Platelet Rich Plasma (PRP) for Hair Regrowth

Platelet Rich Plasma (PRP) for hair regrowth is a highly effective, non-surgical treatment for alopecia (hair loss) and hair thinning, especially when combined with an ECM (extracellular matrix), such as BioD Restore. It has been used successfully to treat alopecia areata, androgenic alopecia (hereditary hair loss in men and women) and more recently some of the refractory scarring alopecias (lichen panoplanaris and central centrifugal alopecia).

*courtesy Bauman Medical Group

What is PRP?

Platelet rich plasma (PRP) therapy, as it relates to hair loss, refers to the use of a patient’s own platelet cells from their blood to stimulate hair growth. Platelets are rich in various growth factors and cytokines that have the potential to rejuvenate hair follicles and stimulate hair growth.

What is an ECM and why combine PRP with BioD Restore?

Recent evidence suggests the best and longest lasting results are derived from PRP plus BioD Restore; a human-derived extracellular matrix (ECM) produced from medically-screened, cryopreserved placental tissue. Immunoprivileged, placental tissue is an ECM that is protected from rejection. Used in hundreds of thousands of procedures in orthopedics, ophthalmology and oral maxillofacial surgery, BioD is a proven tissue-regenerating technology that acts as a bioscaffold and contains powerful proteins, embryonic growth factors, stem cells and other benefits that reduce inflammation and promote healing.

How is the procedure done? Does it hurt?

A small sample of blood is obtained from the patient. This sample is processed in an FDA-approved kit and special centrifuge to separate the platelets and plasma from other components like red blood cells. Platelets may then be photoactivated, releasing powerful molecules which have profound biologic rejuvenating effects on hair follicles and skin as well as anti-inflammatory molecules that reduce pain. The ECM (BioD Restore) is then added to the PRP. We use a special painless technique to administer local anesthesia so that this powerful cocktail of growth factors, cytokines and other proteins is painlessly injected into the area of scalp where weak hair follicles exist. Microneedling of the skin is performed immediately following the injection to activate the platelets’ actions. The procedure takes about one hour to perform and patients may resume all activities, including workouts, shampooing, etc. immediately afterwards as there is no recovery phase. On occasion, there is mild soreness and redness that generally resolves in less than a day. Improved hair growth can be measured in a matter of weeks.

Is all PRP the same?

No, unfortunately not all PRP is created equal. This can be confusing to patients and physicians alike.  Numerous studies have shown that the results and duration of the PRP hair regrowth treatments are directly related to the quality of the PRP produced and the use of an ECM (BioD Restore).   PRP quality is determined by its purity and platelet concentration.  At Alternity Healthcare we use either the Eppendorf or Emcyte system, both of which produce PRP with an optimal 6-10x concentration with minimal red blood cells.

How are results tracked?

Typically hair grows at a rate of ¼” or 1 cm per month so it can take 3 or more months to measure the improvements using the scientific HairCheck trichometry tool, and 6 months to visually notice improvement in the mirror or in pictures.

Does PRP need to be repeated?

Yes, the hair follicle stimulating effects of PRP are NOT permanent. Most patients treated with PRP plus BioD Restore require repeat treatment every 12-24 months depending on the individual preferences and response to therapy, the underlying condition, and use of adjunctive therapies (topical medication and low level laser).