Latest Platelet Rich Plasma (PRP) Therapy Study Confirms Medi Tresse Protocols

If you have read our blogs before you have probably read one of our posts about how there is no standard protocol for Platelet Rich Plasma (PRP) Therapy, which makes it difficult for patients as they determine the best treatment option for them.  Not only are there multiple Platelet Rich Plasma (PRP) kits used, with varying amounts of blood drawn and number of spins, but the protocol that practices follow can differ.  For instance, our research has shown that it is best to start patients with a protocol of one treatment a month for three months.  We pride ourselves on making sure that our protocols are based on the best available research and this constant review led us to our exclusive Optimal Platelet Concentration™ Therapy treatment that we started to offer this year.  While we are confident in our treatment plans, it is always great when we come across more research that confirms our protocols, which is why we were excited to see the results of a recent study released in the October 2019 edition of the journal of Dermatologic Surgery titled Platelet-Rich Plasma as a Treatment for Androgenetic Alopecia.

While this study in the journal of Dermatologic Surgery was not a new study on Platelet Rich Plasma (PRP) Therapy, instead it was a review of 10 of the more substantive studies on Platelet Rich Plasma (PRP) therapy to evaluate the effectiveness of Platelet Rich Plasma (PRP) therapy.  Based on the review of previous studies it found a few essential factors that the authors believe are important for successful treatment with Platelet Rich Plasma (PRP) Therapy:

 

Initial Treatment It is recommended that patients start with one treatment a month for three months for a total of three treatments followed by a maintenance regimen
Activation of Platelets Activating the platelets with calcium chloride or scalp needling is recommended
Platelet Concentration The optimal concentration of platelets for the Platelet Rich Plasma (PRP) is 1.5 billion per ml

These findings are important, because they are consistent with our current treatment plans, specifically the Optimal Platelet Concentration™ Therapy.  With our Optimal Platelet Concentration™ Therapy we are conducting a platelet count on the day of treatment, which allows us to customize the treatment to ensure that we are reaching the optimal concentration of 1.5 billion per ml.   Our goal is to always provide the best possible treatments backed by research and this study confirms that we are doing that.

Posted by Your Medi Tresse Team

Am I Getting The Best Possible Platelet Rich Plasma (PRP) Therapy?

Platelet Rich Plasma (PRP) Therapy has become a popular treatment for many different medical problems.  In the last 10 years I have seen Platelet Rich Plasma (PRP) Therapy used for osteoarthritis of the knees, soft tissue injuries, collagen growth in cosmetic procedures, bone growth in dental procedures, hair regrowth and other regenerative procedures.  Intense research has been ongoing for over a decade in this country and abroad.  However, after reviewing literally hundreds of research articles, what has become obvious to me is that not all Platelet Rich Plasma (PRP) Therapy is the same.

The process of performing Platelet Rich Plasma (PRP) Therapy is actually very simple. A sample of blood is removed from the arm, just like any blood test.   The tube of blood is then spun in a centrifuge and the blood separates in different layers, one of which contains the platelet blood cells, around which are many different types of growth factors.  When this layer is then injected into the area to be treated, these growth factors stimulate new cell growth.

So what makes Platelet Rich Plasma (PRP) Therapy treatments different?  Why aren’t they all the same?  There are so many variables, which can interfere with the final outcome and prevent new cell growth.  For instance, there are many different brands of Platelet Rich Plasma (PRP) Therapy kits, all of which have different abilities to obtain the correct number of platelets needed for cell growth.  There are also many different treatment protocols; in other words, how many treatments are needed and how often?  The training and experience of the medical professionals performing the Platelet Rich Plasma (PRP) Therapy is extremely variable. So how do you know if you are getting the best possible Platelet Rich Plasma (PRP) Therapy  treatment?  Honestly, it can be very difficult for consumers to know.

At Medi Tresse, because we are a medical practice and not just a med-spa, we utilize the most effective methods of performing Platelet Rich Plasma (PRP) Therapy for hair regrowth.  We are staffed by physicians, nurse practitioners, and nurses who have done the research and attend annual conferences on hair loss to collaborate with other industry leaders to make sure that we are following best industry practices.  Our staff has completed over 1800 Platelet Rich Plasma (PRP) Therapy procedures, resulting in more than an 85% success rate.  We monitor treatment carefully with follow-up exams and photos to document progress. We are constantly reviewing and updating our treatment plans for all our patients.

Hair loss in women can be an emotional problem and difficult to treat properly.  At Medi Tresse, we treat all our patients with the best medical care available, with compassion and respect.

Posted by Dr. Mary Wendel

Questions to Ask Before Doing Platelet Rich Plasma (PRP) Therapy

As Platelet Rich Plasma (PRP) Therapy has gained in popularity as a hair restoration treatment, there has been an increase in medical practices that now offer it.  We are big supporters of Platelet Rich Plasma (PRP) Therapy for hair restoration, so we are excited to see its popularity grow.  That being said, as more non-hair loss specialists start offering Platelet Rich Plasma (PRP) Therapy, it is important for patients to make sure that they are being treated by experienced staff. Regardless of where you decide to get Platelet Rich Plasma (PRP) Therapy, here are some important questions to ask the provider before starting your treatment.

Do you have experience treating female hair loss?

For most women, the cause of hair loss is due to genetics.  However, there is a large subset of women that are experiencing hair loss due to other factors, including, but not limited to: thyroid issues, medications, stress, hormonal imbalance, or issues with their diet.  To effectively treat female hair loss with Platelet Rich Plasma (PRP) Therapy, it is necessary to be able to understand the underlying cause of the hair loss.

How did you determine my type of hair loss and is Platelet Rich Plasma (PRP) Therapy an effective treatment for this type of hair loss?

While Platelet Rich Plasma (PRP) Therapy is a great treatment, it is not a great treatment for all types of hair loss.  For patients experiencing Androgenic Alopecia (Female Pattern Hair Loss), Alopecia Areata, or Traction Alopecia, Platelet Rich Plasma (PRP) Therapy can be a great treatment option.  However, if you have a different type of hair loss like Scarring Alopecia or Telogen Effluvium, Platelet Rich Plasma (PRP) Therapy is not the right choice.  It is important to make sure the practitioner has determined that Platelet Rich Plasma (PRP) Therapy will be effective for your type of hair loss.

Could any of my medications inhibit the effectiveness of Platelet Rich Plasma (PRP) Therapy?

With Platelet Rich Plasma (PRP) Therapy, we are actually trying to cause an inflammatory response in the scalp to tell the body to begin healing and rejuvenate the follicles.  However, if you are taking an anti-inflammatory like aspirin or a corticosteroid, it could prevent you from getting the best response possible.

Are there other treatments I should do in conjunction with my Platelet Rich Plasma (PRP) Therapy?

Platelet Rich Plasma (PRP) Therapy is a great treatment for female hair loss, but it is not the only treatment.  If you are experiencing hair loss, it is often best to do multiple treatments as they work in different ways and can get you the best results.  Other treatments like Low Level Laser Therapy (LLLT), Formula 82 (minoxidil), and Viviscal, can be great options to use in conjunction with Platelet Rich Plasma (PRP) Therapy and potentially get you even better results.

These are just some examples of important questions to ask your practitioner before starting treatment.  If you think Platelet Rich Plasma (PRP) Therapy may be right for you, we always recommend speaking to a hair loss specialist that can determine the best treatment plan to treat your specific hair loss.

Posted by Your Medi Tresse Team

Determining the Cause of Hair Loss

For anyone that is concerned about their hair loss, the most important step is to see a hair loss specialist that can help diagnose the cause of your loss and develop a treatment plan specific to your needs.  There are many ways a hair loss specialist can determine the causes of your hair loss, which can include, but is not limited to, a review of your medical history and hair loss history, a physical review of your hair and scalp, or reviewing highly magnified photos of your hair.  One other potential diagnostic test is a blood test.

It is not necessary for every patient to get a blood test, however, for some patient’s a blood test can be very helpful in determining the cause of hair loss.  At Medi Tresse, the hair loss specialists may request a blood test if they feel that further evaluation is necessary to rule out any potential causes of hair loss.  While the blood test may differ for each patient, there are some standard levels we would for any blood test, and these include Ferritin, Thyroid Stimulating Hormone (TSH), Complete Blood Count (CBC), Vitamin D, and Testosterone.

Before you decide to go get your blood tested, it is important to see a hair loss specialist that can help walk you through this process and provide you with the best resources for reviewing the results, and determining if it is necessary.

Posted by Your Medi Tresse Team

Best Chance for Successful Hair Loss Treatment

One question we often get from our patients is “what can I do to give myself the best chance at success with my treatment?” This is an important question, because there are a lot of factors that can affect the results of your hair loss treatment.  Unfortunately, medicine is not a perfect science, which means that treatment results can vary, however there are steps you can take to put yourself in the best position to have a successful result.

The first step is seeing a medically trained hair loss specialist.  Not all hair loss treatments are appropriate for each type of hair loss, and a medically trained hair loss specialist should be able to diagnose the cause of your hair loss and determine the best treatments for your specific types of hair loss.  For example, Platelet Rich Plasma (PRP) Therapy is a great treatment for patients with female pattern hair loss, but if the patient has scarring alopecia, the patient will probably not get the desired result.  A medically trained hair loss specialist can ensure that you are truly a candidate for your desired treatment.

The next step is to closely follow any treatment instructions provided by the practice.  This could be in the form of pre and post treatment instructions, for example for Platelet Rich Plasma Therapy there are some medications you should avoid in the days leading up to and the days after your treatment.  This could also be the user instructions provided for a laser cap, which outline the cadence for how often to use the device.

Lastly, you need to realize that any lifestyle, diet, or medical changes that can affect hair health can also affect your treatment results.  While this sounds broad, patients need to understand that a major diet change, life stressor, or change in medicine could affect the body, and in turn your hair. We always tell our patients to try to change as few things as possible during their treatment.  Obviously, there are times you need to take a new medication, and it is important to make your hair loss specialist aware so that they can determine if that medication could be hair loss inducing, because maybe there is an alternative that has less effect on the hair.

Posted by Your Medi Tresse Team

The Benefit of Treating Female Hair Loss in Multiple Ways

benifits2aAt Medi Tresse Boston we offer a wide array of treatments for hair loss that treat the follicle in different ways.  From Platelet Rich Plasma (PRP) Therapy to Low Level Laser Therapy (LLLT) to Formula 82M, each of these treatments offer different benefits to help stimulate hair health and even regrow hair.  What is great about all of these treatment options is that on their own they are great options for our patients.

However, with many patients we often recommend the use of more than one type of treatment as we feel they can get even better results by utilizing the combined effects of both treatments. The first question we often receive is, “If I only do one type of treatment does that mean I will not see improvement in my hair?”  The answer to this question is no, as all of the treatments that we offer are clinically proven to improve hair health and in some cases stimulate regrowth when used on their own.  We often liken this approach to the approach used in weight loss.  It is possible to lose weight through dieting and it is possible to lose weight through exercise, however, when you combine both diet and exercise your approach is more effective, and you often see results more quickly.  Treating hair loss is really no different.

One of our favorite combinations of hair loss treatments is PRP and LLLT.  Both PRP and LLLT are great treatment options on their own; but since they treat the follicle in different ways, when combined we can see really excellent results.  PRP is great, because hair follicles survive on the nutrition they get from their blood supply, and that nutrition comes in the form of platelet activated growth factors. Platelets also tell the body to rejuvenate and repair. By delivering the platelets (via plasma) directly to the cells around the follicle, the growth factors become activated and essentially breathe new life into weak or dying follicles.  Alternatively, LLLT stimulates cellular metabolism at the molecular level of the hair follicle, thereby enhancing the quality of the hair produced from the hair follicle, and reversing miniaturization seen in female hair loss.  We feel that by combining PRP and LLLT, the patient is providing treatment to the follicle in multiple ways, which can make treatment even more effective.

If you're further curious about PRP hair loss therapy or LLLT hair loss treatments - as well as any of our treatment options - feel free to get in touch with our hair regrowth specialists. Medi Tresse is proud to provide hair regrowth options for women throughout Boston and Wellesley.

Posted by Rosie Scano, RN

Platelet Rich Plasma (PRP) Therapy A Treatment Option for Alopecia Areata

plateletsa22

Although Platelet Rich Plasma (PRP) was originally studied with the intent to treat Androgenic Alopecia, or Female and Male Pattern Hair loss, the research just keeps getting better and better!  There have been several very exciting studies showing that PRP is also useful to treat other kinds of Alopecia conditions, one of which is Alopecia Areata.

Alopecia Areata is considered to be an autoimmune reaction in the body that results in patchy loss of hair, typically on the head. At any time in life, most commonly starting in adulthood, a person with Alopecia Areata may start to see small circular areas of hair loss emerge. There may only be one area or several, but typically the area starts small and can become quite large in diameter.  In most cases, this is temporary and hair will begin to regrow and fill in. Unfortunately, the event typically re-occurs, and the person experiences the loss all over again, often in different areas then before.  It is also possible that hair will never grow back.

Up until recently, this type of hair loss was treated solely with steroids – both through injections into the area of loss in addition to topical creams.  Unfortunately, this still is not a cure and strong steroids are needed to illicit a positive response. Using these steroids long-term is never a favorable choice. Long-term use of steroids in the scalp can lead to thinning and weakening of the skin, as well as rebound irritation or skin reactions. Furthermore, because of the nature of the condition, most patients have to return multiple times a year to get more treatments.

Fortunately, with new advances in research involving PRP, we can now confidently offer PRP as a treatment alternative to steroids for Alopecia Areata!

This is similar to how we use PRP to treat Female Pattern Hair loss; by encouraging healing of injured follicle cells, we also use it to facilitate repair of cells affected by Alopecia Areata.  We recommend a series of 3 PRP treatments, however, in as little as a single treatment we can already see hair regrowth over the area(s) of loss much quicker than we would if steroids were used, without the long-term negative side effects! It is also thought that because this is a healing procedure, that PRP treatments can aid in decreasing the chances or number of re-occurrences of Alopecia Areata. It’s a win-win!!

Please, feel free to get in touch with us today to learn more about PRP and Alopecia Areata, or to schedule an appointment!

Posted by Lacey Sellati, RN, PA-C

Q&A with the Director of Clinical Services - Lacey Sellati, RN, PA-C

mother-daughter-700x463344aCan you tell us a little about yourself and your training?
Of course! So I am a Registered Nurse and a board-certified Physician Assistant. I graduated from Simmons School of Nursing and obtained my Masters in Physician Assistant Studies from Massachusetts College of Pharmacy and Health Sciences. Prior to joining Medi Tresse, I was the former owner of Eden Spa, a beauty and wellness spa in Brookline, Massachusetts. Early on in my PA career I developed a passion for treating patients that were struggling with hair loss. During my training I held a clerkship with Brigham and Women’s Dermatology Alopecia Clinic, as well as received hair loss-specific medical training with one of the leading hair regrowth and restoration clinics in New England. Through those experiences I established a specific interest in treating women who were experiencing hair thinning and loss so it was only natural for me to become a member of the Medi Tresse team.

What is a PA and what do they do?
Actually, a lot of patient’s are not very familiar with the role of the Physician Assistant (PA)! PAs are similar to Nurse Practitioners (NPs) in that we are considered mid-level practitioners. Like an NP, a PA is a nationally board certified and state-licensed medical professional.

PAs practice medicine as a part of a healthcare team that includes physicians, nurses, and other medical professionals. Most PA training programs are approximately 3 years, have the same prerequisite courses as medical schools, and require students to have healthcare training and experience prior to attending.

In Massachusetts, a PA is able to be the primary care provider for patients and may be the sole practitioner a patient sees during their entire healthcare experience.

PAs meet with patients, conduct physical exams, diagnose and treat medical conditions, order and interpret labs or tests, develop treatment plans, counsel patients, perform minor surgical procedures, write prescriptions, and follow a patient throughout the entirety of their care.

A PA will collaborate with their supervising physician regularly in order to provide the best treatment regimen for patients.

What led you towards being a PA that treats women’s hair loss?
Well, over the course of my training to become a PA I have developed a passion for hair loss, specifically in women. On multiple occasions I had the pleasure of witnessing the incredible potential of today’s medical technology to restore a women’s confidence through hair restoration and regrowth. Early in my clinical year, I sought out opportunities to work with hair loss patients. From the initial patient consultation, I had an immediate affinity for this area of medicine. It was fascinating and inspiring to take part in such innovative practices involving treatments such as Platelet Rich Plasma Therapy. Also, I truly believe that medicine is about caring for people holistically. Creating a positive shift in a woman’s self perception by helping her feel more confident about her hair is a professional goal of mine.

What are your expectations for the future treatments for hair regrowth?
My hope is that there will be continued research towards finding new effective treatments to treat hair loss, in both men and women. Because there are often other reasons for which a women will experience hair loss that a man would not necessarily experience, I would hope there would be clinical advancements made towards studying women’s hair loss specifically.

Learning new hair loss treatments to stay on the cutting edge of surgical and non-surgical approaches is something that I am both excited by and dedicated to. Being a part of a leading hair loss practice puts me in a place where I will be able to apply new treatments if and when they become available. As with anything in medicine though, research takes time. However, there are new studies on the horizon; whether they involve a new medicine or a new procedure, so that is very encouraging!

Posted by your Medi Tresse Team