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DOI: 10.1055/s-0045-1812020
Systematic Review of Stem Cells in Plastic, Reconstructive, and Aesthetic Surgery: Clinical Application in Anti-Aging Medicine
Autoren
Abstract
Background
The application of stem cells in plastic, reconstructive, and aesthetic surgery has emerged as a promising frontier in anti-aging medicine. Stem cells, particularly adipose-derived stem cells (ADSCs) and mesenchymal stem cells (MSCs), are increasingly utilized for their regenerative properties, offering innovative solutions for a range of aesthetic and reconstructive challenges.
Objective
This review explores the current and potential clinical applications of stem cells in plastic surgery, focusing on their role in grafting, facial rejuvenation, wound healing, soft tissue reconstruction, and hair restoration.
Materials and Methods
A comprehensive literature analysis was conducted using the PRISMA algorithm, examining studies and clinical trials that evaluate the efficacy, safety, and outcomes of stem cell-based therapies in plastic surgery. Emphasis was placed on the therapeutic mechanisms of stem cells, including their ability to enhance tissue regeneration, reduce scarring, and improve graft survival.
Results
Out of the 5,117 studies identified, 22 met the inclusion criteria, highlighting the diverse applications of stem cells in plastic surgery. These studies reported significant advancements in aesthetic and reconstructive outcomes.
Conclusion
Stem cell therapies represent a transformative approach in plastic surgery, offering significant benefits in aesthetic enhancement and functional restoration. While current applications show promising results, ongoing research is essential to address regulatory issues, ethical considerations, and the need for standardized treatment protocols.
Keywords
stem cells - plastic surgery - anti-aging - facial rejuvenation - wound healing - soft tissue reconstruction - cartilage regeneration - hair restorationEthical Approval
This study is a systematic review that used only data from previously published studies in the public domain; no new human participants were recruited and no identifiable individual-level data were used.
Patients' Consent
Not applicable.
Publikationsverlauf
Artikel online veröffentlicht:
10. Oktober 2025
© 2025. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)
Thieme Medical and Scientific Publishers Pvt. Ltd.
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References
- 1 Zhou BR, Zhang T, Bin Jameel AA. et al. The efficacy of conditioned media of adipose-derived stem cells combined with ablative carbon dioxide fractional resurfacing for atrophic acne scars and skin rejuvenation. J Cosmet Laser Ther 2016; 18 (03) 138-148
- 2 Kwon HH, Yang SH, Lee J. et al. Combination treatment with human adipose tissue stem cell derived exosomes and fractional CO2 laser for acne scars: a 12-week prospective, double-blind, randomized, split-face study. Acta Derm Venereol 2020; 100 (18) adv00310
- 3 Abou Eitta RS, Ismail AA, Abdelmaksoud RA, Ghezlan NA, Mehanna RA. Evaluation of autologous adipose-derived stem cells vs. fractional carbon dioxide laser in the treatment of post acne scars: a split-face study. Int J Dermatol 2019; 58 (10) 1212-1222
- 4 Park SY, Yi KH. Exosome-mediated advancements in plastic surgery: navigating therapeutic potential in skin rejuvenation and wound healing. Plast Reconstr Surg Glob Open 2024; 12 (08) e6021
- 5 Kim JH, Park SH, Lee BH, Jeong HS, Yang HJ, Suh IS. Early intervention with highly condensed adipose-derived stem cells for complicated wounds following filler injections. Aesthetic Plast Surg 2016; 40 (03) 428-434
- 6 Joo SY, Cho YS, Lee SY, Seo CH. Regenerative effect of combined laser and human stem cell-conditioned medium therapy on hypertrophic burn scar. Burns 2023; 49 (04) 870-876
- 7 Zhou SB, Zhang GY, Xie Y. et al. Autologous stem cell transplantation promotes mechanical stretch induced skin regeneration: a randomized phase I/II clinical trial. EBioMedicine 2016; 13: 356-364
- 8 Afif NH, Medhi DA, Novianti RR. et al. Clinical outcomes of stem cell metabolites formula derived from placenta for skin regeneration. Syst Rev Pharm 2020; 11 (05) 768-771
- 9 Park GH, Kwon HH, Seok J. et al. Efficacy of combined treatment with human adipose tissue stem cell-derived exosome-containing solution and microneedling for facial skin aging: A 12-week prospective, randomized, split-face study. J Cosmet Dermatol 2023; 22 (12) 3418-3426
- 10 Wang X, Shu X, Huo W, Zou L, Li L. Efficacy of protein extracts from medium of Adipose-derived stem cells via microneedles on Asian skin. J Cosmet Laser Ther 2018; 20 (04) 237-244
- 11 Lee HJ, Lee EG, Kang S, Sung JH, Chung HM, Kim DH. Efficacy of microneedling plus human stem cell conditioned medium for skin rejuvenation: a randomized, controlled, blinded split-face study. Ann Dermatol 2014; 26 (05) 584-591
- 12 Lee YI, Kim S, Kim J, Kim J, Chung KB, Lee JH. Randomized controlled study for the anti-aging effect of human adipocyte-derived mesenchymal stem cell media combined with niacinamide after laser therapy. J Cosmet Dermatol 2021; 20 (06) 1774-1781
- 13 Kim J, Kim B, Kim S, Lee YI, Kim J, Lee JH. The effect of human umbilical cord blood-derived mesenchymal stem cell media containing serum on recovery after laser treatment: A double-blinded, randomized, split-face controlled study. J Cosmet Dermatol 2020; 19 (03) 651-656
- 14 Chernoff G. The utilization of human placental mesenchymal stem cell derived exosomes in aging skin: an investigational pilot study. J Surg 2021; 6 (05) 1-10
- 15 Yusharyahya SN, Japranata VV, Sitohang IBS. et al. A comparative study on adipose-derived mesenchymal stem cells secretome delivery using microneedling and fractional CO2 laser for facial skin rejuvenation. Clin Cosmet Investig Dermatol 2023; 16: 387-395
- 16 Ichihashi M, Tanaka M, Iizuka T. et al. A single intradermal injection of autologous adipose-tissue-derived stem cells rejuvenates aged skin and sharpens double eyelids. J Pers Med 2023; 13 (07) 1162
- 17 Charles-de-Sá L, Gontijo-de-Amorim NF, Maeda Takiya C. et al. Antiaging treatment of the facial skin by fat graft and adipose-derived stem cells. Plast Reconstr Surg 2015; 135 (04) 999-1009
- 18 Wei H, Gu SX, Liang YD. et al. Nanofat-derived stem cells with platelet-rich fibrin improve facial contour remodeling and skin rejuvenation after autologous structural fat transplantation. Oncotarget 2017; 8 (40) 68542-68556
- 19 El Kahky H, Diab H, Helal HA. Half-side comparison between adipose tissue stem cell-enriched fat versus standard fat injection for hand rejuvenation. J Egypt Womens Dermatol Soc 2017; 14 (01) 25-30
- 20 Castro-Govea Y, García-Garza JA, Vázquez-Lara SE, González-Cantú CM, Chacón-Moreno H, Cervantes-Kardasch VH. Lipoinjection with adipose stem cells for nasal modeling: rhino cell, a highly versatile alternative. Arch Plast Surg 2023; 50 (04) 335-339
- 21 Kao WP, Lin YN, Lin TY. et al. Microautologous fat transplantation for primary augmentation rhinoplasty: long-term monitoring of 198 Asian patients. Aesthet Surg J 2016; 36 (06) 648-656
- 22 Gupta PK, Bhat S, Kannan S, Seetharam RN, Kolkundkar U. Therapeutic approach for hair growth and regeneration using bioactive formulation containing mesenchymal stromal cell-derived conditioned medium. J Cosmet Dermatol Sci Appl 2023; 13 (03) 182-208
- 23 Jones RE, Foster DS, Hu MS, Longaker MT. Wound healing and fibrosis: current stem cell therapies. Transfusion 2019; 59 (S1, Suppl 01): 884-892
- 24 Schaefer TJ, Szymanski KD. Burn Evaluation and Management(Archived). In: StatPearls. StatPearls Publishing; 2025. . Accessed April 16, 2025 at: http://www.ncbi.nlm.nih.gov/books/NBK430741/
- 25 Ojeh N, Pastar I, Tomic-Canic M, Stojadinovic O. Stem cells in skin regeneration, wound healing, and their clinical applications. Int J Mol Sci 2015; 16 (10) 25476-25501
- 26 Yoshimura K, Sato K, Aoi N, Kurita M, Hirohi T, Harii K. Cell-assisted lipotransfer for cosmetic breast augmentation: supportive use of adipose-derived stem/stromal cells. Aesthetic Plast Surg 2008; 32 (01) 48-55 , discussion 56–57
- 27 Gentile P. Adipose-derived mesenchymal stem cells, cell-based therapies, and biomaterials as new regenerative strategies in plastic surgery. Biomedicines 2022; 10 (08) 1875
- 28 Anderi R, Makdissy N, Azar A, Rizk F, Hamade A. Cellular therapy with human autologous adipose-derived adult cells of stromal vascular fraction for alopecia areata. Stem Cell Res Ther 2018; 9 (01) 141
- 29 Long C, Wang J, Gan W, Qin X, Yang R, Chen X. Therapeutic potential of exosomes from adipose-derived stem cells in chronic wound healing. Front Surg 2022; 9: 1030288
- 30 Cai Y, Deng C. Therapeutic application of adipose stem cell-free liquid extracts: skin aging, wound healing, scar recovery and nerve regeneration. Stem Cell Res Ther 2021; 25 (13) 2097
- 31 Dong L, Li X, Leng W. et al. Adipose stem cells in tissue regeneration and repair: From bench to bedside. Regen Ther 2023; 24: 547-560
- 32 Page MJ, McKenzie JE, Bossuyt PM. et al. The PRISMA 2020 statement: an updated guideline for reporting systematic reviews. BMJ 2021; 372 (71) n71
- 33 Svolacchia F, Svolacchia L, Falabella P. et al. Exosomes and Signaling Nanovesicles from the Nanofiltration of Preconditioned Adipose Tissue with Skin-B® in Tissue Regeneration and Antiaging: A Clinical Study and Case Report. Medicina (Kaunas) 2024; 60 (04) 670

