Non-Surgical · Results

Exosome Facial Before and After

What changes, when it shows, and how to judge a photograph

Gangnam, Seoul | Board-certified plastic surgeon, Dr. Jonghwan Choi
KHIDI-registered for international patients · Apgujeong Rewind

Before and After Before and After Before and After Before and After Before and After Before and After 
Change

Results

Exosome facial before and after: what a fair comparison shows

The short answer

A fair exosome before-and-after shows changes in skin quality: surface texture, the look of pores and how even the tone reads. It does not show lifting, new volume or a different face shape, because neither the vial nor the Sylfirm X pass it is paired with at Rewind is designed to produce them. In the first days the photograph mostly records healing from the needling pass. What remains after that has settled is the result, and it is judged at a review appointment.

Rewind has not released case photographs for this combination, so none appear on this page. Pictures of other people's skin, taken in other rooms, would say nothing reliable about treatment here.

Online galleries for exosome facials tend to share a few habits. The after picture is taken in softer light, a day or two after the session, with the redness from the pass reading as a healthy flush. Hydration and swelling can make skin look smoother for a short while, and neither lasts. None of this is a result in the sense a patient means.

The published literature is more cautious than the galleries. A 2026 systematic review of vesicle-based treatments for non-surgical facial rejuvenation looks at effectiveness and safety together, and a separate review collects complications reported after exosome use. Both are listed at the foot of this page, and both are worth reading before judging any photograph.

Patient lounge at Rewind Plastic Surgery in Apgujeong, Seoul
Fig. 01 · Results are judged at review, back where the plan was first made
Look

What to look for

Changes an exosome facial can show, and changes it cannot

When you compare your own photographs, look at the skin before the shape of the face. These four points are the ones worth checking, and the last is the one most often confused in advertising.

check 01
Surface texture
Fine roughness and shallow unevenness, most visible in side light. The main target of the device pass underneath the vial.
check 02
Pore appearance
How visible the openings on the nose and inner cheeks look. One of the aims the clinic records for Sylfirm X.
check 03
Evenness of colour
Diffuse redness and uneven tone. Fixed brown pigment is a separate complaint with its own laser plan.
check 04
Shape and lift
Jawline, folds and cheek position. A change here in an exosome photograph points to lighting, angle or another treatment.
Frame

Reading a photograph

How to read an exosome before-and-after photo

A photograph can document a skin change or invent one. Four conditions separate the two, and they apply equally to gallery images and to the pictures you take of yourself.

01Light

The same light in both frames

Direct, even light flattens texture and pores; light from one side exaggerates them. A before taken under side light and an after taken facing a window will show improvement that never happened.

02Angle

The same distance, angle and expression

A slight turn of the head changes how the cheek catches light, and a relaxed face reads smoother than a tense one. Both frames should be taken from the same spot, with the face in the same position.

03Bare

Bare skin both times

Makeup, tinted sunscreen and a fresh layer of moisturiser all change how skin photographs. Both pictures should be of clean skin, taken before anything is applied.

04Timing

A stated time point after the session

A photograph taken two days after a needling pass shows a face in recovery. Comparisons are useful only once redness and pinpoint marks have gone, and an after picture with no date attached cannot be interpreted at all.

Dr. Jonghwan Choi reviewing a patient's skin at a follow-up consultation
Fig. 02 · At review the doctor looks at the skin itself as well as the pictures
Rewind

Our position

Why Rewind shows no exosome case photographs yet

A before-and-after page without pictures needs explaining. These are the reasons, and they also set out the standard this page will hold any future case images to.

01Own patients

Only Rewind's own patients, shown with their consent

The case images the clinic has released so far are surgical. Until patients treated with this combination here have consented to publication, the space stays empty. Borrowing a manufacturer's gallery would tell you about another setting entirely.

02Skin claims

Pictures would show skin quality, and skin quality only

Any exosome case image published here will be labelled for what it can show: texture, pores and tone. It will not be offered as evidence of lifting or volume, since the treatment is not aimed at either.

03Review

A board-certified plastic surgeon reviews your result

Dr. Jonghwan Choi, who set the depth and energy of your session, examines the treated skin at review and decides whether another session is worthwhile, and whether it needs the vial.

Dr. Jonghwan Choi, board-certified plastic surgeon and medical director at Rewind
Fig. 03 · The surgeon who planned the session reviews the result
Record

Keeping a record

Recording your own exosome before and after during a visit to Seoul

Treatment room at Rewind Plastic Surgery, Gangnam

Fig. 04 · A treatment room at the Apgujeong clinic

Consultation room at Rewind Plastic Surgery

Fig. 05 · The consultation room, where the plan and the review take place

If you are travelling for treatment, the most useful thing you can bring home is a comparison you trust. Take your before picture on the morning of the session, on clean skin, facing a window, and note the time and the spot you stood in. Take the after pictures in the same place and light once the first-week redness has cleared, and again later on. Bring both sets to your review, in person or remotely, so the doctor can compare them with what he sees on your skin.

Before photo on session morning
Clean skin, no tinted products
Same light, spot and angle each time
After photos once redness clears
Dates noted on every picture
Reviewed with Dr. Jonghwan Choi

The session itself follows the usual order: examination, the Sylfirm X pass at the depth the doctor sets, and the vial applied over the treated skin if it is part of your plan. Ask for the sealed packaging to be opened in front of you, and photograph the label if you want a record of the product that was used.

Rates

Pricing

What an exosome facial costs at Rewind before you judge the result

Knowing what was paid for makes a result easier to judge. The exosome line on the sheet combines a vial with the device at its combined rate, and the device can also be booked on its own.

Exosome 1 vial with Sylfirm XThe combined session this page describes
Quoted at consultation
Sylfirm X, combined rateWhat the pass costs when a vial follows it
₩250,000
Sylfirm X, standaloneThe pass with no vial, for comparing like with like
₩350,000

Listed prices do not include VAT, which is added at payment; numbing is counted inside each rate. The vial component is confirmed on your written quote. No course price is published because the number of sessions is decided at review.

Fit

Expectations

Whose exosome before and after is likely to look modest

A visible skin-quality change is more plausible when

  • Texture and pore appearance are the main concern, and the skin is otherwise in good condition
  • The device pass is indicated in its own right, with the vial considered as an addition
  • You can keep to the first week of aftercare, including daily sunscreen
  • You are willing to wait for the review before judging the result

The photographs are likely to disappoint when

  • The real concern is sagging, hollowness or a softened jawline
  • Fixed pigment such as melasma is the main complaint
  • Breakouts are active, or the skin is irritated from recent peels or retinoids
  • A single session is expected to match an online gallery
Time

Timeline

How soon exosome facial results show, from the first evening to review

The early days after a session are shaped by the needling pass, and they follow Rewind's aftercare sheet for Sylfirm X. The last stage uses the clinic's general guidance on how long device treatments hold.

First evening
Redness, not results
The face stays unwashed for seven to eight hours. Flushing and pinpoint marks are recovery, and photographs taken now are not comparisons.
From day one
Looking normal again
Gentle cleansing and makeup are allowed without rubbing. Most visible marks fade over the following days.
First week
Protect the skin that is changing
Sauna, steam rooms, swimming and exfoliants wait seven days. Sunscreen is applied daily from the start.
At review and after
The comparison that counts
The doctor judges the settled skin. Rewind's device page, which covers Sylfirm X, puts the effect of its device treatments at six months to over a year, depending on skin condition.

Individual results may vary. Redness, swelling, pinpoint bleeding, bruising and itching are expected after a needling pass, and infection is uncommon. Published reports describe reactions after exosome products, including inflammatory ones, collected in the complications review listed below. Worsening pain, spreading redness, pustules or fever should be reported to the clinic straight away.

Doctor

Professional

At Rewind, one board-certified plastic surgeon carries every case — from the first consultation to the final follow-up. Because a face is a story, and a story deserves a single author.

Dr. Jonghwan Choi, board-certified plastic surgeonRewind,
Dr. Jonghwan Choi presenting at an academic session
Fig. 06 — Academic presentation

Rewind's Doctor

Dr. Jonghwan Choi Medical Director

One surgeon, from the first
consultation to the last follow-up.

A board-certified plastic surgeon devoted to anti-aging lifting — with the precision and restraint built through years of craniofacial practice.

Board-certified plastic surgeon (Plastic Surgery)
10 peer-reviewed publications
Medical Director, Rewind Plastic Surgery
Korean Society of Plastic & Reconstructive Surgeons
Former chief director, Apgujeong Y&T Plastic Surgery
Korean Society for Aesthetic Plastic Surgery
J Craniofac Surg · JKMS · Arch Craniofac Surg
Korean Cleft Palate-Craniofacial Association
Voices

Google Reviews

What our patients say.

G 5.0 ★★★★★ 12 Google reviews · Rewind Plastic Surgery, Apgujeong — live-synced from Google Business Profile

"Sample review card — at launch this section pulls the clinic's real Google reviews automatically, shown verbatim with the reviewer's initial and posting date."

AReviewer namePOSTED ON GOOGLE

"Sample review card — reviews are never written or edited by the clinic; only what patients posted on Google appears here."

BReviewer namePOSTED ON GOOGLE

"Sample review card — a 'See all reviews on Google' link takes visitors to the clinic's Business Profile."

CReviewer namePOSTED ON GOOGLE
Ask

Questions

Exosome facial results: questions before and after

What do exosome facial before and after results look like?
When the comparison is fair, the differences are in skin quality: smoother texture, less visible pores and more even tone. Changes in face shape, lift or volume are outside what this treatment targets. Individual results may vary, and some skin shows little change.
How soon after exosome therapy do results show?
The first days mainly show recovery from the needling pass, such as redness and pinpoint marks. The skin is judged once that has settled, at a review the doctor schedules. Rewind publishes no fixed timeline for this combination, so avoid comparing photographs taken in the first week.
Why are there no exosome case photographs on this page?
Rewind has not yet released case images for this combination, and it shows only its own patients' photographs with their consent. Images from manufacturers or unrelated galleries would describe different skin, different settings and different lighting.
Is the glow straight after the session the result?
No. Flushing, mild swelling and extra moisture in the skin can make it look smoother for a day or two. That effect fades. The comparison worth making is after the first-week aftercare, with the same light and angle as your before picture.
How long do the results of an exosome facial last?
Rewind's device page, which covers Sylfirm X among its devices, states that effects can last from six months to over a year, depending on skin condition. The clinic gives no separate figure for the exosome vial, and skin keeps ageing whatever is done.
What should my own before photo look like?
Clean, bare skin, photographed on the morning of the session, facing a window, from a spot you can return to. Note the date and time. Take the after pictures the same way, and bring both sets to your review.
What did the session in a set of exosome photos cost at Rewind?
Two published figures frame it. Sylfirm X booked without a vial is ₩350,000; with a vial, the device is charged at ₩250,000 and the vial component is written into your quote. Tax is added at payment in both cases.
What problems could show up in the after photos?
Prolonged redness, marks from picking, new pigment where sunscreen was skipped, or a rash or bumps from a reaction. Reactions after exosome use, including inflammatory ones, are described in published reports. Show any of these to the clinic promptly, without waiting for the review.
Booking

Reservation

REWIND,booking

Tell us which change you would like to see in your skin, and send a clear, bare-skin photo if you have one, and the reply will say what a realistic result looks like.

By sending this inquiry you agree that Rewind Plastic Surgery may use the details above to contact you about your consultation. We keep them only for that purpose.

Scientific evidence

Research to read before judging exosome results

These four reviews were chosen because they keep expectations close to the evidence: a systematic review of vesicle-based facial rejuvenation, a comprehensive review of current applications, a review of reported complications, and a viewpoint on how patients should be counselled about evidence, regulation and consent. None was conducted at Rewind Plastic Surgery or funded by it, and none can forecast how your own skin will look.