I really get confused with the airstones being for aesthetic reasons only.
If the filter does not do good water surface movement, then you need something to additionally move the water surface of the tank as that's where the O2 exchange is created.
So whether you use a more powerful air pump or powerhead/filter for that it don't matter, it just depends how much it moves the surface and the tank setup and fish preference.
People suggest addding an airstone when medicating, but yet people say it does not add oxygen. So this is quite contradicting.
Also my understanding is the process of air/water exchange at the surface also adds all other type of gases in the water like O2, CO2, nicotine smoke, etc.. Or does this process extracts/breaks only the oxygen from the air? Maybe because there is more oxygen than CO2 in the air, that's why the prevalent gas that enteres the water is oxygen? Anyway, adding oxygen won't displace the CO2 directly so fish can still die if CO2 is injected artificially in big doses.
I have 2 setup tanks at the moment, one without airstone, but the spray bar is creating loads of water movement and surface movement and I haven't had a problem with the fish. However, there are no plants in this one.
The second tank has an air pump rated double the amount of water volume for the tank, 2 filters and good amount of plants. I was worried that the guppies had too much current in the tank and reduced the flow of the air pump only to find them next morning gathering at the surface, so air pump is back to normal flow now. My plants are not growing super fast, but are healthy looking and doing well without CO2 added. I don't even use ferts, but will try the Flourish Excel staff once it arrives. Of course, the plants are not high demanding ones that need too much, but still...
I was also reading about the Walstad method of planting aquaria, based on Diana Walstad reseach, in which no CO2 injection, air stones and even water changes are needed at all. From what I can gather, different type of bacteria in the fish tank produces CO2 and minerals when conditions are favourable(subtrate is not very compacted let's say and fish waste is left to dissolve, rather than being siphoned out in order to be used in the process). Then the plants in turn use the minerals to grow and produce oxygen needed for the fish to thrive. Very interesting read, not sure whether I can do it right though.
Sorry for the long reply. I guess it contains more questions, than answering anything