Fiore Aesthetics

29/09/2026

HA filler can remain detectable on MRI years after injection. But a scan showing residual material does not, by itself, tell us whether it is still producing a visible volumising effect or whether it is causing harm.

The evidence needs careful interpretation. A small MRI study can show persistence in the people studied; it cannot tell us how common that is across all patients. Delayed local complications are recognised, but that is different from claiming that asymptomatic residual HA causes chronic systemic illness.

Patients deserve balanced information, proper assessment and decisions based on their individual circumstances, not panic based on an image alone.

What do you think: should MRI-visible filler automatically be treated as a problem?

28/09/2026

Attention please 🚨Does HA dermal filler showing up on an MRI mean it’s harming you? Not automatically.

Hyaluronic acid dermal filler can remain detectable for years. A small 2024 MRI review of 33 patients found filler still detectable at least two years after treatment, with one case showing persistence up to 15 years. That shows filler can persist. It doesn’t tell us how common this is across all patients, or prove that every visible deposit is still creating the same cosmetic effect.

Filler persistence, visible effect and a complication are separate questions. Delayed swelling and nodules are recognised, so this isn’t a claim that filler is risk-free. It’s a call for careful assessment, thoughtful decisions before topping up, and clinical review of new or persistent symptoms.

Current evidence does not establish that asymptomatic residual filler, by itself, causes chronic fatigue or systemic illness.

Are we confusing filler persistence with filler harm? Share your view below.

24/09/2026

🚨NOT A FILLER ! What if the goal is not simply to add volume, but to encourage your skin to rebuild its own structural support?

Here I am performing a Sculptra® treatment by Galderma using a cannula, allowing controlled and even distribution within the appropriate tissue plane.

Sculptra® contains poly-L-lactic acid, known as PLLA. Rather than producing an instant filler-like result, it stimulates the body’s natural collagen response. Improvements develop gradually, helping to restore firmness, facial support, skin quality and natural-looking volume over time.

This is regenerative aesthetics: progressive results that work with the biology of your skin rather than changing your facial identity.

Would you consider a collagen biostimulator? Let me know in the comments.

Save this reel, share it with someone considering Sculptra® and follow The Aestheticologist® for evidence-led aesthetic education.

23/09/2026

23/09/2026

CAN PDRN IMPROVE A BLEPHAROPLASTY SCAR?

In this video, I am treating a post-blepharoplasty scar on the upper eyelid using tiny, highly controlled and very superficial PDRN microinjections.

PDRN is used in regenerative medicine to support tissue repair and wound-healing activity. When treating delicate eyelid tissue, precision is everything. The product must be placed carefully and superficially within the scar tissue, using very small quantities.

The aim is not to “erase” a scar overnight. It is to support gradual tissue remodelling and help improve the scar’s texture, redness and overall appearance over time.

Published clinical research into postoperative scars is promising, but the evidence specifically relating to upper-eyelid blepharoplasty scars remains limited. Every scar must therefore be assessed individually, and some may require a combination of treatments.

Would you consider regenerative injections for a surgical scar?

Save this Reel and share it with someone who has undergone blepharoplasty.

Flavio Refrigeri | The Aestheticologist®

UpperEyelidSurgery

22/09/2026

✨ PREMIUM TREATMENT ROOM TO LET IN CENTRAL LONDON ✨

Looking for an elegant, professional space to welcome your clients?

This beautiful treatment room is available on Bloomsbury Street, WC1, just a few minutes from Tottenham Court Road, Oxford Street and Covent Garden.

Located on a private first floor, the clinic offers a discreet, sophisticated setting in one of London’s most convenient and desirable locations.

The room shown in this video is the actual treatment room available, fully presented and ready for the right practitioner.

Flexible rental options:

• Monthly access, 7 days per week
• Part-time rental, 3 days per week
• Daily rate

Perfect for an established professional looking for a premium Central London base.

📩 For prices, availability or to arrange a viewing:
[email protected]

21/09/2026

THE DEPTH SHOWN ON YOUR MICRONEEDLING DEVICE IS NOT GUARANTEED TO BE THE DEPTH DELIVERED INTO THE SKIN.

Recently, I have been having some fascinating scientific conversations with a dermatologist and researcher. One question made me reflect on how we select and deliver microneedling depth, so I decided to make this video.

Needle pe*******on can be influenced by:

• Anatomical location
• Epidermal and dermal thickness
• Skin movement and tissue support
• Cartridge design and needle configuration
• Device speed and pressure
• Number of passes
• Practitioner technique

This is why microneedling depth should never be selected using a rigid, one-size-fits-all protocol. Treatment must be adapted to the patient’s anatomy, clinical indication, tissue response and tolerance.

I also do not chase pinpoint bleeding as the endpoint of treatment. Bleeding confirms vascular disruption. It does not automatically confirm treatment quality, effective collagen stimulation or superior clinical results.

Microneedling should be controlled, considered and individualised.

Practitioners, how do you determine your treatment depth? Let’s have a scientific conversation in the comments.

20/09/2026

Microneedling is far more than needles moving in and out of the skin. But what is actually happening beneath the surface? 🔬

The rapidly moving needles create precise, controlled microchannels within the skin, activating a carefully regulated wound-healing response.

This process begins with haemostasis, followed by controlled inflammation. Platelets and signalling molecules coordinate tissue repair before fibroblasts begin producing new collagen, elastin and extracellular matrix.

During the remodelling phase, the newly formed collagen fibres gradually reorganise and strengthen. This biological process can support improvements in skin texture, firmness, fine lines, enlarged pores and certain types of acne scarring.

The objective is not excessive trauma or unnecessary bleeding. It is a precise, controlled stimulus delivered at the appropriate depth for the skin concern being treated.

Save this Reel if you want to understand the science behind microneedling, and share it with someone considering collagen-induction therapy.

Flavio Refrigeri
The Aestheticologist®️

18/09/2026

🚨I need your clinical opinion for my research. 👇

After an inflammation-based collagen-stimulating treatment, such as microneedling, fractional laser or certain biostimulatory procedures, would you advise your patient to take anti-inflammatory medication?

These treatments rely on a controlled inflammatory response to initiate wound healing, fibroblast activity and collagen remodelling. Could suppressing inflammation too early potentially influence the intended biological response, or is symptom control more important?

💊 YES, you would recommend it
🧬 NO, you would avoid it unless clinically necessary
🤔 IT DEPENDS on the medication, treatment and patient

Please share your answer and clinical reasoning in the comments. Your perspective could contribute to my ongoing research into inflammation, wound healing and collagen remodelling.

This is a professional research discussion, not individual medical advice. Prescribed medication should never be stopped or changed without guidance from the prescribing clinician.

MedicalAesthetics SkinScience AntiInflammatory ClinicalResearch Fibroblasts TheAestheticologist®️

18/09/2026

⚠️ THIS IS NOT “JUST A LITTLE NOSE FILLER”Liquid rhinoplasty, also known as non-surgical rhinoplasty, requires precision, advanced anatomical knowledge and careful patient selection.

The nose has a complex vascular network, making it one of the highest-risk areas for dermal filler treatment. Complications can be serious, including vascular occlusion and, in rare cases, visual impairment.

For this reason, I perform only a small number of these procedures each year and only for carefully selected patients following a full consultation and clinical assessment.

For me, it is cannula only. A cannula may help reduce certain risks, but it does not make the procedure risk-free. Safe practice still depends on detailed facial anatomy, conservative product placement, appropriate technique and the ability to recognise and manage complications immediately.

Liquid rhinoplasty can subtly:

👃 Smooth the appearance of a dorsal hump
👃 Improve the nasal profile
👃 Refine selected irregularities
👃 Create greater facial balance

This is a highly precise medical aesthetic procedure. It should never be rushed, overfilled or treated casually.

Would you consider a non-surgical rhinoplasty? Let me know in the comments, and save and share this video with someone considering nose filler.

Flavio Refrigeri | The Aestheticologist®️
Registered Healthcare Professional | Advanced Aesthetic Practitioner