) of salmon. But no, you won't grow scales, you won't smell like fish and you won't grow a tail.

What you will be injected with is a purified, sterilised and ultrafiltered molecule that acts as a super-activator of cellular repair. In South Korea, polynucleotides are the star treatment for achieving that "glass skin" that seems impossible.

✨ What you need to know about polynucleotides:
1️⃣ Regenerates, doesn't fill → They don't add volume like hyaluronic acid, but improve texture, luminosity and elasticity.
2️⃣ Progressive results → Effects are seen in weeks. Patience pays off.
3️⃣ Natural origin → Highly purified salmon DNA, biocompatible and safe.
4️⃣ Versatile and powerful → Works for skin, dark circles, alopecia, acne scars, neck and hands.
📢 The controversy: Polynucleotides have caused a stir on social media and in the press. Some call them "the secret of Korean celebrities", while others question whether it's just a passing fad. The reality is that they have a solid scientific basis in cell regeneration and wound healing, although large-scale aesthetic studies are still limited. At ABesthetic, our position is clear: polynucleotides are a safe, effective treatment with excellent results for improving skin quality, when correctly indicated.

🔍 Use the table of contents to resolve all your questions: what they are, where they come from, whether they smell like fish, whether they hurt, whether they work and whether they are worth it.

🧬 Basic concepts: What are polynucleotides?
What exactly are polynucleotides? +

Polynucleotides are purified fragments of DNA (deoxyribonucleic acid) used in aesthetic medicine to stimulate cell regeneration and improve skin quality. They are chains of nucleotides (the pieces that make up DNA and RNA) that act as biological signalling molecules.

Their function: they tell your cells "repair, regenerate, hydrate, reduce inflammation". It's like giving them an updated instruction manual.

Is it true that they are extracted from salmon sperm? +

Yes, it's true. Polynucleotides are extracted from the gonads (testicles) of salmon. Why from there? Because reproductive cells have a very high concentration of DNA (they need a lot of genetic information to create a new being). It's the purest and most concentrated source of DNA.

⚠️ The extraction process is chemical and purifies so much that only DNA fragments remain. No fish protein, fat, odour or colour remains. It's like saying hydrogen peroxide "comes from volcanoes" because hydrogen is formed in stars. It's true, but irrelevant.
Are they injecting fish DNA into my face? +

Technically yes, they inject fragments of salmon DNA. But that DNA does not integrate into your genome (you don't become half salmon). Your body recognises it as "building material" and uses it to repair and regenerate tissue. It's like being given bricks to fix your house: the bricks don't become part of your genetic structure.

Why is salmon used and not human DNA? +

Salmon DNA has a composition very similar to human DNA, but with an extra advantage: it's rich in adenine and thymine, the bases that most stimulate cell repair. In addition, using human DNA would have theoretical risks of diseases (prions, viruses). Salmon DNA is biocompatible but immunologically neutral.

Are polynucleotides stem cells? +

No. Stem cells are living cells that can differentiate into other cell types. Polynucleotides are molecules (bits of DNA), not cells. They activate your own stem cells (the ones you already have in your skin, hair follicle, etc.), but they are not stem cells themselves.

What is the difference between PDRN and PN? +

Source: Grupo Gerena

Do polynucleotides smell like fish? +

This is the question that makes me laugh the most in consultation. No, they don't smell like fish. The purification process removes any organic residue that could smell. The final product is a transparent, odourless, sterile gel. If someone tells you it smells like fish, they've either been sold an expired product or it's suggestion.

Can I have an allergic reaction if I'm allergic to fish? +

Polynucleotides are so purified that they should not contain fish proteins (which cause the allergy). Most manufacturers claim they are safe for fish-allergic people. However, if your allergy is severe (anaphylaxis), consult your allergist first.

✨ Aesthetic uses for the face
What are polynucleotides used for on the face? +

Polynucleotides are excellent for improving skin quality, not for filling volumes:

  • Glow and luminosity ("glass skin")
  • Dark circles (due to thin skin or vascular congestion)
  • Acne scars (improves texture and colour)
  • Dehydrated, dull skin or enlarged pores
  • Fine lines (smooths them, doesn't fill them)
  • Sun-damaged skin (photoageing)
  • Does not add volume like hyaluronic acid
Do polynucleotides fill wrinkles? +

No. Polynucleotides do not add volume. They don't fill nasolabial folds or lips. What they do is improve skin quality: skin becomes thicker, more hydrated, more luminous. Fine lines look better because the skin is tighter, but it's not a filler.

Do they work for dark circles? +

Yes, it's one of the best uses of polynucleotides. Dark circles usually have two causes: very thin skin that reveals blood vessels (purple/blue colour) and pigmentation. Polynucleotides thicken the skin and improve circulation, which reduces the dark appearance. They don't remove melanin, but by thickening the skin, the colour is less visible.

Can they be injected into the lips? +

If you want to hydrate and improve lip texture (dry, chapped lips with vertical lines), polynucleotides work very well. But they do not add volume. For volume, hyaluronic acid is still the answer.

Do they work for acne scars? +

Yes, polynucleotides improve the texture and colour of acne scars. They are especially effective for:

  • Shallow scars
  • Erythematous (red) scars
  • Overall texture improvement

For deep scars (ice pick, boxcar), additional treatments such as laser or subcision are needed.

Can they be used on the neck, décolletage and hands? +

Yes, it's one of the best indications. These areas often show signs of premature ageing and have thin skin. Polynucleotides improve texture, hydration and firmness, restoring a more youthful appearance.

💇‍♀️ Polynucleotides for hair loss
Do polynucleotides make hair grow? +

Yes, it's one of the most promising applications. Polynucleotides injected into the scalp act on four levels:

  • 🧯 Anti-inflammatory effect: reduce local inflammation around the follicle
  • 💧 Angiogenic effect: promote new blood vessels, improving oxygenation
  • 🧬 Cell regeneration: stimulate fibroblast activity
  • 🚫 Anti-apoptotic effect: reduce cell death of the follicle

Studies show an increase in hair thickness and density from the first month, with more visible improvements between the third and fourth month. About 40% of patients experience objective improvement.

What types of alopecia do they work for? +
  • Androgenetic alopecia: improves, doesn't cure
  • Fine, weak hair: thickens existing hair
  • Telogen effluvium: accelerates recovery after stress-related shedding

Doesn't work if the follicle is already dead (advanced baldness with smooth, shiny skin).

How many sessions are needed for hair? +

4-6 initial sessions are recommended, spaced 3-4 weeks apart. Then maintenance sessions every 6-12 months. Results are cumulative.

⚖️ Comparison with other treatments
Difference between polynucleotides and hyaluronic acid +
CharacteristicPDRN (Polydeoxyribonucleotide)PN (Polynucleotide)
Chain lengthShorterLonger
StructureFragmentedComplex, three-dimensional
Primary actionCell repairBiostimulation + structural support
Duration of effectMore immediateMore prolonged
Clinical focusRepair, recoveryRejuvenation, skin quality
CharacteristicHyaluronic AcidPolynucleotides
What it isA sugarDNA fragments
MechanismAttracts water (fills)Regenerates cells
ResultImmediate volumeImproved skin quality
Duration6-18 months3-6 months (cumulative effect)
ReversibleYes (hyaluronidase)No (but doesn't form lumps)
Polynucleotides or PRP? Which is better? +
CharacteristicPRPPolynucleotides
SourceYour own bloodPurified salmon DNA
StandardisationVariable (depends on your blood)High (consistent product)
ProcedureExtraction + centrifugation + injectionDirect injection
EfficacyVariable, mild to moderateMild to moderate
MaintenanceEvery 4-6 monthsEvery 6-12 months

Source: Capilderm

Polynucleotides or Sculptra? +
CharacteristicSculptra (PLLA)Polynucleotides
MechanismControlled inflammation → collagenDirect cell regeneration
ResultStructural volumeSkin quality (texture, hydration, glow)
Lump riskReal (mandatory massage)Very rare
Duration18-24 months3-6 months (cumulative)
💉 The procedure: pain, time and sessions
How are polynucleotides injected? +

Polynucleotides are injected with a fine needle (30-32G) into the superficial dermis, using the mesotherapy technique:

  • Multiple punctures (deposits) 0.5-1 cm apart
  • Small drops (0.02-0.05 ml per point)
  • Systematic coverage of the entire area to be treated

It is not injected in a single bolus like HA filler. It is distributed so that regeneration is homogeneous.

Does the treatment hurt? +

Polynucleotides sting more than HA because:

  • Most brands don't contain anaesthetic
  • They are injected at multiple points (not just one)
  • The superficial dermis is more innervated than the deep dermis

Anaesthetic cream can be used 30-40 minutes before. With anaesthesia, discomfort is minimal. Without anaesthesia, it feels like small pinches or ant bites.

How many sessions are needed? +
:::::
ObjectiveInitial sessionsInterval
2-3 sessions3-4 weeks
3-4 sessions3-4 weeks
3-4 sessions3-4 weeks
4-6 sessions4 weeks
4-6 sessions3-4 weeks

Source: PamiDerm

When are results seen? +
  • Days 1-3: Mild swelling, small red dots
  • Week 1-2: Skin starts to look more hydrated
  • Week 4 (after 1st session): Mild improvement
  • Week 8-12 (after 2-3 sessions): Significant improvement (texture, pores, glow)
  • 6 months: Peak cumulative effect
How long does the effect last? +

A single session lasts 3-4 months. A full cycle of 3-4 sessions can last 8-12 months. Duration varies according to metabolism and lifestyle. Maintenance is recommended every 6-12 months.

⚠️ Contraindications and safety
Are polynucleotides safe? +
✅ Yes, they have an excellent safety profile:
✔️ They are biocompatible and well tolerated by the skin.
✔️ Allergic reactions are extremely rare.
✔️ No serious side effects have been described in the medical literature.
✔️ Risk of necrosis or blindness is practically zero (unlike HA).
What side effects can they have? +

Side effects are mild and temporary:

  • Redness at injection points (24-48 hours)
  • Mild swelling (24-48 hours)
  • Small bruises or red dots (petechiae) that disappear in 3-7 days
  • Mild local pain during injection
  • Infection risk: less than 1% if sterility is maintained
Who should NOT get polynucleotides? +
  • Pregnancy or breastfeeding: No safety studies
  • Known allergy to salmon (with caution, not always contraindicated)
  • Active infection in the area to be treated (herpes, folliculitis)
  • Active autoimmune diseases (lupus, rheumatoid arthritis) → consult rheumatologist
  • Treatment with Roaccutane (isotretinoin): wait at least 6 months
  • Active chemotherapy: consult oncologist
Can they cause necrosis or blindness? +

Necrosis due to vascular occlusion (the big fear with HA) is almost impossible with polynucleotides because:

  • They are injected into the superficial dermis, where there are no large arteries
  • They are injected in small drops, not in boluses
  • The product is fluid, not dense like HA

The theoretical risk exists (any injection has risk), but in practice there are no documented cases of necrosis or blindness from polynucleotides.

🏷️ Brands, prices and how not to be scammed
Most famous polynucleotide brands +
BrandActive ingredientOriginCharacteristic
Plinest (formerly Nucleofill)PDRN + HAItalyThe most famous. PDRN + non-crosslinked HA
RejuranPDRNSouth KoreaThe original. PDRN only
HealerPDRNSouth KoreaSimilar to Rejuran
PhilArtPN (polynucleotide)South KoreaHigh molecular weight, longer lasting
Phenhyage XLPolynucleotidesItalyPure salmon DNA
How much does a polynucleotide session cost? +
TreatmentPrice per session
Plinest (1 syringe)£220-350
Rejuran (1 syringe)£270-450
Full eye contour session£180-300
Full face session£350-600
Full cycle (3 sessions)£900-1800

A complete treatment can cost between £550 and £900 per year.

Why are they more expensive than hyaluronic acid? +

HA is produced by bacterial fermentation (a relatively cheap process). Polynucleotides require:

  • Extraction from salmon gonads
  • Complex chemical purification
  • Strict quality control (to remove proteins and unwanted DNA)
  • Standardisation of fragment length

They are more expensive to manufacture, but compared to the cost of 3 laser sessions, they are not that expensive.

Can an aesthetician inject polynucleotides? +
⚠️ No. Polynucleotides are injected into the dermis. That is an invasive medical procedure. Only a licensed doctor (or a nurse under direct medical supervision, depending on the country) can inject them. An aesthetician without medical training does not have the ability to manage complications.
📋 Post-treatment care
What care should I take after treatment? +
::::::
ActionWaiting time
6-8 hours
6-8 hours
24-48 hours
:1 week
1 week
24 hours
1 week
Can I wear makeup immediately after? +

To avoid infection, wait at least 6-8 hours. If absolutely necessary, use new (uncontaminated) makeup and apply with clean brushes or washed fingers. Better the next day.

Can I sleep face down? +

Yes. Unlike HA filler (which can migrate), polynucleotides are injected at multiple superficial points and fix quickly. There is no risk of migration when sleeping.

❓ Frequently Asked Questions (FAQ)
What are polynucleotides? +

Purified DNA fragments (usually from salmon) that regenerate skin at a cellular level, improving hydration, texture and luminosity.

Is it true they are extracted from salmon sperm? +

Yes, from salmon gonads (testicles). It's the most concentrated source of DNA. But the final product is so purified it doesn't smell or taste like fish.

Can I have an allergy if I'm allergic to fish? +

Very rare because the product contains no fish proteins (the cause of the allergy). If your allergy is severe, consult your allergist.

What are polynucleotides used for? +

Dehydrated, dull skin, enlarged pores, irregular texture, dark circles with thin skin, ageing neck and décolletage, alopecia, superficial acne scars.

Do they add volume like fillers? +

No. They don't fill wrinkles or lips. They improve skin quality, not volume.

How many sessions are needed? +

3-4 sessions spaced 3-4 weeks apart for a full cycle. Then 1-2 maintenance sessions per year.

When are results seen? +

Progressive improvement. Hydration is noticeable at 2-3 weeks. Peak effect is reached at 6 months after the full cycle.

How long does the effect last? +

Single session: 3-4 months. Full cycle: 8-12 months.

Does it hurt? +

Yes, more than HA because it's injected at multiple superficial points. Anaesthetic cream can be used.

Can they be dissolved if I don't like them? +

No, but since they don't create lumps or excess volume, it's not necessary. If you don't like the result, wait for it to degrade (3-6 months).

Can they cause lumps or necrosis? +

Lumps are almost non-existent (unlike Sculptra). Necrosis is extremely rare because they are injected in small drops into the superficial dermis.

Can they be used during pregnancy? +

No. No safety studies.

How much does a session cost? +

Between £220 and £600 depending on the area and brand. A full cycle can cost £900-1800.

Can an aesthetician inject them? +

No. Only a licensed doctor. It's an invasive medical procedure.

Can they be combined with hyaluronic acid? +

Yes, it's an excellent combination: HA for volume, polynucleotides for skin quality.

Do they work for hair loss? +

Yes, injected into the scalp they stimulate hair follicles and improve hair quality. 4-6 sessions are needed.

© ABesthetic Ltd. Triple professional registration in the United Kingdom, Colombia, and Spain. Over 25 years of clinical experience.

📌 Updated for 2026. This page answers over 80 real questions about polynucleotides (PN / PDRN).