PDRN in Aesthetics & Regenerative Medicine: Mechanisms, Evidence, and Clinical Integration

By Dr. Cosentino

Published: Fri, Oct 17/2025

Illustration of PDRN delivery pathways for clinical and skincare use.

Introduction: What Is PDRN and Why It Matters for Aesthetic Providers

PDRN (polydeoxyribonucleotide) has become a cornerstone in regenerative medicine and aesthetic skincare. Originally studied for wound healing and ischemic tissue repair, PDRN injections and PDRN serums are now among the most in-demand biologic treatments across Asia and the U.S. market.

Derived from salmon DNA (salmon PDRN), this biocompatible molecule promotes collagen remodeling, angiogenesis, and anti-inflammatory activity—making it an ideal adjunct to lasers, microneedling, and anti-aging procedures.

For licensed clinicians and medical spa professionals, understanding what PDRN is, how it works, and how it compares to other actives like azelaic acid is critical for safe and effective integration. If you're looking for PDRN training, Empire On-Demand offers training in all these trending topics and procedures.

What Is PDRN? Understanding Its Origin and Structure

Snippet Summary:

PDRN (polydeoxyribonucleotide) is a purified DNA fragment derived from salmon sperm, known for activating the adenosine A₂A receptor and promoting tissue regeneration.

Detailed Overview:

  • Source: PDRN is extracted from Oncorhynchus mykiss (salmon trout) or Oncorhynchus keta (chum salmon). The DNA is heat-purified to remove proteins and immunogenic components, ensuring excellent biocompatibility.

  • Composition: It consists of deoxyribonucleotide chains (50–1,500 kDa), mirroring human DNA structure.

  • Mechanism: PDRN acts through two main biological mechanisms—adenosine A₂A receptor activation and nucleotide salvage pathway support—to trigger repair and regeneration at the cellular level.

This dual action explains why PDRN skincare products such as Medicube PDRN Pink Peptide Serum and Dermaline PDRN Toner have gained traction for improving elasticity, hydration, and recovery in aesthetic patients.

Mechanism of Action: How PDRN Rejuvenates Skin and Tissue

Snippet Summary:

PDRN repairs damaged skin through adenosine A₂A receptor activation (reducing inflammation, boosting angiogenesis) and DNA salvage pathway stimulation (enhancing fibroblast proliferation).

1. Anti-Inflammatory and Pro-Angiogenic Pathway

  • Activates adenosine A₂A receptors, reducing cytokines (IL-6, TNF-α) and oxidative stress.

  • Increases VEGF and FGF, promoting microvascular growth—critical for post-laser and microneedling recovery.

  • Reduces tissue ischemia, enabling improved oxygen and nutrient delivery.

2. Nucleotide Salvage Pathway Support

  • Provides nucleotides/nucleosides that assist fibroblasts, keratinocytes, and endothelial cells in DNA replication and repair.

  • Particularly beneficial in aging or damaged skin where de novo DNA synthesis is impaired.

3. Collagen Remodeling

  • Enhances synthesis of collagen type I/III and elastin, improving skin texture and firmness.

  • This explains the growing use of PDRN serums, PDRN creams, and PDRN injections as skin rejuvenation boosters.

Clinical Evidence: From Wound Healing to Aesthetic Dermatology

Snippet Summary:

Clinical studies demonstrate PDRN’s regenerative effects in diabetic ulcers, burns, ischemic wounds, and aesthetic rejuvenation therapies. According to a comprehensive review published in Frontiers in Pharmacology , PDRN activates the adenosine A₂A receptor pathway, leading to enhanced angiogenesis, tissue remodeling, and anti-inflammatory responses across multiple tissue models.

1. Wound and Ischemic Tissue Repair

  • In diabetic ulcers, PDRN-treated patients achieved >35% complete healing in 8 weeks, compared to <20% in controls (Kim et al., Frontiers in Pharmacology).

  • PDRN injections accelerated epithelialization and vascularization in burn and graft models.

2. Dermatologic and Aesthetic Applications

  • In skin rejuvenation, PDRN reduces fine lines, improves tone, and accelerates post-laser recovery.

  • Rejuran PDRN (and Rejuran Dot Dual PDRN) are popular mesotherapy injectables in Asia marketed as “DNA Rejuvenation” treatments.

  • Medicube PDRN and Genabelle PDRN skincare lines incorporate salmon DNA in topical serums and creams for barrier repair and hydration.

3. Clinical Data Snapshot

Application Delivery Method Key Benefit
Diabetic ulcers Injection Faster healing, angiogenesis
Post-laser skin Topical or injection Reduced downtime, inflammation
Aging skin Mesotherapy Collagen remodeling
Acne scars Microneedling + PDRN serum Improved texture, reduced pigmentation

Methods of Delivery: How PDRN Is Used in Clinical and Cosmetic Practice

Snippet Summary:

PDRN can be applied via injection, microneedling, mesotherapy, or topically through serums, creams, and toners.

1. PDRN Injection (Professional Use)

  • Depth: 1–2 mm intradermal microinjections using 30–34 G needles.

  • Protocol: 3–4 sessions spaced 4–6 weeks apart.

  • Best For: Skin laxity, wrinkles, scars, and post-procedure regeneration.

2. Microneedling-Assisted Delivery

  • Used with PDRN serums or PDRN creams for deeper transdermal absorption.

  • Suitable for improving dullness and texture with minimal downtime.

3. Mesotherapy

  • Small aliquots injected evenly across the face or neck, often blended with hyaluronic acid or peptides. If you're a licensed healthcare professional looking for peptides training, Empire On-Demand offers comprehensive peptides training.

  • Common in Rejuran PDRN protocols in South Korea.

4. Topical Application

  • PDRN skincare formulations such as Dermaline PDRN Toner, Rejuvenex PDRN Cream, Rejuall PDRN Cream, and Medicube PDRN Pink Peptide Eye Serum deliver DNA fragments superficially to aid hydration and recovery.

  • While penetration is limited, combining these with microchanneling enhances efficacy.

Safety, Side Effects, and Regulatory Context

Snippet Summary:

PDRN is considered safe, with minor transient effects; injectable forms may be off-label in some markets.

  • Common reactions: Mild erythema, edema, or bruising; typically resolve in 24–72 hours.

  • Contraindications: Active infection, autoimmune disease, or fish allergy (since salmon PDRN is derived from marine DNA).

  • Regulatory note:

    • Asia: Widely approved in wound healing and aesthetic injectables.

    • United States: PDRN injections are not FDA-approved for cosmetic use; topical PDRN creams and PDRN serums are marketed as cosmetics.

Always verify supplier purity standards, especially when sourcing off-label injectable PDRN.

Comparisons and Related Formulations

Snippet Summary:

PDRN is often compared with azelaic acid and growth factors in skincare due to overlapping regenerative benefits.

PDRN vs Azelaic Acid

While azelaic acid primarily targets acne, pigmentation, and inflammation via antimicrobial and keratinization control, PDRN focuses on regeneration and barrier repair.

  • Best Combination Use: PDRN serum post-procedure, azelaic acid on alternate days for acne-prone skin.

Other PDRN-Infused Products

  • Medicube PDRN Pink Peptide Serum: Combines peptides and DNA fragments for firming and brightening.

  • Dermaline PDRN Toner: Hydrating toner targeting barrier recovery and sensitivity.

  • Genabelle PDRN: K-beauty line focused on elasticity and post-treatment soothing.

  • VT PDRN: Incorporates salmon DNA into moisture-boosting skincare.

  • Rejuvenex PDRN Cream / Rejuall PDRN Cream: Popular in medspa aftercare for anti-aging and wound healing.

These PDRN skincare formulations bridge medical-grade ingredients with consumer accessibility.

Implementation Tips for Clinicians

Pre-Treatment

  • Screen for allergies or contraindications.

  • Obtain informed consent for off-label use where applicable.

Treatment

  • Combine PDRN injection with microneedling for enhanced dermal delivery.

  • For non-invasive options, recommend PDRN serum or PDRN cream for daily use post-procedure.

Aftercare

  • Apply soothing emollients and sun protection.

  • Avoid exfoliants for 48 hours post-treatment.

  • Continue maintenance every 2–3 months.

Scientific and Market Perspective

Snippet Summary:

The PDRN market continues to expand globally, bridging regenerative medicine and consumer skincare.

  • Clinical Confidence: Backed by over two decades of regenerative research.

  • Market Trend: Strong demand for “salmon DNA skincare” — search volume for PDRN serum exceeds 4,000 monthly.

  • Training Opportunity: Providers with PDRN certification gain competitive advantage in non-surgical rejuvenation.

For clinicians, integrating PDRN injections and recommending adjunct skincare (e.g., Medicube PDRN or Dermaline PDRN Toner) creates continuity of care and improved patient satisfaction.

FAQs About PDRN

What is PDRN?

PDRN (polydeoxyribonucleotide) is a DNA-based regenerative molecule derived from salmon sperm used to repair tissue and rejuvenate skin.

What are PDRN injections used for?

To improve skin texture, reduce wrinkles, and accelerate healing after lasers, peels, or microneedling.

Is PDRN the same as Rejuran?

Rejuran PDRN and Rejuran Dot Dual PDRN are branded formulations used for skin repair via injectable mesotherapy.

Can I use PDRN serum at home?

Yes — PDRN skincare products like Medicube PDRN Pink Peptide Serum and Genabelle PDRN are designed for safe home use.

Is PDRN safe for sensitive skin?

Generally yes, due to its anti-inflammatory and barrier-repair properties, but individuals with fish allergies should avoid it.

What's the difference between PDRN cream and PDRN serum?

PDRN cream offers occlusive hydration for repair, while PDRN serum delivers lightweight penetration for rejuvenation.

Can I use PDRN with azelaic acid?

Yes — use PDRN serum post-procedure or at night, and azelaic acid on alternate days for acne control and pigmentation.

How often should PDRN treatments be done?

3–4 sessions every 4–6 weeks, followed by maintenance every few months.

Does PDRN come from salmon DNA?

Yes, it’s extracted and purified from salmon DNA, giving rise to the nickname “salmon PDRN” or “salmon DNA treatment.”

Is PDRN FDA approved?

Injectable forms are not FDA-approved for aesthetics, though topical formulations are regulated as cosmetics.

Conclusion

PDRN represents the next generation of biologic skin regeneration, merging evidence-based science with practical aesthetic outcomes. Whether used as an injectable, serum, or cream, its ability to repair, rejuvenate, and restore makes it an indispensable tool in modern regenerative aesthetics.

To gain hands-on expertise with PDRN injections, microneedling protocols, and regenerative skincare , enroll in Empire On-Demand’s Advanced Regenerative Aesthetics Course.
Learn directly from Empire Medical Training’s 25+ years of clinical leadership and elevate your aesthetic practice with precision, confidence, and results-driven care.

Start your Empire On-Demand training today.

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By Stephen Cosentino
Mar 04, 2025

Most of us have experienced that slightly sinking sensation when we look in the mirror and spot the signs of aging. Whether it's the appearance of new or deepening wrinkles, loose skin, or the loss of your jawline, aging is a natural process (even if its effects aren't always welcome!)

Dealing With the Signs of Aging

At Empire Medical Training, we believe it's important to celebrate your natural beauty and be confident in yourself. Aging is a gift in so many ways, but we also understand that not everyone feels their best when their appearance changes. 

And, if you've not always applied your SPF, eaten well, slept deeply, or generally invested in your self-care, you may find that the signs of aging are hitting a little faster than you'd like! 

The Challenge of Modern Life and Aging

We all live busy and stressful lives, and it shows in our faces, especially when this stress is combined with other environmental factors such as pollution, UV (not just from the sun, but also from digital devices), and second-hand smoke, even if we don't smoke ourselves.

Embracing Aging... Your Way

The good news is, that there are so many ways to tackle the signs of aging, whether you're interested in lip augmentation, a cheek lift, or jawline contouring. Search for 'fillers near me' and you'll find so many options. 

But it's vital that you choose a highly skilled and accredited aesthetics practitioner who knows how to integrate surgical and non-surgical practices to deliver the best, tailored results for your unique needs, preferences, and situation.

We'll cover this more shortly, but for now, let's take a look at the fascinating topic of nonsurgical facelifts. Firstly, what is a nonsurgical facelift, and how is it different from a traditional plastic surgery facelift?

Why plastic surgery facelifts are less popular

A lot of people reach an age where they feel that the signs of aging are coming thick and fast, and what they see in the mirror doesn't reflect how they feel inside! 

But at the same time, the risks of traditional plastic surgery - correctly called a rhytidectomy - can be significant, and this type of aesthetic work can also be very expensive.

Let's be honest too, most of us have seen people who have received a traditional plastic surgery facelift and the results are very obvious, especially if they have had more than one facelift. 

Traditional plastic surgery facelifts are permanent but they tend to need renewing every few years as the effects of age continue. They are medical procedures with clear risks and if they are carried out poorly, they can leave side effects such as physical scarring (or worse.)

The rise of non surgical facelifts

Because many people were concerned about the dangers of traditional plastic surgery facelifts, and the many risks associated with a 'facelift gone wrong' (from unnaturally taut results that change the individual's appearance to medical complications), aesthetics industries have developed an alternative, which is generally known as the non surgical facelift.

If you love the thought of minimally-invasive aesthetics procedures, tailored for jawline contouring, cheek lifting, or lip augmentation, the non surgical facelift might be the aesthetics treatment for you!

What is a non surgical facelift in aesthetics?

A nonsurgical facelift is an aesthetic procedure that is only very minimally invasive. However, it delivers excellent results that are comparable to traditional plastic surgery, and it can be tailored or combined with other services, such as fillers, to deliver clear and desired effects (lip augmentation, a cheek lift, or jawline contouring, for example.)

Nonsurgical facelifts are also less expensive than plastic surgery facelifts, they have shorter recovery times and they also have fewer side effects overall. However, because this kind of aesthetic treatment is non-surgical, it is temporary. 

How long does a nonsurgical facelift last? 

A non surgical facelift will usually last from around 3-4 months to perhaps two years, depending on the treatment, the patient, and the individual factors involved.

For most people though, especially anyone already searching for 'fillers near me' the prospect of a nonsurgical facelift is highly appealing. Let's take a closer look at what you need to know. 

How effective are nonsurgical facelifts?

Non surgical facelifts are an aesthetic treatment that can be used to achieve specific results for problem areas. For example, your aesthetic practitioner might combine a thread lift, or cheek lift, use Botox for lip augmentation and jawline contouring, and inject dermal fillers to add volume back into areas of your face for a youthful, plump finish.

Can nonsurgical facelifts be used for all aesthetic goals?

No, these 'light touch' procedures are less effective for more serious aesthetic complaints, or situations where the client wants a permanent change to his or her face.

If you are concerned about widespread sagging skin (perhaps for example if you have lost a lot of weight, or have sun damage), or if you have very deep facial creases (perhaps from stress, genetics, smoking, or other underlying factors), traditional plastic surgery may be the best route.

In all instances, the first point is to discuss your concerns and the possibilities for aesthetic treatment with a skilled aesthetics professional with the right qualifications, training, experience, and certification. 



Why you must use highly skilled aesthetics practitioners 

The skill of the aesthetics practitioner will very much determine the results of a nonsurgical facelift, as this combination treatment requires expertise, professional judgment, experience, and deep knowledge of the various aesthetics procedures that can be applied for the best possible results. 

For this reason, at Empire Medical Training, we never recommend simply searching for 'fillers near me', or 'Botox near me', to find your nearest beautician without establishing their professional credentials, certifications, and insurance. 

As a leading national provider of CME for the aesthetics industry, we can provide you with information on highly skilled and certified aesthetics professionals in your area. 

Please contact us for more information or find out more about the courses we offer to see the quality of our offer and the credentials of our faculty. After all, when you're dealing with your face, you can't leave anything to chance!

Why Are Nonsurgical Facelifts Less Risky than Traditional Plastic Surgery Facelifts?

Traditional plastic surgery facelifts require a general anesthetic. This is inherently risky but it is required because the surgery involves deep incisions. These incisions are also riskier because, as surgical sites, they will require full healing and there is always a risk of infection. 

Why Are Non Surgical Facelifts Less Expensive than Traditional Plastic Surgery Facelifts?

Nonsurgical facelifts are cheaper than surgical facelifts for a number of reasons:

  1. Plastic surgery facelifts must be performed by a board-certified plastic surgeon. Nonsurgical facelifts can be performed by aesthetics professionals.
  2. Nonsurgical facelifts don't require an operating suite or an overnight stay. They can be performed in your aesthetic practitioner's offices, and you can go home immediately afterward. 
  3. Nonsurgical facelifts do not require a team of support staff to aid the procedure or recovery
  4. Nonsurgical facelifts have a shorter recovery team and require less of a follow-up than a traditional plastic surgery facelift. 



Is There One Type of Nonsurgical Facelift?

No, and this is the beauty of this aesthetic procedure! When you work with a skilled practitioner, you can combine treatments to achieve the effect of a full facelif, but with different minimally or non-invasive procedures to achieve your desired looks. 

For example, you might have hyaluronic acid to achieve a cheek lift, and Botox for lip augmentation and jawline contouring, with a chemical peel for a completely refreshed and rejuvenated appearance across your entire face. 

You also can (and most likely will) have different procedures done at different times, so that the effects are gradually layered for the best results. This also creates a more subtle finish that doesn't surprise people with a sudden severe change in your appearance!

What Are the Most Popular Types of Nonsurgical Facelift?

From botox to fat injections, a good aesthetics practitioner will have various tools and techniques on offer to deliver that look you hope for.

At Empire Medical Training we constantly invest in the latest training for all current and emerging aesthetics protocols and technologies, so our graduates are at the cutting edge of this exciting industry. 

The three types of nonsurgical facelifts are typically the most popular:

Thread Lifts for a Cheek Lift and Jawline Contouring

If you have loose skin in your cheeks, eyes, forehead, or chin, a thread lift (also known as a barbed thread lift or PDO thread lift depending on the medical thread used), can be highly effective. This procedure will stimulate elastic and collagen production whilst simultaneously tightening the treated area. 

The production of new collagen and elastin will work over the course of a few months to restore lost volume naturally and gradually, and the overall effects of the thread lift will typically last for 1-2 years.

Because of the gradual improvement, clients who have aesthetics thread lifts usually say that friends, colleagues, and loved ones ask them what their secret is because the results are effective but subtle and gradual. 

Botox Injections (Neuromodulator Injection)

Search for 'Botox near me' and you will find endless local listings because Botox is so incredibly popular! Botox and other branded neuromodulation drugs relax overactive muscles to smooth out fine lines. 

This is a quick and simple in-clinic procedure with low risks, so long as it is performed by a skilled and certified aesthetics professional. 

The results don't last as long as with a thread lift, but it's very easy to get targeted Botox touch-ups when you need them, with minimal downtime (many people nip in to get a Botox session on their lunch break!) 

Botox is also affordable and skilled practitioners can even use it to change the contours of a person's face, for example, to straighten a nose, or for jawline contouring, as well as to soften laughter lines and frown lines.

Dermal Filler Injections

Dermal fillers are also called soft tissue fillers, and these highly popular aesthetic procedures restore volume to hollow or sagging areas of the face. For example, they can be used for lip augmentation or to create fuller cheeks. Hyaluronic acid is the most common type of dermal filler, but other types include PMMA and calcium hydroxylapatite and PMMA. 

When delivered by a skilled dermal filler practitioner, the results can be superb, and depending on the filler chosen, can last for six months to several years.

Again, as with thread lifts and Botox, dermal fillers have low risks and side effects. However, because they involve injections, it's important to choose a certified provider who has completed an accredited dermal filler training course, and who continues to invest in their CME.

At Empire Medical Training, our aesthetic graduates are committed to becoming the finest practitioners in their chosen fields. Fully certified, highly skilled, and trained by incredibly respected faculty, our students undertake comprehensive training to offer their clients the best possible results. Why not browse our course list to find out more?

Speak to the Aesthetic Training Experts


Our friendly team is always here to answer any questions you might have about aesthetic training, aesthetic procedures, and the industry in general. Whether you're looking for a trusted practitioner or considering an aesthetic career yourself, talk to us for advice you can trust.