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

Acne / Scar / Texture · Active inflammatory acne

Exosome topical or injection evidence for Active inflammatory acne

B 52.3 / 100 Supported 3 RCT/meta · 0 clinical/observational · 1 case · 10 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 80% Positive results 70% Korea/Asia 2

Known in Korea as

셀포좀엑소좀셀엑소좀

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

Key papers

tier1 Regenerative Medicine for Atrophic Scars: A Systematic Review of Extracellular Vesicles, Conditioned Media, Stromal Vascular Fraction, and Mesenchymal Stem Cells. Aesthetic plastic surgery · 2025 · PMID 41099835

Abstract summary (English) INTRODUCTION: Atrophic scars, caused by insufficient collagen deposition and ECM production during wound healing, significantly affect patients' quality of life. Conventional treatments often fail to achieve complete skin regeneration, prompting interest in regenerative medicine. This review evaluates the efficacy and safety of emerging regenerative therapies, including extracellular vesicles, conditioned media,...

Journal Article, Systematic Review, Review

View on PubMed
tier1 Adipose-derived mesenchymal stem cells and their derivatives in inflammatory skin diseases: a systematic review. Frontiers in immunology · 2025 · PMID 40918108

Abstract summary (English) Adipose-derived mesenchymal stem cells (ADMSCs) offer a multifaceted approach to treating immune-mediated skin diseases by modulating the immune system and promoting tissue regeneration. Specifically, their ability to differentiate into multiple cell types such as keratinocytes and fibroblasts, modulate immune responses, and release growth factors and cytokines underscores their potential in treating a wide range of...

Journal Article, Systematic Review

View on PubMed
tier1 Combination Treatment with Human Adipose Tissue Stem Cell-derived Exosomes and Fractional CO2 Laser for Acne Scars: A 12-week Prospective, Double-blind, Randomized, Split-face Study. Acta dermato-venereologica · 2020 · PMID 33073298

Abstract summary (English) A variety of applications of human adipose tissue stem cell-derived exosomes have been suggested as novel cell-free therapeutic strategies in the regenerative and aesthetic medical fields. This study evaluated the clinical efficacy and safety of adipose tissue stem cell-derived exosomes as an adjuvant therapy after application of fractional CO2 laser for acne scars. A 12-week prospective, double-blind, randomized,...

Journal Article, Randomized Controlled Trial

View on PubMed
tier0_review The Role of Exosomes in Medical Dermatology: Literature Review and Update. Journal of cosmetic dermatology · 2025 · PMID 39797525

Abstract summary (English) BACKGROUND: Exosomes are extracellular vesicles, composed of a phospholipid bilayer, that are primarily derived from stem cells. The contents of exosomes can be incorporated into the tissue in which they are introduced, which presents a unique therapeutic option. AIMS: Exosomes have been investigated as a treatment for a number of medical ailments, but the literature supporting these indications is inconclusive.

Journal Article, Review

View on PubMed
tier3 Necrosis Following Dermal Injection of Lyophilized Exosomes: A Case Report. Journal of cosmetic dermatology · 2025 · PMID 40820962

Abstract summary (English) BACKGROUND: Exosomes are extracellular vesicles produced by virtually all cell types. In dermatology, exosomes have garnered significant attention for their potential applications in skin restoration and rejuvenation. Despite their widespread marketing in aesthetic medicine, no exosome product is currently approved for dermal injection, and their safety profile remains unclear.

Case Reports, Journal Article

View on PubMed
tier_other Skin-Derived Precursors-Derived Exosomes Alleviated Acne Inflammation via TLR2/MyD88/NF-κB Signaling Pathway: In Vitro and In Vivo Studies. FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026 · PMID 41474360

Abstract summary (English) Skin-derived precursors (SKPs) isolated from the dermis are poorly immunogenic and capable of modulating the allogeneic immune responses. Previous studies implied mouse SKPs-derived exosomes (mSKPs-exo) might possess immunomodulatory functions. In the present study we collected mSKPs-exo using ultracentrifugation method and characterized them.

Journal Article

View on PubMed
tier_other Serum exosomal microRNA profiling reveals a down-regulation of hsa-miR-124-3p in patients with severe acne. Frontiers in immunology · 2025 · PMID 40625748

Abstract summary (English) BACKGROUND: Acne is a chronic inflammatory skin disease affecting pilosebaceous unit. However, its specific mechanism remain incompletely understood. OBJECTIVES: This study aims to identify and analyze the differential expression of serum exosomal miRNA in severe acne, revealing new insights into the pathogenesis of acne.

Journal Article

View on PubMed
tier_other Lactobacillus-Derived Exosome Therapy for Active Acne Vulgaris, Post-Inflammatory Hyperpigmentation, and Atrophic Scarring. The Journal of craniofacial surgery · 2025 · PMID 40257450

Abstract summary (English) BACKGROUND: Acne vulgaris often leads to post-inflammatory hyperpigmentation (PIH) and atrophic scarring, affecting patients' quality of life. Traditional treatments may have side effects and inconsistent efficacy. An imbalance in the skin microbiome, particularly a deficiency in Lactobacillus species, has been implicated in acne pathogenesis.

Journal Article

View on PubMed
tier_other Needle Radiofrequency Combined with Topical Exosome Therapy for Moderate to Severe Acne. Life (Basel, Switzerland) · 2025 · PMID 40003550

Abstract summary (English) OBJECTIVE: This case series aims to evaluate the efficacy, patient satisfaction, and safety of combined needle radiofrequency (RF) and topical exosome therapy for moderate to severe acne. METHODS: This study involved 22 patients (12 females and 10 males, ages 18-35) with moderate to severe acne who underwent combined needle RF and topical exosome (Xomage, Zishel Bio Inc., Seoul, Republic of Korea) treatments. Each...

Journal Article

View on PubMed
tier_other Milk disrupts p53 and DNMT1, the guardians of the genome: implications for acne vulgaris and prostate cancer. Nutrition & metabolism · 2017 · PMID 28814964

Abstract summary (English) There is accumulating evidence that milk shapes the postnatal metabolic environment of the newborn infant. Based on translational research, this perspective article provides a novel mechanistic link between milk intake and milk miRNA-regulated gene expression of the transcription factor p53 and DNA methyltransferase 1 (DNMT1), two guardians of the human genome, that control transcriptional activity, cell survival,...

Journal Article

View on PubMed

Suggested interpretation

Limited evidence

Personalized evidence report

Tell us more about your concern
and the Glass Lab bot will build a personalized report for you.

Based on the Exosome topical or injection · Active inflammatory acne information on this page, we'll email you an evidence summary tailored to your skin condition and treatment stage.

Concerns of interest (select multiple)
Decision stage
← Other indications for the same procedure group  |  Other procedures for the same indication →