Exosomes

What are exosomes and how does the treatment work?

Exosomes are tiny membrane-bound vesicles that cells release to carry proteins, lipids and other signalling molecules to other cells. Cosmetic products use them purified and concentrated, aiming to support skin renewal, hydration and the skin barrier, and on the scalp the environment around hair follicles.

Exosomes are not injected: microneedling first creates tiny channels that let the concentrate reach deeper and trigger the skin's own repair response, then the concentrate is applied.

Exosome treatments at Melior Clinics

• Exosomes with microneedling – face, neck and décolletage; EXOGLOW or HH exosomes.
• Exosome hair treatment with microneedling – scalp, for thinning hair and hair loss; EXOGLOW.
• Price list – current prices.

What happens during the treatment?

At the consultation, the specialist assesses your skin or scalp, health and medication. Hair loss has many possible causes, such as hormonal changes, nutrient deficiency or illness; if the cause is unclear, it is worth checking with your own doctor first.

• Face: cleansing, numbing if needed, microneedling and the concentrate. About 60 minutes; typically 3–5 sessions 3–4 weeks apart.
• Hair: scalp cleansing, microneedling and the concentrate. 45–60 minutes; typically 3–6 sessions 2–4 weeks apart.

Aspirin-type medicines are avoided for 24 hours before; for the face, acid and retinol products for 7 days. Hair is washed the evening before, without oils or strong products on the day.

Who should not have it?

It is usually not done in case of:

• pregnancy or breastfeeding;
• active acne, a rosacea flare, inflammation or infection in the area, or scalp fungus or eczema;
• active cold sores or another viral infection;
• an autoimmune disease, weakened immunity, recent chemotherapy or strong medication;
• untreated hormonal hair loss;
• allergy to any ingredient;
• a bleeding disorder or a tendency to keloid scars.

Medicines prescribed by your doctor, including blood thinners, are not stopped without their advice; they must be mentioned to the specialist. The final decision is made by the specialist at the consultation.

After the treatment

After a facial treatment, the skin is red and may feel warm for a few hours to a day. Make-up is avoided for 24 hours, and exercise, sauna and hot water for 48 hours. The skin is moisturised and protected with SPF 50.

After a hair treatment, the scalp may be temporarily sensitive, slightly red or tingling. Hair is not washed for 24 hours; alcohol, hot hairdryers, chemical products and hair colour are avoided for at least 72 hours, and aspirin-type medicines for another 24 hours.

Frequently asked questions

Exosomes vs PRP: what is the difference?

PRP (plasma therapy) uses platelet-rich plasma from the patient's own blood. No blood is taken for exosomes: a ready-made concentrate is applied after microneedling. For hair, the specialist may combine the two.

When are results visible?

On the face, first changes such as glow and hydration usually show within 1–2 weeks, with the full effect over 4–8 weeks. Hair responds more slowly: changes usually appear in 4–12 weeks, the maximum effect after 3–6 months.

How long do results last?

This varies with skin or scalp condition, age and lifestyle; whether and when to repeat is discussed with the specialist at the end of the course.

Does it hurt?

Most patients find microneedling tolerable. Numbing cream can be used, especially around the eyes.

The service is provided by Melior Clinics (Star Company OÜ, Estonian Health Board licence L04198), Liivalaia 53, Tallinn, 5th floor of the Stockmann department store.