OneSkin Hair Serum Review: Before and After

A New Option for Hair Restoration?

As we set out to complete our review of OneSkin’s OS-01 Hair Serum, we knew we were building upon the science they’d already been very successful in taking to market. 

We have thoroughly profiled the core technology behind OneSkin - namely the OS-01 peptide.  This peptide has been powerfully demonstrated to activate the repair mechanisms in skin which eliminate senescent cells in the skin.

It seems pretty clear that there then might be a follow-on application for hair loss, given that there is now an emerging and clear connection between these cells and hair loss.

In this One Skin Hair Serum Review article, here’s what you can expect:

  • A brief introduction to the science behind OS-01 Hair

  • A 1:1 interview with Matthew McConaughey on why he loves One Skin Hair serum (JOKES!)

  • Some early clinical trial data for One Skin Hair

  • My personal before & after results at 3 months and 6 months

    • (here’s the summary: it appears to work! But it took 6 months)

  • Before and after images, including high resolution imagery

While the science is still being settled on exactly how and to what extent cellular senescence impacts hair growth, here is what we know so far:

  • The cells which drive hair growth and or the surrounding skin can become sensescent

  • When they do, the hair follicle loses its ability to regenerate 

  • Progressively, hair becomes thinner, less dense as a result 

  • In particular it results in few hair follicles entering their ‘androgen’ or ‘growth phase’ of the hair growth cycle

  • Thereby, cellular senescence is one of the drivers of hair loss

OneSkin’s Co-Founder and Chief Science Officer Alessandra Zonari, in an interview with A Longer Life in April 2025 had this to say:

“We started by culturing hair follicle cells and then exposing them to stress hormones to see if they would become senescent. From there, we tested whether our OS-01 peptide could reduce the formation and accumulation of these senescent cells.

And the results were promising. We observed a 20% reduction in the formation of senescent cells, and more than a 30% decrease in the release of inflammatory cytokines. These findings were really exciting and gave us the confidence to begin developing a formulation that could deliver the OS-01 peptide directly to the scalp to evaluate its impact on hair growth.”

OneSkin OS-01 Hair Serum:

Before and After Review

Does OneSkin’s Hair Serum (OS-01 Hair) really work in the real-world, outside of the laboratory? Of course the most important question is - will it work for you? Is it safe for sensitive skin? My ambition with this review article is to demonstrate how you can answer this very question.

As with all longevity technologies, they offer great promise, but often with only very preliminary scientific evidence to support their efficacy.

OneSkin’s OS-01 Hair Serum falls perfectly into this category. While there is a strong argument for the involvement of senescent cells in hair loss, as outlined in our 1:1 interview with CSO Alessandra Zonari - the evidence that this particular product is quite early stage.

As recently as April 2025, the company published results from 6 months of testing on a relatively small cohort of test individuals (30 people), produced through a third-party research organization. 

Results are promising and include:

“At baseline, 3 months, and 6 months, participants were measured for hair growth with instrumental analysis HairMetrix® clinical photography, Trichoscopy, and Phototrichogram with analysis to evaluate:

  • Density (hair count per cm2 & inter-follicular mean distance)

  • Thickness (sum of hair width per cm2 & average hair width (thickness))

  • Count of anagen (growth phase) hairs”

    Source: https://oneskin.pxf.io/xLXPxA

Overall, they observed:

  • 86% of participants had an average improvement of +39% in hair count

  • 70% of participants had an average improvement of +10 in hair density

  • 73% of participants had an average improvement of 42% in anagen phase hairs (hairs actively growing)

So naturally, I set out to replicate this study on myself, taking particular interest in the results in men, which saw a full 100% of participants experience improvement in hair thickness.  Is it ‘hair growth cycle’ or hair growth hype?

Let’s take a look at what I did, and how you can repeat a similar self-experiment at home. 

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For my self-experiment with OneSkin, I applied the OS-01 Hair Serum in both the morning and evening. 

Prior to application, I used the provided dermaroller, which assists in the absorption of the serum into the deeper skin surrounding your hair follicles (which are located relatively deep within your skin).  You should use it according to the instructions, rolling 3-4x times in each of the four different directions (up, down, left, right).

When done correctly with the right amount of pressure, there should be some visible reddening of the skin, indicating that you’ve made the small perforations in the skin required for absorption.

Massage the product into the scalp, taking care to work it into the boundary of your hairline with your forehead. The more of the product you can get onto the scalp in the areas you are targeting, the more chance you have of seeing successful results. I found that brushing my hair back and holding it in place with a headband was very helpful. 

I used the product for 6 months, taking before and after images, including at 3 months into the self-experiment. 

How I Gathered Before and After Images for OneSkin Hair

Taking directly comparable photos of your hair line with your smartphone is actually quite tricky. But doing it correctly can provide you with the data you need to track your results. 

When you consider that your head is roughly the shape of a sphere, throw in the many different angles of the camera you are using - the combination of possible images you could take becomes mind-boggingly large. My first suggestion to you is that you do not try to take these photos yourself - get some assistance, particularly with the ‘after’ photos.

Keep the ‘before’ images you want to match readily available, preferably on a secondary devices such as a tablet, laptop or second smartphone. This will enable you to match the two photos as best you can.

Use natural lighting, keeping track of the time of day and relative sun exposure. Use the same location if possible, and always avoid using the flash option on your camera. 

Unfortunately on my end, this wasn’t all possible. I work from home and had recently moved house - making the ‘after’ photos difficult to match. However, I was able (with a lot of patience) produce comparable photos, which were revealing.

OneSkin Hair Before and After Images

With this self-experiment now complete, I’ll share both my 3 month and 6 months results.

In the analysis, we are looking to see if we can identify:

  1. New hair growth (shorter hairs that have entered their androgen phase of the hair growth cycle after being dormant)

  2. Improved hair density

  3. Any improvement in hair thickness

In this review, I target the corner of my hair line on both sides, where I have experienced the early stages of thinning over the past decade.

Hair Serum Review at 3 Months

Left Side

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Left-Side

Left Side | Before and After 3 months

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Left-Side-with callouts

Left Side showing callouts | Before and After 3 months

As previously mentioned, we aren’t exactly apples to apples here with the photography, but that doesn’t mean we can’t look for the evidence with a trained eye. 

What I observed at 3 months is evidence of some new hair growth (androgen phase), demonstrated by the shorter hairs emerging in the call-out region (in the circle).  I believe there is also some apparent thickening of the hair just behind the hairline (in the rectangle). Microscopic imagery will be used to confirm.

Let’s take a look at another angle… 

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Left-Side-2.jpg

Left Side Angle 2 | Before and After 3 months

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Left-Side-2-callouts.jpg

Left Side Angle 2 showing callouts | Before and After 3 months

At 3 months, there appeared to be greater density of hairs along the initial front of the hairline, where there has been notable thinning prior to using OS-01 Hair. Along the ‘peak’ of the hairline (rectangle), hair density also appears visibly improved. 

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Right Side

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Right-Side-.jpg

Right Side | Before and After 3 months

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Right-Side-2.jpg

Right Angle 2 | Before and After 3 months

At 3 months I was unable to note any significant changes or new hairs on the right side of my hairline. It is perhaps noticeable that there was no further hair loss over this period, as remaining at baseline could still be indicative of OS-01 Hair being supportive for hair loss prevention.

Read on for the 6 months results, as things clearly began to improve after some additional use.

Reviewing OneSkin Hair Serum with Dermascope Images (3 months results)

In the data provided by OneSkin, high resolution imagery of the hair follicles was used to calculate hair density through counting the active number of follicles in a given region.

While this not possible to directly replicate from home without specialized equipment, I decided to gather microscopic images of the follicles with a derma-scope. Dermascopes are used in by dermatologists to investigate skin lesions, and provide very clear, quality images of the skin. 

Used correctly, we can also use such images to get up close and personal with our hair follicles. The unit I purchased is the Dermlite DL1 Basic (costs around $250USD). It may even shed some insights onto the scalp microbiome. Let’s take a look at what I was able to observe the following.

Left Side

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Left-Side-Zoomed.jpg

Left Side Zoomed | Before and After 3 months

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Left-Side-Zoomed-callouts-HIRES.jpg

Left Side Zoomed with callouts | Before and After 3 months

At the microscopic level on the left side, there are several new ‘androgen’ phase hairs visible, which I have highlighted with arrows to help draw your eye to them. The lighting between shots was slightly different, making it challenging to determine here if there was any improvement to hair thickness at this stage. We’ll check back again at 6 months. 

Right Side

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Right-Side-Zoomed.jpg

Right Side Zoomed | Before and After 3 months

ONESKIN-Hair-Review-Self-Experiment-Before-and-After-Right-Side-Zoomed-callouts

Right Side Zoomed with callouts | Before and After 3 months

On the right side, the microscopic images seem to show thicker and darker hair after three months use, with a possible slight improvement in density with at least one new hair entering androgen phase of the hair growth cycle (see arrow) and some hairs that were thin / weak looking much healthier (circle).  I wasn’t able to spot much of a signal in terms of scalp microbiome at this stage.

Hair Serum Review at 6 Months

Left Side

One Skin Hair Serum Review Before and After Left-Side

Left Side | Before and After 6 months

One Skin Hair Serum Review Before and After Left-Side at another angle

Left Side Image #2 | Before and After 6 months

One Skin Hair Serum Review Before and After Left-Side with callouts on areas of improvement

Left Side Image #2 with callouts | Before and After 6 months

Comparing hairline photos before and after is notoriously difficult. To make this a bit easier, I have placed a reference line in the image, which is the same spot and the same size in both images.

What I observe on my left side are thicker, healthier hairs, particularly at the fringe of the hairline where the most obvious thinning was occurring. There is measurable improvement in hair density in the boxed region, with improvements in hair thickness. The microscopic image backs up this observation (read onto the next section).

Right Side

One skin hair serum review for  OS-01 - right side angle before and after 6 months of use

Right Side Image #1 | Before and After 6 months

One skin OS-01 hair serum review - right side angle 2 with before and after improvements with 6 months of use

Right Side Image #2 | Before and After 6 months

One Skin OS-01 hair serum review - right side angle callouts showing 6 month improvement

Right Side Image #2 with callouts | Before and After 6 months

This time around the right side results have become much clearer.

There is measurable improvement in hair density in the boxed regions, with improvements in hair thickness. The changes in lighting make this difficult to see, but by zooming in and doing some painstaking hair counting - the changes reveal a clear signal.

Once again, the microscopic images back up this observation - these regions are full of thicker, healthier hair!

Hair Serum Results with Dermascope Images (6 months)

Left Side

At the microscopic level on the left side, things start to get quite interesting. At 3 months, I noted there were a few new ‘androgen’ phase hairs visible. At 6 months, these hairs have matured into their full growth phase - as well as the thickness and density of the individual hairs increasing notably.

In the second graphic from the left side, I add some call-outs with arrows where I highlight ‘weak’ hairs that are thin and not very colourful. This is precisely where we’d hope to see some improvements after reducing senescent cell activity. In the ‘after’ image, we note that nearly all of the hairs imaged are ‘strong’, appearing thicker and with a healthy level of colour.

One skin hair serum reviews zoomed in on left side to see improvements after 6 months of consistent use

Left Side Zoomed | Before and After 6 months

One skin hair serum reviews for 6 months of improvement on the left side zoomed in with callouts

Left Side Zoomed with call outs | Before and After 6 months

Right Side

At 3 months I mentioned being able to see some thicker and darker hairs emerging, with a possible slight improvement in density. This trend continued strongly leading up to the 6 months results with a clear shift to fuller, healthier individual hairs which is very clear from the microscopic images.

Interestingly there is also a notable improvement in the colour of the skin, indicating healthier blood flower to the capillaries near the skin’s surface (which provides the hairs with the nutrient supply they need). This is one of the primary targets of the hair restoration prescription drug minoxidil. The combination of derma-rolling (I took a full week off derma-rolling prior to taking these images, FYI) and OS-01 Hair seems to be delivering better blood supply to the hairs.

One skin hair serum review of right size zoomed in to see improvements after 6 months of use

Right Side Zoomed | Before and After 6 months

one skin hair serum review OS-01 after 6 months - right side zoomed angle 2

Right Side Zoomed Image #2 | Before and After 6 months

One skin hair serum OS-01 review with callouts on the right side zoomed

Right Side Zoomed Image #2 with call outs | Before and After 6 months

In the above call-out image, I point to weak individual hairs which appear to have become much stronger and healthier after 6 months.

Conclusion:

OneSkin Hair Serum - It Works! (For Me)

After using One Skin’s OS-01 Hair Serum twice daily for 6 months, I can definitively say there has been significant improvement to my hair health, particularly at the individual hair level (thicker, healthier hairs).   This is in line with the independent study, where results were clear after using OS-01 for 6 months, as I did not see clear results at 3 months. In short, I had to see the full course of treatment all the way through in order to observe the benefits.  

So, Matthew McConaughey - I do suggest you continue treating your luscious locks with OneSkin Hair Serum - but you must do so for at least six months before drawing any clear conclusions! We can do your 1:1 exit interview whenever you’re ready - did you remember to get any ‘before’ photos?

In all seriousness, recall that we discussed in our 1:1 interview with Dr. Zonari that hair growth is cyclical and takes some time and patience to note changes in features like density, thickness and new hair growth:

We generally start to see noticeable improvements around the 3-month mark such as less hair shedding, thicker strands, and more visible growth. One of the first things people notice is a reduction in shedding, followed by hair that feels stronger and a scalp that feels healthier less itchy, less irritated, especially for those who struggle with sensitivity in that area.

We also conducted beta testing and gathered data at 1, 2, and 3-month intervals. While results varied, we started to see strong improvements after just 2 months in many cases. But again, the key is regular, consistent use, especially in the beginning.

My verdict is at this stage at the n=1 level (meaning results just for me) is that OS-01 Hair works, after six months continuous use at twice daily with derma-rolling.

I will continue to use OS-01 Hair once per day as a maintenance treatment, with the derma-roller, but only after I complete my next hair restoration self-experiment (red light therapy, here we come!)

Be sure to subscribe to the ALL-in weekly newsletter, so we can keep you informed about all of our latest content - including when I show you what red light therapy can do you for your hair growth! 

In the meantime, if hair loss is a concern for you, perhaps you could join in with us and self-experiment with OS-01 Hair! We’d love to share your before and after results with our audience in the spirit of community - just drop us an email!

One Skin Hair Serum Frequently Asked Questions (FAQ)

Top FAQs About OneSkin OS-01 HAIR Serum

  1. What is OS-01 HAIR, and how does it work?
    OS-01 HAIR is a peptide-based scalp serum designed to combat age-related hair thinning by targeting cellular senescence often referred to as "zombie cells." By reducing these dysfunctional cells, the serum aims to rejuvenate the scalp microbiome / environment, promoting healthier hair growth.

  2. How should I apply OS-01 HAIR, and how much should I use?
    Apply 1mL of OS-01 HAIR serum directly to your scalp once or twice daily (morning or evening). Use the dropper to measure the amount, and massage the serum into your scalp with your fingertips. For enhanced absorption, consider using a dermaroller on a clean scalp before application

  3. Is OS-01 HAIR suitable for all hair types?
    Yes, OS-01 HAIR is formulated to be compatible with all hair types, including oily hair. It integrates seamlessly into various hair care routines and is designed to deliver visible results within approximately 90 days.

  4. Can I use OS-01 HAIR alongside other hair treatments or on color-treated hair?
    Absolutely. OS-01 HAIR is safe to use with other hair products and treatments, including those for color-treated hair. It's also suitable for individuals with sensitive scalps or conditions like dandruff and psoriasis.

  5. What are the key ingredients in OS-01 HAIR besides the OS-01 peptide?
    In addition to the proprietary OS-01 peptide, the serum contains:

    • Panax Ginseng Root Extract: Believed to stimulate blood flow and improve circulation to the scalp.

    • Glycerin: A humectant that retains moisture.

    • Panthenol: A conditioning agent.

    • Inulin: Acts as a prebiotic, potentially supporting a balanced scalp environment.

    • Helianthus Annuus (Sunflower) Sprout Extract: Provides antioxidant properties.

    • Morus Nigra (Black Mulberry) Leaf Extract: A conditioning agent.

    • Rehmannia Chinensis Root Extract: Assists with conditioning effects.

    • Niacinamide: A skin conditioning agent.

  6. Are there any side effects associated with OS-01 HAIR?
    While OS-01 HAIR is generally well-tolerated, some users may experience mild scalp irritation or sensitivity. It's recommended to perform a patch test before full application, especially if you have sensitive skin or known allergies.

  7. How long does it take to see results with OS-01 HAIR?
    Clinical studies have shown that users may experience significant improvements in hair thickness and density after 3 to 6 months of consistent use.

One Skin Hair Serum Scientific References

Senotherapeutic peptide treatment reduces biological age   and senescence burden in human skin models

Restoration of hair follicle inductive properties by depletion of senescent cells

Age-related hair changes in men: Mechanisms and management of alopecia and graying

Dysfunction of Hair Follicle Mesenchymal Progenitors Contributes to Age-Associated Hair Loss

Stress-induced premature senescence of dermal papilla cells compromises hair follicle epithelial-mesenchymal interaction

Cellular senescence: ageing and androgenetic alopecia

Premature Senescence of Balding Dermal Papilla Cells In Vitro Is Associated with p16INK4a Expression

Targeted Apoptosis of Senescent Cells Restores Tissue Homeostasis in Response to Chemotoxicity and Aging

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