1. Purpose
Evidence-based guidance for non-prescription, topical skincare that supports dermal collagen integrity through stimulation of synthesis, inhibition of degradation, and antioxidant protection. Ensures clinical consistency across Newcastle Cosmetic Doctor (NCD) and aligns with Australian regulatory frameworks 12.
2. Scope
Applies to all cosmetic-class products used or recommended at NCD (e.g., serums, creams, lotions) before or after cosmetic interventions such as injectables, laser resurfacing, or skin tightening. Excludes prescription-only retinoids 1.
Covered actives: Hydrolysed collagen & peptides, Vitamin C derivatives, Retinoids (OTC), Niacinamide, Hydroxy acids, Sunscreen & antioxidants.
3. Key Actives That Support Collagen
Hydrolysed Collagen & Peptides — May act as fibroblast messengers 3.
Peptides — Signal peptides (palmitoyl pentapeptide-4) stimulate collagen synthesis 4.
Vitamin C — Cofactor in hydroxylation, enhances procollagen gene expression 5.
Retinoids — Upregulate type I collagen and reduce MMPs 6.
Niacinamide — Reduces oxidative and inflammatory damage to collagen 7.
Hydroxy Acids — Promote turnover and improve penetration 8.
Photoprotection — Prevents photo-collagenolysis 9.
4. Mechanisms of Action
- Stimulate fibroblast collagen deposition 4
- Inhibit MMPs 6
- Reduce oxidative stress 9
- Support barrier function 8
5. Clinical Evidence Summary
RCTs show vitamin C 10–20% improves dermal collagen 5. Peptides improve elasticity in 4–8 weeks 4. Retinol 0.3% increases dermal collagen by ~30% after 24 weeks 6. Hydrolysed collagen shows mild hydration improvement 3.
6. Australian Regulatory Context
Cosmetic-only claims fall under AICIS, therapeutic claims under TGA 12. NCD practitioners must ensure compliant, evidence-based product messaging.
7. Usage Guidance for Patients
Morning: cleanser → vitamin C → moisturiser → SPF 50
Evening: cleanser → peptide/retinol → barrier cream
Introduce actives slowly; avoid retinol post-laser until healed.
8. Contraindications & Precautions
Active dermatitis, recent laser, pregnancy (avoid retinol), known allergy (patch test).
9. Common Myths & Misconceptions
- Collagen creams rebuild collagen — False 3
- High concentration = better — False 5
- Sunblock optional — False 9
10. Audit & Review
Annual review by NCD Governance. Audit criteria: product compliance, adverse events, patient satisfaction.
Patient Q & A
Do topical collagen creams really increase collagen?
Not directly — collagen is too large to enter the dermis; hydrolysed peptides may signal fibroblast activity 3.
Which ingredients actually boost collagen?
Retinol, vitamin C, and peptides have the strongest evidence 456.
Is collagen absorbed through skin or only by mouth?
Topical absorption is minimal; oral peptides show better systemic data 3.
How long until I see results?
Typically 8–12 weeks for visible texture and firmness improvement 6.
Can I use retinol and vitamin C together?
Yes, alternate nights to reduce irritation; combination enhances collagen 56.
What damages collagen most?
UV exposure, smoking, sleep deprivation, chronic inflammation 9.
Should I use peptides or retinol?
Peptides suit sensitive skin; retinol gives stronger photo-aging results 46.
Is niacinamide a collagen booster?
Indirectly — reduces oxidative stress and supports barrier repair 7.
Why is sunscreen part of a collagen plan?
SPF prevents MMP-induced collagen breakdown 9.
Sources
- Therapeutic Goods Administration (TGA). Non-prescription medicines – overview. 2025., viewed 14 November 2025, https://www.tga.gov.au/products/medicines/non-prescription-medicines ↩
- Australian Industrial Chemicals Introduction Scheme (AICIS). Cosmetic Regulation Guidance. 2024., viewed 14 November 2025, https://www.industrialchemicals.gov.au/ ↩
- ScienceDirect. Anti-skin ageing effects and bioavailability of collagen tripeptide. 2024., viewed 14 November 2025, https://www.sciencedirect.com/science/article/pii/S2950306X24000177 ↩
- Rovero P et al. Bioactive peptide SA1-III (KP1) as collagen modulator. Clin Cosmet Investig Dermatol. 2022., viewed 14 November 2025, https://www.dovepress.com/the-clinical-evidence-based-paradigm-of-topical-anti-aging-skincare-fo-peer-reviewed-fulltext-article-CCID ↩
- Mohd Hana M et al. Clinical Efficacy of Topical Vitamin C. J Drugs Dermatol. 2023., viewed 14 November 2025, https://jddonline.com/articles/clinical-efficacy-of-topical-vitamin-c-on-the-appearance-of-wrinkles-a-systematic-literature-review-S1545961623P0898X/ ↩
- Zasada M., Budzisz E. (2019), Retinoids: active molecules influencing skin structure formation in cosmetic and dermatological treatments, Postepy Dermatologii i Alergologii (Advances in Dermatology and Allergology), 36(4):392–397, viewed 14 November 2025, https://pubmed.ncbi.nlm.nih.gov/31616211/ ↩
- Healthdirect Australia (2024), Vitamin B and your health (includes information on niacin/niacinamide, vitamin B3), viewed 14 November 2025, https://www.healthdirect.gov.au/vitamin-b-and-your-health ↩
- Australian Prescriber. Hydroxy acids in dermatology. 2023., viewed 14 November 2025, https://australianprescriber.tg.org.au/ ↩
- Cancer Council Australia. UV Exposure and Skin Aging. 2025., viewed 14 November 2025, https://www.cancer.org.au/cancer-information/causes-and-prevention/sun-safety ↩


