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Dr. Beverly Friedlander

PRP Hair Restoration

Are you embarrassed by thinning hair? Over 50 million men and women in the USA suffer from some degree of hair loss. Hair loss is a genetic problem frequently attributed to the hormone DHT (Dihydrotestosterone) which is present in both men and women. PRP Hair Restoration is a promising new treatment used to slow down this genetic hair loss. PRP-Platelet Rich Plasma contains concentrated growth factors which can stimulate hair growth creating thicker, fuller hair. The treatment takes about 30 minutes and has helped to restore the confidence of many men and women.

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Why does hair loss occur?

Hair loss is a genetically determined condition, typically associated with increasing age.

In men, this is associated with the hormone DHT (Dihydrotestosterone) which causes the growth phase of the hair follicle to become shorter, thus preventing the hair from growing to its full size. This process is called miniaturization, (see below) where the hairs become progressively thinner and eventually disappear. Certain medications such as Finasteride (Propecia) can interfere with the formation of DHT and offer an effective treatment in some men. Also, in men, not all hair is susceptible to the effect of DHT, which is why the hair near the back of the neck remains thick and can be used for transplants.

In women, hair loss is not only genetically determined, but it is more likely to be effected by hormones other than DHT, as well as medications and medical conditions. In women, the side effects of Finasteride prevent its use, and all the hair is susceptible to DHT resulting in generalized thinning as opposed to segmental thinning, which we see in men, making hair transplants less effective long term for women.

In women, a thorough history and physical exam should be performed to ensure there are no medical conditions which may be causing hair loss, such as the following:

  • Hormonal changes – Pregnancy, Menopause or Ovarian tumors
  • Anemia (iron deficiency)
  • Thyroid disease
  • Collagen Vascular diseases, such as Lupus
  • Nutrition – Vitamin/ Mineral Deficiency, Essential Fatty Acid, Malabsorbtion
  • Stress – Emotional issues, Surgery, General Anesthesia
  • Medications – Coumadin, Dilantin, Anti-depressants etc

Is PRP Hair Restoration right for me?

PRP Hair restoration may be right for you if suffer from:

  • Thinning Hair
  • Small Bald Areas
  • Receding Hairline
  • Decreased Hair Density

What is PRP?

PRP is platelet rich plasma. Platelets contain multiple growth factors (stimulators) and bioactive proteins which are needed for regeneration (growth) and healing. There are many factors contained in PRP that stimulate wound healing, blood vessel formation, collagen formation, epithelial formation, Hyaluronic Acid formation and may stimulate hair growth.

The PRP used in PRP hair restoration is derived from a small sample of your blood which is drawn by one of Dr Friedlander’s nurses immediately prior to the treatment. It is safe, as there is no risk of infection or blood born disease. The blood is then spun down in a centrifuge to separate the platelets from the other cells in the blood, increasing the concentration of the platelets in the plasma 3-5 times.

The PRP is transferred into small syringes with very fine needles and then injected into the scalp in regions of hair thinning. A topical anesthetic may be applied, but is typically not needed. Dr. Friedlander prefers non-activated platelets, which means the growth factors and proteins are released after the PRP is injected into the scalp, rather than activated platelets where the growth factors are released into the serum after centrifuging and rapidly lose their efficacy.

How does PRP Hair Restoration work?

The use of PRP to stimulate hair growth is relatively new. It has been studied and used extensively in other medical fields. The mechanism is not well elucidated however it does appear to offer a promising treatment for hair loss when medications and hair transplants are poor options, especially in women and some men. In theory, the “growth factors” found in platelets stimulate the increased production of hair.

What can be expected with successful PRP Hair Restoration treatment?

With successful PRP treatment we see a 10-20% improvement in miniaturization. The hair shafts become thicker and darker giving the appearance of increased growth or density. Some people experience greater improvement, and there is a wide range of responses. The treatments are given at monthly intervals for 4-6 treatments and then twice annually for maintenance. Most people will see a response by 3-6 months after the first treatment. The greatest improvements occur in areas of thinning hair rather than absent hair. Dr Friedlander will monitor your response to assess the benefits of continued treatment.

What is balding?

Basically, balding is the process of miniaturization. Since the effect of DHT shortens the growth phase of the hair follicle the hair becomes thinner and shorter. With time, the hair follicle thins and then disappears.

Are there other options for treating hair loss?

There are many non-surgical options for treating hair loss. They include: supplements, shampoos, topicals applied directly to the scalp, laser or light treatments and oral medications. Scientific evidence supports the use of Finasteride (Propecia) in men and Minoxidil (Rogaine) used topically on the scalp in both men and women. Both are associated with a modest improvement in hair growth.

Minoxidil (Rogaine) stimulates hair growth by increasing the hair’s growth phase. Minoxidil 2% applied to the scalp twice a day or 5% applied once a day in women, and Minoxidil 5% applied twice a day in men reverses miniaturization. Finasteride (Propecia) blocks the formation of DHT in men. It is contraindicated in women. Supplements such Nutrafol are recommended and may be of benefit to both men and women. Likewise, lasers and light may have mild beneficial effects on a small population of users. All of these treatments may be used concurrently with PRP and provide additive effects.

Schedule a Hair Restoration with PRP consultation

For more details and to find out if you are a candidate for hair restoration with PRP, please contact us to schedule a consultation or call our office at 973-524-7124.


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Beverly Friedlander MD
636 Morris Turnpike, Suite 1A
Short Hills, New Jersey 07078

Phone: (973) 524-7124

Fax: (973) 912-8070

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