PRP/PRF

What it is

Your own blood is centrifuged to concentrate platelets with growth factors that stimulate regeneration. The treatment uses the body's own healing mechanisms to improve skin quality, stimulate hair growth, or relieve pain.

Treatment protocol

PRP FACE/NECK/HANDS:

• Number: 2-3 treatments initially

• Interval: 4-6 weeks

• Effect: Gradually over 4-12 weeks

• Duration: 6-12 months (some up to 18 months)

• Maintenance: Every 3-6 months (critical)

PRP HAIR/SCALP:

• Initial: 3-4 treatments

• Interval: 4-6 weeks

• Effect: Seen after 3-6 months

• Duration: 6-12 months

• Maintenance: Every 3-4 months the first year, then every 4-6 months

Dosage hair:

• PRP 1ml: Small spots in Alopecia areata or lips

• PRP 2.5ml: Moderate treatment area

• PRP 5-6ml: Full scalp

PRP INTIMATE AREA:

• 1-2 treatments

• Evaluation after 4-8 weeks

• Maintenance after 6-12 months

PRP FOR JOINT PAIN (PRP/APS):

• 1-3 treatments

• Moderate pain relief, NOT curative

• Duration: 6-12 months

• Maintenance: Every 6-12 months

PRP SUBCISION (Scar Treatment):

• 2-4 treatments

• Interval: 6-8 weeks

• Effect: 30-70% improvement (varies)

• Maintenance: Rarely needed after completing series

Procedure

1. Blood sample (10-20ml)

2. Centrifugation in a special apparatus (8-15 minutes)

3. PRP extraction (golden liquid with a high concentration of platelets)

4. Injection into the treatment area OR

5. Combination with microneedling for better penetration

6. Total time: 45-75 minutes

Duration

45-75 minutes (including blood sample and centrifugation)

Pain level

Moderate. Numbing cream is usually used. Discomfort during injection. Soreness afterwards for 1-2 days.

Downtime

Minimal to no downtime:

• Social downtime: 0-2 days (0-5 days if bruising)
• Makeup: From the next day
• Can work the same day (face/neck)
• Same or next day work (hair)

Healing time

Timeline for face/neck/hands:

• Day 0-3: Immediate "glow" (transient), redness/swelling (1-3 days)
• Week 4-6: First real improvements begin
• Week 8-12: Progressive improvement
• Month 3-4: Optimal effect reached
• Months 6-12: Sustained effect
• After 6-12 months: Maintenance required

Hair timeline:

• Week 0-12: Minimal visible change (normal)
• Months 3-6: First signs of improvement
• Month 6-9: Clear improvement in responders
• Continuous maintenance required

Individual Response:

• Rapid (30-40%): Improvement after 3-4 weeks
• Average (40-50%): Improvement after 6-8 weeks
• Slow (10-20%): Subtle after 8-12 weeks
• Factors: Age, health, smoking, platelet quality

Side effects

Very common:

• Redness (1-24 hours)
• Swelling (1-2 days)
• Tenderness in the treatment area

Common (20-40%):

• Small bruises (last 5-10 days)
• Temporary increased hair loss first 2-4 weeks (hair) - NORMAL

Rare:

• Infection (extremely rare since it is your own blood)
• Allergic reaction to anticoagulant in the tube

Aftercare

First 24 hours:

• Do not wash the treatment area for the first 6-12 hours.
• No makeup for the first 24 hours
• No intense exercise for the first 24 hours
• No heat (sauna, steam room)
• No alcohol (reduces effect)

Week 1:

• Gentle wash
• SPF 50+ daily
• Avoid aggressive skin care products
• Not facials
• Hydration is important

For hair:

• Do not wash hair for the first 6-12 hours
• Mild shampoo afterwards
• Continue normal hair care

Who is this suitable for?

Best suited for:

• Dehydrated, tired skin that needs improved quality
• Fine lines and texture issues
• Androgenetic alopecia (hereditary hair loss)
• Alopecia areata (small patches)
• General thinning of hair
• Joint pain and mild osteoarthritis
• Realistic expectations of gradual improvement
• Willing to maintain

Who is this not suitable for?

NOT suitable for:

• NOT for complete baldness (hair)
• NOT for significant volume loss (use fillers instead)
• NOT for severe osteoarthritis (surgery may be necessary)
• Pregnancy/breastfeeding
• Active cancer
• Platelet disorders
• Active infection
• Unrealistic expectations of dramatic change

Important information

REALISTIC EXPECTATION:

• Moderate, not dramatic effect
• Requires consistency and patience
• Best effect on skin quality and texture
• NOT a "quick fix"
• Individual results vary considerably
• Requires maintenance for long-lasting effect

Documented Effect:

• Moderate improvement in skin texture (consistent finding)
• Reduction of fine lines (moderate effect)
• Improved skin moisture
• Dark circle reduction (promising, but variable)
• Best combined with microneedling
• For hair: 20-40% increase in hair thickness (studies)

Contraindications

Absolute:

• Active cancer or cancer within the last 5 years
• Platelet disorders
• Thrombocytopenia (low platelet count)
• Systemic infection
• Skin infection in the treatment area

Relatives:

• Pregnancy and breastfeeding
• Autoimmune diseases
• Blood thinning medications (must be discussed)
• Immunosuppressive treatment
• Recent surgery

Warning signs

Contact the clinic if you experience:

• Severe swelling that increases after 24 hours
• Signs of infection (increasing redness, warmth, pus)
• Severe pain
• Fever
• Allergic reaction

Individual variations

Large variation in response:

For face/neck:

• Rapid response (30-40%): Clear improvement after 3-4 weeks
• Average (40-50%): Improvement after 6-8 weeks
• Slow (10-20%): Subtle effect after 8-12 weeks
• Non-responder (5-10%): Minimal effect

For hair:

• Good response (30-40%): Visibly thicker hair after 4-6 months
• Moderate (40-50%): Stabilization of hair loss
• Minimal (20-30%): Little or no effect

Factors that influence:

• Platelet quality (varies individually)
• Age (younger = often better)
• Health and diet
• Smoking (negative)
• Stress (negative)
• Sleep and recovery

Maintenance

Maintenance plan face/neck/hands:

• Recommended: Every 3-6 months
• Minimum: Every 6 months
• Optimal: 3-4 treatments per year
• Without maintenance: Effect decreases over 6-12 months

Hair/scalp maintenance (ESSENTIAL):

• First year: Every 3-4 months
• Then: Every 4-6 months
• Without maintenance: Hair loss resumes

Maintenance joints:

• Every 6-12 months depending on response

Combinations:

• With microneedling: Increased penetration and effect
• With Minoxidil (hair): Synergy effect
• With other hair growth treatments