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There is no permanent cure for genetic male pattern balding. If you understand this fact, you can make a better informed decision. Drugs such as Propecia and Rogaine work to slow the hair loss process. In the first few years it may even seem to reverse the process, but over the long term your genetic predisposition will win out. Other treatments such as PRP, laser treatments, or supplements do not work. There is no medical proof in this. Many doctor offer it and some people may say it "seem to help" but it does not mean it is a cure. Hair transplant surgery is also not a "cure", but it does give you cosmetic results since it is moving permanent hair from one location to another location.Before considering any treatment options (surgical or non-surgical) see a doctor. The Internet is a great source of general information but it may end up giving you conflicting answers and cause confusion.
It is important to distinguish the differences between Maintenance vs Restoration. PRP falls in the maintenance category and will focus on stopping further hair loss while Restoration will focus on adding back lost hair. They are both serve different purposes and anyone who does restoration should really do maintenance as well; whereas someone may decide to start maintenance at the first signs of hair loss when they may not need restoration yet. For restoration I prefer the Robotic ARTAS system, and for maintenance I have my patients choose between my clinical PRP monthly membership, good low level laser therapy, or oral pills. Very Best, Dr. Rome
If a hair follicle is in fact “dead”, then PRP will notprovide any benefit. However according to research (see below references)and clinical evidence, PRP is effective in stimulating hair restoration. PRP is very rich in growth-factors that will stimulate dormant hair toregrown. This is effective for both Androgenic alopecia (most commonlyeffecting men)and Telogen effluvium (most commonly effecting post-menopausalwomen). Unfortunately PRP treatments are not standardized, and there is agreat deal of variance in how PRP is prepared. Doctors with a boardcertification from the American Academy of Aesthetic Medicine learn the propertechnic and concentrations to provide standardized treatments that areeffective. I recommend seeking out a doctor with the correctcertification and experience.
PRP is being performed by many hair loss specialists around the world. I have done research about it and there is no scientific evidence that links PRP to successful hair restoration. In the cases done, some patients observe minor positive changes while for others its a complete waste of resources. Because of this uncertainty, I would not advise you to go through with it. You should visit a hair loss specialist doctor, who will advise you on what medication you can use to slow down the hair loss after physical examination.
There is a difference between inactive follicles and dead follicles. Dead follicles are dead, but inactive follicles can be stimulated to grow with cellular therapy such as PRP. In male pattern baldness, as hair begins to thin, many changes are happening over time. The thinning hair follicles are undergoing cellular changes which cause them to shrink and become inactive. If intervention happens before complete inactivation, then cellular therapy can begin to reverse some of the processes of hair loss by stimulating the follicle to grow again. The sooner the intervention the better however since once the follicle is completely inactivated, it becomes less reactive to PRP or cellular therapy. Your pictures indicate you are at a critical time when intervention would be most helpful.
I have written extensively on PRP and I believe that there is no clinical evidence that PRP has any value so I would not recommend that you have it done. See web reference below for some of my writings on the subject.