In short. Starting a maintenance cycle early is a decision about years rather than months: what young skin needs instead, and when the treatment is genuinely indicated.

Key points

  • The first session is easy to agree to.
  • What is being agreed to is the interval afterwards, and the one after that, across a period measured in decades.
  • That is a different proposition from a treatment that ends, and it should be considered as one.

This treatment is marketed heavily to patients in their twenties and thirties, on the argument that starting early prevents later change. The argument is worth examining, because it commits a patient to a schedule that runs for years, and because the alternative use of that time and money is considerable.

Why young skin rarely needs this

Skin that is already well hydrated, has not been significantly sun-damaged and is not affected by a skin condition usually has nothing for a quality treatment to improve. The effect would be real but small, and it would fade on the same curve it fades for everyone else. The patient would then be choosing between renewing indefinitely and stopping, which is a decision about years that was entered into for a benefit of months.

A maintenance cycle is a decision about years

The first session is easy to agree to. What is being agreed to is the interval afterwards, and the one after that, across a period measured in decades. That is a different proposition from a treatment that ends, and it should be considered as one.

What young skin usually needs instead

Consistent sun protection, which is the single measure with the strongest case behind it for how skin looks in twenty years. A topical routine suited to the skin rather than copied from a platform. Not smoking. Adequate sleep. And treatment of any actual skin condition such as acne, eczema or rosacea by someone qualified to manage it, because those conditions change skin far more than the absence of a booster course does. None of that carries bruising, lumps or a schedule.

When it is genuinely indicated

There are younger patients for whom the treatment is reasonable. Intrinsic dryness that does not respond to topical care is one. A healed scar whose quality could be improved is another, though the timing follows the scar rather than the calendar. Skin being managed for a condition that has left it dry and reactive is a third, once the condition is controlled. In each of those, there is a specific complaint the treatment addresses, which is the test that separates a clinical decision from a habit.

Reasons a younger patient should wait

  • There is no specific skin-quality complaint, only a general wish to look better.
  • The reason for starting is that it prevents ageing, which it does not do.
  • The advice came from someone selling a course rather than from an assessment.

The honest conversation

A clinician who is asked about this treatment by a patient in their twenties, with healthy skin and no specific complaint, has an obligation to say that the indication is weak and that the money and time would do more elsewhere. That answer is not a refusal to treat; it is the assessment working. A patient who receives it should treat it as a good sign rather than a disappointment, because it is the same judgement that will be applied later when the treatment is genuinely worth having.

Related reading

Frequently asked questions

At what age is this treatment appropriate?

There is no age that makes it appropriate on its own. The question is whether there is a skin-quality complaint that the treatment addresses, and in younger patients there often is not. A patient in their twenties with a genuine problem — intrinsic dryness, a healed scar that could be improved, a skin condition being managed — is a reasonable candidate at any adult age.

Is it true that starting early prevents ageing?

No. It improves the hydration and surface quality of the skin while the effect lasts, and the effect fades. It does not slow the processes that change skin over decades, and a claim that it does is a claim about a different treatment. What genuinely protects skin over decades is sun protection, not smoking, and the ordinary management of any skin condition.

What should a younger patient do instead?

A topical routine suited to the skin, consistent sun protection, and treatment of any actual skin condition by a dermatologist. That advice costs far less, carries no risk of bruising or lumps, and addresses most of what younger patients are actually complaining about when they ask about this treatment.

Risks & Limitations

  • Bruising and pinpoint marks are expected after a session and usually settle within a few days.
  • Small bumps can appear where the material is placed, most often under the eyes, and most flatten on their own.
  • An uneven result is possible, and a further session may be needed to even it.
  • Infection or a delayed reaction at a treated area is uncommon and should be reviewed rather than waited out.
  • The effect fades over months and the skin returns towards its earlier state. It cannot be made permanent, and no result can be guaranteed.

When to Seek Care

  • Difficulty breathing, chest pain or swelling of the face or throat: seek emergency care immediately.
  • Redness, warmth, swelling or discharge spreading from an injection point.
  • A lump that is growing, or that is painful rather than tender.
  • Blistering, patchy discolouration of the skin, or any change in vision or in sensation around a treated area.

References & Further Reading

  • American Society of Plastic Surgeons (ASPS) — procedure and safety guidance
  • National Institute for Health and Care Excellence (NICE, UK) — relevant guidance
  • Cochrane Library — systematic reviews
  • Chinese Medical Association Plastic Surgery Branch — clinical guidance

Medically reviewed by Ke He, MD (何锞), Deputy Director & Head of Skin & Laser Aesthetics. Last reviewed: 19 September 2026.

This page is patient education, not medical advice, and it does not cite individual studies. Discuss your own case with a qualified clinician. To arrange an assessment at Chongqing West District Hospital, see Contact & Consultation.