11 weeks into PRP. I still notice a lot of hair fall. Is this normal and when will this stop? When will PRP effects kick in?

Question

Hi all I have received my first PRP session for hair loss back in January and my second 6 weeks later, so now I'm about 10-11 weeks into it. However, I still notice a lot of hair on my hands when I wash my hair and/or on the pillow when I get up. Is this still normal and when will this stop? Thanks!

Bernardino Arocha, MD, FISHRS · Answer

7io72Yn29How is the present level of shedding compared to your baseline before the treatment. Are you using any other treatments? PRP can be repeated for further benefit, or you can add either Rogaine or laser therapy with Lasercap for further synergistic benefit.

Jeff Rapaport, MD · Answer

Shedding is the best  indicator of PRP effectiveness. If your shedding has decreased but is still present, the PRP is working and you need to give it more time. If there is no change in the amount of shedding, you need to work with your hair loss expert and reevaluate the etiology of the hair loss. Often, additional treatments can be added to improve results. Find a PRP expert.Jeff Rapaport MD FAADRealself All-star

Nicole Hayre, MD · Answer

Hello, thank you for your question.  We usually recommend patients have a series of four monthly treatments to see maximum results with PRP treatments.  Typically, patients will start seeing some improvement after the third treatment.  After the initial series of treatments, we recommend patients to do maintenance treatments quarterly. Please seek a Board-Certified Dermatologist for a follow up appointment and evaluate if further treatments are needed.

Jeff Donovan, MD, PhD · Answer

You seem to be assuming here that PrP helps everyone. It does not. You may want to check in with your physician to confirm whether you are a PRP responder or not.

Arbella Sarkis, MD · Answer

Everyone responds differently to PRP therapy. With few exceptions, I have my patients perform labs so that I can rule out additional factors that may impact their treatment. 
80% of the time I find something minor to something significant that negatively impacts hair retention and regeneration. Therefore, you would likely benefit from a metabolic and hormonal workup. This will provide a greater picture of what is going on.
Hope I have helped.
Warmly,
Arbella Sarkis, MD

George Davis, MD · Answer

Thanks for you question.  PRP will see effects on hair growth usually by the 3 or 4th treatment.  The hair cycle is about 3 months so until new hair is growing, you may not see any change.  If it continues after 4 months, there may be other conditions causing the hair loss. You may need a metabolic workup.  Good luck.

Kimberly Lee, MD · Answer

It depends where in the hair cycle you are when you get your PRP injection.  Typically, multiple treatments are recommended every month for the first several treatments using multiple modalities.  Please consult with a board certified specialist who can assist you with achieving the results you seek.

Kristine Brecht, MD (license suspended) · Answer

Dear Belgium,Prp can be used for promoting hair growth, results are seen starting within about 12weeks of the first treatment, and optimally, stacking treatments every 4 wks x 3 is a good startBaseline etiology of hair loss is more complicated, related to hormones, genetics and environmental.See your medical provider for a thorough evaluation.Best. Dr Brecht Seattle, Wa

11 weeks into PRP. I still notice a lot of hair fall. Is this normal and when will this stop? When will PRP effects kick in?

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