Skin aging is a complex biological process characterized by progressive alterations in the dermal microenvironment, including extracellular matrix (ECM) disorganization, fibroblast dysfunction, and changes in the biomechanical properties of the tissue. In this context, biomaterials used in regenerative aesthetic medicine have been widely employed with the aim of stimulating dermal remodeling processes. This review aimed to analyze the main biomaterials currently used in clinical practice, including calcium hydroxyapatite, poly-L-lactic acid, polycaprolactone, polynucleotides, polydeoxyribonucleotide, and nano-hydroxyapatite, focusing on their biological mechanisms and interactions with the cutaneous microenvironment. The available literature suggests that the effects of these materials are not limited to collagen induction, but also involve modulation of fibroblast activity, extracellular matrix reorganization, and progressive tissue remodeling processes. However, relevant limitations remain in the scientific literature, including methodological heterogeneity among studies and the scarcity of evidence directly clarifying the cellular mechanisms involved. Therefore, advances in this field depend on the integration of experimental research, histological analysis, and well-controlled clinical investigation, as well as a deeper understanding of cellular biology and extracellular matrix dynamics.
Cruel et al. (2026) studied this question.