Exosome Evidence Index

Studies / Skin aging

Adipose stem cell exosome solution plus microneedling for facial aging

Park GH et al., Journal of Cosmetic Dermatology, 2023

Better than controlStrength of design, level 3 of 5: Controlled trial

Better than control: The treated group did better than the comparison group on the main measures.

Level 3 of 5: Treated patients were compared with a control: placebo, another treatment, or the untreated side of the face. Most exosome trials at this level are small and short.

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Design
Randomized split-face, saline on the other side
People
28 people
Made from
Fat (adipose) stem cells
How it was given
On the skin after microneedling

What they found

Wrinkle measures improved 12–14% on the exosome side and about 7% on the saline side. Elasticity rose 11.3% on the exosome side and fell 3.3% on the saline side.

What limits it

Small and short, with 12 weeks of follow-up. A 2025 systematic review rated its risk of bias as having some concerns.

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Other studies of skin aging

  1. Similar to comparison treatmentStrength of design, level 3 of 5: Controlled trial

    Human and rose stem cell exosome blend compared with PRP after radiofrequency microneedling

    Investigator-blinded split-face trial, 2025 (PMC12104007). 15 people (from the investigators' conference abstract). Made from: human fat stem cells and rose stem cells.

    Skin biopsies looked similar on both sides, and investigators rated the exosome side slightly better, according to the investigators' conference abstract.