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

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

Back in 2016 we wrote a blog post about how new research has shown Platelet Rich Plasma (PRP) Therapy to be an effective treatment for Alopecia Areata.  It has now been three years since then and we wanted to provide an update on where we stand with utilizing PRP Therapy as a treatment for Alopecia Areata.  Before we get into the update, it is important to understand Alopecia Areata and how it is different from other forms of hair loss.  Alopecia Areata is an autoimmune disease where the body’s immune system attacks the hair follicles, which causes inflammation around the follicle and ultimately causes the hair to fall out.  There are various types of Alopecia Areata and it can affect the scalp, eyebrows, or the hair all over your body.  It is important to understand that when a flareup occurs, the hair is not gone forever, and many patients are able to regrow their hair through various treatments.  However, due to the disease, a flareup can reoccur at any time causing the hair loss again.  Historically, the only treatment for Alopecia Areata was steroids, both injected and topically applied on the affected areas.  However, using steroids long term is never ideal and not all patients tolerate them well.

In the past three years we have had 6 patients with Alopecia Areata (with varying degrees of loss) that have moved forward with PRP Therapy.  Of these 6 patients, 4 saw benefit from the PRP Therapy and 2 did not.  Based on the current research and the small sample size we have seen in our office, we would certainly continue to offer PPR Therapy for Alopecia Areata, especially for those patients that tried steroids with little or no success.  Our PRP Therapy protocol for Alopecia Areata is slightly different than that of patients with other types of hair loss.  Our typical PRP Therapy protocol is to start with three treatments, however for patients with Alopecia Areata, if we see results during the treatment period we will complete up to 6 treatments to help stimulate further healing of the area.

If you have been struggling with Alopecia Areata and want to find out if Platelet Rich Plasma (PRP) Therapy might be an option for you schedule your free consultation today with our medical team.

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

Medi Tresse Featured on NBC10 Boston Wellness Report

Medi Tresse Boston was recently featured on The Wellness Report with Kristy Lee on NBC10 in Boston.  Check out the video below!

How Is The Type Of Hair Loss Determined?

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If you have read previous blogs, you have probably seen a few about how important it is to determine the cause and type of hair loss before determining a treatment plan. The reason for this is that not all treatments are appropriate in every case. There are five main types of hair loss that women have that the medical staff need to consider, Androgenic Alopecia, Traction Alopecia, Telogen Effluvium, Alopecia Areata, and Scarring Alopecia. With that in mind, let’s look at how the staff at Medi Tresse determines the type of hair loss you may have when coming up with a treatment plan.

The first step in determining the type of hair loss is based on the Medical History and Hair Loss Evaluation forms that we have patients fill out prior to the consultation. These forms provide important information that our medical staff review to see if there are any past indicators for certain types of hair loss. For instance, if the patient writes down that they had some major stress event (major life event, surgery, etc.) right around the time the hair loss began this is a possible indicator they are experience Telogen Effluvium hair loss.

The next step is during the consultation. At this point the medical staff completes a comprehensive review of the hair and scalp, including a trichoscopy. Each type of hair loss can present slightly different. Alopecia Areata often presents as a coin shaped lesion or discrete patches of hair loss with sharp borders, while Androgenic Alopecia is typically diffuse and more pronounced in the frontal areas of the scalp.

In many instances, after a thorough review of the patient’s history and the patient’s hair and scalp the clinician is able to determine the type of hair loss. However, if the picture is still incomplete, for some patient’s we may need to complete a blood test or scalp biopsy.

Getting the diagnosis correct is extremely important to make sure the patient is receiving the correct treatment. That is why it is important to see a female hair loss expert to get the correct diagnosis.

Posted By Your Medi Tresse Team

What Kind Of Results Can I Expect From Treatments At Medi Tresse?

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When patients come in for a consultation at Medi Tresse we always ask them what is the goal of their hair loss treatment. The reason for this is to make sure we can set proper expectations for what can be achieved from our treatments. With all of our treatments, we have three main goals; stop further loss, make the hair you have healthier, and if possible regrow hair. We like to remind all of our patients that attaining any of these goals is a success.

Stopping further loss is the most important step, as we want to prevent further thinning on the scalp. Unfortunately, most hair loss is progressive, which means it will continue if not treated. Through our treatments, if we are able to prevent further loss that is truly a success! While it may be difficult to appreciate stopping the loss, the truth is that without treatment the progressive thinning would continue and the hair loss would get worse. That is why it is so important to start treatment early.

Our second goal through treatment is to encourage growth of healthier hair. Over time, as hair follicles age, they actually miniaturize or decrease in diameter, and eventually will be lost for good. Our goal is to reverse this miniaturization to promote thicker hair growth. When patient’s have lots of miniaturized follicles, you are able to see the scalp much easier, which gives the look of more significant loss. When we are able to reverse this miniaturization and provide thicker healthier hair, the scalp is less visible and the appearance of hair loss can decrease greatly.

The final goal, if possible, is to regrow hair. While the reversal of miniaturization actually gives the appearance of regrown hair, there are times we can actually regrow dormant follicles. If a dormant follicle is still alive we hope to be able to reactivate it into an active growth phase to grow the hair. However, this is not always possible if the follicle has been dormant for too long, which can occur if the hair loss has been progressing for many years.

Posted By Your Medi Tresse Team

What Is The Best Treatment Option For Me To Try First?

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At Medi Tresse we offer a number of treatment options for hair loss, so our patients often ask which treatment they should try first.  This can be a difficult question for the medical staff to answer for the patient.  Because all of our treatment options have been clinically proven to show a benefit in the treatment of hair loss, they are all valid options to try. Each treatment is different, targeting hair loss from different angles, and it really depends on what the patient’s treatment goals are.  Let’s take a look a look at some of our treatment options to look at these differences.

Platelet Rich Plasma (PRP) Therapy can be effective in the treatment of Androgenic Alopecia (Female Pattern Hair Loss), Alopecia Areata, and Traction Alopecia. PRP has been found to improve hair health, thicken hair, and can regrow hair by activating dormant follicles in the scalp.  What patient’s love about PRP is that they only need to come in three times for treatment over the course of three months for the initial treatment.  Typically, best results are seen in 6 to 12 months, but many patients see initial benefit in just 2 to 3 months.  PRP also tends to provide the most dramatic results for patients.  So for patients looking for a treatment that they do not need to use daily or weekly and will get the most dramatic results in around 6 months, PRP is a great option.

Low Level Laser Therapy (LLLT) is beneficial in the treatment of Androgenic Alopecia (Female Pattern Hair Loss), Traction Alopecia, and Telogen Effluvium.  LLLT not only thickens existing hairs, but also increases the number of hairs in the growth phase.  The LLLT device (laser cap or LaserBand) will need to be used three times a week for 20 to 30 minutes.  Patient’s really need to commit to using the LLLT device for 6 to 12 months before they see a benefit.  It typically takes a little longer than PRP, but patients can see really great results from LLLT.  Therefore, for patients that are able to commit to the regimen of 3 times a week, and looking for an at home treatment, LLLT is a great option.

82M is a specially compounded minoxidil solution uniquely designed to stimulate hair growth and decrease hair loss.  Patients must commit to using 82M daily and it typically takes 3 to 6 months to see results, although many patients will see a decrease in shedding in 6 to 8 weeks.  The results with 82M are not as dramatic as they can be with PRP or LLLT.  However, 82M is a good option for patients that can commit to using it daily and are OK with starting with a treatment that will not provide results that are as strong as PRP or LLLT.

In short, it really depends on what the individual patient’s goals are with treatment.  However, the best results we have seen typically come from patients that use a combination of treatments, as they treat the follicles in different ways.  If you have any questions about these treatments do not hesitate to reach out to our office.

Posted By Your Medi Tresse Team

Is All PRP Therapy The Same?

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Platelet Rich Plasma (PRP) Therapy is by far the most exciting advancement in the treatment of female hair loss in the last five years.  The studies have proved how effective it can be, and the results truly speak for themselves.  As one of the first medical practices to offer this treatment for hair loss in New England, we have started to see more practices offer PRP Therapy leading to this common question from patients, how is the PRP Therapy at Medi Tresse different from the PRP Therapy at other practices?

The truth is, because we do not know how these practices are performing the PRP Therapy, we are unable to directly compare our treatments to theirs. However, there are a couple important points to consider when comparing PRP Therapy at different practices.

First, the main process of PRP Therapy is separating the platelet rich plasma portion of the blood from the other parts of the blood.  Not only do we want to isolate the platelet rich plasma, but we want the concentration of platelets to be significantly increased as compared to your normal blood.  In order to do this, we use a special PRP kit that assists in the process, and these kits vary by practice. We truly believe that our PRP kits are the best in the industry and provide us with the highest possible concentration and highest quality preparation of the PRP.

Secondly, it is important to consider the practice’s knowledge of female hair loss.  PRP Therapy should only be given to those patients that are the best candidates for success, as it is not the best treatment option for all types of hair loss.  At Medi Tresse we are the female hair loss experts, and this knowledge and experience cannot be duplicated.  We only recommend PRP Therapy to patients that we believe will see results. We feel this is important so that our patients can trust our recommendations while we still keep their goals in mind.

Posted By Your Medi Tresse Team

August Is National Hair Loss Awareness Month

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August has arrived! Because August is National Hair Loss Awareness Month, we wanted to take the time to address the growing concern of hair loss in women.

Up to 50% of women will suffer from hair loss by the time they reach the age of 50! At Medi Tresse, we are even seeing more and more women in their 20’s and 30’s noticing signs as well. With this vastly growing population of women struggling with hair thinning and loss, it’s important to spread awareness that women experiencing this are not alone, and that there are treatments to help!

One thing we hear from many of our patients is that they often feel like they are suffering from hair loss by themselves.  While many women feel this way, the truth is that hair loss in women is much more common than most people realize. Often thought of as only affecting men, women actually make up 40% of those affected by hair loss in the United States.

While we realize these facts may not give you comfort with your own hair loss, it is important to know that there are many other women out there going through a similar situation as you.  It is also important to know that there are great treatments that have been clinically proven to help. At Medi Tresse, we offer all of the best treatment options currently available; from Platelet Rich Plasma Therapy, to Low Level Laser Therapy, to Formula 82M.   While not all treatments are right for every type of hair loss, there are different options to at least slow down or stop the loss for each type of hair loss.

The first step with treatment is always identifying the type of hair loss.  While Female Pattern Hair Loss is the most common type, and is genetic, many women also suffer from other forms of hair loss, including Traction Alopecia, Telogen Effluvium, Alopecia Areata, and Scarring Alopecia.  Some hair loss in women can even be caused from hormone imbalances or thyroid issues.  In honor of National Hair Loss Awareness Month take the first step to learn more about your hair loss and find out what treatment options are available to you.

Posted by Mary Wendel, MD

Is Platelet Rich Plasma (PRP) Therapy Right For Me?

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One question we often get from our patients is whether or not Platelet Rich Plasma (PRP) Therapy would be the right treatment for them. Although the majority of our patients are good candidates for PRP, some patients may not be familiar with the therapy. By providing patients with more information about the therapy it helps them understand how they may benefit from the treatments.

Although PRP Therapy is a relatively new treatment for women's hair loss, it has shown to be very effective in treating hair loss in women, with up to 85% of patients seeing a benefit after a series of three treatments. PRP Therapy can improve hair health, thicken hair, and regrow hair. What makes PRP Therapy unique is that it utilizes the patient’s own growth factors to promote healing and rejuvenation of the scalp and follicle. PRP Therapy is non-surgical and each treatment takes less than 60 minutes to complete, making it a great treatment option for patients.

If you are wondering if PRP Therapy is right for you, it might be helpful to hear that one of the positives of PRP Therapy is that there are minimal side effects, and anybody could safely get the treatment. However, based on medical studies, while PRP Therapy is a great option for most patients, it is not right for everyone. At Medi Tresse it is our goal to provide a treatment plan that is right for you and we can determine if you are a good candidate at the time of your consultation. PRP Therapy has been proven to be effective for patients with Female Pattern Hair Loss, Alopecia Areata, and Traction Alopecia. In general, if you think you may be suffering from one of these types of female hair loss then PRP Therapy may be right for you!

Posted By The Medi Tresse Team