GLASS LAB · Medical Aesthetics Evidence Index 303 cells · 19,226 papers · 5,969 top-tier evidence

Skin Quality · Photodamaged skin / texture

Exosome topical or injection evidence for Photodamaged skin / texture

B 56.4 / 100 Supported 5 RCT/meta · 5 clinical/observational · 1 case · 99 total
Good evidence · positive conclusion

There is a relatively good level of clinical evidence, and a majority of papers support its effectiveness.

Grade combines the quantity and quality of the research, while direction is a separate signal showing how the papers assess effectiveness.

Includes meta-analysis/SR Median year 2025 Last 5 years 94% Positive results 33% Negative results 2 Korea/Asia 7

Known in Korea as

셀포좀엑소좀셀엑소좀

Procedure and brand names vary, but the evidence above applies to the same procedure mechanism.

Key papers

tier1 The Use of Microneedling With Exosomes in Dermatology: A Systematic Review. Journal of cosmetic dermatology · 2026 · PMID 42027180

Abstract summary (English) BACKGROUND: Microneedling combined with exosome therapy has growing clinical relevance in dermatology. This systematic review will critically evaluate current evidence on the combined use of microneedling and exosomes in a number of dermatological diseases. METHOD: A systematic literature search was conducted using terms related to exosomes and microneedling using 3 databases in accordance with the Preferred...

Systematic Review, Journal Article

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tier1 Preliminary Insights From a Split-Face Study on Skin Quality Changes After Needling Radiofrequency With or Without a Plant-Derived Exosome-Based Formulation Over 6 Months. Aesthetic surgery journal · 2026 · PMID 41800727

Abstract summary (English) BACKGROUND: Needling radiofrequency (NRF) induces controlled dermal remodeling while preserving the epidermis. Rose stem cell-derived exosomes (RSCEs) possess regenerative and anti-inflammatory properties, but limited penetration restricts clinical utility. OBJECTIVES: To assess whether RSCEs applied immediately after NRF enhance improvement in wrinkles, texture, and pores in Asian patients.

Journal Article, Randomized Controlled Trial

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tier1 Clinical Advances in Exosome-Based Therapies for Aesthetic Medicine: A Systematic Review and Meta-analysis of Human Clinical Trials. Aesthetic surgery journal · 2026 · PMID 41800726

Abstract summary (English) Exosomes have gained increasing attention in aesthetic medicine for their regenerative properties and role in skin and hair rejuvenation. By stimulating collagen production, delivering growth factors, and supporting follicle regeneration, they offer a novel, noninvasive approach to facial rejuvenation and hair growth. A systematic review and meta-analysis were conducted to evaluate the clinical efficacy of exosome...

Journal Article, Systematic Review, Meta-Analysis

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tier1 Effectiveness of regenerative medicine for skin lightening and rejuvenation: a systematic review of extracellular vesicles and conditioned media. Stem cell research & therapy · 2025 · PMID 41013717

Abstract summary (English) AIMS AND OBJECTIVES: This study aims to evaluate and summarize the efficacy and safety of extracellular vesicles (EVs) and conditioned media (CM) as emerging therapeutic approaches in regenerative medicine for skin rejuvenation and lightening. METHODS: A systematic search was conducted up to September 19, 2024, using the PubMed, Scopus, and Web of Science databases. Keywords included "conditioned media,"...

Journal Article, Systematic Review

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tier1 Efficacy of combined treatment with human adipose tissue stem cell-derived exosome-containing solution and microneedling for facial skin aging: A 12-week prospective, randomized, split-face study. Journal of cosmetic dermatology · 2023 · PMID 37377400

Abstract summary (English) BACKGROUND: Studies have reported promising results of mesenchymal stem cell therapies for skin aging. However, in the use of mesenchymal stem cells, some drawbacks including rarely possible tumorigenicity and low engraftment rates have limited their widespread clinical use. Adipose tissue stem cell-derived exosomes (ASCEs) are emerging as effective cell-free therapeutic agents.

Randomized Controlled Trial, Journal Article

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tier2 Biologically Distinct, Clinically Convergent: A Comparative Study of Umbilical Cord- and Adipose-Derived Mesenchymal Stem Cell Exosomes in Human Skin Regeneration. Aesthetic surgery journal · 2026 · PMID 41800728

Abstract summary (English) Mesenchymal stem cell (MSC)-derived exosomes are emerging as cell-free bioregenerative platforms in aesthetic dermatology. Umbilical cord (UC-MSC) and adipose-derived (AD-MSC) exosomes are among the most studied sources, yet existing data derive from heterogeneous models that preclude direct comparison. No standardized head-to-head evaluation in a human skin aging model has been conducted.

Journal Article, Comparative Study

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tier2 Comparison of Exosome- and Hybrosome-Based Therapies in Regenerative Medicine and Cell Aging: A Narrative Review. Aesthetic surgery journal · 2026 · PMID 41800721

Abstract summary (English) Exosomes have emerged as promising agents in regenerative medicine because of their ability to mediate intercellular communication, modulate inflammation, and promote tissue repair. However, their clinical application remains limited by issues of stability, bioavailability, and therapeutic consistency. Hybrosomes, engineered hybrid vesicles that combine exosomal membranes with liposomal structures, have been...

Journal Article, Review, Comparative Study

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tier2 A Single-Center, Open-Label Study to Evaluate the Efficacy and Tolerability of Retinal Encapsulated in a Novel Biomimetic Exosome in the Treatment of Mild-To-Moderate Facial Photodamage. Journal of cosmetic dermatology · 2026 · PMID 41735774

Abstract summary (English) BACKGROUND: Numerous retinoid-based skincare products are available over-the-counter for photodamaged and photoaged skin, but are associated with objective (e.g., erythema, dryness, flaking, edema) and subjective (e.g., itching, tingling, stinging, burning) tolerability issues. A novel retinal formulation was developed using an engineered biomimetic vegan exosome as a delivery system. The formulation also contains...

Journal Article, Clinical Trial

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tier2 Adipose Mesenchymal Stem Cell-Derived Exosomes Versus Platelet-Rich Plasma Treatment for Photoaged Facial Skin: An Investigator-Blinded, Split-Face, Non-Inferiority Trial. Journal of cosmetic dermatology · 2025 · PMID 40414798

Abstract summary (English) BACKGROUND: Exosomes, an emerging treatment of interest to aesthetic dermatology, have therapeutic applications in skin rejuvenation, alopecia, atopic dermatitis, acne scarring, and wound healing. Platelet-rich plasma has been widely utilized for the same indications, among others. Currently, there are no trials comparing the two regenerative modalities in aesthetic dermatology.

Comparative Study, Controlled Clinical Trial, Equivalence Trial, Journal Article

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tier2 Exosomes and Signaling Nanovesicles from the Nanofiltration of Preconditioned Adipose Tissue with Skin-B® in Tissue Regeneration and Antiaging: A Clinical Study and Case Report. Medicina (Kaunas, Lithuania) · 2024 · PMID 38674316

Abstract summary (English) Background and Objectives: This three-year clinical trial aimed to demonstrate that only the signaling vesicles produced by ADSCa, containing mRNA, microRNA, growth factors (GFs), and bioactive peptides, provide an advantage over classical therapy with adipose disaggregate to make the tissue regeneration technique safer due to the absence of interfering materials and cells, while being extremely minimally...

Clinical Trial, Journal Article

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Suggested interpretation

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