Thank you for your question! You’re asking a question that is very simple
and hopefully I would be able to educate you our approach is to hair loss is. You’re
asking what is better for a hair fall: PRP or mesotherapy? So what essentially you’re
asking is what surgical and non-surgical and non-pharmaceutical option is better from these
two injection options. I can certainly give you some guidance. I
am a board certified cosmetic surgeon practicing for over 20 years in Manhattan and Long Island
performing hair transplant surgery as well as non-surgical solutions for hair loss. In
fact, I’m the founder of Trichostem™ Hair Regeneration centers which is based on Hair
Regeneration treatment we’ve developed in our practice using a combination of platelet-rich
plasma and extracellular matrix. In fact, our approach has been so successful that it
has dramatically reduced the number of hair transplants we perform in a given year. Patients
come from all over the world to afford this treatment. So I’m going a little bit of
perspective based on my understanding of the two options you asked for before how we approach
hair loss in our office. So to begin with, what does PRP do and what
does mesotherapy do? Well certainly, I can help you with the PRP. PRP is platelet-rich
plasma. It’s derived from your own blood and it is a concentration of the wound healing
factors that stimulate some certain key elements to the skin when it’s injected. So it’ll
improve fat cells, it’ll improve blood supply, it’ll improve the collagen. And secondarily,
it would stimulate short-term growth of hair. Now from our experience, from the patients
who come to us who have had PRP injections done elsewhere, the challenge is that you
need frequent treatments. You need to go at least once a month and in some place once
in 2-3 months but it means that you’re getting only short-term benefit and you’re not getting
a long-term sustainability. Now the subject of mesotherapy, for those
trained in the United States and trained in Allopathic medicine and even with this understanding
of some of the elements of what constitutes mesotherapy. Mesotherapy is something of a
controversial issue because in other areas, particularly in European countries where mesotherapy
is practiced, there is some belief in its value. Mesotherapy is essentially the use
of various vitamin solutions and other things that are injected to areas whether it’s
the face of the scalp. I personally don’t perform mesotherapy but from what I understand,
I would not consider mesotherapy to be of any value for hair loss and I don’t wish
to disparage anyone or insult anybody but frankly, hair loss that is 90% is genetic
hair loss. It is not from vitamin deficiency or any other nutritional or conceptually the
delivery of even a DHT blocker into the skin because it doesn’t work that way. Hair loss is genetic and the ways that we
treat hair loss in the United States are basically prior to what we developed are pharmaceuticals
which include minoxidil and finasteride. In our practice, many people come to us who don’t
want to take finasteride because of fears of sexual dysfunction while on the other side,
that is hair restoration surgery which a lot of people won’t do because of variety of
reason and because of the limitations. You can only have so much hair that you can transplant
before you run out of donor area. That is the true limitation regardless of technique. So Hair Regeneration is what we do in our
practice. What we developed is based on a technology of wound healing material called
extracellular matrix. When combined with platelet-rich plasma, it was discovered in our development
that doing hair transplant surgery, thinning hairs actually became thicker. We were able
to help the grafts survive better. We were also able to help the donor area heal better
but what’s different from PRP alone is that we are able to do a single injection treatment
and see significant improvement over the course of a year to 18 months. We follow our patients
every 3 months and we document extensively using a digital microscopy as well as digital
photography to document the improvement. We sometimes also do a second injection at the
12-18th month point to further enhance and build upon. It’s not like the treatment
regresses but we are actually able to improve upon that. With more than 5 years of data, we have been
able to at least clinically verify that the treatment is sustainable and that the hair
growth continues without constant injection. I think that’s a big differentiator from
either PRP or mesotherapy. Usually there’s some type of continuous, within a year, several
injections necessary to sustain the results. Again, these other treatments, these PRP and
mesotherapy won’t stop progression. With Hair Regeneration, we are able to show over
and over for patients who we treat from around the world that we are able to stop progression,
reverse thinning and thicken existing thinning hairs. So I realized that you asked a different question
but it was important for you to at least get some perspective since you are obviously looking
for a non-surgical alternative to hair transplant that there is also this other treatment that
is an injection called Hair Regeneration. So learn more about this option. With no intention
to confuse you rather to educate you, I want you to learn and do more research so that
you feel comfortable about your knowledge and the understanding of what the long-term
plan is. You know it’s very important that when people have hair loss, they’re often
desperate and they’ll try anything and I mean anything. So it’s better to at least
take a step back from the desperation and think about the long-term plan and think in
terms of years and decades and not short term solutions even though that is all you may
find when you just learn about just PRP and mesotherapy. So now you have a third alternative
that I think will make a bigger difference for you. So I hope that was helpful, I wish you the
best of luck and thank you for your question!

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