The growing interest in maintaining a youthful appearance has encouraged an accelerated development of innovative, minimally invasive aesthetic treatments for facial rejuvenation and regeneration. The close correlation between tissue repair, regeneration, and aging has paved the way for the application of regenerative medicine principles in cosmetic dermatology. The theoretical substrates of regenerative medicine applications in dermo-aesthetics are plentiful. However, regenerative dermatology is an emerging field and needs more data and in vivo trials to reach a consensus on the standardization of methods. In this review, we summarize the principles of regenerative medicine and techniques as they apply to cosmetic dermatology, suggesting unexplored fields and future directions.

Background: Photoaging results from cumulative ultraviolet-induced damage, mainly affecting sun-exposed areas such as the face, neck, and forearms. It manifests with textural roughness, irregular pigmentation, and wrinkles, reflecting structural degeneration across cutaneous layers. Objectives: This retrospective, uncontrolled, pilot study evaluated the efficacy of a biorejuvenating intradermal treatment combining free hyaluronic acid (HA) and glycerol in improving skin quality assessed by VISIA^® CR. Secondary objectives included morphological and structural evaluation with PRIMOS 3D and LC-OCT, and exploratory clustering of post-treatment topography. Methods: Seventeen Caucasian women (45–67 years; mean 54, Fitzpatrick I–III) received HA-glycerol (CROMA Revitalis) via three-session picotage (n = 10) or two-session four-point injection (n = 7). VISIA^® CR5 (spots, wrinkles, texture, pores, UV spots, porphyrins), PRIMOS 3D (roughness, volumetric parameters), and LC-OCT (stratum corneum and epidermal thickness, DEJ undulation) were analyzed. Results: VISIA^® CR5 showed significant reductions in visible spots and porphyrins, with trends toward improvement in wrinkles and UV spots. PRIMOS 3D demonstrated qualitative improvement in most patients, and LC-OCT documented a significant increase in stratum corneum thickness with positive remodeling trends. Conclusions: This retrospective uncontrolled pilot study suggests that HA–glycerol intradermal biorejuvenation may improve multiple markers of photoaging, although conclusions are limited by sample size and short follow-up.

Background: In recent years, hyaluronic acid filler for the restoration and increase in buttock volume has been a procedure that has seen increasing success, both thanks to the considerable increase in patient demand and thanks to the improvement of implant techniques and device manufacturing technologies. Aims: The primary objective of this pilot study is to demonstrate the validity of an innovative filler inoculation technique in the upper quadrants of the buttocks and in the supra- and subfascial area in order to optically restore the appearance of a pleasant lumbar lordosis and to lift the upper quadrants with reduction in the infragluteal fold. The secondary objective is to evaluate the safety and efficacy of Sofiderm SubSkin^® (Techderm Biological Products Co., Ltd., Hangzhou, China), a highly versatile hyaluronic acid filler, formulated with a rheology suitable for use on the face and body. Patients/Methods: Five female subjects (50–63 years) were subjected to gluteal fillers in the supra- and subfascial areas; the correct positioning of the filler was investigated by means of a 20 Mhz ultrasound probe. Results: All patients obtained a significant improvement in the projection of the upper part of the buttocks. The implantation technique and the optimal rheological properties of the device brought about a natural and well-defined increase in volume, with a projection of the upper part of the buttocks and a consequent lifting of the lower parts and reduction in the length of the infragluteal fold. Conclusions: This study confirmed the efficacy and safety of the cross-linked hyaluronic acid Sofiderm Derm SubSkin^® in increasing the projection of the upper part of the buttocks, using an innovative mixed implantation technique, in a sample of selected patients.

Background: Lip aging is a heterogeneous and visually complex process, yet a standardized morphological classification applicable to clinical practice is still lacking. Current approaches mainly focus on volumetric loss or perioral rhytids, while the geometric features of the lips, including borders, projection, and eversion, remain poorly codified. Methods: Fifty anonymized lip images acquired under standardized conditions using digital facial imaging were independently evaluated by five physicians experienced in esthetic medicine. Images were classified according to three predefined morphotypes representing distinct patterns of lip aging. Inter-rater reliability was assessed using Fleiss’s kappa statistic. Results: Three recurrent morphotypes were consistently identified: devolumized lips, central lips, and chapped lips. Overall, 87% of images were assigned to one of the three morphotypes by at least four of five evaluators, while 13% were classified as undefined due to mixed features. Inter-rater agreement was substantial (κ = 0.89; 95% CI 0.79–0.99), confirming high reproducibility of the proposed classification. Conclusions: This study proposes a simple and reproducible image-based morphotypic classification of lip aging that captures recurrent visual patterns within this cohort. The framework may facilitate standardized clinical communication, support personalized rejuvenation strategies, and provide a foundation for future quantitative imaging studies and AI-based phenotype recognition in esthetic and reconstructive practice.