Can I have PRP treatment and use Viviscal to improve donor area before Hair Transplant to avoid Finasteride?

I have had few consultation for FUE hair transplant from the top surgeons in Turkey and Canada. All together i have come to the conclusion that i need to improve my donor area since i need almost 4500 to 500 grafts. I have been told to use Finasteride for 6 months to strengthen and repair hair thinning of 20 microns and above. Can i use Viviscal, saw palmetto and PRP session for the same purpose? Can i have 2 PRP sessions with a two weeks gap time? is it going to help. Please advice.

Doctor Answers 5

Donor Areas

Finasteride is likely the best way to improve your donor area. Whether or not PRP works is debated. You of course can try it and the other methods you listed but their results won't be as reliable as Finasteride. Keep in mind that 4500-5000 grafts is a lot for one surgery, and it may be worth your while to have a surgery with however many grafts your donor area can spare now, see how it grows, then consider a second round after building up your donor area if you're still unhappy. After the first round you may be pleasantly surprised.

Santa Monica Hair Restoration Surgeon
4.9 out of 5 stars 15 reviews

PRP treatment and use Viviscal to improve donor area

Actually there is no way to improve donor area. Using  viviscal and PRP treatments also dont work about that purposes.Number of grafts in donor area is related with your genetics and you can not improve or increase the number of it. plus , it is almost impossible to get 4500-5000 grfats in one single session of operation /harvesting period.ıf you make strong hair by using finasteride and  doc use them for hair restoration ,  you lost all these weak, finasteride reinforced  hair in d future.

Ilhan Serdaroglu, MD
Turkey Plastic Surgeon
4.9 out of 5 stars 11 reviews

It is best to ask your surgeon about post operative care as each doctor has their unique regimen.

It is best to ask your surgeon about post operative care as each doctor has their unique regimen.   In general there is no conclusive proof (at least not the ones accepted by most doctors) that PRP works.  Finasteride does not help with transplanted hairs and it does not stop genetic hair loss completely.

Jae Pak, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 90 reviews

Donor area

In a very small subset of patients, using finasteride or PRP can help the donor area. PRP sessions are typically scheduled no sooner than 6 weeks apart. When planning for a hair restoration, your donor area may not have enough hair to cover your entire head or all of your loss over time, and when dealing with a limited donor situation, one must be careful not to over harvest the donor area. In this case, you should be sure to focus on the front area as this is the area that people see when they interact with you. You can also consider having scalp micropigmentation (SMP) done in both the recipient and donor areas. 

Craig L. Ziering, DO
West Hollywood Hair Restoration Surgeon
4.6 out of 5 stars 8 reviews

Can I strengthen my donor area

The donor area is resistant to medications of all types and should be strong in any event. The use of finasteride is valuable both before and after a hair transplant as this drug will prevent shock loss, see below

William Rassman, MD
Los Angeles Hair Restoration Surgeon
5.0 out of 5 stars 27 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.