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August 25, 2026Facial Plastic Surgery

Development and Clinical Application of a Thermally Reconstructed Platelet-Rich Plasma Concentrate-Based Biofiller (ExoFiller)

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Authors

AÖAli Nurhan ÖzbabaCKCansen Yeni KutKTKemal Tunç Tiryaki

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Overview

Pilot study demonstrates improved stability and regenerative potential of ExoFiller in facial aesthetic patients, suggesting a durable autologous alternative for tissue augmentation.

Key Points

  • To evaluate the physicochemical stability, in vitro bioactivity, and clinical performance of a thermally reconstructed PRP-based biofiller (ExoFiller) compared to conventional PRP-Gel.
  • ExoFiller was prepared by mechanical activation, concentration, filtration, and thermal restructuring of autologous platelet-rich plasma.
  • In vitro tests assessed swelling behavior, degradation rates, cytokine expression via microarray, and cytocompatibility in human dermal fibroblasts.
  • A pilot clinical evaluation was conducted in 20 patients (aged 20 to 65 years) presenting with facial volume loss, scarring, or aesthetic rejuvenation demands.
  • ExoFiller demonstrated enhanced swelling capacity, slower degradation kinetics, and higher concentrations of regenerative mediators compared with conventional PRP-Gel.
  • In vitro testing confirmed favorable human dermal fibroblast viability and biocompatibility.
  • Preliminary clinical treatment achieved noticeable improvements in facial contour, volume restoration, and skin quality without adverse effects.

Cite This Study

Özbaba et al. (2026) studied this question.

synapsesocial.com/papers/6a8d4a34e8bd2413309bc2echttps://doi.org/10.1055/a-2925-9527
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