05 Aug
Before and after treatment with capillary exosomes: 5 cases in detail
More and more people are opting for regenerative medicine to restore their hair and combat alopecia.Specifically, hair treatments with exosomes are growing in popularity because of the results they offer. ¿TanAre they effective? Let me tell you.5 cases with explanations and before and after photosOur real patients.
#1 Hair exosomes to slow the progression of alopecia
Before we begin, I’ve already discussed in a previous article…What do exosomes do and what does the treatment involve? Check it out if you want to know more.
With that being said, let’s move on to the first patient.
57-year-old maleShe comes to our clinic because she wants to slow down her hair loss. She feels that her appearance doesn’t match her age or personality.
It features a large area of visible scalp and fine hair. This corresponds to a moderate/severe androgenic alopecia (grade V on the Norwood-Hamilton scale).
After assessing options, we indicate 1 session of exosomes. In cases like this, it’s a very attractive minimally invasive procedure. Less drastic than a transplant, but certainly more convenient and doesn’t disrupt daily life.
In a complementary way, we outlined…vitamin supplements and good habits. We emphasize this a lot. Poor diet, tobacco, inappropriate products… They kill hair follicles, comprehensive hair treatment. It will always bring more benefits.
Resultsthe 3 months:
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- Slight increase in density in the most affected areas.
- Scalp more covered, less visible on the crown.
- Greater homogeneity between the bald and healthy areas.
Please note the following.
The effects are progressive. Very natural.Approximately 50% of people notice these effects one month after starting exosome treatment. They become more evident from the third month onward and can continue to increase until the sixth month.
The patient’s before and after photos:
A subtle but noticeable change. We recommended annual maintenance sessions to prolong the benefits (we do this for all patients). Satisfaction 4/5
#2 Hair exosomes in mild female pattern baldness
Baldness is more common but not exclusive to men.
45-year-old womanShe requests an appointment because she notices a gradual loss of hair quality and quantity. During the examination, a slightly widened part is observed. This indicates a female pattern baldness (Ludwig scale, grade I).
Studies estimate that between 29 and 38% of women up to menopause suffer from this condition. This figure rises to over 55% after age 70.
It’s not something rare, nor are they isolated cases.
Our patient wanted to prevent it from getting worse and improve its density. Because he already…it had repercussions on a psychological level. She was looking for a quick and effective treatment that wouldn’t require her to come to the clinic multiple times (busy life and little time).
We did1 single session of hair exosomesOne of the advantages of the system we use at Cànons Clinics is that only one or two sessions per year are needed. For comparison, platelet-rich plasma usually would be between 2 and 4 with with similar results.
After 3 months we observed:
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- Less marked central stripe. It is shorter and exposes less of the scalp.
- A more consistent and stronger aspect It looks denser and healthier.
- Stabilization of the fall, without progression.
Before and after:
The improvement is slight, in line with the patient’s expectations. We did not perform any additional procedures. Satisfaction 4/5
#3 Exosomes as a preventative therapy in early-stage alopecia
PeopleYoung people benefit greatly from this treatment.
Male, 29 years old. He is seeking help because he has been showing early signs of baldness for the past 10 months. There is a family history of hair loss. It is affecting his social and romantic relationships.
“I feel like I’m 40,” she tells us sadly.
It’s in an early stage of androgenic alopecia (Norwood-Hamilton grade II), so we ruled out grafting. This is reserved for more advanced and consolidated stages.
What interests us here?
We are interested to stop and stabilize hair lossTo reduce the short-term likelihood of needing medication and the long-term likelihood of requiring surgery.
We therefore opted for 1 session of regenerative therapy with exosomes.Studies have shown that they help hair regain its thickness, shine, and strength. They help improve hair health, restore strength, and slow hair loss.
In other words, their properties make them suitable for this preventative purpose.
Aside from that, we set the agenda. An anti-hair loss lotion. These types of products promote growth and enhance the effects of the treatment.
Results after 3 months:
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- Area of alopecia minimized. It is simply distinguished.now.
- Thicker and stronger hair. It looks more uniform.
- And more populated. It has grown with greater density.
This case is a great example of something I often discuss in my practice, especially with young men in their 20s: the sooner you fix it, the better…
Don’t wait for hair loss to progress. The longer you let it advance, the more likely you are to require surgery or medication.
The before and after of our patient:
The change is very evident in both quality and quantity. The patientwasVery happy. Satisfaction 5/5
Are you considering exosome therapy?
#4 Hair exosomes for crown alopecia
This situation occurs frequently.
48-year-old male. He comes to our clinic with marked hair loss at the crown, an area particularly sensitive to the atrophic effect of androgens on hair. He presents androgenic alopecia type III vertex (Norwood-Hamilton scale).
He says he looks older than he is and that it undermines his self-esteem. Although he is a candidate for hair transplant, he wants to try to repopulate with a non-invasive treatment.
Ass hair is very thin and weak, we indicated exosomes for revitalize it.
The challenge here is to achieve an acceptable result that, while not equal to the surgery, be as satisfactory as possible.
That’s why at Cànons Clinics we use exostar cutting-edge medical technology. It’s a device that allows us to obtain highly concentrated autologous exosomes along with other bioactive molecules. It enables us to achieve a very high regenerative power.
That is why 1 or 2 sessions a year is enough.
“Autologous,” by the way, means that they come from the patient’s own blood. These are the ones we usually use in aesthetic clinics because of their safety and effectiveness. And the way they are extracted greatly determines their purity, integrity, and stability.
Returning to the case, after 1 session and after 3 months we observed reduction of alopecia area. After that time, many people continue to improve, especially if they adopt a healthy lifestyle and follow the appropriate care.
Look at her before and after:
A single application of exosomes without any other associated techniques. A quick, convenient, and simple protocol with a slight but noticeable improvement. Satisfaction 4/5
#5 Exosomes in medication-treated alopecia
Perhaps you can relate to this last case.
38-year-old male. He has been on prescribed oral medication for a long time to control his baldness. He is looking for options and the possibility of stopping the medication.
Similar to the previous one, it suffers androgenic alopecia type III vertex. Predominant hair loss at the crown, with hair that is not so fine.
We receive inquiries like this often.
Drug therapy slows hair loss and promotes growth. The problem? Its effects are usually temporary and sometimes associated with adverse reactions.
Erectile dysfunction, decreased libido,gynecomastia…
Hence the growing interest in alternative therapies such as regenerative medicine, among researchers, doctors, and patients alike.
The Exosomes have been shown to be effective and safe.Safer than stem cells, for example (less risk of immune rejection). Beyond a slight tingling or irritation after application, they are generally very well tolerated.
However, they don’t guarantee that the medication can be eliminated. With that being said, they will help to repair the hair follicle to further boost its development. We increase profits with virtually no added risk.
Once our patient was informed, we performed 2 sessions separated by a year with check-ups in between. Follow-up is essential to adjust the treatment plan.
Three months after the second session, the following is observed:
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- Visibly hairdenser.
- Scalp further covered.
- Appearance more youthful.
Before and after:
The response has been very good. According to the patient, it’s the treatment that has resulted in the most improvement. Satisfaction 5/5
Do you want to improve your hair density and health?
The following case could be yours.
If you’re dealing with alopecia or your hair isn’t what it used to be, come to the clinicHair exosomes are a novel treatment with which we are seeing fantastic results, but we need to assess whether it is the best option for you.
I can show you more before and after photos if you’d like. And you can have your questions answered. We always create a personalized plan for each patient based on their individual needs.
Cànons Clinics are in Barcelona and Granollers.
You can make an appointment by calling 683 27 07 09. You can contact us by messaging us on WhatsApp or by filling out the form you can access via the button below. We’ll be happy to assist you.
Literature
If you’d like to investigate further…
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- Ersan M, Ozer E, Akin O, Tasli PN, Sahin F. Effectiveness of Exosome Treatment in Androgenetic Alopecia: Outcomes of a Prospective Study. Aesthetic Plast Surg. 2024 Nov;48(21):4262-4271. Source.
- Liu Y et al. Subcutaneous injection of genetically engineered exosomes for androgenic alopecia treatment. Front Bioeng Biotechnol. 2025 May 30;13:1614090. Source.
- Wu X, Tang S. Advances in the extracellular vesicles treatment of alopecia. Ann Med. 2025;57(1):2543517. Source.
- Exosmart. Autologous Exosomes Therapy [Internet]. 2022 [accessed 24 jul 2026]. Source.
- Goldin J, Patrick M, Raggio BS. Hair Transplantation [Internet]. StatPearls [updated 2 Aug 2025, accessed 24 jul 2026]. Source.
- Kim J, Song SY, Sung JH. Recent Advances in Drug Development for Hair Loss. Int J Mol Sci. 2025 Apr 8;26(8):3461. Source.
- Simón Monterde L, Martínez Ramos D. Alopecia con patrón femenino. Su importancia en medicina y cirugía estética. Medicina Estética. 2020;63(2):26‑33. Source.
- Gupta M, Mysore V. Classifications of Patterned Hair Loss: A Review. J Cutan Aesthet Surg. 2016 Jan-Mar;9(1):3-12. Source.
Dr. Víctor Hernàndez Machado.
Medical Director of Cànons Clinics
Plastic surgeon specializing in facial surgery and body contouring, with experience in the private sector since 2001. I advocate for honest aesthetic surgery and medicine in which results improve, not change. Registered doctor in Barcelona number 30493, member of the SECPRE and general secretary of the Spanish Society of Surgical Medical Lasers (SELMQ).
Currículum. LinkedIn.






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