NAD+ peeling — when to put it on the menu, and when to skip it

NAD+ (nicotinamide adenine dinucleotide) is the coenzyme your patients have been reading about in their longevity podcasts. In the clinic, it's the substrate for mitochondrial energy and DNA repair — the two things that quietly decline with age and that quietly drive the fatigued-looking skin you see at consultation.

EXO-NAD is a three-step longevity peeling built around that mechanism: pH normalizer, peptide-priming Longevity Serum, and the NAD+ peeling itself. The question is not whether NAD+ is interesting — it's whether the patient in front of you is the right patient.

Who it's for

• Patients whose chief complaint is dullness, fatigue and "flat" skin — not deep wrinkles
• 30–55 with no active resurfacing course in the previous 6 weeks
• Combining patients who already run a V-Tech series and want a second tool on alternating weeks
• Pre-event freshening — visible glow at 7–10 days, with minimal social downtime

Who it's not for

• Active inflammatory skin disease at the treatment zone
• Pregnancy and lactation
• Hypersensitivity to any component of the kit
• Recent isotretinoin therapy (within 6 months)

Where it sits next to V-Tech

On alternating weeks. The V-Tech facial system is the structural / density tool — exosomes plus the polynucleotide gel mask plus the sealing Exotech gel. EXO-NAD is the longevity tool — mitochondrial recovery and visible glow. Running them in alternation gives the practitioner a six-week story to tell at consultation, with two different mechanisms that complement rather than compete.

Course structure

3–4 sessions, two weeks apart. Maintenance once per quarter. Photograph at baseline — Mitoscan or your imaging device — and at the end of the course. Comparison without baseline is opinion.

Peelings used to compete on depth. Longevity peelings compete on substrate.

— EXO-NAD training note