Alopecia Areata

What it is

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

Treatment Protocol

PRP FACE/NECK/HAND:

• 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 (critically important)

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 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 INTIMACY 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 device (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)
• Work the same or next day (hair)

Healing Time

Face/Neck/Hands Timeline:

• 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
• Month 6-12: Sustained effect
• After 6-12 months: Maintenance required

Hair Timeline:

• Week 0-12: Minimal visible change (normal)
• Month 3-6: First signs of improvement
• Month 6-9: Clear improvement in responders
• Ongoing 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 (lasts 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 washing
• SPF 50+ daily
• Avoid aggressive skin care products
• No 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 for

Best for:

• Dehydrated, tired skin in need of 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 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 expectations:

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

Documented effect:

• Moderate improvement in skin texture (consistent finding)
• Reduction of fine lines (moderate effect)
• Improved skin moisture
• Reduction of dark circles (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

Relative:

• Pregnancy and breastfeeding
• Autoimmune diseases
• Blood thinning medications (must be discussed)
• Immunosuppressive therapy
• 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
• No maintenance: Effect decreases over 6-12 months

Hair/scalp maintenance (ESSENTIAL):

• First year: Every 3-4 months
• Thereafter: Every 4-6 months
• No maintenance: Hair loss resumes

Joint maintenance:

• Every 6-12 months depending on response

Combinations:

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