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The 2026 Shift:

Why Polynucleotides Are the New “Primer”

As we move into 2026, regenerative aesthetics is no longer a niche conversation - it is rapidly becoming the foundation of modern treatment planning. Among the most discussed modalities is polynucleotide treatment, increasingly positioned not as a trend, but as a strategic first step in skin optimisation. 

For healthcare professionals, the question is no longer simply “what are polynucleotides?” - it is how to integrate them intelligently into treatment pathways. From tissue repair and inflammatory modulation to combination therapy with PRP, exosomes, and fillers, polynucleotides are emerging as the new clinical “primer” in aesthetic medicine. 

Understanding the Science

What Are Polynucleotides?


Before exploring their role as a primer, it is essential to address the fundamental question: what is polynucleotides therapy? 

Polynucleotides are highly purified DNA fragments, typically derived from salmon or trout, selected for their biocompatibility and regenerative properties. In aesthetic medicine, polynucleotide injections are used to stimulate dermal repair, improve tissue quality, and enhance extracellular matrix (ECM) integrity. 

When clinicians ask “what are polynucleotides used for?”, the answer lies in their biological function: 

Stimulation of fibroblast activity

Promotion of collagen and elastin synthesis

Enhancement of angiogenesis

Anti-inflammatory modulation

Improvement in skin hydration and elasticity

Unlike dermal fillers, which restore volume mechanically, polynucleotide treatment works at a cellular level - supporting tissue regeneration rather than simply replacing lost structure. 

How Do Polynucleotides Work?

Mechanism of Action

A critical question from practitioners is: how do polynucleotides work?


Emerging clinical literature supports these regenerative mechanisms. A peer-reviewed publication available via the National Library of Medicine (PMC11311621) highlights polynucleotides’ role in tissue regeneration, fibroblast activation, and ECM modulation, reinforcing their scientific foundation in aesthetic medicine. 

This evidence-based mechanism underpins why polynucleotides are transitioning from adjunct treatment to foundational therapy. 

Polynucleotides act through several mechanisms

1. Fibroblast Stimulation

They provide nucleotides required for cellular repair and proliferation, encouraging fibroblast activity and collagen production.

2. Extracellular Matrix Remodelling

By stimulating structural protein synthesis, they improve dermal density and elasticity over time. 

3. Anti-Inflammatory Effects

Polynucleotides modulate inflammatory pathways, making them particularly valuable in compromised or inflamed skin.

4. Hydrophilic Properties

Their molecular structure attracts water, improving tissue hydration and skin turgor. 

Why Polynucleotides Are the New “Primer” in 2026

In cosmetic practice, a primer prepares the canvas. In regenerative aesthetics, polynucleotide injection is increasingly performing that role. 

Dermal Fillers

Optimising tissue quality before volumisation improves longevity and integration. Healthier dermis supports better filler distribution and potentially reduces inflammatory complications. 

Energy-Based Devices

Pre-conditioning the skin before RF microneedling or laser enhances healing response and tissue resilience. 

PRP or Exosomes

When combined strategically, polynucleotides may enhance cellular responsiveness, amplifying regenerative outcomes. 

The 2026 shift reflects a movement toward tissue-first treatment planning, where regeneration precedes correction.

Common Practitioner Queries

 

 

How Long Do Polynucleotides Take to Work? 

 

One of the most common practitioner queries is: how long do polynucleotides take to work? 

Unlike fillers, results are not immediate volumetric changes. Instead: 

  • Early improvements in hydration may be visible within 2–3 weeks. 
  • Collagen stimulation and dermal density changes typically develop over 4–8 weeks. 
  • Introduce regenerative injectables
  • Optimal outcomes are seen after a course of 2–3 treatments spaced 2–4 weeks apart. 

Managing patient expectations is critical. Framing polynucleotides as regenerative rather than instant ensures realistic consultations. 

 

 

how long do polynucleotides last? 

 

Another frequent question is: how long do polynucleotides last? 

While protocols vary, clinical experience suggests: 

  • Results may last 6–9 months depending on age, lifestyle, and skin condition. 
  • Maintenance sessions every 6 months are common. 
  • When used as a primer before other treatments, they may improve overall treatment longevity. 

When asked “how long does polynucleotides last?”, it is important to clarify that longevity refers to biological improvement, not volumetric persistence. 

Brands Driving the Polynucleotide Shift

Church Pharmacy stocks several clinically respected brands that reflect the diversity of polynucleotide formulations available to practitioners.

Each brand differs slightly in molecular weight, concentration, and indication, allowing tailored patient selection within a polynucleotide treatment strategy.

PolyPhil

A widely adopted regenerative solution known for tissue bio-stimulation and skin repair support. 

Plinest & Newest

Popular for delicate areas such as periocular rejuvenation & is Formulated for skin quality enhancement and anti-ageing support. 

Pluryal

Combining polynucleotide technology with advanced formulation science. 

Rejuran

Recently added to the Church Pharmacy portfolio, Rejuran has gained global recognition for skin rejuvenation and barrier restoration. 

Combination Therapy Strategies for 2026

As we move into 2026, monotherapy is becoming less common. Instead, combination protocols are shaping advanced practice.

Polynucleotides + PRP

PRP provides growth factors; polynucleotides enhance structural repair. This pairing may amplify regenerative response.

Polynucleotides + Exosomes

Exosomes target cellular signalling, while polynucleotides support matrix rebuilding - creating complementary effects. 

Polynucleotides + Microneedling (e.g., 1NeedPro)

Microneedling enhances transdermal delivery and stimulates wound healing pathways, synergising with polynucleotide injections. 

Polynucleotides Before Fillers

Preparing the dermal environment first may improve aesthetic harmony and patient satisfaction. 

This strategic layering is what defines polynucleotides as a “primer” - setting the biological foundation before structural correction. 

Clinical Protocol Considerations 

 

For practitioners integrating polynucleotides injections into practice: 

  • Course: 2–3 sessions initially 
  • Interval: 2–4 weeks 
  • Maintenance: Every 6–9 months 
  • Indications: Ageing skin, acne scarring, inflammation-prone skin, periocular rejuvenation 

Education is key. For practitioners seeking hands-on training, Church Pharmacy offers dedicated polynucleotide training to support safe and effective implementation. 

The 2026 Outlook: Regeneration Before Correction

The shift toward polynucleotides reflects a broader movement in aesthetic medicine: prioritising tissue health before aesthetic alteration. 

As patients become more informed, demand is growing for treatments that improve skin quality rather than simply add volume. This regenerative-first approach aligns with long-term, ethical practice and may reduce overcorrection trends seen in previous years. 

Polynucleotides are no longer optional add-ons — they are increasingly integrated into comprehensive treatment plans. 

Position Your Clinic for the 2026 Regenerative Shift 

As aesthetic medicine continues to evolve, integrating regenerative-first protocols will differentiate forward-thinking practices. 

Church Pharmacy supplies a comprehensive portfolio of polynucleotide brands including PolyPhil, Plinest, Newest, Pluryal, and Rejuran - alongside clinical education and support. 

To explore our full range of polynucleotide injection products and secure stock for 2026, order directly through Church Pharmacy and position your clinic at the forefront of regenerative aesthetics. 

Frequently Asked Questions (FAQs)

What is polynucleotides treatment?

Polynucleotide treatment involves injecting purified DNA fragments into the dermis to stimulate tissue repair, collagen production, and skin regeneration. 

What are polynucleotides used for in aesthetics?

They are used to improve skin texture, elasticity, hydration, inflammation control, and overall dermal quality. 

How do polynucleotides work?

Polynucleotides stimulate fibroblast activity, enhance extracellular matrix remodelling, improve hydration, and support anti-inflammatory processes. 

How long do polynucleotides take to work?

Visible hydration improvements may appear within 2–3 weeks, with optimal regenerative results developing over 4–8 weeks. 

How long do polynucleotides last?

Results typically last 6–9 months, depending on individual factors and maintenance protocols. 

How long does polynucleotides last compared to fillers?

Unlike fillers, polynucleotides do not provide immediate volume but improve tissue quality over time, often enhancing the longevity of other treatments. 

About the author

Church Pharmacy

Church Pharmacy is a GPhC-registered UK pharmacy specialising in medical aesthetics. We support healthcare professionals with compliant dispensing, award-winning service, and expert insights into the latest treatments, products, and industry trends. Through our blog, we share practical guidance and trusted updates to help clinics grow safely, efficiently, and confidently.

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