What's the best option for hair regrowth? PRP, FUE, etc? I need help. Want my hair to grow back healthier and fuller (Photo)

Question

African American female experiencing decreased length, density, and growth of hair over the past 5 years. Mostly due to traction alopecia. I've been wearing wigs and styles that haven't been tight or pull on my hair for at least a year now. I have noticed that my hair has started to re-appear slowly around the temples, edges, and nape; but, it still has not reached its full potential. It's always been naturally fine but It was much thicker and would grow really long. Now it is thinning all over.

David Deutsch, MD · Answer

Based on your photos and description I think the best place to start would be with a thorough evaluation by a Dermatologist and/or Internist.First you want to rule out organic causes of hair loss such as thyroid disease,autoimmune disorders(Lupus),Polycystic Ovarian Syndrome,severe stress,anaemia or protein/vitamin deficiency.Excluding theses causes most hair loss is due to genetic and hormonal factors,or possibly traction in your case.Most cases of traction alopecia(which are usually localized to the hairline and temple area) respond very nicely to Hair Transplantation.At that point I would  recommend a consultation with an experienced Hair Restoration Surgeon.

Stephen Giordano, DO · Answer

There needs to be a thorough History & Physical performed by a qualified physician who can determine why you are losing your hair, and what to do about it.  Unfortunately, there is not a "one size fits all" treatment.   Each treatment should be customized to suit your needs, and also be sure to address any possible underlying problem causing the hair loss.   PRP and FUE are excellent options if you are determined to actually require them.   Best of luck, Dr. Giordano

Jason Emer, MD · Answer

This needs an in-person evaluation. I suggest seeing a hair loss expert now to evaluate and go over your condition and provide you information about your best treatment options. Prp/progesterone and/or hair transplantation are great options. See an expert. Best, Dr. Emer

Craig L. Ziering, DO · Answer

The best treatment particularly in African American women is an FUT transplant, which can be used in conjunction with other treatments to regrow your hair. It’s also important to stop the precipitating cause which often is braiding, and or straightening with excessive heat

Ashley R. Curtis, MD · Answer

Women’s hair loss is much more common and often more difficult to diagnose than people think. While traction alopecia is certainly an issue that affects many women, there are also a number of other conditions that could potentially result in hair loss, ranging from hormonal imbalances to genetic predisposition. Because there are so many possible causes, and because every patient has their own individual health considerations, there is no such thing as a “one-size-fits-all” hair restoration treatment. The “best option for hair regrowth” is the one that is specifically tailored to your unique needs.
Judging from the photos that you have posted, I believe that platelet rich plasma could likely help, but other hair restoration treatments or even hair transplantation surgery may be required as well.  I would absolutely recommend that you visit a doctor with experience treating hair loss for a comprehensive diagnosis. Understanding the underlying causes of your hair loss is the first step to developing a customized treatment plan, which may include prescription medications, red light laser therapy, platelet rich plasma, or even hair transplantation surgery as needed.

Baubac Hayatdavoudi, MD · Answer

PRP is a restorative regenerative treatment that improves the tissue it is injected into. In the hair restoration field, it shows great improvement in healing post procedure and can also be used annually (depending on the method used) to reverse the aging process of follicles.

Dennis P. McCracken, MD · Answer

While I know that you would like a simple answer, there just isn't one.  With Traction Alopecia, you may have scar tissue where there were once hair follicles.  If this is the case, PRP is not going to help.  From your photos, the braids your wear are still causing traction.  This, I would not advise.  Finally, the best result may come from BOTH transplantation AND PRP in combination.  I would strongly recommend that you find a qualified professional to give a thorough assessment of your scalp to best determine your course going forward.  Again, while you may be seeking the simple answer, this approach does not usually lead to the best answer.

Samer Muala, MD - Account Suspended · Answer

I definitely would recommend PRP in your situation as a less invasive and time consuming option to try to regrow your hair.  Good luck.

What's the best option for hair regrowth? PRP, FUE, etc? I need help. Want my hair to grow back healthier and fuller (Photo)

Answers (8)

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