You’ve noticed your skin looks a little tired. Maybe fine lines are lingering, your glow has faded, or your cheeks look flatter than they used to. You know there are treatments that can help, but the choice is overwhelming. Profhilo, fillers, polynucleotides, Sculptra, exosomes: what’s the difference, and which one do you actually need?
Demand for skin boosters in Birmingham has grown rapidly, and so has the menu. Each treatment works in a different way and solves a different problem. Pick the right one and the results can be remarkable. Pick the wrong one and you may pay for a change you didn’t want.
Our clinical team at Dermoperfection have created a guide to walk you through every hydrating and rejuvenating treatment we offer at our city centre Mailbox clinic.
We explain how each works, what it treats, and how they compare on results, downtime, treatment areas, longevity and price, so you have all the facts to make the most informed decision.
So, what does your skin actually need?
Every treatment in this guide falls into one of four families. The quickest way to narrow your options is to work out which problem you’re trying to solve.
| If your main concern is… | Your skin needs… | Treatments to consider |
|---|---|---|
| Dullness, dryness, dehydration, crepey texture | Hydration | Profhilo, mesotherapy, EXION Face |
| Thin, fragile or sensitive skin, dark circles, slow recovery | Regeneration | Polynucleotides (Plinest, Rejuran), exosomes |
| Gradual loss of firmness and structure, early hollowing | Collagen stimulation | Sculptra, Juläine, HArmonyCa, Profhilo Structura |
| Hollow cheeks, deep folds, soft jawline, thin lips | Volume and shape | Dermal fillers, HArmonyCa |
Most people see themselves in more than one row. That’s normal. Skin ageing is rarely one thing, and many of our best results come from combining treatments from different families. Think of it like a sofa: hydration and regeneration recondition the fabric, collagen stimulators strengthen the frame, and fillers replace the cushion stuffing.
Skin boosters: Profhilo in Birmingham
Profhilo: the injectable moisturiser
Profhilo is the best-known skin booster in the UK. Made by the Swiss pharmaceutical company IBSA, each 2ml syringe contains 64mg of pure hyaluronic acid, one of the highest concentrations available. Its high and low molecular weight forms are bound by a patented heat process rather than chemical cross-linkers, giving it a runny, spreadable texture.
It is injected at just five points on each side of the face (the Bio Aesthetic Points technique) and spreads evenly beneath the skin. As it slowly releases, it draws in water and stimulates collagen and elastin. The result is plumper, bouncier, more radiant skin, without any change to your features.
- Best for: dullness, dehydration, crepey skin, fine lines, mild laxity
- Areas: face, neck, décolletage, hands, arms, knees
- Course: 2 sessions, 4 weeks apart
- Results: hydration within 1 to 2 weeks; lasts around 6 months
- Price: £575 for a full course of 2
Profhilo Structura: support for the midface
Profhilo Structura is a newer, stronger member of the family. Rather than hydrating the skin surface, it targets the fat layer beneath the cheeks, restoring support for people whose midface has started to sag or look sunken.
It is injected by cannula in front of the ear and doesn’t add volume like a filler. Instead, it thickens and firms the tissue, softening the look of hollows and heaviness around the cheeks and eyes.
- Best for: early midface sagging, hollowing under the cheekbones
- Course: 2 sessions, 1 month apart, with a review after 4 months
- Price: £575 for a full course of 2
Profhilo and Profhilo Structura can be combined: Structura for support, classic Profhilo for surface skin quality.
Regenerative boosters: Polynucleotides
If Profhilo hydrates, polynucleotides repairs. They are highly purified fragments of DNA, derived from fish such as salmon or trout, that act as building blocks and signals for your skin’s own repair cells. They encourage fibroblasts to renew collagen and elastin, calm inflammation and support healthier tissue over time.
Polynucleotides are especially valued for delicate areas where other injectables are less suitable, most notably under the eyes, where fillers can cause puffiness or a bluish tint.
We offer two leading brands:
- Plinest, an Italian polynucleotide used for the face, eyes, neck and scalp
- Rejuran, a Korean formula popular for skin texture, pores and overall healing
At a glance:
- Best for: thin or crepey under-eyes, dark circles, fragile or sensitive skin, acne scarring, early fine lines
- Areas: under-eyes, full face, neck, lips and mouth area, scalp
- Course: usually 3 sessions, 2 to 4 weeks apart
- Results: build gradually over 4 to 8 weeks as skin quality improves
- Downtime: small bumps at injection points for 1 to 2 days
- Price: from £300 per 2ml session; full face 4ml course of 3 (including eyes) £1,400
Polynucleotides work well as a foundation treatment before or alongside Profhilo, particularly if your skin is thin and needs strengthening before it can benefit from hydration.
Collagen stimulators: Sculptra, Juläine and HArmonyCa
Collagen stimulators, also called biostimulators, are the long game of skin rejuvenation. Rather than adding hydration or volume directly, they trigger your body to build new collagen over several months. The results develop slowly, look entirely natural, and last longer than most other injectables.
Sculptra
Sculptra contains poly-L-lactic acid (PLLA), a biocompatible substance that activates collagen-producing cells as it is gradually absorbed. It is ideal for people with overall collagen loss: hollowed temples, sunken cheeks, softening of the jawline and a general thinning of the face.
- Course: usually 2 to 3 sessions, several weeks apart
- Results: develop over weeks to months; can last up to two years
- Price: £595 for 1 vial, £895 for 2 vials
Juläine
Juläine is a new-generation PLLA injectable that works in a similar way to Sculptra, stimulating fibroblasts to rebuild collagen and skin density. Our medical team trained with the brand on Harley Street.
- Best for: volume loss, mild to moderate laxity, thinning skin across the cheeks, temples, jawline and folds
- Course: 2 to 3 treatments, several weeks apart
- Results: develop over 8 to 12 weeks; designed to last up to two years
- Price: £850 per treatment, £2,195 for a package of 3
With both PLLA treatments, you’ll be asked to massage the area for a few days afterwards to help the product settle evenly.
HArmonyCa
HArmonyCa by Allergan is a hybrid. It combines hyaluronic acid filler for instant lift with calcium hydroxylapatite microspheres that keep stimulating collagen for months afterwards. You get the immediate result of a filler and the lasting benefit of a biostimulator in one treatment.
- Best for: midface volume loss, mild to moderate jowls, lines running from the ears towards the mouth
- Results: immediate lift, improving further over time; lasts up to 24 months
- Price: £695 per treatment, £995 for 2 syringes
Dermal fillers: volume and structure
Dermal fillers are also made from hyaluronic acid, but cross-linked into a firmer gel designed to stay exactly where it is placed. Rather than spreading like Profhilo, filler holds its shape, lifting and supporting tissue that has lost structure with age.
We use premium brands including Juvéderm and Teoxane, choosing a firmer gel for structure (cheeks, jawline, chin) and a softer one where movement matters (lips).
- Best for: hollow cheeks and temples, deep nasolabial folds and marionette lines, soft jawline, under-eye hollows, lip shape and volume
- Areas: cheeks, temples, lips, chin, jawline, tear troughs, folds
- Results: visible immediately; settled within about 2 weeks
- Longevity: lips 6 to 12 months; tear troughs around 12 months; cheeks and jawline 12 to 18 months
- Downtime: possible swelling or bruising for a few days
- Price: from £350 per 1ml syringe; lip filler from £200
Hyaluronic acid fillers can be dissolved if needed, an important safety advantage when they are placed by an experienced medical injector.
Gentler options: mesotherapy, exosomes and EXION Face
Not everyone is ready for injectables, and not every skin needs them. These treatments boost hydration and radiance with fewer or no injections, and they make excellent maintenance between bigger treatments.
Mesotherapy
Mesotherapy uses tiny, superficial micro-injections to deliver a tailored blend of hyaluronic acid, vitamins, antioxidants, peptides and amino acids into the skin. Unlike Profhilo, the cocktail can be customised, so it can target dullness and uneven tone as well as dehydration. We use professional protocols including Mesoestetic.
- Best for: dull, dehydrated skin, uneven tone, early fine lines, tired under-eyes
- Course: a series of sessions, tailored at consultation
- Price: £350 for full face; under-eye mesotherapy from £150 per session
Exosomes with microneedling
Purasomes exosome treatment pairs microneedling with a serum containing billions of exosomes, tiny cell messengers that carry repair signals and growth factors. Applied through the micro-channels, they support collagen renewal, calm inflammation and speed recovery.
- Best for: texture, radiance, mild scarring, reactive or redness-prone skin
- Course: usually 3 sessions, about 4 weeks apart
- Price: £375 to £425 per session; course of 3 from £995
EXION Face: needle-free hydration
EXION Face is an energy-based alternative for people who’d rather avoid needles altogether. It combines radio-frequency with targeted ultrasound to prompt your skin to make more of its own hyaluronic acid, collagen and elastin. It’s gentle enough for the eye area and has no downtime.
- Best for: needle-averse patients, fine lines, hydration, delicate areas
- Course: 4 to 6 sessions, 1 to 2 weeks apart
- Price: £249 per session; £995 for a course of 6 (4 + 2 free)
Every treatment at a glance
Here’s how all the hydrating and rejuvenating treatments at our Mailbox clinic compare. Longevity and downtime vary from person to person; these are typical guides.
| Treatment | Main benefit | Best areas | Results appear | Downtime | Typically lasts | From |
|---|---|---|---|---|---|---|
| Profhilo | Hydration, bounce, glow | Face, neck, décolletage, hands | 1 to 4 weeks | Small bumps, 24 to 48 hrs | Around 6 months | £575 (course of 2) |
| Profhilo Structura | Midface support | Cheeks, around eyes | 2 to 4 weeks | Minimal | Review at 4 months | £575 (course of 2) |
| Polynucleotides | Repair and strengthening | Under-eyes, face, neck | 4 to 8 weeks | Small bumps, 1 to 2 days | 6 to 12 months | £300 per session |
| Sculptra | Collagen rebuilding | Temples, cheeks, jawline | Weeks to months | Swelling or bruising, few days | Up to 2 years | £595 per vial |
| Juläine | Collagen rebuilding | Cheeks, temples, jawline, folds | 8 to 12 weeks | Swelling or bruising, 24 hrs | Up to 2 years | £850 per treatment |
| HArmonyCa | Instant lift + collagen | Midface, jowls | Immediate, then builds | Swelling or bruising, few days | Up to 24 months | £695 per treatment |
| Dermal fillers | Volume and shape | Cheeks, lips, jawline, chin, tear troughs | Immediate | Swelling or bruising, few days | 6 to 18 months | £350 per 1ml |
| Mesotherapy | Hydration and radiance | Face, under-eyes | 1 to 2 weeks | Redness, a few hours | Course-dependent | £150 per session |
| Exosomes + microneedling | Texture and recovery | Face | 1 to 2 weeks | Pinkness, 24 to 48 hrs | Course-dependent | £375 per session |
| EXION Face | Needle-free hydration | Face, eyes, neck | 1 to 2 weeks | None | Course-dependent | £249 per session |
All prices are subject to consultation. See our full price list.
Combining treatments: example plans
The most natural results usually come from treating more than one layer of the face. These examples show how our clinicians often combine treatments. Your own plan will be tailored at consultation.
“My skin looks dull and dehydrated, but nothing else has changed.” Late twenties to thirties
- Start with a Profhilo course of 2
- Maintain with mesotherapy or EXION Face between top-ups
“I look tired, especially around my eyes.”
- Polynucleotides under the eyes (course of 3)
- Profhilo for the wider face
- Filler in the tear troughs only if hollowing remains once skin quality has improved
“My face has lost shape and my skin has lost bounce.” Forties and beyond
- Filler or HArmonyCa to restore structure in the cheeks and jawline
- Profhilo or Profhilo Structura around 2 weeks later
- A collagen stimulator such as Sculptra or Juläine for longer-term support
“I want gradual, long-lasting change without looking ‘done’.”
- A course of Sculptra or Juläine to rebuild collagen over several months
- Profhilo for surface hydration and glow
“I don’t want needles.”
- EXION Face for hydration and firmness
- Pair with ULTRAcel Q+ for deeper lifting if needed
Skin boosters and fillers in Birmingham at Dermoperfection
Dermoperfection is an award-winning, CQC-registered medical skin and aesthetics clinic at The Mailbox in Birmingham city centre, rated Good in all areas. With more than 15 years of industry experience and over 50,000 treatments performed, our team of doctors, nurses and advanced practitioners is trained in facial anatomy and advanced injectable techniques.
We were one of the first clinics to offer Profhilo when it launched, and every product we use is genuine, traceable and bought through official UK suppliers. Because we offer every treatment in this guide under one roof, our advice isn’t limited to whatever a clinic happens to stock. We recommend what your skin actually needs.
Book your medical skin consultation
Still not sure which treatment is right for you? That’s exactly what a consultation is for. At our city centre Mailbox clinic, your clinician will:
- Assess your skin quality, facial structure and areas of concern
- Talk through your goals, medical history and budget
- Recommend the right treatment, or combination, with a clear plan and pricing
There’s no pressure to book treatment on the day.
Prefer to talk first? Call us on 0121 439 4350 or visit us at Level 2, Unit 56, The Mailbox, Birmingham B1 1RE.