Hyaluronic Acid vs Collagen Biostimulator: WHAT's Best for Your Skin?
- Dr. Khor See Ming
- Sep 22, 2023
- 5 min read
Updated: 1 day ago

In recent years, dermal fillers have revolutionized non-surgical aesthetic treatments, offering solutions to address volume loss and contour defects resulting from aging, diseases, or trauma. As we age, skin gradually loses its natural components that keep it looking youthful. This leads many to explore injectable treatments to restore that lost volume and vitality.
It’s essential to consider that fillers aren’t all created equal nor do they work the same way. There are several distinct types, each with unique consistencies and designed for enhancing specific areas of the face. The two main categories we’ll explore today are hyaluronic acid fillers and collagen biostimulator.
Hyaluronic Acid Filler vs Collagen Biostimulator: Their Respective Roles
Hyaluronic Acid (HA)
Hyaluronic Acid (HA), a hyaluronan, is a non-sulfated glycosaminoglycan (GAG), a polysaccharide that occurs naturally in the skin and throughout body’s connective tissue. But what makes it so remarkable for skin rejuvenation?
Key Properties of HA
Exceptional Water Retention: HA has the capacity to bind water up to 1000 times its mass
Instant Volume: Provides immediate plumping effect, key to skin moisture
Natural Humectant: Functions to hold water molecules, keeping skin hydrated
Structural Support: Creates lubrication and volume with a pliable framework that suspends and adheres to collagen and elastin
How HA Filler Work
Immediate Volumization: HA fillers physically occupy space within the tissue, providing instant volume
Hydrophilic Properties: Once injected, they continue to draw water molecules, enhancing their volumizing effect
Structural Support: They provide mechanical support to facial structures that have lost volume
Natural Integration: Modern HA fillers integrate seamlessly with surrounding tissues, allowing natural movement
Controlled Degradation: They are gradually metabolized by the body over time through a process called enzymatic degradation
Types of HA Filler
High Firmness Fillers
Medium Firmness Fillers
Soft Fillers
Skin Boosters
Collagen Biostimulator
Before understanding collagen biostimulators, let’s clarify what collagen actually is. Collagen is a natural protein organized in the matrix of our body and skin. It imparts durability and resilience, essentially providing the structural support that keeps skin firm.
Key Properties of Collagen
Structural Integrity: Provides the framework that supports skin and gives it firmness
Tensile Strength: Offers remarkable resistance to stretching, preventing sagging
Cellular Scaffold: Serves as a foundation where cells can attach and organize
Wound Healing: Essential for tissue repair and regeneration processes
How Collagen Biostimulators Work
Controlled Inflammatory Response: Triggers the body’s natural self-healing and regenerative processes
Collagen Production: Stimulates the creation of new collagen and other essential proteins
Long-term Benefits: Improves elasticity, firmness, and diminishes signs of aging like fine lines, wrinkles, and sagging
Types of Collagen Biostimulators
Poly-L-lactic acid (PLLA)
Calcium Hydroxyapatite (CaHA)
Polycarprolactone
Polynucleotides (PN)
REMEMBER, Hyaluronic Acid and Collagen both decrease as you become older. Aging and external factors such as UV rays and inflammation reduce both HA and collagen. This is why skin becomes thinner, sagging, lax, less hydrated and dull.
Thinking of Non-Invasice Facelift Solutions? Read this insightful article on The Benefits of Comestic Laser Treatment.
FDA-approved Injectable products Available in Dream Clinic
1. Hyaluronic Acid Dermal Filler
Juvederm collection - USA
Restylane - USA
Teosyal RHA /Redensity II - Switzerland
Belotero (Germany)
Aliaxin (Italy)
2. Collagen Biostimulator
Radiesse - Germany
Rejuran - Korea
Plinest/Newest - Italy
Profhilo HA Biostimulator - Italy

Comparing HA Dermal Fillers & Collagen Biostimulator
Factor | Hyaluronic Acid Fillers | Collagen Biostimulators |
Primary Action | Volume replacement | Collagen stimulation |
Onset of Results | Immediate | Gradual (4-12 weeks) |
Duration | 6-9 months | >12 months |
Reversibility | Yes (dissolvable) | No (permanent changes) |
Best For | Specific areas needing volume | Overall skin quality improvement |
Treatment Areas | Lips, cheeks, tear troughs, nasolabial folds | Mid-face, lower face, neck, décolletage |
Recommended Age | All ages | Often 40+ |
Number of Sessions | Usually single session | Often series of treatments |
Collagen biostimulators generally offer longer-lasting results compared to more common injectables like crosslinked hyaluronic acid (HA) dermal fillers. This is because they stimulate the body’s natural collagen production, gradually enhancing skin quality over time.
As a result, the effects of biostimulators can last 12 months or even several years, making them a desirable option for individuals seeking long-term improvements.
On the other hand, HA fillers provide immediate, visible results with a noticeable “fuller” effect right after treatment. But how long do these results last?
Typically, HA filler results last between 6 to 9 months, depending on factors such as the product’s concentration and viscosity. The longevity of results also varies based on the treatment area—areas with more movement may see shorter durations compared to static regions.

Treatment Options for Different Age Groups
Both young and old can suffer from dry skin due to environmental factors and can benefit from these treatments, but their needs differ significantly.
Younger Adults (20s - 30s)
For this age group, HA fillers are excellent options to deposit “water reservoirs” into the skin, creating a more glowy and dewy appearance.
Preventative collagen stimulation can also benefit this age group. Since collagen in our skin is very stable and takes about 20 years to be replaced naturally, younger people generally show fewer signs of collagen loss. However, starting collagen stimulation treatments early can help maintain youthful skin structure and delay visible aging.
Mature Adults (40s and beyond)
As we age, both HA and collagen decrease significantly. For those who have reached their 40s or those with genetically predetermined sagging skin at a younger age, collagen stimulators become increasingly important. These treatments address the root cause of aging by replenishing diminished collagen reserves.
In a Nutshell
At Dream Clinic, we understand that neither HA fillers nor collagen biostimulators alone represent a complete solution to age-related skin changes. Both play essential, complementary roles in maintaining youthful, vibrant skin.
Our experienced aesthetic specialists take a holistic approach to facial rejuvenation, analyzing your unique facial anatomy, skin quality, and aesthetic goals before creating a personalized treatment plan that may incorporate both types of treatments for optimal results.
We proudly offer all FDA-approved premium products mentioned above, ensuring you receive only the highest quality facial treatments backed by extensive clinical research and safety data.
During your consultation at Dream Clinic, we will assess your specific needs and recommend the most appropriate treatment strategy, whether that’s HA fillers, collagen biostimulators, or a strategic combination of both.
What are you still waiting for? Visit our aesthetic skin clinic at KL or Penang for a personalized aesthetic assessment and perfect your own beauty! Our team is ready to help you achieve natural-looking, long-lasting results that enhance your unique features while maintaining a refreshed, youthful appearance.
“Dare to Dream beautiful, We make Dreams happen”
