What is the best procedure for restoring hair loss caused by Male Pattern Baldness? (Photo)

in my opinion, PRP is effective in decreasing hair loss, increasing the size of the hair shaft, and possibly regrowing hair that has been lost in the last 3 to 5 years. It is not FDA-approved. In addition there are other FDA approved treatments such as finasteride, minoxidil and low level laser that can augment the treatment. Find a PRP expert. Ask to see photos.PRPHAIRMD.COM 

Thank you for your question. You’re 25-years-old, submitted several good photos of the top of your scalp, and state you’ve been losing hair the past 2 years, and are aware about PRP of maybe having a stimulatory effect to strengthen existing hair. You want to know the best strategy to help your thinning hair and prevent future balding.
I can share with you my approach to helping patients like yourself in our practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. I am also the founder of TrichoStem™ Hair Regeneration Centers, a system we developed over the past 7 years using PRP and Acellular matrix, and other modalities to help people with male and female pattern hair loss. I can share with you certain conclusions I have come to based on this extensive experience.
Over the course of time, we have learned of the invaluable benefit of Hair Regeneration and as you refer to as this stimulatory effect on hair growth that can be significant with PRP and Acellular matrix. In patients your age, we certainly had dramatic improvement in outcomes. However, you’ve focused in on the one significant challenge which is the genetics. Your genetics clearly demonstrate a fairly aggressive rate of progression. For some perspective, in the early years of developing this, we looked at people at different stages of hair loss and saw the overwhelming majority of patients responded to the treatment of just the injection alone. However, with time, we got to see different clinical trajectories.
With PRP, and separately with Hair Regeneration, we can stimulate growth and make a big impact. However, with younger patients with aggressive progression, there are certain concepts I think are important to consider. Is it possible that genetically, your hair growth cycles are going to be limited? In other words, how many times will your hair grow before it stops growing altogether? Another perspective is the relative sensitivity of hair to dihydrotestosterone or DHT.
For many patients, especially during the early years of the fears about sexual side-effects, a lot of our patients were able to use our procedure as an alternative to finasteride successfully for 3-4 years after we did our injections. However, for a younger person, I think well beyond what’s going to happen in a 3-5 year timeframe. I feel particularly challenged if someone’s genetics is so aggressive. Often, I do have a discussion with our younger patients about a DHT blocker like finasteride, and provide them information in context of current state of knowledge based on published data about finasteride, and whether there is potential value.
Unfortunately, there is no cure for hair loss. What you are facing is an aggressive pattern that without any intervention, will naturally lead to the permanent loss of your hair. When I am treating younger people, I have seen patients who even with a DHT blocker, even with Hair Regeneration, PRP, multiple treatments, they will still lose hair. There are some people who have aggressive patterns who are able to prolong the lifespan, but the effects may be limited by the genetic programming.
Compliance with DHT blockers is also a challenge. A lot of men who take DHT blockers will stop taking these drugs for a variety of reasons. You are in that group of younger people with rapid rate of progression. Seeking a doctor who’s going to provide you guidance in terms of management, and understanding the limitations of any strategy is still based on genetics, and some unknown variables until you actually try the clinical intervention. The art of medicine is ultimately to treat, and observe. The way I look at it, in a younger person, you do everything you can to slow down this rapid progression. Ultimately, you want to get maximal coverage for the maximum time based on your genetics, which is the current reality. I hope that was helpful, I wish you the best of luck, and thank you for your question.This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.