Exosome Therapy Gainesville FL
Exosome therapy is one of the regenerative options patients ask Dr. Indianos about for tired, textured skin. She applies it herself, paired with microneedling or microchanneling, using products from FDA-registered tissue banks, reviewed lot by lot. Exosome products are not FDA-approved, and she walks you through that openly. Call or text (352) 450-1004 to book.
Looking at scalp options specifically? See PRP and exosomes for hair loss for the evidence and the regulatory picture, explained plainly.
Consultation with Dr. Indianos, MD.
What Are Exosomes?
Exosomes from FDA-registered tissue banks, reviewed lot by lot and applied by the physician herself, paired with microneedling or microchanneling in a private, unhurried visit at 5010 W Newberry Rd, Gainesville.
Exosomes are 30 to 150 nanometer extracellular vesicles produced by mesenchymal stem cells (MSCs). They function as the cell’s signaling cargo, carrying growth factors (TGF-β, VEGF, FGF), cytokines, lipids, mRNA, and microRNA that modulate inflammation, stimulate fibroblast activity, and orchestrate tissue regeneration. Unlike whole stem cells, exosomes carry the regenerative signal without the cellular material, which means a more consistent product and easier sterile handling.
How Bespoke Sources Exosomes
Where the product comes from matters in regenerative medicine, and it is where we put our attention.
Tissue banks
Bespoke uses exosome products from FDA-registered, AATB-accredited tissue banks with full chain-of-custody documentation.
Processing
The products we use are isolated from screened donor MSCs, processed under cGMP standards, and shipped under cold chain.
Lot review
Dr. Indianos personally reviews each lot certificate of analysis before use.
We do not use research-grade, undisclosed-source, or imported products.
We use exosomes from FDA-registered tissue banks with full chain of custody, reviewed lot by lot. The product matters as much as the technique.
Dr. Carolyn Indianos, MD • Bespoke Aesthetics
What We Treat with Exosomes
Bespoke uses exosome therapy for three primary clinical indications:
Facial Skin Rejuvenation
Paired with microneedling, exosome application is designed to support the skin’s recovery and its collagen response. Patients ask about it for fine lines, post-acne texture, uneven tone, and overall skin quality. Most patients plan a series of 3 sessions spaced 4 to 6 weeks apart, and Dr. Indianos tailors the plan to you. Results vary.
Scalp & Hair Restoration
Microchanneling or scalp microneedling with exosome application is one of the scalp approaches patients ask about. Exosome products are not approved by the FDA for hair restoration or for any therapeutic use, and the FDA has issued public safety warnings about exosome products marketed for aesthetic and regenerative purposes. Whether any scalp approach is appropriate, and what it would involve, is determined with Dr. Indianos at consultation.
Post-Procedure Recovery
Topical exosomes can be added after microneedling or biostimulator injections (Sculptra, Radiesse). They are used in post-procedure protocols to support the skin’s normal recovery process; individual results vary.
Exosomes vs. PRP, What’s the Difference?
PRP (platelet-rich plasma) and exosomes both deliver growth factors, but they come from different biological sources and behave differently:
PRP
PRP is autologous, concentrated from your own blood. Growth-factor content depends on your physiology, age, nutrition, and that day’s draw.
Exosomes
Exosomes come from screened donor MSCs processed by a tissue bank, so the product is standardized and does not depend on your own blood draw that day.
Many patients ask which one is right for them. Dr. Indianos walks you through the evidence for each, and the choice depends on your skin, your goals, and whether you prefer a fully autologous option.
Both can be combined with microneedling. Bespoke also offers microneedling with PRP for patients who prefer that route.
Bespoke’s Exosome Protocol
Standard treatment-day workflow:
- Step one
Numbing
Topical anesthetic applied for 20 to 30 minutes.
- Step two
Microneedling
Microneedling or microchanneling, matched to your goals.
- Step three
Exosome application
Exosome serum applied directly to treated tissue while channels are open.
- Step four
Recovery
Post-treatment occlusive recovery sheet for 60 minutes. Take-home recovery skincare provided.
Total chair time: 60 to 75 minutes, in a private suite with easy parking. Visible improvement may begin at 2 to 4 weeks; collagen-mediated remodeling continues for 12 to 16 weeks per session. Call or text (352) 450-1004 to book (Mon-Fri 10:30 AM to 5 PM, Sat 12 PM to 4 PM).
Who Is a Candidate?
Exosome therapy is appropriate for adults seeking regenerative skin or scalp results who:
- Are not pregnant or breastfeeding
- Have no active malignancy or autoimmune flare
- Have no acute skin infection at the treatment site
- Can tolerate microneedling-style discomfort with topical anesthesia
Dr. Carolyn Indianos, MD
Founder and Medical Director, Bespoke Aesthetics
Exosome products are not FDA-approved, and she walks you through that openly.
We discuss the regulatory status, evidence base, and realistic expectations openly during your consultation.
Regulatory Note
Exosome products are not approved by the FDA for any therapeutic use. Bespoke uses only products sourced from FDA-registered, AATB-accredited tissue banks with chain-of-custody documentation. FDA registration of a tissue bank is not FDA approval of a product.
Important information. Exosome-based products are regulated by the FDA as biological drugs and are not FDA-approved for any use. The FDA has issued public safety warnings about exosome products marketed for aesthetic and regenerative purposes. Exosome treatments are considered only on an individual basis after a consultation and evaluation by Dr. Indianos to determine whether they are appropriate for you. Individual results vary and are not guaranteed. This page is general information and is not medical advice. Please consult Dr. Indianos about your individual situation.
Frequently Asked Questions
Common questions about exosome therapy at Bespoke.
Where do Bespoke’s exosomes come from?
From FDA-registered, AATB-accredited tissue banks under cGMP standards. Each lot ships with a certificate of analysis that Dr. Indianos personally reviews. We do not use research-grade or undisclosed-source products.
Is exosome therapy FDA-approved?
Exosome products in the U.S. are not approved as drug therapies. FDA registration of a tissue bank is not FDA approval of a product. We use only products from FDA-registered, AATB-accredited sources and discuss the regulatory framework openly during consultation.
How is exosome therapy different from PRP?
PRP is concentrated from your own blood, so it is autologous and its makeup depends on your physiology that day. Exosomes come from screened donor MSCs through a tissue bank and are standardized lot to lot. Dr. Indianos helps you choose between them at your visit.
How many sessions will I need?
Most facial-rejuvenation and hair-restoration protocols use a series of 3 sessions spaced 4–6 weeks apart, then maintenance every 6–12 months depending on goals.
How long is recovery?
Expect pink, slightly sensitive skin for 24 to 48 hours after a microneedling and exosome visit, like a mild-to-moderate sunburn that fades by about day 3. Most patients feel ready to be seen in 3 to 5 days.
Can exosomes treat hair loss?
Candidacy for scalp protocols is determined at your consultation with Dr. Indianos. Microchanneling with exosome application is a Bespoke protocol that can be combined with oral or topical regimens when appropriate for compounding effect.
How much does it cost?
Pricing depends on the indication and any combination service, and a 3-session series is available as a bundle. Call or text (352) 450-1004 for current pricing.
Is it safe?
Safety is the reason we source from FDA-registered, AATB-accredited tissue banks and review every lot certificate. Exosome products are not FDA-approved, and the FDA has issued public safety warnings about unapproved exosome products, so Dr. Indianos reviews your health history, screens you carefully, and discusses the risks with you before any treatment. The microneedling step carries its own routine risks, which she reviews with you as well.
Medically reviewed by Dr. Carolyn Indianos, MD, Founder and Medical Director, Bespoke Aesthetics.
Ready for an Exosome Consultation?
Your first consultation is complimentary.
Book your visit with Dr. Carolyn Indianos, MD. She will review your goals, screen for contraindications, and explain the sourcing and evidence so you feel fully informed before you decide. Call or text (352) 450-1004 (Mon-Fri 10:30 AM to 5 PM, Sat 12 PM to 4 PM) or request your appointment below.
Bespoke Aesthetics
5010 W Newberry Rd, Suite C, Gainesville, FLDr. Carolyn Indianos, MD • Physician-led regenerative and aesthetic medicine.