Thank you for your question. You’re 20 years old and you’ve submitted a lot of photos and that this that’s absolutely great and it’s very helpful. You’re describing your narrative and your question that you’ve been thinning since you’re 18 and you’re concerned that you may have malepattern hair loss. And certainly you’re you’ve been doing research and you’re asking about the effectiveness of plateletrich plasma or PRP in the treatment of hair loss. Well, I can certainly give you opinion from my experience. I’m a board certified cosmetic surgeon and I’ve been performing hair transplant surgery.
For over 20 years in Manhattan and Long Island. I’m also the founder of TrichoStem Hair Regeneration centers which is a system of nonsurgical hair loss treatment that does involve the use of plateletrich plasma. I also have a lot of experience using plateletrich plasma because as a cosmetic surgeon, I also use it for skin rejuvenation, scar treatment, and wound healing. So that being said, let’s start with your question about malepattern hair loss. Now, before I comment, I will say that I don’t, in any way, mean and intend to disparage any other doctor who is using plateletrich plasma.
As a modality for hair loss treatment. I’m speaking only from my experience and I want that to be clear. As physicians, we often do the best we can with the information and experience that we have. That’s why it’s not there’s no such thing as cookbook medicine. There is so much that comes from experience. So that being point out there first, I’ll explain to you what my experience has been. Plateletrich plasma is derived in our field from the work done by oral surgeons who first used plateletrich plasma for the improvement of healing for dental implants. In addition,.
PRP Treatment for Hair Loss Differences in Standalone and Combination Treatments
It went then further into orthopedic surgery. And then beyond that, it’s being applied in our field in cosmetic surgery for a variety of treatments. In our practice, we use plateletrich plasma everyday. We use it for improvement of dark under eye circles. We use it for skin texture and quality improvement. We use it for acne scars. We use it for scar revision. We love using plateletrich plasma and anyone in my practice who is over the age of 35, we all get plateletrich plasma every few months. So it’s certainly has a lot of value. But in my observations of its use in hair, what.
I found out was that in transplant surgery, it does have value in improving the healing process. But in terms of hair loss, it can short term stimulate growth but it will not stop progression. When you think about hair loss, you have to understand that it’s for 95 percent of men and women with pattern hair loss, it’s genetic. Very often people think about nutritional and other issues, but when you get down to it, genetics is the strongest factor. It’s hard wired programming for the hair to grow and at a certain point, to.
Just stop growing. Now for men, there is actually one unique factor that has been known since the late 90’s called DHT or Dihydrotestosterone which is the basis for the drug Finasteride which can be effective in estimated over 60 percent of men. But DHT is not the whole story and we have learned that serendipitously in our practice, when we started using this combination of extracellular matrix of plateletrich plasma. Extracellular matrix is a woundhealing material which was originally intended for the improvement of hair graph survival, as well as for donor area survival or donor area healing, I.
Should say. What was found serendipitously is that thinning hair became thicker. What we’ve done in our practice for the past several years is develop a method of delivery, dosing, and timing of combining extracellular matrix with plateletrich plasma to the point where we can do one injection and significantly improve thinning hair in male and female pattern hair loss. What we’ve further developed is a secondary process where we made additional do additional injections which we customize to each individual patient. But that’s in sharp contrast to what is typical based on.
The feedback we get from patients who come to us after seeing other doctors is plateletrich plasma treatment is generally is a treatment that’s done on a monthly basis. And the frustration that people have is that they don’t see significant improvement. And many patients have come to us who were doing it for years. So it’s not like they were impatient. They were they stayed with the course but they kept they didn’t see thickening of their hair. They would see short hair’s growths, maybe they’ll see the slight improvement.
But in my opinion, and my from my perspective, it can it can stimulate very fine hairs to grow which you really can’t see that well with the naked eye and it may prolong the growth cycle of a thinning hair. With hair regeneration, we actually stop the progression of hair loss. People will report that they stopped shedding. People will report that their hair feels stronger. And then, of course, the photos of our patients before and after treatment speak for themselves. There is dramatic improvement in a lot of.
People. In fact, we’ve estimated that in the right candidate, hair regeneration can actually create results that actually exceed the results of two hair transplants. And that’s simply based on the mathematics of the coverage of hair. If hair is already has a is naturally has a density and if those hairs become thicker, well nature is already is much better than any surgeon at creating density. So if the programming on the hair is somehow disruptive disrupted to stop thinning and instead go the other way and become thicker,.
The results can be really, really impressive. So that’s why when in our practice, we don’t use PRP alone for hair loss, we use PRP in combination with extracellular matrix with our protocol which we call hair regeneration and TrichoStem Hair Regeneration. So with that being said, I think you should learn more about your options. You’re young, you have a few options in front of you. I’m sure you’ve done a lot of research. But I think you need to meet with doctors to get some ideas of what the best options are for.