I am quite interested and for many years now have been following and consulting with numerous HT doctors around the world regarding their results of using injectable hair stimulation PRP (+/- ACell) for treatment of MPB as stand-alone non-surgical treatment. HT surgery is something I am not interested at this time due to myriad of factors (e.g., DNA genetic programming resulting in possible future progressive hair loss and miniaturization of existing hairs, accelerated loss of native hairs due to the trauma of surgery, depletion of donor hair, multiple transplant procedures / sessions over my lifetime, not every person knows if they will achieve 100% satisfied result, picking right doctor is not easy as HT doctors have varying egos/costs/skills/artistry/ethics, etc). So for now I am content with only non-surgical methods and not HT surgery.
Obviously, I am not a doctor, and just another 55 year old male suffering from MPB thinning and receding hairlineâ€¦.but from all these years this is the information I have been able to glean regarding PRP (+/- ACell) treatment for MPB without HT surgery:
â€¢ Currently there are no scientific studies to indicate PRP (+/- ACell) works to regrow hair. There are positive anecdotal results with some enthusiastic and cutting edge HT doctors (e.g., Dr. Jerry Cooley and Dr. Gary Hitzig) but nobody can tell me what success percentage I will achieve, and will it be significant or not. Unfortunately, there is no established, standardized, or proven protocol that has been shown to be superior to any other delivery method….and each doctor is trying something different on their own through a trial-error effort to get to the point where a proven protocol will provide consistent results.
â€¢ Some HT doctors are spinning their own PRP with cheaper equipment and injecting what they claim are optimal platelet concentrates at < 5x platelet concentrates....on the other hand there's Dr. Cooley who claims optimal results using 5x or > platelet concentrates via the ANGEL system….and some HT doctors are now copying Dr. Cooley’s protocol after networking and sharing his notes @ various ISHRS meetings and conferences. Bottom line, it appears HT doctors are injecting differing platelet concentrate amounts in their practices depending on results….which again shows there is no established, standardized, or proven protocol for PRP (+/- ACell) hair injections.
â€¢ With HT surgery, as it is with PRP (+/- ACell) treatment by itself without HT surgery, it appears individual DNA genetic programming plays key role in determining overall treatment outcomes/success for each individualâ€¦.and the ideal platelet concentration amount of PRP injected appears to have profound impact regarding how patients respond and their resultsâ€¦.and presence of different cell types and growth factors also impact final results.
â€¢ Appears there is limited evidence to suggest lasting benefit with injection of PRP (+/- ACell) or growth factors, although there may be thickening of native hair follicles. It is unclear how long the benefits of treatment last and if the benefit will continue through subsequent hair growth cycles. However, all HT doctors agree on several factors regarding duration of treatment benefits: 1) underlying genetic balding pattern (e.g., PRP will last for a shorter time period for those who are DNA genetically prone to bald faster); AND 2) other maintenance treatments the patient is using (e.g., Propecia, Rogaine, LLLT or LaserCap, other topicals).
â€¢ Appears for many HT doctors/Dermatologists/Cosmetic Surgeons/Estheticians….especially in the United States….they charge excessive amount for PRP (+/- ACell) injections because they view as easy revenue steaming source due to desperation and gullibility of people with MPB issues buying into the HYPE for the next BIG THING or BALDNESS CUREâ€¦.which it’s not.
With that in mind, I do have specific questions regarding personally using PRP (+/- ACell) for MPB without HT surgery. These questions may seem anal and more detailed than normal, but I have to ask because of the personal costs involved, and the fact there are still no established, standardized, or proven protocols to date for PRP (+/- ACell) hair injections for MPB without HT surgery .
â€¢ What specific protocols are you using that provide consistent results for PRP (+/- ACell) for MPB patients (without HT surgery)? Where did you receive and why did you determine to use these specific protocols?
â€¢ What centrifugal equipment are you using for PRP platelet concentrations? What PRP platelet concentration levels are you getting? What amount of PRP (+/- ACell) injections for individual patients? And how do you determine concentration level amounts of PRP (+/- ACell) injections for individual patients?
â€¢ How much do you charge for PRP (+/- ACell) injections?
â€¢ How many PRP (+/- ACell) injections per year do you recommend someone getting? Is PRP (+/- ACell) injections perfectly safe over the long haul many years from now due to stimulating cell growth? Obviously, cancers are concern for everyone and nobody wants to wake up or stimulate genetically predisposed cancer cells, etc.
â€¢ How many PRP (+/- ACell) injections for MPB (without HT surgery) have you performed to date? How long have you been performing these PRP (+/- ACell) injections in your practice?
â€¢ What is the success percentage of total PRP (+/- ACell) injection patients for MPB (without HT surgery) that actually grow more hair and increase diameter size of existing miniaturized native hairs? From these successful injections, can you measure or visually see the significant or appreciable percentage difference in overall hair growth and appearance for your patients? (e/g., 25% better stronger looking hair?/50% better stronger looking hair?/75% better stronger looking hair, etc)?
â€¢ Do you have portfolio of these patients before/after photos that I can see on-line? Even better if possible, can I contact these patients myself either via email or telephone to ask their overall impressions regarding their results?
The above text was written to my private email and is a good overview of the PRP topic, so I have included it in our blog.
I do not engage in using PRP and ACell for hair growth or in hair transplantation. We do use on occasion ACell with the patients permission for donor wound healing, but we do not charge the patient any money for this. We absorb the few hundred dollars for the ACell since we cannot positively claim its benefit. Once I see value, clinical proof, and scientific proof, I can change my mind about the offering.
I don’t believe that these treatments are anything more than human experimentation for profit, or just a profitable venture. Desperate people will spend lots of money chasing the pot of gold under a distant rainbow.