What can one microneedling with exosome treatment to the scalp make a difference? Yes.

Posted on December 31, 2025

Hair loss plagues almost all middle aged women. The key is to start early. Try to identify the causes. Be consistent.

Hair loss causes

The causes of hair loss or hair thinning are many. Most of us have multiple contributors. I have listed some of the major ones here.

<h3id=”what-treatments-do-we-have-for-hair-loss-at-dr.-greenberg’s-office”>What treatments do we have for hair loss at Dr. Greenberg’s office

We do not do testing at our office, but we have recommendations for who can help with hormone or thyroid issues.  And sadly we cannot fix aging, menopause, or stress- all common for our Bay Area patients. But we do have a few treatments which are very effective.

Microneedling with Age Zero Exosomes and Minoxidil

I think this will be a gold standard of hair restoration in the future. All three components have been shown to improve the hair independently. It has been shown to help with hair follicle growth, stimulating growth factors and new blood vessel formation. I really like that this does not need to be done daily. With the barrage of things we Silicon Valley women are asked to do every day- take vitamins, exercise, work, pick up the kids, make dinner, do red light therapy mask, floss your teeth- I love the idea of something that you do a few times and then it is done.

We purposefully picked our method.

We do plain microneedling. It is medical grade, adjustable depth, sharp sterile needles. Our microneedling does not have RF (radiofrequency) on purpose, as we do not want the heat energy at the follicle base. We want to preserve the fat under the scalp skin. We believe in the healing properties and importance of fat.

We use Age Zero exosomes by Resilielle.  We researched exosomes at length before picking a brand. “Exosome” is a broad term, and they are not all equal. The most effective exosomes are young (ours are Age Zero from Wharton’s Jelly), they are animal based (not plant based), and they are not lyophilized (which damages the exosome integrity).

Microneedling Program at Lauren Greenberg MD:

Before and After of one microneedling with exosome treatment

This photo is 5 weeks after a single treatment. Notice how the hair part is narrower. We could see fine new hair growth, particularly in the temple area and crown of the head.


The information provided on this website is for general informational purposes only and does not constitute medical advice, diagnosis, or treatment. Always seek the advice of a qualified healthcare provider for any questions regarding your health or medical condition.

This blog has been authored by Dr. Lauren Greenberg

Dr. Lauren Greenberg is a Stanford-trained, board-certified plastic surgeon who brings over two decades of experience and a strong commitment to natural-looking results. She is known for combining advanced techniques with an honest, thoughtful approach to help patients feel confident and empowered.

Schedule A Consultation