Miso Clinic · Treatment guide

How many Re2O sessions do you need?

“Isn’t Re2O a set of three?” Plenty of pages say so, but nobody quite explains where the number comes from. Here is exactly how Miso Clinic decides.

Treatment guideAbout a 4-minute readSeptember 2026Miso Clinic, Daegu · Dr. Lee Chi-Hak

The short answer

Re2O has no clinical trial protocol that fixed a session count. The only human study (20 people, 20 weeks) was done after launch, and the “three-session course” is a number that hardened in clinic and distributor guidance. So Miso Clinic does one session, waits four weeks or more, and decides on more from the change in texture and density. It usually settles between one and three.

Why there is no fixed count

Re2O is distributed as human tissue, not as a medical device. A device must pass a trial that fixed “how many, how far apart” to be approved; human tissue had no such step. That is what separates it from Rejuran, whose “three sessions two weeks apart” came out of a phase 3 trial.

How Miso Clinic decides

  • One session first. Material into thinned skin, then watch the response for four weeks or more.
  • Examine at four weeks. Texture, pores, fine lines, how make-up sits.
  • More at four-week intervals if needed. Usually one to three in total.
  • No prepaid bundles. Fixing three sessions up front, for a treatment with no session-comparison data, has no basis.

Where other boosters get their numbers

Session counts by class and their source
ProductSessionsSource
Re2O (hADM)No fixed protocol — 1–3 by conditionClinic judgement
Rejuran (PN)Three, two weeks apartApproval phase 3 protocol
GOURI (liquid PCL)One recommended, optionally 1–2 moreManufacturer FAQ
Sculptra (PLLA)Up to four, three weeks apartUS FDA approval trial

Which treatment fits which concern

Which treatment fits which concern
ConcernTreatments to considerWhy
One session, then see the responseRe2O, one sessionNo fixed count, so condition decides
Prefer a fixed courseRejuran 3–4 session courseThe trial set the count
Skin very thin, likely to need repeated supplyRe2O, 2–3 sessionsFour weeks apart, after examination

Which treatment is “best” is decided by the state of your skin right now, not by the product. In consultation we look first at what has been lost and what is still there, before we talk about any product name.

Frequently asked questions

Does one Re2O session work?

The 20-person study did not split results by session, so neither “one is enough” nor “three are needed” can be said. That is why we do one and look.

Why four weeks?

The material needs weeks to settle and the dermis to respond. Layering before that means nobody can tell what did what. Four weeks is the minimum observation window.

Can I have GOURI at the same time?

Not the same area on the same day; the effects could not be told apart. Splitting by area or by timing is possible.

Read next

If you want to go deeper

Product page

Who wrote this

Written and reviewed by Lee Chi-Hak, MD, medical director of Miso Clinic in Daegu, South Korea. Studies are cited with their size and limitations, and where we could not find data we say so. Individual decisions need an in-person examination; this page does not replace one.

Miso Clinic
Medical directorLee Chi-Hak, MD
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References

  1. Re2O manufacturer material (L&C Bio) — extracellular matrix from acellular human dermis (hADM), distributed as human tissue.
  2. Severance Hospital group, Int J Mol Sci 2026;27(5):2193, NCT07155278 — 20 people, 20 weeks, control was hyaluronic acid alone. Conducted after launch (November 2024).
  3. Korean Act on Safety and Management of Human Tissue — human tissue is distributed under tissue-bank licence with no pre-market clinical trial requirement.
  4. US FDA guidance — micronising acellular dermis takes it beyond “minimal manipulation”.

Everything on this page is general information and does not replace medical diagnosis or treatment. Effects and side effects vary with individual skin condition, age and underlying illness, and the same result is not guaranteed for everyone. Any decision to proceed should be made in an in-person consultation with a physician.

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