PRP or Minoxidil Cannot Stop Hair Loss After a Hair Transplant but Another Treatment Can
Thank you for your question. You are 26years=old and you already had gone through a hair transplant and you are conflicted because you got a opposing recommendation from 2 different dermatologists about basically maintenance and prevention of your hair loss. One is recommending minoxidil and the other one is recommending that you don’t use minoxidil and that you instead do plateletrich plasma (PRP). Well, I can certainly give you some guidance as to how we counsel our patients in comparable situations.
I’m a board certified cosmetic surgeon and fellowship trained oculofacial plastic and reconstructive surgeon practicing in Manhattan and Long Island for over 20 years. I’ve been performing hair transplant as well as nonsurgical hair restoration for many years. Thank you for your question. You are 26years=old and you already had gone through a hair transplant and you are conflicted because you got a opposing recommendation from 2 different dermatologists about basically maintenance and prevention of your hair loss. One is recommending minoxidil and the other one is recommending that you don’t use minoxidil and that you instead.
Do plateletrich plasma (PRP). Well, I can certainly give you some guidance as to how we counsel our patients in comparable situations. I’m a board certified cosmetic surgeon and fellowship trained oculofacial plastic and reconstructive surgeon practicing in Manhattan and Long Island for over 20 years. I’ve been performing hair transplant as well as nonsurgical hair restoration for many years. In fact, I am the founder of TrichoStemâ„¢ Hair Regeneration centers where we have developed a system of nonsurgical treatment for hair loss using plateletrich plasma (PRP) as well as extracellular matrix, vitamin D and other methods that we employed in a specialized.
Way that we customize for every patient for both male and female pattern hair loss. So the question about plateletrich plasma (PRP) as well as minoxidil and finasteride and basically the universe of hair loss treatment is something we deal with every day and all day long. So, I am going to just give you a little bit of perspective as I see it when we see patients like yourself. If you have lost enough hair that you moved ahead with hair transplant, clearly there has to be some way for you to keep the existing hair you got. And when you look at the medical options, you are looking basically at two: one is finasteride , taking a pill daily 1 mm once a day. This is a drug that blocks the conversion of testosterone.
To dihydrotestosterone by an enzyme called 5alpha reductase. It has been a significant method or significant modality for the treatment or maintenance of hair for male pattern hair loss since the late 90s since about 1997. Unfortunately, in recent history there has been a lot of fear about long term sexual side effects which is resulted in a large scale abandonment of this option which leaves you with topical application like minoxidil. Minoxidil does stimulate hair growth along the growth cycle of thinning hair but what it does not do is stop hair loss. We have patients who have been on minoxidil for over 20 years and they are practically bald. They come to us and say, â€œYes I have been using.
Minoxidil religiously everyday, twice a day as recommended for 20 yearsâ€� and they practically have no hair. So the al evidence of substantiates that minoxidil does not stop progression. When the question of plateletrich plasma (PRP) comes up, I use plateletrich plasma (PRP) in my practice for many indications. As a cosmetic surgeon, I really help a lot of patients with plateletrich plasma (PRP) from the assistance of improving dark under eye circles, skin quality and texture, to improve acne scars, to improve scars, to improve fine lines and wrinkles. But in my experience, plateletrich plasma (PRP) as a standalone.
Treatment for hair loss has some variability and long term benefit. In general, if someone is to have plateletrich plasma (PRP) for hair loss, they are going to be on a regular scheduled treatment typically once a month and many people usually by 4 treatments find their way to our office because we offer what we call Hair Regeneration which does involve plateletrich plasma (PRP). We are able to sustain five years of growth with one treatment which does involve plateletrich plasma (PRP) but is also a method combining extracellular matrix and vitamin D that was developed treating hundreds of patients over many years and developing a protocol. Some patients who have moderate to severe loss will do a second treatment.
Why Hair Loss Injection Treatments Dont Have to Hurt and Better Results than PRP Alone
Thank you for your question. You are asking a question whether it is normal not to be numbed before PRP injections and you go on to describe in the detail in your question that your physician, who performed this treatment, felt that the numbing would interfere with the effectiveness of the treatment and you describe the experience as being very painful. Well, I can certainly give you my experience with this type of treatment. In our practice, we do hair loss treatment similarly in our practice every day. A little bit of background, I’m a Boardcertified cosmetic surgeon and Fellowshiptrained oculofacial plastic and reconstructive surgeon. I am also the founder of TrichoStemâ„¢ Hair Regeneration Centers,.
A system we developed which uses plateletrich plasma (PRP) in addition to a material called Acellular matrix and other elements to help men and women from around the world treat male and female pattern hair loss. I’ve been in practice for over 20 years and we use plateletrich plasma (PRP) for hair loss every day as I mentioned earlier. So, I am familiar with this practice. And I can tell you from our local area, New York City, we have an office in Manhattan and I’ve been aware that there are colleagues who do believe in doing this treatment without any anesthetic. Now, I think that from the feedback we are getting from patients who come to us that they would go monthly for plateletrich plasma.
(PRP) injections and they endure a fair amount of discomfort getting these injections. And by the 4th month, they were questioning the justification of the pain and the results therein and where the endpoint would be. I can tell you that from personal practice, style and from my own philosophy is pain should be avoided as much as possible. Frankly, as a cosmetic surgeon, as a specialist who does everything from head to toe in the cosmetic field and with specialized areas beyond that, it has been my mission from day one to make my patients comfortable and to make cosmetic procedures less daunting and more accessible. So from the beginning of my career where I.
Proved that lower eyelid, upper eyelid cosmetic surgery and face lifting surgery, I can perform without general anesthesia but under local anesthesia with LITEâ„¢ IV sedation and evolving so many procedures that we do everything in a way so that our patients, whether they are sedated or whether they are wide awake, are completely comfortable. So when I we perform Hair Regeneration and I’ll explain that a little bit. Hair Regeneration is a system we developed based on a technology for wound healing using plateletrich plasma (PRP) and Acellular matrix. We are able to help patients who come to us, as a I mentioned from around the world, with 99% successful outcomes meaning stopping the progression.
Of hair loss, reactivation of hair that is not growing, as well as inducing shedding of thinning hair and the regrowth of thicker hair with a single treatment. And in some cases, maybe a second treatment around 1518 months later but with our data of beyond 5 years, patients have continued to benefit from a single session. Now that being said, I can see how it would be pretty daunting to go back for plateletrich plasma (PRP) treatment without topical or any anesthetic. As I said, I am familiar with this practice and I don’t know exactly what the justification is. However, I can tell you from our experience, what we do for our patients and even with successful numbing,.
We are able to get pretty amazing results. What do we do first? We use topical anesthetic. We apply it around the scalp, around the perimeter of the planned area of treatment and let that anesthetic work for a while and then we do what’s called a ring block like what is done for hair transplant so that the top of the scalp is completely numbed and then I do the actual injection treatment. So with a fairly good treatment process where we do numb the scalp, we’ve had tremendous success with this treatment. So I understand that every has their justification but I think it is reasonable to at least ask the question is pain necessary and from my experience, pain is not necessary.
To have to put up with throughout this process. Once the top of the scalp is numbed and I am not saying that it is painless from the beginning. A few little local anesthetic injections are going to be uncomfortable but we use the tiniest needles after application of topical anesthetic. That being said, Hair Regeneration has been extremely successful for us so I think that you need to figure out what is right for you. Like I said, a lot of people come to us once they got tired of feeling uncomfortable with the plateletrich plasma (PRP) injections without anesthetic. So learn more and make some decision so that you can feel better about treating your hair loss.