Expert Perspectives: Evidence-Based Applications of Polynucleotides (PNs) in Aesthetic Medicine and Dermatology

Nark-Kyoung Rho,1 Suneel Chilukuri,2,3 Gavin Chan,4 Michael James Kim,5 Jihye Shin,5 Atchima Suwanchinda6,7 1Leaders Dermatology Clinic, Seoul, Republic of Korea; 2Refresh Dermatology, Houston, Texas, USA; 3Department of Dermatology, Baylor College of Medicine, Houston, Texas, USA; 4Victorian Cosmetic Institute, Melbourne, VIC, Australia; 5Medical Strategy Division, PharmaResearch Co., Ltd, Seongnam, South Korea; 6Department of Dermatology, Chulabhorn International Collage of Medicine, Thammasat University, Bangkok, Thailand; 7Division of Dermatology, Department of Medicine, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, ThailandCorrespondence: Atchima Suwanchinda, Cooperative Learning Center, Piyachart 2, 99 Moo 18, Phahonyothin Road, Klong Luang, Rangsit, Pathum Thani, 12120, Thailand, Tel +66813753000, Email dr.atchima@gmail.comAbstract: Polynucleotides (PNs) are increasingly used in aesthetic dermatology, supported by emerging clinical evidence and growing interest in restorative approaches to skin treatment aiming to improve skin conditions. This expert opinion article brings perspectives from an international panel of dermatologists and aesthetic physicians on the use of PNs (Rejuran®, PharmaResearch, South Korea) across dermatological indications. The proposed mechanism of action of PNs involves the formation of a hydrophilic, scaffold-like matrix that may support tissue remodeling and hydration. This article highlights the clinical applications of PNs across four indications: skin hydration and rejuvenation; structural support through deep-plane injections; barrier repair in rosacea and eczema; and scar remodeling. For each, the authors provide suggested treatment protocols based on real-world use, including guidance on injection techniques and anatomical targets. PNs have demonstrated a favorable safety profile, with no reported cases of granuloma or vascular occlusion in the literature to date. Their biocompatibility and tolerability make them a promising option, particularly for sensitive or barrier-compromised skin. However, the current evidence base remains limited, and further studies, including randomized trials and histological validation, are needed. This article provides practical clinical guidance while highlighting areas for future research and standardization in the aesthetic use of PNs.Keywords: polynucleotides, skin rejuvenation, ligament strengthening, skin structural support, scar remodeling