Hair Restoration · Androgenetic alopecia - male
Exosome topical or injection evidence for Androgenetic alopecia - male
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 91% Positive results 32% Korea/Asia 1
Known in Korea as
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.
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
View on PubMedtier1 Exosome-Based Therapies for Alopecia Areata: A Systematic Review of Clinical and Experimental Evidence.
Abstract summary (English) Alopecia areata (AA) is an autoimmune-mediated nonscarring alopecia with limited therapeutic options and frequent relapses. Exosomes, nanosized extracellular vesicles secreted by various cell types, have recently emerged as potential regenerative and immunomodulatory therapies. The aim of the study is to review the clinical and preclinical evidence regarding the efficacy and safety of EV-based therapies for alopecia...
Journal Article, Systematic Review
View on PubMedtier1 A systematic review of procedural modalities in the treatment of lichen planopilaris, frontal fibrosing alopecia, and discoid lupus erythematosus.
Abstract summary (English) Lichen planopilaris (LPP), frontal fibrosing alopecia (FFA), and discoid lupus erythematosus (DLE) are lymphocytic cicatricial alopecias causing irreversible follicular loss. Procedural therapies have been proposed to control inflammation, remodel scarred tissue, and, occasionally, promote hair regrowth. We performed a PRISMA-guided systematic review of PubMed/Medline, Ovid Embase, and Scopus through July 28, 2025,...
Journal Article, Systematic Review
View on PubMedtier1 Systematic review of exosome treatment in hair restoration: Preliminary evidence, safety, and future directions.
Abstract summary (English) BACKGROUND: Exosomes are small extracellular vesicles with potential roles in modulating the hair growth cycle and are an emerging therapy for patients with alopecia. In recent years, researchers have made significant progress in deciphering the network of cellular interactions and signaling pathways mediated by the transfer of exosomes. This has opened the door to a wide range of potential therapeutic applications...
Systematic Review, Journal Article
View on PubMedtier2 Hair Repigmentation Outcomes in Patients With Graying Hair Treated With Exosome Therapy: A Cross-Sectional Observational Study.
Abstract summary (English) BACKGROUND: Hair graying is an age-associated condition primarily caused by the depletion and dysfunction of melanocyte stem cells within hair follicles. Emerging regenerative strategies, including exosome-based therapies, offer the potential to restore pigmentation by targeting underlying cellular mechanisms. OBJECTIVE: To investigate the clinical outcomes and correlates of hair repigmentation following...
Journal Article, Observational Study
View on PubMedtier2 An Exosome Regenerative Complex Plus Microneedling Promotes Hair Growth in Subjects With Self-Perceived Thinning Hair.
Abstract summary (English) Thinning hair affects the quality of life of affected men and women but has limited treatment options. A novel technology refines exosomes from stem cells to create a concentrated complex that is quickly absorbed into the scalp to deliver growth factors, peptides, coenzymes, minerals, amino acids, and vitamins (Exosome Regenerative Complex+®. BENEV, Inc.; Mission Viejo, CA).
Clinical Trial, Journal Article
View on PubMedtier2 Autologous Micrografts Containing Nanovesicles, Exosomes, and Follicle Stem Cells in Androgenetic Alopecia: In Vitro and In Vivo Analysis Through a Multicentric, Observational, Evaluator-Blinded Study.
Abstract summary (English) BACKGROUND: The use of micrografts (MCGs) containing human follicle mesenchymal stem cells (HF-MSCs) is a hair loss (HL) treatment that needs to be standardized as seems to have promising effects on hair regrowth (HR-G) also thanks to the presence of extracellular vesicles (EVs). OBJECTIVES: The study aims to report both the in vivo results, obtained in patients affected by androgenic alopecia (AGA) treated using...
Journal Article, Multicenter Study, Observational Study
View on PubMedtier0_review Exosomes as Regenerative Therapeutics in Non-Scarring Alopecia: Current Perspectives and Future Directions.
Abstract summary (English) BACKGROUND: Non-scarring alopecias, including androgenetic alopecia and alopecia areata, are common hair loss disorders with significant psychosocial impact. Conventional treatments such as minoxidil, finasteride, corticosteroids, and platelet-rich plasma (PRP) often demonstrate variable efficacy, relapse rates, or adverse effects. Emerging interest in regenerative dermatology has positioned exosome-based therapy as...
Journal Article, Review
View on PubMedtier0_review Exosomes in trichology: A literature review.
Abstract summary (English) BACKGROUND: Exosomes, nano-sized extracellular vesicles derived from various cell types, have emerged as a promising therapeutic modality in trichology. These vesicles deliver bioactive molecules, such as growth factors, cytokines, and microRNAs, that regulate key cellular processes, including proliferation, differentiation, and signaling, which are critical for hair follicle regeneration. AIM: This review...
Journal Article, Review
View on PubMedtier0_review Precision therapeutics in non-scarring alopecia: a systemic genomic and pathway-based framework for targeted interventions.
Abstract summary (English) BACKGROUND AND PURPOSE: Non-scarring alopecia, principally androgenetic alopecia and alopecia areata is highly prevalent and psychologically burdensome; androgenetic alopecia is androgen-driven, whereas alopecia areata is autoimmune. This review synthesizes genetic architecture and pathway biology to outline a precision framework for targeted interventions. EXPERIMENTAL APPROACH: We reviewed full-text studies from...
Journal Article, Review
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