ExoNext, Sherman Oaks, CA

ExoNext is an innovative addition to skincare and rejuvenation treatment. It combines the power of exosome and secretome technology. It stimulates wound healing, improves skin texture and tone, reduces inflammation, and enhances hair growth.

This powerful lyophilized product can be used in combination with other treatments like microneedling, laser, and chemical peels. When these treatments are applied to the dermis, they stimulate wound healing, cell regeneration, hair growth, and collagen formation.  They have similar effects to PRP and PRF, but without the need for a blood draw.

Belotero Balance Dermal Filler With Lidocaine For Facial Volume And Wrinkle Correction.

What is ExoNext?

ExoNext is a noninvasive, nonsurgical skin rejuvenation exosome treatment. It combines exosomes with other secretomes to facilitate wound healing, cell regeneration, and reduce inflammation.

What are Exosomes?

At Cosmetic Injectables Center Medspa, all ExoNext applications are governed by the medical spa’s clinical protocols for biologic handling, sterility, and post-energy-device timing. Exosomes are membrane-bound vesicles (30–200 nanometers) that contain proteins, lipids, peptides, growth factors, miRNA, and mRNA, and that mediate cell-to-cell communication, cell growth, immune response, and wound healing. ExoNext concentrates these signaling molecules in a stable lyophilized formulation that is reconstituted and applied topically by our licensed providers and her team.

Exosomes serve as gene expression modulators and control wound healing and inflammation.

They are found in plant cells and animal cells. They are harvested and used to treat acne, scars, hyperpigmentation, psoriasis, hair loss, etc.

What are Secretomes?

Secretomes include everything that the cell secretes into the extracellular space. These include proteins, cytokines, growth factors, and other signaling chemicals.

These are vital in cell-to-cell messaging, cell migration, immune responses, tissue regeneration, etc.

Secretomes are a more vast group than exosomes. They include exosomes and other things secreted by the cell into the extracellular space.

The secretomes in ExoNext contain 5.8 billion particles. They consist of 94% Human Adipose-derived stem cells and 6% plant-derived stem cells.

The exosomes and secretomes release over 250 growth factors. One of these factors stimulates the production of Type I collagen. The collagen will be used to rejuvenate the skin, restoring the tone and texture of the skin.

ExoNext is obtained from plant and human sources. Plant sources give us the antioxidants that we don’t naturally produce. It can go across cells and send different signals to produce unique results. The human-derived portion goes through extensive filtration to isolate and grow the exosomes without contaminants.

ExoNext is used for the following:

  • Post-care for microneedling and laser resurfacing
  • Treats inflammation, acne, scars, and hyperpigmentation
  • Improves skin tone and texture
  • Smooths out wrinkles
  • Improves skin hydration

ExoNext Benefits

ExoNext is a great treatment used in combination with microneedling and laser resurfacing. It ensures the wound heals rapidly. The combined exosome and secretome technology produces impressive results and is lauded by aesthetic experts and patients!

What Results to Expect:

  • Regeneration Booster: This treatment helps in regenerating cells and is used in post-care treatment in several procedures like microneedling, laser, and chemical peels.
  • Improved Skin Complexion: ExoNext is great for restoring skin tone. It evens the skin complexion and makes your skin more attractive.
  • Reduced Fine Lines and Wrinkles: Collagen is vital in restoring skin elasticity. ExoNext stimulates collagenogenesis.
  • Treated Skin Inflammatory Conditions: ExoNext has anti-inflammatory effects and reduces inflammation in the skin.
  • Increased and healthier hair growth: ExoNext exosome can activate hair growth in the area of treatment for faster growth, and thicker, healthier, and more numerous hair strands.

How Long Will Results Last?

The results of ExoNext will be seen 3-4 weeks after the treatment. The results can last for 8- 12 months and sometimes even last longer. Having a good skincare routine helps ensure the longevity of results.

Before And After Showcasing Belotero Balance Benefits For Smoother Facial Lines.

ExoNext Cost & Pricing Structure

The price of ExoNext exosome therapy at Cosmetic Injectables Center Medspa is determined by several variables: the number of sessions in the protocol, the size of the treatment area, whether ExoNext is applied as a standalone topical or in combination with microneedling, laser resurfacing, or radiofrequency, the quality and source of the exosome preparation, and whether the cost is bundled with the energy-device session. Patients in Sherman Oaks, Van Nuys, Burbank, and surrounding areas typically schedule a consultation to receive an individualized estimate before treatment.

  • US National Average: $1,000-$1,500
  • Our Price: competitive, especially with our monthly specials
  • Additional Costs: This is a nonsurgical treatment and doesn’t usually incur any extra charges, unless combined with other services that have their own rates.
  • Insurance: Most insurance companies do not cover cosmetic procedures. We have monthly specials and offer a variety of payment options for your convenience.

ExoNext is an incredible advancement in skin rejuvenation. It has minimal side effects, great results, and little downtime. More youthful and attractive skin awaits you after this treatment! Book a consultation today!

How the Procedure Works

ExoNext is a type of exosome procedure that’s performed in the Medspa. It is not painful and isn’t usually done with anesthesia when applied alone as a solo topical treatment.  Some may use numbing cream before the simultaneous usage of microneedling or laser treatment. ExoNext exosome treatment is quick and has a minimal recovery time. You can go back home the same day!

Before & Preparation

This treatment starts with a consultation session with one of our experts. In his consultation, we will cover the following:

  • Discuss the results you anticipate from the treatment
  • Check if you are a good fit
  • Enlighten you on the risks of the procedure
  • Assess your state of health
  • Inform you of things to avoid before the treatment
Woman Receiving Belotero Balance Dermal Filler Injection.

During the Procedure

  • Duration:15-30 minutes
  • Site of Treatment: Face, chest, arms, thighs, buttocks, and abdomen
  • Pain: No anesthetic is needed
  • Step-by-step guide:
    • The applicator cleans the treatment area meticulously
    • If added on, the microneedling, laser, or peel treatment is done first
    • Using the disposable syringe, connected with the luer-lock syringe connector, ExoNext exosome is prepared 
    • Non-crosslinked hyaluronic acid is added to retain the ExoNext in the micro-injuries created by the microneedling or laser.

Aftercare & Recovery

When you get home, here are some things you must take note of:

  • Avoid sunlight exposure for 1-2 weeks. Use sunscreen.
  • Don’t use skincare products immediately after treatment
  • No strenuous activities for a few days post treatment
  • Maintain hydration and skin moisturization

ExoNext Treatment Areas

The areas that can be treated with ExoNext include:

  • Face
  • Neck
  • Chest
  • Scalp
  • Hand
  • Abdomen
  • Back
  • Knees
  • Thighs
  • Buttocks

ExoNext is an incredible advancement in skin rejuvenation. It has minimal side effects, great results, and little downtime. More youthful and attractive skin awaits you after this treatment! Book a consultation today!

Doctor Consulting Patient About Candidacy For Cosmetic Procedure.

Am I a Good Candidate?

  • Age: >18  yrs
  • Health: Good
  • Lifestyle: Active

ExoNext is a great treatment if you want to treat acne scars, wrinkles, acne, and other inflammatory conditions.

The following will make you ineligible for exosome therapy:

  • Acne vulgaris stages 3-4
  • Auto-immune disorders
  • Papulopustular rosacea
  • Scleroderma
  • Pregnancy
  • Breastfeeding
  • Long-term steroid use
  • Undergoing chemotherapy
  • Immunosuppressive diseases

Risks:

  • Same risks as blood transfusions, including infections such as blood-borne diseases.
  • Allergic reactions
  • Skin irritation

Similar & Related Procedures

  • PRP: This treatment utilizes blood components. It delivers plasma that is filled with platelets into the treatment area. It rejuvenates the skin, helps with hair growth, and reduces inflammation.
  • PRF: PRF is a derivative of PRP. It has the same beneficial results as platelets, growth factors, and peptide production for skin rejuvenation and hair growth, but for a longer period of effect as the platelets get held in place by the increased fibrin.

ExoNext vs PRP Vs PRF vs EZ Gel

ExoNext (Exosomes)
Source
Lab-derived from stem cells
Blood Draw Required?
No
Growth Factor Release
Highly concentrated & sustained
Cellular Components
Exosomes, microRNA, proteins
Inflammation
Low
Additives Used
Those for filtration purposes
Healing Potential
High
Best for
Skin rejuvenation, hair growth, tissue repair
Application Method
Topical (alone or atop microneedling or lasers)
Longevity of Effects
1-2 yrs
Shelf Life
Pre-packaged, long shelf life
PRP (Platelet-Rich Plasma)
Source
Patient’s blood (centrifuged)
Blood Draw Required?
Yes
Growth Factor Release
Rapid but short-lived
Cellular Components
Platelets, growth factors
Inflammation
Moderate
Additives Used
Anticoagulants only
Healing Potential
High
Best for
Skin, hair growth, joint, wound healing, dental procedures
Application Method
Topical or Injection (e.g., microneedling, scalp)
Longevity of Effects
1-2 yrs
Shelf Life
Must be used immediately
PRF (Platelet-Rich Fibrin)
Source
Patient’s blood (slow centrifugation)
Blood Draw Required?
Yes
Growth Factor Release
Slow, sustained release
Cellular Components
Platelets, growth factors, leukocytes, fibrin
Inflammation
Higher (but aids healing)
Additives Used
None
Healing Potential
Higher
Best for
Skin, hair growth, wound healing, dental procedures, joints
Application Method
Topical or Injection (microneedling, under eye, scalp, wounds)
Longevity of Effects
2 yrs
Shelf Life
Must be used immediately
EZ Gel
Source
Patient’s blood, heated and cooled to form a natural gel
Blood Draw Required?
Yes
Growth Factor Release
Sustained release due to gel matrix
Cellular Components
Platelets, fibrin matrix, growth factors
Inflammation
Low to moderate
Additives Used
None (100% autologous and additive-free)
Healing Potential
High
Best for
Skin rejuvenation, under-eye hollows, wrinkles, hair restoration, scars
Application Method
Injection (face, under eyes, scalp), sometimes combined with microneedling
Longevity of Effects
Up to 2 yrs
Shelf Life
Must be used shortly after preparation

Side Effects & Risks

Exosome products in the United States are regulated as biologics. Currently, no exosome product is FDA-approved for therapeutic injection. ExoNext is applied at Cosmetic Injectables Center Medspa as a topical post-procedure application following microneedling, laser resurfacing, or radiofrequency; not as a stand-alone therapeutic injection. Patients should expect mild redness, swelling, or sensitivity in the treatment area following the underlying energy-device procedure; specific risks of the energy device used are reviewed at consultation.

Patient Expressing Curiosity About The Side Effects Of Cosmetic Procedures.

Some common side effects include:

  • Pain
  • Redness
  • Swelling
  • Anaphylactic reaction
  • Infection

Why Choose Cosmetic Injectables Center Medspa for ExoNext

ExoNext exosome therapy at Cosmetic Injectables Center Medspa is delivered within a physician-led medical spa in Sherman Oaks, California, with protocols centered on biologic handling, sterility, and controlled topical application of exosome and secretome preparations following microneedling, laser, or radiofrequency. Exosome therapy is positioned within the medical spa’s broader regenerative aesthetics program; alongside PRP, PRF, EZ Gel, and Morpheus8; and is selected for individual patients on the basis of skin biology, prior treatment history, and clinical fit.

All exoNext treatments are overseen by Dr. Sherly Soleiman, MD, Founder and Medical Director of Cosmetic Injectables Center Medspa, who sets the standards for biologic selection, preparation, and clinical use. With over 25 years of medical experience, Dr. Soleiman’s training in anatomy and nonsurgical facial procedures informs how exoNext is evaluated, mapped, and performed in the medical spa setting, from consultation through follow-up.

Dr. Sherly Soleiman

Key reasons patients choose Cosmetic Injectables Center Medspa for exoNext include:

  • Board-Certified Physician: ExoNext regenerative therapy is directed by a board-certified physician who provides oversight for assessment, indications, and clinical decision-making in a medical spa environment.
  • 25+ Years of Medical Experience and Training: Longstanding medical practice supports nuanced choices around treatment candidacy, session timing, and integration of exoNext within broader regenerative and aesthetic care.
  • Founder & Medical Director Involvement: As Founder and Medical Director, Dr. Sherly Soleiman, MD develops and updates the clinical protocols for exoNext, aligning biologic therapies with medical standards for documentation, consent, and follow-up monitoring.
  • Biologic Handling and Application Protocols: ExoNext materials are managed with attention to storage, preparation, and application technique, reflecting a medical approach to exosome-based therapy rather than a purely cosmetic treatment.
  • Anatomy-Informed Regenerative Delivery: Placement patterns for exoNext are guided by detailed understanding of skin and soft tissue anatomy, allowing targeted regenerative support while maintaining a focus on safety and tissue health.
  • Physician-Led, On-Site Medspa Care: ExoNext is performed in a physician-supervised medspa where clinical staff are trained in biologic therapies, aseptic technique, and appropriate post-treatment observation.

Patients pursuing exosome therapy travel to Cosmetic Injectables Center Medspa from Sherman Oaks, Van Nuys, Burbank, Encino, Studio City, Tarzana, Glendale, Pasadena, Calabasas, Westlake Village, Thousand Oaks, and across greater Los Angeles for medically supervised, biologic skin rejuvenation under consistent physician oversight.

ExoNext exosome therapy is one of the regenerative biologics our licensed providers oversee at Cosmetic Injectables Center Medspa in Sherman Oaks for adult patients seeking topical biologic support after microneedling, laser, or radiofrequency. Patients in greater Los Angeles are welcome to discuss whether ExoNext; or an alternative regenerative therapy such as PRP, PRF, or EZ Gel; is the right fit for their skin and recovery profile.

ExoNext FAQs

What is ExoNext?

ExoNext combines exosome and secretome technology to treat a variety of skin conditions and hair loss. This treatment is effective and works well for all skin types. It has minimal recovery time, and you can get back to your daily activities shortly.

      Are exosome injections FDA-approved?

       No. Exosome products are regulated by the FDA as biologics, and as of 2025 no commercial exosome product is FDA-approved for therapeutic injection in the United States. ExoNext at Cosmetic Injectables Center Medspa is applied topically following microneedling, laser resurfacing, or radiofrequency; it is not administered as a therapeutic injection. The FDA has issued enforcement letters to clinics marketing injected exosome products for systemic indications. Our protocol follows the topical post-procedure application standard.

      How does ExoNext compare with PRP, PRF, and EZ Gel?

      All four are regenerative biologics applied to the skin, but they differ by source. PRP (platelet-rich plasma) and PRF (platelet-rich fibrin) are autologous; derived from the patient’s own blood draw. EZ Gel is an autologous protein matrix prepared from the patient’s blood. ExoNext, by contrast, is an allogeneic lyophilized exosome and secretome preparation that is reconstituted at the time of treatment. Selection between these biologics depends on skin biology, prior treatment history, and clinical fit. Our licensed providers review these variables at consultation.

      How does ExoNext work?

      This serum delivers exosomes and other secretomes to the dermis. ExoNext releases growth factors that will send messages to neighboring cells. They stimulate collagen and elastin formation. These will help hair growth,  wound healing, and cell regeneration. 

          What is the cost of ExoNext?

          The cost of ExoNext treatment varies based on the treatment areas, the location of the clinic, the expertise of the applicator, and the number of sessions. The average cost is between $1,000-$1,500 per vial. Our pricing is competitive.

            What are the side effects of ExoNext?

                There may be swelling, redness, infection, or irritation at the site of application. There can be more serious side effects, like anaphylactic reactions. However, this isn’t common!

                  What do exosomes do for skin?

                    Cytokines, growth factors, and immune-modulating enzymes inside exosomes signal to the skin to rejuvenate. This skin turnover and activation evens out skin tone and texture by reducing pigmentation and filling in wrinkles with one’s own collagen production.  The result is a smoother, firmer complexion, which lessens the visibility of fine lines and deeper wrinkles.

                    What are exosomes with microneedling?

                      While microneedling in and of itself induces a rejuvenation cascade of signals, simultaneous topical exosomes with their cell signaling enzymes add to the activation of cells to create a more potent procedure.  This powerful combination reduces the signs of aging, speeds up skin repair, and improves skin tone and texture overall.

                      How much does exosome skin treatment cost?

                        Typically, exosome skin treatments go from $500 to $2,500 a session, depending on the type and quality of the exosome, how it was derived, the amount used, the experience of the provider, and the location of the Medspa. We offer top-quality services at competitive pricing. Ask about our monthly specials!

                        How much does microneedling with exosomes cost?

                          The price of this combined procedure depends on the quality of the exosome (how it was derived /prepared) and the microneedling device. Also, the amount used and experience of the provider can total to a cost ranging from $800 to $3,000 per session. Our medspa carries top-quality products and devices at competitive prices. 

                          How much does exosome hair loss treatment cost?

                            Exosome treatments for hair loss cost between $800 and $3,000 per session, and several sessions are frequently advised for best results. Our prices are competitive.

                            How much does Morpheus8 with exosomes cost?

                              Exosomes can be applied to the skin after Morpheus 8 for better healing and more efficacious rejuvenation. This usually costs between $1,400 to $4,000, depending on the quality of exosomes used and provider experience. Using the top ingredients and devices in the market, our pricing is still competitive with the national average.

                              How much do exosome injections cost?

                                Exosome injections can cost between $800 and $2,000 per treatment, depending on the purpose (skin, hair, or joint therapy). However, bear in mind that Exosomes have not been FDA-approved for direct injection.

                                Where do patients travel from for exosome therapy at Cosmetic Injectables Center Medspa?

                                Patients pursuing ExoNext exosome therapy schedule consultations at our Sherman Oaks medical spa from Sherman Oaks, Van Nuys, Burbank, Encino, Studio City, Tarzana, Glendale, Pasadena, Calabasas, Westlake Village, Thousand Oaks, and across greater Los Angeles. The practice serves patients seeking medically supervised, biologic skin rejuvenation under consistent physician oversight.

                                What are the side effects of exosome skin care?

                                  As with any other topical agent, a risk of irritation or allergy to the product is possible, though unlikely.    In case of Exosome injections, however, the risks would be similar to any other allogeneic biologic product, such as blood transfusions. 

                                  Can exosomes cause tumors?

                                    While there is no current evidence that exosomes cause tumors, FDA approval is not needed for the topical application of these products. As for the injection of Exosomes, we look forward to companies investing in FDA clinical trials to study their safety further, as these products are relatively new to the aesthetic market.