Does PRP treatment with gun post HT cause damage to implanted follicles? I am post 7 weeks my HT. (photos)

Question

I just went through PRP session which the nurse injected me hundreds of time with microneedle gun to deliver plasma. The depth of needle was 2 mm. This procedure did cause bleeding as the needle was poking through. Will this damage my follicles??? Really concerned.

Jeff Rapaport, MD · Answer

In in my opinion, I do not prefer to use the gun injector.. I believe that injection should be subdermal. The depth of the dermis changes in different areas of the head.. It is not possible to use the gun injector and attain different level of injections. If there are multiple injections in a small area at 2 mm, it may cause inflammation. This may not be helpful. Find a PRP expert. Ask to see photos.

Jason Emer, MD · Answer

PPR should be subdermal injections and hair guns do not help much. I suggest combing with stem cells like a cell and progesterone to get the most benefit. Best, Df. Emer.

Jayanthy Ravindran, MS, DNB, MRCS · Answer

Hey there,
PRP is deposited sub dermally and sometimes in the subcutaneous plane with microneedle techniques there is minimal to almost negligible chances of injury to the hair follicle as the average length of the hair is about 5 mm.
Hope this helps.

Justin Rome, MD · Answer

As others mentioned here, for PRP to be effective it really needs to be injected at 4-6mm and the deepest guns only go to about 2mm.  I do a quick nerve block so the injections thereafter are not felt.  I do like microneedling but use it on alternating months for my clinical haircare members between PRP sessions.  Microneedling works to increase the blood flow, while PRP works by it's it growth factors.  I don't see any benefit to doing them at the same time.  We offer a cost effective long term clinical maintenance membership with monthly treatments which really give great results.

Ryan Welter, MD · Answer

I do not use the gun, but I do prefer about 4 mm of depth, just under the first layer of skin for a preferred injection depth.  I also recommend high density PRP (4-6x platelet concentration) with additional growth factors for maximum effect.  Unless you have experienced inflammation your hair transplant should be fine.

Does PRP treatment with gun post HT cause damage to implanted follicles? I am post 7 weeks my HT. (photos)

Answers (5)

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