Dr. WorldWide | Frank Agullo, MD

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Fifty Hairs From the Back of My Head: YOU by Acorn and the End of the Exosome Hype Cycle

A few weeks ago I sat in a chair in my own clinic and let one of my team pluck fifty hairs out of the back of my head. Roots and all. Not a transplant. Not a vanity moment. A collection.

Those follicles went to Acorn Biolabs, a Canadian company that runs its lab in California. Forty-five days later a small box came back to me with twelve 2cc vials in it. Mine. Made by my own mesenchymal stem cells while they were stressed in culture for fifteen days. Not the cells themselves. The signal those cells produce when they are working.

A week after the box arrived I added two of those vials onto my own face during a Morpheus8 RF microneedling session in my MedSpa. Seven days later my wife looked at me across the kitchen and said, “What did you do? Your face looks better than it did a week ago.” That was not the Morpheus8 alone. That was the bottle with my name on it, delivered through the channels we had just opened.

What YOU by Acorn Actually Is

Acorn calls it YOU. The brand line is YOU for Skin and YOU for Hair. The technical word for what is inside the bottle is secretome.

A secretome is everything a stem cell secretes when it is in contact with a tissue that is asking for help. Not the cell itself. Not a soup of mystery exosomes. The signaling output. The growth factors, cytokines, proteins, collagens, and yes, the exosomes, in the proportions your own cells produce them.

Worth being precise about this, because patients keep getting it wrong. The bottle does not contain stem cells. The cells are banked separately by Acorn and stored as your property. The bottle contains everything those cells produced when the lab put them to work. Two different products from one collection.

The collection is the part patients always ask about first. Acorn is, by their own description, the first hair follicle stem cell platform of its kind. There are roughly 1,500 to 4,500 mesenchymal stem cells at the base of every one of your hair follicles. Pluck fifty of them from the back of your scalp, where the nerve density is forgiving, and the lab in California has more than enough cells to bank a quarter of them and put the other three quarters to work making your secretome.

The math the lab will tell you is straightforward. Roughly 34 times more concentrated than the best platelet-rich plasma you could draw on your best day. About 5 billion exosomes per vial. No preservatives. Stable refrigerated for 18 months. Pluck to first dose: about 45 days right now.

Where It Sits Next to PRP, PRF, and Exosomes

The regenerative aesthetics shelf is crowded and most of it is hype. Here is how I sort the actual contenders in 2026.

The table is not exhaustive. But it captures the choices a patient is realistically being offered today.

Why the Exosome Conversation Is Finally Getting Honest

For two years patients have walked into consultations holding bottles of donor-derived exosomes someone sold them. I will say what most of my colleagues already think.

An exosome is a carrier. An empty Easter egg unless you know what is inside it. Most of the donor exosome bottles on the market in 2026 are sold without published assays of payload. Worse, exosome companies are supposed to filter everything but the exosomes out of the product. So even if there is a useful signal floating in the supernatant, it gets discarded before it ships.

YOU by Acorn flips that conversation. The product contains about 5 billion exosomes per vial. It also contains the proteins, the cytokines, the collagens, the growth factors that live alongside them in your own biology. Acorn measures and reports those concentrations. You are getting a controlled, characterized, autologous regenerative signal, not a black box.

That is the difference. And it is why this is the first stem-cell-derived treatment in the United States I have been willing to use on my own face.

What It Can and Cannot Do

I will never tell a patient we can turn back the biological clock. The founder of Acorn, Drew Taylor, says the same thing in the same words, and that is part of why I trust the company.

What we can do is meet your tissue with the youngest version of your own signaling that is still bankable. The first time a patient does a collection, the lab cryopreserves a quarter of the cells. Those cells will sit, frozen, at the age you were when you collected. Every subsequent secretome run draws from that same starting point. Five years from now, ten years from now, your secretome is still being made from the version of you that walked into the room today.

That is the actual longevity claim. Not “younger.” More like a savings account, in cells, that pays out signals every time you make a withdrawal.

How It Gets Delivered

YOU by Acorn is a topical applied through microchannels, not an injectable. The currently approved use is application after microneedling, Morpheus8 RF microneedling, or fractional laser resurfacing on the face, and microneedling on the scalp for hair. The procedure opens thousands of microchannels into the dermis. The secretome is reconstituted with the topical hyaluronic acid that ships with the kit, dropped onto the freshly channeled tissue, and microneedled or rolled in while the channels are still open. The window closes within hours. That is when the signal reaches the compartment that is asking for it.

For face protocols I typically reconstitute two of the 2cc vials per session. For scalp work I run YOU as a microneedled scalp treatment in series. Patients who already trust their PRF or PRP scalp regimen do not have to choose; we layer YOU into their existing schedule for one or two sessions and let them tell us what they prefer.

Who Is the Right Candidate

Anyone scheduled for microneedling, RF microneedling, Morpheus8, fractional laser resurfacing, a medium-depth peel, or a hair restoration protocol who wants the most personalized regenerative topical we currently have. Anyone who has been quietly buying donor exosomes and wants to stop. Anyone who has had inconsistent PRP results and suspects, correctly, that their blood quality is part of the variable. Anyone in their forties, fifties, sixties, even seventies whose PRP drop-off has been measurable to them.

Anyone planning to bank for a family. Acorn’s family plan is two adults and up to four kids on a single banking subscription. The cells are yours, stored as your property, retrievable at any time.

What I Have Done With Mine, Honestly

I treated myself first. That has always been my rule for anything new in the practice. I have been on GLP-1s for the past year, dropped about twenty pounds, and there is no question my skin would have lost more elasticity than it has if I had not been keeping up with my MedSpa protocol. So I scheduled a Morpheus8 session in my own clinic, microneedled two cc of YOU by Acorn into the freshly channeled tissue, and went home. One week later my wife noticed before I did. The Morpheus8 alone is good. The Morpheus8 with YOU was different.

I am telling you the personal experiment because you should know what your surgeon is willing to do to himself before he offers it to you.

Why Choose Dr. Agullo for Regenerative Aesthetics in El Paso?

Double board-certified by the American Board of Plastic Surgery and the American Board of Surgery. Fellow of the American College of Surgeons. Mayo Clinic plastic surgery fellowship. Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center. Affiliate Professor at the University of Texas at El Paso. Castle Connolly Top Doctor for thirteen consecutive years. Texas Super Doctors Hall of Fame, 2025. Aesthetic Everything Top Plastic Surgeon, 2026. The Acorn Secretome was named a 2026 NewBeauty Award winner and Acorn was on Fast Company’s list of Most Innovative Companies of 2026, and we are early adopters in West Texas.

We are a clinic and a MedSpa under one roof. Surgery on one side, regenerative aesthetics on the other, the same surgeon planning both. That is not a marketing line. That is the only way the next ten years of this category get done responsibly.

Ready to Talk?

If you are thinking about microneedling, hair restoration, a peel, or a Morpheus8 course, and you want to understand whether banking your stem cells now and running secretome through your protocol makes sense for your skin and your decade, the most useful forty-five minutes of your year is a consultation with the surgeon who would actually plan it. I will tell you whether YOU by Acorn is right for you, whether you are better off with PRP or recombinant pure PDGF for the procedure you are considering, and whether the procedure itself is the one you actually need.

Call (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com. Follow along on social at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook. #StayBeautiful

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May is the month of Mother’s Day, hot weather creeping back, and somebody in the group chat asking, again, what I think she should get done before her sister’s wedding.

So this is my answer in writing. Three things on the May board at our Med Spa. Three I would actually book. Honest read on each.

If you have read me before, you know how I feel about wellness specials. Most of them are spa theater. Pretty room, candle, tiny outcome. The point of writing this post is the opposite. The three on this list move skin or move ink, and they move it in ways I can defend with a straight face the next morning when I scrub in.

Renew. Laser tattoo removal at 20 percent off per session.

Tattoo removal is the special on this list that earns its 20 percent discount the loudest, because tattoo removal is not one appointment. It is a course. Most patients need somewhere between six and ten sessions, spaced out about six weeks apart so the body has time to clear the broken pigment.

That spacing matters more than people realize. Stack the sessions too close and the skin punishes you. Space them right and the pigment lifts cleanly, with no scarring, on most colors and on most skin types.

Twenty percent off, applied across a full course, is real money. On a sleeve or a back piece it is the difference between thinking about it and doing it. May is also a strategically smart time to start. By the time the first holiday party season hits, a patient who started in May has three or four sessions in and is well past the point where the tattoo is the loudest thing on her arm.

What I want a tattoo removal patient to know going in.

We use medical-grade laser tattoo removal. The pigment, broken into smaller particles by the laser, is then cleared by your immune system, which is why the spacing between sessions exists. Color matters. Black is the most cooperative. Reds and warm yellows take more work. Cosmetic eyebrow tattoos and amateur work are usually the fastest cases. Old, deep, layered ink is the longest road. Whatever the case, sun avoidance between sessions is non-negotiable.

If you have been postponing it, this month is the time.

Restore. The Mother’s Day Radiance Facial, $125.

I am picky about facials. Most of them are smell-good and feel-good and do not actually change anything that I, as a surgeon, would be able to see two weeks later.

The Mother’s Day Radiance Facial my Med Spa team built for May is the exception. It is a real treatment facial, structured around exfoliation, deep cleansing, and active serums chosen by the aesthetician based on what your skin is actually doing that day. It is not a candle and a vibe. It is a $125 piece of skin care that earns its slot.

Who I would book this for.

A daughter buying for her mom. A mom buying for herself, which I am increasingly seeing and approving of, because a $125 facial bought without permission from anyone is a healthy line item in the budget.

The patient who has been working too hard, in too much sun, and whose skin looks duller than her actual age. This facial is a reset.

The pre-event patient. Wedding next month. Reunion. Big trip. A radiance facial twelve to fourteen days out is the right window. Long enough for any redness to settle, close enough that the glow is still on the skin when the photos happen.

What this facial is not. It is not a chemical peel. It is not a laser. It is not going to undo a decade of sun damage in one sitting. It is the maintenance layer of a real skin program. Used as such, it is excellent.

Revive. The Mother’s Day Refresh, $3,650. Nurses’ discretion.

This is the special I would have written off as marketing copy if I were not the one signing off on the protocol.

The Mother’s Day Refresh is a $3,650 facial balancing package. Dermal filler plus upper-face neuromodulator (the wrinkle-relaxer in the forehead, brows, and crow’s feet area), with the specific products and quantities chosen at the appointment by the injecting nurse based on the patient’s actual face, in the room, that day.

The phrase “nurses’ discretion” is the part I want to talk about, because that is what makes this package interesting.

Most filler-and-tox packages are sold by the syringe. One syringe of this, twenty units of that, on every face that walks through the door. That is convenient for billing. It is not great for outcomes. Faces are not standardized. A patient with a heavy lower lid and a flat midface needs a totally different distribution of filler than a patient with deep nasolabial folds and a strong cheekbone.

The Refresh package solves that by giving the nurse the budget to spend where the face actually needs it. If your forehead lines are loud, more goes there. If your cheekbones are flat, more filler in the malar area. If your upper lip is fine and your jaw is what is bothering you, the package goes where the work is.

This is how I want injectables done. By a nurse who has been trained to look at the whole face and to allocate product accordingly, not to count units off a price list.

Two real cautions.

One. This is a refresh, not a redesign. If your face has changed materially in the last decade, what you actually want is a surgical conversation with me, not a filler package. Filler is a tax. A facelift is an investment. I have written that line before and I will keep writing it, because it keeps being true.

Two. If you have never been injected before, the Refresh is a good first step but go in with realistic expectations. The result is a quieter, more rested version of you. Not a different face.

A clean comparison

Where to come, East or West

The Med Spa at Southwest Plastic Surgery runs out of two El Paso locations.

The Eastside office is at 1387 George Dieter Drive, Building C, El Paso, Texas 79936.

The Westside office is at 5925 Silver Springs Drive, Suite C, El Paso, Texas 79912.

You can book at either. The Med Spa team works across both sites and the protocols are the same. Pick the side of town that is easier for you that week.

A note on who is doing the work

I want every patient who walks into my Med Spa to know who is supervising the room. I do. I am Frank Agullo, MD, FACS, double board-certified, Mayo Clinic plastic surgery fellowship alum, Clinical Associate Professor of Plastic Surgery at Texas Tech University Health Sciences Center, Castle Connolly Top Doctor for thirteen consecutive years. The Med Spa is not a side hustle. It is the non-surgical arm of my surgical practice, and the protocols are written and overseen by me.

That is the only way I would put my name on a $125 facial or a $3,650 refresh package. The standard is the standard.

Ready to talk?

Call our Med Spa at (915) 590-7907 to book any of the May specials at the Eastside (1387 George Dieter Building C) or Westside (5925 Silver Springs Suite C) office. For surgical or combined consults, call my main office at (915) 590-7900, text 1-866-814-0038, or book online at agulloplasticsurgery.com/appointments. Follow me at @RealDrWorldWide on Instagram, TikTok, and Snapchat, @Agullo on X, or @AgulloPlasticSurgery on Facebook. #StayBeautiful