Minoxidil Tablets & PRP Therapy

Hello, my question is about minoxidil tablets and the Platelet Rich Plasma therapy for the delusive hairloss in women: benefits and risks. thanks in advance

Doctor Answers 5

PRP

PRP works in the right person.  Women and men can both benefit from Rogaine when it is used properly.  I am not familiar with the use of minoxidil tablets. To assess who is a candidate for PRP, a good history, review of medications, and exam is essential.


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 26 reviews

You should not be taking minoxidil tablets for hair growth. It may dangerously lower your blood pressure.

You should not be taking minoxidil tablets for hair growth. It may dangerously lower your blood pressure.  See your doctor for a proper exam and treatment options.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 64 reviews

Minoxidil tablets and PRP?

Minoxidil tablets have been replaced by Minoxidil Foam. It works very well with PRP injections for Female Androgenic Alopecia. Minoxidil can cause local irritation and hair growth on the face in women.  These side effects are rare and usually reversible.Thanks

Jeffrey Rapaport, MD
Englewood Dermatologic Surgeon
4.5 out of 5 stars 37 reviews

PRP and Minoxidil - for women

Minoxidil tablets are rarely used for hair loss nowadays. However "topical" minoxidil solution or foam is widely used. Studies show that minoxidil helps about 30 % of women with one specific type of hair loss - androgenetic alopecia (also called female pattern hair loss)

There are many causes of hair loss in women. Dozens in fact. If the reason for hair loss is androgenetic hair loss minoxidil is a top choice.  Risks include: hair growth on face, increased hair shedding in month 1, heart palpitations, headaches and rarely allergy. 

So if the reason for hair loss is genetic hair loss, there is a 30 % chance of it being helpful. If the reason is some other cause of hair loss, minoxidil will be less beneficial and might not help at all. 

How do you diagnose genetic hair loss? Well, an examination of the scalp (up close) is needed.  Unfortunately, the cause of hair loss in women can NOT be diagnosed from a picture. (In men it usually can)

Platelet rich plasma or PRP has not beed studies for the same duration as minoxidil. Studies support a role in genetic hair loss, as well as other hair loss conditions. Side effects include some minor discomfort will injections and some minor shedding in month 1 (like minoxidil). 

PRP and topical minoxidil won't stop hair from thinning, but there is a PRP combination that works for female pattern hair loss

Thank you for your question. You’re asking about the effectiveness of minoxidil tablets and the use of platelet-rich plasma in treating hair loss, which is something I can certainly help you with.

A bit about my background — I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I’m the founder of Trichostem™ Hair Regeneration Centers, which offer a non-surgical alternative treatment for hair loss in men and women that makes use of platelet-rich plasma.

Now, minoxidil was originally a blood pressure medication which displayed side-effects of hair growth. It works by prolonging the hair growth cycle of thinning hair, but does not stop hair loss progression. Currently, minoxidil comes in 2% and 5% topical solutions for women.

PRP, on the other hand, is used frequently in our practice, for everything from acne scars, fine lines and wrinkles, dark under eye circles, to keloid scars or hypertrophic scars. We do have quite a lot of experience with it. Based on my experience, PRP alone can produce short-term hair growth, but also cannot stop the progression of hair loss.

What we use to treat hair loss in our practice is called Hair Regeneration, which is a treatment that combines platelet-rich plasma and extracellular matrix. This treatment was derived from a system we were developing to help improve the results of hair transplants, and we observed that some of the its side-effects included the thickening of existing thinning hairs, the reactivation of the hair growth cycle, and the reversal of the progression of hair thinning in both men and women.

Having performed this treatment for several years and collecting more than 5 years’ worth of data, we have observed that more than 90% of women with pattern hair loss will see an improvement. This is a welcome option for women everywhere because prior to Hair Regeneration, women only had two options: topical minoxidil or a hair transplant. In fact, hair transplants are not even advisable for diffuse-type hair loss, which is usually the type of hair loss women exhibit, thus limiting their options even further. The reason why hair transplants are not advised for diffuse hair loss is because native hairs are often damaged during the transplantation process, thus further reducing the number of hairs on the scalp through collateral loss.

How we perform this treatment is by first administering one injection session to the scalp. We then meticulously follow up with our patients every 3 months to monitor progress. For certain patients, we’ve been seeing the benefit of doing a second injection in 12-15 months. During these follow-ups, we do digital photography and microscopy to really get a sense of how our patients are responding to the treatment. In our practice, most women see significant improvement in 9-12 months, but we’ve also had patients who notice short hairs growing across the frontal hairline in the first few months. It really depends on how the individual reacts to the treatment.

I recommend that you learn more about your options, though. Judging from your photos alone, it’s difficult to determine whether or not you really have significant hair loss, and a proper analysis is important before diagnosis. It’s very common for women to experience telogen effluvium, which is stress-related hair loss that manifests via a lot of shedding. I suggest that you meet with a hair loss specialist, get a proper diagnosis, and learn more about the options I described, so hopefully you’ll be able to find a solution that works for you.

I hope that was helpful and I wish you the best of luck!

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Amiya Prasad, MD
New York Oculoplastic Surgeon
4.5 out of 5 stars 58 reviews

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