Q:I am a 31 year old male and at a stage where I still have a fair amount of hair but see some early temple thinning (despite being on Propecia for about 1.5 years). A hair loss vaccination seems the most appropriate for me at this stage as I am trying to ensure no further progression of loss some additional thickening would be a terrific bonus
however. Is this a realistic expectation to have from PRP/Acell? Is this a procedure you would recommend to someone like me?
A: I began using Acell in combination with PRP long before anyone else considered this combination. The rationale was quite simple. PRP is loaded with growth factors and Acell provides a scaffold with stem cell attraction for these growth factors to set up on and provide a potential sustained release of growth factors to newly activated stems cells that migrated to the region. I based my rationale on the work that Joe Greco was doing with a natural ECM that he had manufactured from his patient’s blood. Joe was seeing a positive influence in terms of improved coverage from existing hair due to hair shaft thickening.
The combination has the capacity to induce improved hair shaft diameter in areas of existing hair. I often use the microneedle roller to perturb the recipient area, but use caution with this as it can also cut hair follicles sometimes and cause temporary thinning. I always activate the PRP with Thrombin. Failure to do this would reduce the potential benefit from the procedure. I’ve given re-treatments as far out as 14 months and as frequent as 8 months.
You would not need much Acell if you are only going to treat the frontal temple area. The PRP is around 750.00 as I recall. I’d say about 80 to 130 for Acell. I’ve seen results show up quickly. I’ve also seen some that don’t seem to respond. I’ve never seen it produce shock loss, but you can never say never. I do have some cases of acell in the frontal area. Some are photo protected, however.
This is one of those treatments that does not seem to cause any harm or risk other than time and money. When it works, it works very well. When it does not work, we all feel bad, but at least you are the same as before. I’m not sure how long the treatments will continue working for you. It may be they work initially or not at all. Then again, it might really add something to what you are already doing.
Hair loss does tend to go in stages. You go stable for many years then suddenly, you loose quite a bit. If you are on this edge of the plateau, and we do PRP, it might not save you from a sudden loss.
I am looking into adding stem cells to the area also. It is impossible to say if this will work at this time. I am studying this option carefully as we speak.
We do have an affiliate office in Korea and in Singapore, but neither is offering Acell at this time.
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Disclaimer:I am not a physician. My opinions are not necessarily those of Dr Cole. My advice is not a medical advice.