What type of PRP Hair treatment is the best? (Photo)

There is no consensus on which technique of PRP hair treatment works best.  The bottom line is that they all work.  PRP alone, PRP with microneedling, with or without ECM or A Cell.  There isnt sufficient evidence to show that adding costly A Cell (ECM) add any benefit.  Although microneedling as a stand alone procedure has been shown that it can stimulate hair grow, adding this to PRP treatment can increase hair growth vs PRP alone but is often less practical and may not be necessary adding discomfort, swelling, and cost to your treatment without a dramatic added benefit.  Many of the different PRP systems on the market work as long as they produce PRP that is 4 to 6 times in platelet concentration. most individuals need an initial series of 3 to 4 monthly treatments and 2 or more maintenance treatments per year.  Minoxidil, Propecia, and LED light home treatments all will add to your results. Good luck

I actually have great success in my practice using injectable progesterone and prp in combination to the scalp, rather than PRP alone. I suggest seeing an expert in hair loss. Any hair loss treatment takes 6 months to evaluate, so you will have to do 6 monthly treatments and then my patients cut the treatments down to every 6-8 weeks there after to maintain if the treatments are working. Best, Dr. Emer

Great question! There are no studies to document which protocol is best. There are no studies to support  Acell or extracellular matrix. It is my opinion that multiple treatments are necessary at inception. Most studies with Injection show good results.  Adding microneedling  or micro needle roller is effective, however it does add to post-operative swelling and side effects. Looking at your photo, there would be benefit adding finasteride orally or topically. Good luck.