Exosomes are extracellular nanoparticles naturally secreted by cells as a means of communication. They contain growth factors, signalling molecules and proteins that instruct other cells to repair, grow and regenerate. They are not a medicine but a biological signal the body already recognises.

In hair loss, follicles enter a kind of dormant state: they are still present but no longer respond adequately to growth signals. Exosomes break through that blockade by restoring cellular communication. They bind to follicle cells and reactivate the natural growth phase at a depth that vitamins, peptides and even PRP do not fully reach.

That is also why exosome therapy is effective in patients where other treatments have delivered insufficient results — the therapy works at the level where the damage actually occurs.

The three treatments work at fundamentally different levels. The Hair Cocktail nourishes and strengthens the hair shaft and scalp with vitamins, peptides and growth factors. PRP stimulates follicles with concentrated growth factors from your own blood. Exosomes go a step further: they restore communication between cells at the molecular level and activate dormant follicles that no longer respond to nourishment or stimulation alone.

In terms of depth and effect: the Hair Cocktail nourishes, PRP activates, exosomes restore. This makes exosome therapy most suitable for patients with more advanced hair loss, for whom other treatments are insufficient, or as a maximisation strategy after a hair transplant.

The three treatments are not mutually exclusive. A combined programme of exosomes with PRP or the Hair Cocktail delivers the most complete and long-lasting result for many patients. We are happy to discuss the best combination during your consultation.

Yes, exosome therapy can also be applied in androgenetic alopecia — the most common form of hair loss in both men and women. In this type of hair loss, follicles become increasingly sensitive to DHT, a hormone that disrupts the growth cycle and gradually miniaturises the follicles.

Exosomes cannot fully reverse this process, but they demonstrably slow down miniaturisation and activate follicles that have not yet been fully lost. The earlier you start, the more there is to preserve and strengthen. In advanced cases where follicles have been completely lost, exosome therapy has no effect. In that situation, a hair transplant is the appropriate solution.

We are always honest about what the treatment can and cannot achieve. During the consultation we assess your hair loss pattern and provide a realistic picture of the expected results.

For most patients, a course of one to three sessions is sufficient for a demonstrable and long-lasting result. The exact number depends on the severity of the hair loss and the condition of the follicles. Unlike PRP or the Hair Cocktail, exosome therapy has a considerably longer carry-on effect, as the cellular repair processes remain active for weeks after the treatment.

In most patients, the result holds well for six to twelve months, after which a maintenance session is recommended. This is the longest maintenance interval of all the hair growth therapies we offer. Patients who combine exosomes with PRP frequently report an even more sustained effect.

A personal maintenance schedule is drawn up together with you after the first treatment, based on your response and the progression of the result.

Exosome therapy has an excellent safety profile. The exosome solution we use is sourced from certified laboratories and undergoes strict quality controls. Because the body naturally produces and recognises exosomes, the risk of an immune reaction is minimal.

The most common reactions after treatment are temporary sensitivity or mild redness of the scalp, which resolve on their own within a few hours to a day. No serious side effects are known when high-quality exosome preparations are administered by a certified physician.

We advise against the treatment for patients with active scalp infections, certain autoimmune conditions or during pregnancy. During the consultation we review your medical background to confirm that the treatment is appropriate and safe for you.

Exosome therapy is being offered by a growing number of providers, but the quality of the preparations used varies considerably. Efficacy is determined by the concentration and purity of the exosomes — factors you cannot assess as a patient from the outside. We work exclusively with certified preparations of the highest quality class, sourced from accredited laboratories.

In addition, treatment at HM is always carried out by a certified physician with specific experience in hair restoration. We do not view exosome therapy as a standalone treatment but as part of a personal hair journey, in which the combination with other therapies or a transplant is always taken into consideration.

Transparency about what the treatment can and cannot achieve is a matter of course for us. You will always receive an honest recommendation from us, even if that means a different treatment is better suited to your situation.