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Platelet Rich Plasma

What is platelet rich plasma (PRP)?

PRP or Platelet rich plasma is the use of the patients own blood platelets to increase the hair growth and prevent miniaturization of the hair follicle. It can be used as an adjutant treatment with the topical applications or can be used with the hair transplant surgery to improve the recovery and the results. A lot of ongoing research is in the process regarding the use of PRP and its ability to stimulate the stem cells in the hair follicle and also improve wound healing and tissue regeneration, hence its use in hair loss and skin rejuvenation .

What are the Indications for PRP – hair?

  1. Male pattern hair loss or male androgenetic alopecia – especially in the early stages of balding, or anytime when  there is a lot of miniaturized hair on the scalp
  2. Female pattern hair loss or female androgenetic alopecia – at all stages of hair loss
  3. Hypotrichosis (fine/reduced hairs) of the eyebrows or beard
  4. Alopecia Areata, Alopecia Totalis
  5. Metabolic causes of hair loss – iron deficiency and medication induced hair
  6. Telogen effluvium

What are the Indications for PRP – skin?

  1. Acne scars
  2. Dark circles around the eyes
  3. Fine line  reduction
  4. Facial rejuvenation
  5. Hand rejuvenation
  6. Non healing ulcer

What are the Contraindication?

  • Severe or Abnormal Platelet Count (thrombocytopenia)
  • Inability to extract blood safely
  • Sepsis – Chronic (or acute) infections – Liver disease
  •  Anti-coagulation therapy

How is PRP helpful?

Hair

  • Helps in regrowing and promoting  healthier hair
  • Prevents hair loss further
  • Prevent further miniaturization  of the hair follicle
  • Regrows thicker hair
  • Reduces the visibility of scarring on the scalp
  • It also prepares and plumps up the hair follicle and the region for a hair transplant procedure
  • Accelerate the process of wound healing after a hair transplant procedure

Skin

  • Stimulating collagen formation
  • Stimulates revascularization
  •  Stimulates repair of the skin

How is PRP performed?

  1. Doctor will collect a small quantity of patients own blood and will immediately centrifuge it in order to separate the RBC from the blood and extract the plasma rich in platelets.
  2. This plasma is then collected in insulin syringes and injected in the scalp or in the skin where required by mesotherapy.
  3. The session takes approximately 1 hour. The scalp or skin is anesthetized by topical anesthetic cream. So the procedure is not very painful.

What are the post procedure instruction?

  • No shower for 8-10 hours after the procedure
  • Counseled about slight headache or soreness which will resolve in few hours
  • Slight bumps will be visible which will disappear in sometime
  • Resume all normal activities the next day

How many sessions are required?

The number of session required are 3 – 4 every 1 – 4 weeks apart. But these results are not permanent. They last for 1 – 2 years. A maintenance is required and a repeat of the procedure maybe required after 1  2 years.

Are there any side effects?

This procedure has no side effects as patients own blood is being used to inject into the scalp or skin. So no risk of a foreign body reaction or hypersensitivity. Slight swelling or redness will be visible which is transient and will settle in few hours.

Dr. Batul Patel is a passionate and dedicated dermatologist based out of South Mumbai with expertise in all fields of dermatology, trichology and aesthetic dermatology.

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