Chronic scalp folliculitis, AGA, got 3 PRP sessions since 8 months ago. No results. Advice?

If you are not treating the folliculitis with antibiotics or the proper treatments you will probably continue to have more hair loss.  PRP will only help in the absence of infection. I would consult a specialist in hair loss and dermatology to evaluate your current situation.  Biopsies or cultures may need to be taken as well.  Best, Dr. Green

It sounds like you have treated the AGA, but not the folliculitis.  Folliculitis is usually a chronic bacterial inflammation of the skin of the scalp. You should have prescription shampoos to lessen the bacterial colonization of the scalp.  You can try over the counter strength Nizoral shampoo, or else othe antibacterial washes.  You may need to address this problem with your dermatologist. 

I’d need to see your scalp up close and know all the details of your story to advise whatbreally should be done next. Anyone with chronic scalp folliculitis absolutely needs to make sure that their diagnosis is not better accounted for by a scarring alopecia such as folliculitis decalvans. Regardless, you may need to address the folliculitis to stop inflammation that is further driving miniaturization. I would strongly advise an individual in a situation like this to see a hair loss expert and consider a scalp biopsy if not already performed. 

Thanks for your question. I’m sorry to hear about your difficulty in trying to manage your hair condition. For the AGA there are options such as finasteride and oral minoxidil that can be utilized, these can be effective but can also have some side effects I would suggest you consult your hair specialist. Other options that I commonly utilize in my practice are microneedling and oral supplements such as Viviscal or Nutrafol. In regards to the PRP, there are many factors that determine whether it is going to be effective. When you look at the majority of the studies there does seem to be a certain concentration that needs to be achieved, as most studies that show no benefit you can reliably look at the concentration of the product and it is usually only 1.5 to 2 times the normal concentration. There is also variability to technique of injection that may play a role. PRP really works the best for early hair loss so if you have had your AGA for years the most likely to benefit your AGA is a hair transplant. For the folliculitis I would suggest you see a dermatologist in your area. Good luck.