why didn't PRP+ACell work for my hair loss
PRP plus a cell or more specifically platelet-rich plasma and extracellular
matrix by a cell is being offered by more doctors as a non-surgical hair loss
treatment as a pioneer in the use of extracellular matrix with PRP since 2011
the system I developed has been effective for 99% of men and women with
a genetic pattern hair loss many practices offering a cookie-cutter PRP
plus a cell treatment are missing some key aspects to selecting people who are
good candidates for this treatment I would state further that the majority of
practices in particular dermatology practices offering PRP or PRP plus a
cell treatment have almost no prior significant experience with treating
hair loss such as hair transplant surgery this means that they lack the
experience and understanding the optimal way to evaluate select and manage
patients with hair loss there are important factors that people need to
know about PRP plus a cell treatment before considering this option for their
hair loss I'll discuss how I manage hair loss patients in my practice and the
knowledge I've acquired from first-hand experience treating patients from around
the world since 2011 with my customised formulations and delivery techniques
with PRP plus ACell I'm Dr. Amiya Prasad I'm a Board-certified cosmetic surgeon
and Fellowship-trained oculofacial plastic and reconstructive surgeon I've
been in practice in Manhattan and Long Island for over 20 years
as I mentioned before I was amongst a handful of pioneers to use PRP plus ACell and have treated hundreds of patients since 2011 from around the
world based on my experience I developed custom formulations delivery methods and
a patient classification system and
founded TrichoStem Hair Regeneration Centers in this question you ask why
didn't PRP plus a cell work for you I'll respond based on some assumptions first
you waited about over 18 months after receiving whatever number of treatments
your doctor administered and you saw no change
you also had photos taken from multiple angles which were compared and no change
was appreciated if either of these don't apply to you I would say that your
potential benefit from a treatment can still be realized
I'll explain further having treated so many men and women with hair loss I can
make some general statements based on my observations people with moderate to
advanced hair loss often don't appreciate improvement until they see
their before-and-after photos in particular men who've lost a lot of hair
from the front will often not recognize a significant amount of regrowth which
occurs in the mid scalp in the crown area hair frames your face although in
this type of situation you may not see much growth in the front since there are
few to no hair follicles improvement in volume in the mid scalp adds to the
framing of your face and is an improvement people with hair loss often
don't see how much their hair has improved but rather focus on areas where
they want to see more hair hair loss can be a very emotional issue for both men
and women I always explain that our trichostem hair regeneration treatment
will reactivate hair that is not actively growing and thicken hair that
is thinning which results in better scalp coverage if there is no hair
follicle nothing will grow I explained that the only way I will accept any
additional hair loss patients into my practice is with the understanding that
their treatment is highly likely to result in benefit with the definition
success being improvement this is in contrast to a patient expecting to have
a very specific and ideal outcome some people come in saying that they're being
realistic and agree with the treatment plan and the anticipation that any
improvement is success unfortunately not everyone stays
consistent with this rational introduction and later they complain and
behave less than cordially after treatment plans and consents are signed
and the treatment is administered as agreed upon I make it a point to take
high-resolution digital photos of every patient with as much consistency as we
can and review the patient's progress during routine visits which are done
every three to six months as I stated earlier the definition of success is any
improvement I'm seeing a good number of patients who tried PRP alone or PRP plus
ACell elsewhere it's my impression that many if not most practices are using
this treatment as a quick way to make money without any recognition as to the
level of time and focus needed to appropriately manage patients with hair
loss it's seen as an in-and-out procedure like a facial or Botox so it
reminds me a lot of the excitement of anticipated profits from devices which
are sold or leased as ways to increase practice revenue with no effort again I
feel it's a significant responsibility to first properly diagnose a patient
with genetic pattern hair loss and then provide a clear and efficient treatment
plan with a high probability of success defined as improvement so what do we do
in our practice well in 2011 when we noted that thinning hair was becoming
thicker one year after using PRP plus ACell to expedite healing after hair
transplant I decided to determine if PRP and a cell could be used as a standalone
treatment for hair loss I worked with several people including a medic
physicist on determining the exact weight volume and the weight of the
extracellular matrix produced by ACell and the amount of PRP used to optimize
hair growth recognizing that the treatment stimulates the growth of hairs
which are in a resting stage as well as thickening hairs that is thinning over
time I adjusted dosing methods and timing of treatment and observed when
improvements occurred and how long the results lasted I treated a wide range of
patients from men and women as young as 16 to 17 years old to ages in the mid to
late 70s I look at results relative to the degree of hair loss and the rate of
progression I also looked at other variables to optimize the longevity of
hair growth such as hormonal factors and relative DHT-sensitivity I was so
confident with the consistency of success with our treatment system I
created TrichoStem Hair Regeneration and built a free-standing Center in Northern
Virginia specifically for this treatment I created customized protocols based on
a classification system I developed four different types of hair loss I provide
every patient with a treatment plan and typically perform one or two treatments
over the course of two years with an expected sustained benefit for three to
five years or even more this is in sharp contrast to the transaction driven
cookie cutter once a month - once every three month treatments currently being
aggressively promoted I am particularly proud of the impact we made for female
pattern hair loss prior to trichostem hair regeneration the only option for
women was the use of minoxidil and oral spironolactone both having limited and
inconsistent value more than 99% of the patient's we treat see improvement which
we're able to show with the medical photography
I routinely tell our patients that hair loss is managed not cured the treatment
plans are customized so our injection treatment and any other supplementary
treatment is used to provide maximal improvement and longevity within the
limits of the patient's genetics the proliferation of PRP plus ACell treatments
as a cookie-cutter one formulation for all is just not going to deliver the
best potential results in my opinion does it make sense that a young male
with aggressive hair loss would get the same treatment as a middle-aged female
with moderate hair loss course not just because a particular formulation didn't
work for you it doesn't mean you can't still take steps to manage your hair
loss with PRP and a cell as I often say to my patient if you follow my treatment
plan that's specific to your situation you are likely to see a benefit I hope
you found this information helpful thank you for your question
you