Cell-Free Regenerative Treatment

Secretome Therapy
in Subang Jaya at Dr Soma Plastic Surgery

Healthy skin repairs itself through communication between cells. Secretome therapy uses that way cells talk by taking the cell‑free mixture of growth factors, proteins and vesicles that cultured cells release, to support skin healing and rejuvenation. I have seen how this works. Secretome therapy contains no living cells and Secretome therapy is best understood as an aesthetic treatment, not a cure or a replacement, for established dermatological care.

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Secretome therapy skin treatment at Dr Soma Plastic Surgery, Subang Jaya

What Is Secretome Therapy?

The secretome is all the molecules that cells release into their environment. In medicine secretome products are usually made by growing cells, especially mesenchymal stem cells, which come from sources, like umbilical cord tissue, fat tissue or bone marrow. The liquid where these cells grow called conditioned medium is collected, filtered and prepared for use.

The result carries the signalling molecules the cells produced, without the cells themselves. This is why secretome therapy is described as "cell-free", and why it differs from stem cell therapy, which involves living cells. Exosomes are one component of the secretome, which we explain in our guide to exosome therapy.

How Secretome Therapy Is Thought to Work

The proposed mechanisms rest mainly on laboratory studies and early clinical research:

Calming inflammation: cytokines and vesicle cargo may help regulate the skin's inflammatory response
Supporting collagen-producing cells: growth factors may encourage fibroblast activity
Supporting healing: pro-angiogenic factors may help skin recover after procedures such as microneedling or fractional laser

These are proposed effects, not guaranteed outcomes, and individual response varies.

What Is Inside a Secretome?

Growth factors (e.g. VEGF, FGF, EGF, TGF-β)
What It Is
Signalling proteins
Proposed Role in Skin
Support fibroblast activity, new blood vessel formation and tissue repair
Cytokines and chemokines
What It Is
Immune-signalling proteins
Proposed Role in Skin
Help modulate inflammation
Extracellular matrix proteins and enzymes
What It Is
Structural and regulatory proteins
Proposed Role in Skin
Support the skin's structural environment
Extracellular vesicles, including exosomes
What It Is
Membrane-bound particles carrying proteins, lipids and RNA
Proposed Role in Skin
Deliver messages between cells
Lipids and metabolites
What It Is
Small signalling molecules
Proposed Role in Skin
Contribute to the healing environment

Composition varies between products depending on the cell source, culture conditions and processing method, which is an important reason to ask questions about any product before treatment.

Concerns Where Secretome Therapy May Be Used

Dull, uneven skin texture
Typical Approach
Applied after microneedling, or as a skin booster
Evidence Status
Early; small studies
Recovery after laser or microneedling
Typical Approach
Applied to treated skin
Evidence Status
Small studies, including split-face designs, suggest improved recovery; protocols vary
Fine lines and early signs of ageing
Typical Approach
Part of a wider rejuvenation plan
Evidence Status
Limited; benefits appear modest and variable
Redness and skin sensitivity
Typical Approach
Calming adjunct
Evidence Status
Limited
Pigmentation (sun damage, melasma)
Typical Approach
Adjunct only
Evidence Status
Very limited; not a standalone treatment
Hair thinning
Typical Approach
Scalp application alongside established treatments
Evidence Status
Early evidence; does not replace proven therapies

At Soma, secretome therapy can be combined with other options such as microneedling, PRP or laser treatment where your doctor considers it appropriate, within the broader range of cellular rejuvenation therapies.

Who May Be Suitable, and Who Should Be Cautious

You may be a suitable candidate if you:

Want a non-surgical option to support skin quality or post-procedure recovery
Understand that results are gradual, subtle and variable
Are in generally good health and prefer a cell-free option

Please speak to your doctor first, or avoid treatment, if you:

  • Have an active skin infection, open wound or inflamed acne at the treatment site
  • Have a known allergy to any component of the product
  • Are pregnant or breastfeeding, since safety data are limited
  • Have an immune condition, active cancer, or a tendency toward keloid scarring

Your Secretome Treatment Process

1. Consultation

Your doctor reviews your skin concerns, medical history, medications and goals

2. Product Discussion

You are told which product is used, its source and what is known about it

3. Preparation

The skin is cleansed and prepared

4. Application

The product is applied topically, usually alongside a procedure such as microneedling, as your doctor recommends

5. Aftercare and Review

You receive written aftercare instructions, and progress is reviewed later

Doctor applying secretome serum after microneedling at Dr Soma Plastic Surgery

What to Expect during Secretome Therapy: Results, Downtime and Sessions

Downtime usually stays very small. After microneedling you might see a little redness, warmth or tightness that can last a few hours or a few days. The changes from microneedling are usually slow and gentle like skin texture, more water in the skin or feeling more at ease instead of big dramatic shifts. Most microneedling plans have several sessions spaced a weeks apart but there is no set rule for the best timing so your doctor will decide the schedule. No one can promise a result.

What the Secretome Therapy Evidence Shows

What research suggests:

Laboratory studies show that MSC-derived secretome can influence inflammation, fibroblast activity and wound healing
Small human studies, particularly in post-laser recovery and skin quality, report encouraging but modest findings

What is not yet established:

Most studies are small and short-term, with different products and protocols, so results cannot be directly compared
There is no standardised definition, dose or potency measure for secretome products
Long-term benefit and safety data are limited
To date, no major regulator, including the US FDA, has approved secretome or exosome products for disease treatment

Secretome Therapy: Risks and Safety

Secretome therapy is not risk-free. Possible concerns include:

Skin irritation, redness or temporary stinging
Allergic reactions to product components
Infection if a product is contaminated or poorly handled, especially with unregulated products or injected use
Inflammatory reactions or nodules, uncommon but reported with some vesicle-based products
Variable product quality between manufacturers

Safety depends heavily on product sterility, source and who administers it, so treatment should only be done by a qualified doctor in a proper clinical setting.

Questions Worth Asking Before Any Secretome Treatment

  1. 1What cells is this product derived from, and where is it manufactured?
  2. 2Is it tested for sterility, endotoxin and identity, and can I see the documentation?
  3. 3What is its registration status under Malaysian rules?
  4. 4What evidence supports its use for my specific concern?
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Frequently Asked Questions

Common questions about secretome therapy

Secretome therapy uses the cell-free mix of growth factors, signalling proteins and vesicles released by cultured cells, usually stem cells, to support skin healing and rejuvenation. It contains no living cells.
No. Stem cell therapy involves living cells, while secretome therapy uses only the substances those cells secrete. No living cells are present, so the biology, evidence base and regulation differ.
Exosomes are one part of the secretome. The secretome includes a mix of substances like growth factors, cytokines and extracellular vesicles. Exosome therapy focuses on the vesicles while secretome therapy uses the full range of secreted materials.
Downtime is usually very low. After treatments like microneedling you might have some redness, warmth or tightness. These effects typically fade within a hours to a couple of days. Your doctor will provide aftercare instructions tailored to your treatment.
The number of sessions depends on your skin goals and the treatment plan your doctor suggests. Most people get a series of sessions spaced weeks apart. Still there isn’t evidence to say how often is best and results vary from person to person.
In settings topical secretome therapy is generally well-tolerated based on small studies. Still possible risks include skin irritation, allergic reactions or infection if the product isn’t sterile. Safety depends a lot on the quality of the product, how it’s made and who is giving the treatment.
The evidence is still early and limited. It might help as a treatment but it’s not proven to work alone for hair loss or melasma. Established treatments are still the approach for these conditions.
People with skin infections, allergies to the product ingredients or who are pregnant or breastfeeding should not use it. Those with system issues or a history of keloids should talk to their doctor before trying it.
No major health regulator, including the US FDA has approved secretome or exosome products for treating diseases. Ask your clinic about where the product comes from, how its tested and its registration status under regulations.

Book a Consultation

If you would like to know whether secretome therapy is appropriate for your skin, book a consultation with our team. Your doctor will assess your skin, explain the product and its evidence honestly, and recommend a plan that fits your goals.

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