Hair Restoration with PRP - Greater Washington D.C. Area*

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Overview

Platelet Rich Plasma (PRP) is a new & natural procedure that uses your body’s own plasma to stimulate the hair follicles and encouraging new hair regrowth, and hence the reduction of balding. The PRP Hair Loss Treatment involves creating micro needling wounds in the scalp treatment area with the needling device. The Platelet Rich Plasma contains concentrated amounts of growth factors is then injected into the scalp. As the skin begins its wound healing process these growth factors are present in the follicular bulge area, where stem cells are found. This activates the proliferative phase of the hair cycle, resulting in new, denser and healthier hair growth. A small blood sample is taken from the patient and this blood is then placed in our centrifuge, when centrifugation is complete, the patient's plasma will be separated from the red blood cells. The plasma rich platelets are extracted from the blood sample and are then reinjected into the patient's scalp.

Am I a good candidate?

Patient selection is critical for success. Some patients are not candidates for this treatment if they have advanced AGA (Norwood V-VII or Ludwig III). This includes patients with traumatic alopecia and autoimmune alopecia, as they may have insufficient adnexal normal tissue to mount an adequate response.

The concern with autoimmune alopecia is that even if the healing cascade is stimulated and anagen prolonged, the baseline autoimmune etiology may counter treatment efforts. Contraindications for treatment with PRP include: significant platelet dysfunctions; hypofibrinogenemia; local infection or septicemia; pregnancy; poor blood clotting; keloid-prone patients; sensitivity to bovine thrombin—if used; and hemodynamic instability.

Prior to treatment, it is recommended for patients to have blood work done. Blood work test including CBC with platelets; serum iron; and estrogen, testosterone, thyroid, pituitary and antibody panels.

Treatments Needed

Most patients expect to see new hair growth about six months after the procedure, and patients have reported satisfactory to good results over the past two years. Although the optimal number of PRP treatments and intervals has yet to be determined, we recommend treatments at least every three months.

Does it Hurt?

Prior to the procedure, a topical numbing is applied one hour before the procedure, then the scalp is cleaned with an iodine-povidone preparation. Microneedling device is then used in a stamping technique over the entire marked scalp between two to three times so that the micro injuries reach all relevant dermal levels to elicit the maximal response.  In some cases, the provider can inject a topical agent called lidocaine into the treatment area,  then PRP is injected into each of the sites. Once the procedure is done, patients are counseled to use gentle, daily hair shampoo and conditioner. A three-day course of antibiotic and pain medication may be given and minoxidil or finasteride use may be resumed three weeks after treatment with follow -up exams at three -month intervals for at least a year.

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* All information subject to change. All gallery images contain real patients and are the property of Mountcastle Plastic Surgery & Vein Institute. Individual results are not guaranteed and may vary.