What to ask *before* you have an exosome treatment
- Nancy Preston
- Aug 22
- 3 min read
Updated: Sep 15
Exosome therapy has emerged as one of the most exciting developments in aesthetic medicine, promising enhanced skin rejuvenation, improved healing, and anti-aging benefits. These microscopic vesicles, naturally produced by cells, carry growth factors and proteins that can potentially stimulate cellular repair and regeneration. However, as with any cutting-edge treatment, it's crucial to be an informed patient and ask the right questions before proceeding.
Understanding Exosome Quality and Safety
Do you have documentation on the source, viability and handling of the exosomes?
This is perhaps the most critical question you can ask. Exosome quality varies dramatically depending on their origin, processing, and storage methods. Your practitioner should be able to provide clear documentation about:
Source material: Are the exosomes derived from human source - other possibilities are plant, bacteria, and mammal.
Are the exosomes derived from stem cells, platelets, or other cellular sources? What is the donor screening process?
Viability testing: How is the biological activity of the exosomes measured and verified?
Chain of custody: What protocols are followed from collection through storage to ensure the exosomes remain viable?
Storage conditions: Are they properly cryopreserved and handled according to manufacturer specifications?
A reputable practitioner will have detailed records and should be transparent about their sourcing and quality control measures.
Essential Questions About the Treatment
What specific type of exosomes are you using?
Not all exosomes are created equal. Different sources (mesenchymal stem cells, adipose tissue, bone marrow, etc.) may have varying therapeutic properties. Understanding the specific type helps you research the treatment and its expected outcomes.
What are the potential risks and side effects?
While generally considered safe, exosome treatments can have risks including infection, allergic reactions, or unexpected immune responses. Your practitioner should discuss these openly.
How many treatments will I need and what's the expected timeline for results?
Exosome therapy often requires multiple sessions, and results may not be immediately visible. Get a clear treatment plan with realistic expectations.
Practitioner Qualifications and Experience
What is your training and experience with exosome therapy?
Ensure your practitioner has specific training in exosome treatments, not just general aesthetic medicine experience. This field requires specialized knowledge of cellular therapy protocols.
How long have you been offering this treatment?
While newer doesn't necessarily mean inferior, experience with the treatment can indicate better outcomes and complication management.
Facility and Protocols
s your facility properly equipped for cellular therapies?
Exosome handling requires specific storage and preparation protocols. The facility should have appropriate refrigeration, sterile processing areas, and trained staff.
What infection control measures do you have in place?
Given that exosomes are biological materials, strict sterile technique and infection control protocols are essential.
Red Flags to Watch For
Be cautious if your practitioner:
- Cannot provide clear documentation about exosome sourcing and quality
- Makes unrealistic promises about results
- Pressures you to commit to treatment immediately
- Cannot answer technical questions about the therapy
- Offers significantly cheaper treatments than other providers (this may indicate inferior products)
- Has no specific training in cellular therapies
Making Your Decision
Exosome therapy shows tremendous promise in aesthetic medicine, but the field is still evolving. The quality and safety of treatments can vary significantly between providers. By asking these important questions, you're not being difficult – you're being a responsible patient who values safety and efficacy.
Take time to research your practitioner's credentials, review the scientific literature on exosome therapy for your specific needs, and don't hesitate to seek a second opinion if you have any doubts. Your skin and health are worth the extra due diligence.
Remember, the most expensive treatment isn't necessarily the best, but extremely cheap exosome therapy should raise quality concerns. Choose a practitioner who prioritizes transparency, safety, and realistic expectations over sales pressure.
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*This information is for educational purposes only and should not replace professional medical advice. Always consult with qualified healthcare providers before making treatment decisions.*