Why men lose hair — and what it has to do with PRP
Male pattern baldness has a specific mechanism. DHT (dihydrotestosterone) binds to receptors in hair follicles and gradually shrinks them. Hair grows thinner and shorter until the growth cycle stops and the follicle switches off. The hairline and crown carry more of these receptors than the sides and back — hence the characteristic pattern of loss.
PRP doesn't block DHT — it's important not to expect the same effect as finasteride. It works differently: it delivers concentrated growth factors to the follicles, improving their blood supply and nourishment, and potentially extending the hair growth phase. Follicles that are still alive and producing thin, weak hair tend to respond better. Follicles that have completely switched off don't. That's why timing matters.
What does the treatment involve? Step by step
It starts with a blood draw from the elbow vein — a standard sample, just like a routine blood test. The tube goes into a centrifuge, which separates the blood into fractions. The result is a clear, yellowish plasma rich in platelets — this is PRP, and it's about to go back into you.
- 01
Blood draw
A standard venous blood draw. It takes a few minutes — identical to a routine blood count.
- 02
Centrifugation
The blood goes into a centrifuge, which separates it into fractions. This takes around ten to fifteen minutes and happens right there in the salon.
- 03
Scalp preparation
Your scalp is cleansed. The specialist may apply local anaesthesia or a numbing cream — depending on your comfort and the planned area.
- 04
PRP injection
The plasma is injected into the scalp across the thinning area — a series of small injections. You'll feel pressure and slight stinging. Rarely more than that.
- 05
Finished — back to your day
No bandaging, no lying down afterwards. You can leave straight away — just avoid washing your hair, saunas or intense exercise for 24 hours.
When it's worth it — and when PRP isn't enough
PRP works best when hair loss is still active and not advanced — when the thinning area still has living follicles producing weak, thin hair. This is exactly the moment when the hairline is "creeping" forward, or when the crown's density starts to visibly lag behind the sides.
A good time for PRP
when you have plenty to gain
- early to moderate thinning (Norwood scale I–IV)
- visible, living follicles — even if they're producing thin hair
- active hair loss — hair has only just stopped thickening
- you want to delay or avoid a transplant
When PRP isn't enough
when it's worth discussing other options
- extensive baldness — large areas with no visible follicles
- shiny, smooth scalp in the bald area (follicles switched off)
- expecting regrowth in completely bald areas
What to expect — no sugar-coating
Honestly: PRP doesn't guarantee results for everyone. Many men see slower hair loss, and some notice a clear thickening of existing hair along with stronger hair structure. For others, the effect is subtle or hard to judge by eye. Photo documentation taken before and after the series shows the difference where subjective impressions fall short.
What PRP is unlikely to do: it won't regrow hair on bald patches with no active follicles left. It won't replace pharmacological treatment if hair loss is intense and fast-progressing. The best results often come from combining PRP with other methods, in agreement with your doctor.
After the treatment — a short guide
PRP is a zero-downtime treatment in the sense that you're not confined at home. You go back to your normal day as soon as you leave the salon. A few things are worth bearing in mind during the first 24 hours, though:
- Don't wash your hair for 24 hours — let the plasma work undisturbed.
- Avoid saunas, jacuzzis and intense exercise for 24 hours — heat and increased circulation can speed up absorption and spread the preparation beyond the treated area.
- Skip alcohol for the day — for the same reasons as with other injection-based treatments.
- Mild scalp sensitivity for a few days — normal and temporary.
- Sun protection — wear a hat in the sun after the treatment, as with any skin procedure.
Who is PRP for — and when to start thinking about it
Statistically, men react too late — they come in once hair loss is already advanced, and non-surgical options are severely limited. The moment when PRP makes the most sense is before you tell yourself "I think I'm balding" — when your barber starts using a different word for your temples, or photos taken from above start to catch you off guard.
Age isn't a barrier — PRP is used in men from early adulthood, when male pattern baldness first appears, right through to older men looking to slow a long-running process. What matters is whether the follicles are active — and that's assessed by a doctor, not by the age on your passport.
PRP + laser therapy (LLLT)
Low-level diode laser increases blood flow and stimulates follicle cells. Combined with PRP, it can enhance the regenerative effect. A popular combination for moderate hair loss.
PRP + scalp mesotherapy
Mesotherapy delivers micro-doses of active ingredients (peptides, biotin, zinc) — it can be used alternately with PRP for comprehensive follicle nourishment at different stages of the protocol.
PRP + trichological consultation
A trichologist assesses follicle condition under magnification, identifies active zones, and can plan a more precise PRP protocol tailored to your individual pattern of hair loss.
