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PRP Truth - Not All PRP is The Same - Hair Transplant Clinics - Hair Transplant section - Hairloss Experiences Hair Loss Forum  Rate Topic 
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 Posted: Thu Oct 5th, 2017 02:06 am
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Haircenter
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Dr. Cooley is one of the original pioneers of PRP with regards to hair loss and hair restoration. He has spent over a decade to come up with our current protocol used for our patients today. It is a constantly evolving protocol based on new technologies and developments in the field. 

Dr. Cooley is confident in the efficacy of PRP, especially when properly combined with ACell, to help patients that have been deemed good candidates for the treatment. PRP w/ACell is effective for thickening hair in patients with diffused hair loss and is especially helpful for patients that are otherwise poor surgical candidates due to either poor donor supply or not enough loss to justify surgery in the first place. With our approach we've seen some very good results.

However, Dr. Cooley is becoming more concerned with the apparent explosion of PRP offerings in the marketplace as it seems that every medispa/ plastic surgeon/ dermatologist, etc. is offering the procedure, some with unrealistic claims.
We at Carolina Dermatology Haircenter wish to help set the record straight about PRP. We'll be presenting numerous cases of PRP results with varying levels of improvements to show you what you can realistically expect or not expect. In our experience, PRP does not need to be administered two, three or four times a year to achieve optimal results. We typically administer one treatment with the expectation that this will be enough for at least one year of improvement. 
We see results manifest much like those of Propecia in that it generally takes three to six months to see the first signs of improvement and then the result can continue to improve for several months afterward. The longevity of these results does vary but we've seen some results stay strong for two and three years after only a single treatment. Per usual we find that PRP w/ACell works best when combined with other non-surgical treatments such as Propecia. 

Below is our first case to present and it represents a mild visual improvement but an overall improvement of 25% was measured with cross sectional tricometry 7 months after the one procedure we administered. Looking at the part line you can see how it not only narrowed but the hairs on either side of the part line are stronger. This was what the patient experienced throughout the top of his scalp and he noted that he could have more hair styles due to the increased density. The patient was 45 years of age at the time of the treatment and was not on Propecia before or after treatment.


Last edited on Thu Oct 5th, 2017 02:12 am by Haircenter



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 Posted: Fri Oct 6th, 2017 08:40 am
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Bigmac
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Nice post. PRP has definitely exploded back on the hair loss scene. Hopefully, people who do some research will find clinics like Dr Cooleys who know what they're doing.



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 Posted: Mon Oct 9th, 2017 09:04 pm
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hairhope4ever
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I had PRP performed in March of 2012. Objectively I did not see any results from it.


About my hair loss journey:


http://hairtransplanttestimonial.blogspot.com/

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 Posted: Wed Oct 11th, 2017 09:16 pm
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Haircenter
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Hairhope4ever,

If you were a NW6 like your result video indicates then a lack of results would make sense. PRP is not supposed to work on patients with extensive loss. Some may see a modicum of improvement but it is not a miracle solution for those with aggressive loss. This is one of the problems that we are seeing with how PRP is being promoted by some clinics.



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 Posted: Wed Oct 11th, 2017 09:17 pm
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Haircenter
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Case #2
In this presentation we have a 64 year old male that presented with general, moderate diffused thinning throughout the top off is scalp. Dr. Cooley administered one treatment of PRP with ACell. The patient had already been on finasteride consistently for ten years prior and he continues this medical regimen still. 

The patient returned after one year for a follow up visit and the improvements were noted. The hairs throughout the top of the scalp increased in terminal diameter and density improved as well. This is noted in the part line but also the crown. At this time it was discussed and agreed that a second treatment could be performed.
 
The patient returned 18 months later with more improvements compared to the first procedure with an added increase in density and coverage. No other treatments were added and no alterations were made to his existing finasteride intake. 


Last edited on Wed Oct 11th, 2017 09:17 pm by Haircenter



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 Posted: Thu Oct 12th, 2017 03:48 pm
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Pete from Farjo
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Nice examples of subtle but definite improvement.



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 Posted: Fri Oct 13th, 2017 11:16 am
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Great thread this, thanks for posting...... i agree that PRP seems to be being offered everywhere... so posts like this are very beneficial 



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 Posted: Sat Nov 4th, 2017 01:04 am
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Haircenter
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Continuing our "Not All PRP is The Same" series, we have another example of PRP with ACell performed by Dr. Cooley and the team at Haircenter in Charlotte, NC.

Case # 003 is a 21 year old male patient that presented with early onset male pattern hair loss with general thinning throughout the top of the scalp and miniaturization along the frontal hairline and into the temples. He was first started on Propecia but soon after we performed one procedure of PRP with ACell. The result is shown one year after the procedure was performed. The entire top of the scalp has thickened but of particular importance is how the hairline, particularly the temples, have thickened considerably. This is no doubt due to the synergy established by the combined use of Propecia and PRP.







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 Posted: Sun Nov 5th, 2017 08:50 am
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gambler
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Good, but these are easy cases with patients who just have a slight amount of miniaturization.

Let's see some more challenging cases with patients who are substantially bald.

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 Posted: Mon Nov 6th, 2017 08:25 pm
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Haircenter
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Hi Gambler,

I think you might be missing the point of this thread. Dr. Cooley feels that the narrative regarding PRP/ACell and what it can do is misleading because of false claims that PRP/ACell will regularly deliver what you asked for. PRP/ACell can and is a great treatment when performed correctly but it is not a miracle. Do cases like you ask for exist? Yes, but they are the exception, not the rule. The point of this is to show you what the average range of result are that can be expected from a high quality application of PRP/ACell.


Keep in mind also that these examples are showing only one application of PRP/ACell (unless otherwise noted) as that is also what Dr. Cooley feels is another misrepresented aspect of PRP/ACell treatments, in that multiple treatments in a short span of time are necessary for success.



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 Posted: Tue Nov 14th, 2017 08:50 am
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Dazzster26
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Very interesting read indeed ,does any clinics in the UK-Europe do this PRP 

Thanks

Daz

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 Posted: Sat Nov 25th, 2017 12:22 am
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Haircenter
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PRP Results Case # 004
Our next case presented as a 61 year old male with a well defined area of crown loss. He had already been on dutasteride for a number of years so the patient's loss had already been stable for a long time. In order to continue a non-surgical approach the patient and Dr. Cooley agreed on one treatment of PRP with ACell. 
The image on the far left is the "before" image before any treatment was administered. He had been on dutasteride already. The middle image is the result six months later. You can easily see a fairly significant improvement. The patient eventually returned four years after his initial visit, and single PRP with ACell treatment, and much of the original result has remained and the overall diameter of the balding area is still less than it was prior to treatment. 



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 Posted: Mon Nov 27th, 2017 04:53 pm
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Pete from Farjo
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Definitely an improvement there. Has the patient considered transplantation as he looks to have great hair characteristics and given his age and stable hair loss, he could be the perfect candidate?



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