Objectives: Use of Biologics to treat and prevent recurrence of scarring alopecia and alopecia areata. Identify the anti inflammatory properties in adipose stem cells, PRP, and bone marrow. Avoid costly, marginally effective, and risky medications such as prolonged steroid use and JAK inhibitors

Objectives: This presentation explores exosome therapy for scarring alopecia, a condition marked by irreversible follicular destruction due to fibrosis, trauma, or inflammation. A brief review of a 300-subject study on exosome therapy for androgenic alopecia establishes its role in follicular regeneration and scalp homeostasis. We then examine case studies using the same protocol, assessing whether exosome-driven signaling, immunomodulation, and extracellular matrix remodeling can promote follicular neogenesis in cicatricial alopecia, defining the therapeutic limits of exosome-based interventions.