This 30-year-old male with a psoriatic midscalp underwent a session of PRP (60mL concentrated to 3mL). The images (taken with a Folliscope) captured his progress over the course of the next 8 months. Within 5 weeks, the psoriatic scalp had resolved. The patient then experienced a subtle, but noticeable increase in density and caliber over the next few months.

Measurement points were based off of anatomic locations (e.g. 15cm from left tragus, 11cm from left medial canthus, etc.) rather than tattooing the patients scalp. Therefore, while the regions captured were nearly identical week to week, slight variability in the location capture exists. Our office will follow up with global pics, video for an alternative view.

Attached Thumbnails

       

__________________
Dr. Carlos Wesley is recommended on the Hair Transplant Network

Dr. Wesley,

As someone who often experiences psoriatic flare-ups on my scalp (and sometimes other places on my body) this case is very interesting to me. I haven't heard of the use of PRP for the treatment of skin conditions - is this type of treatment common? Is it used just for scalp? Would you recommend any other type of treatments for these psoriatic scalps before PRP?

Thanks!

__________________
2008 Dr. G – presumably 1,000 grafts / 2,142 hairs
2009 Dr. Paul Shapiro – 2,348 grafts / 4,258 hairs
2011 Dr. Paul Shapiro – 1,999 grafts / 3,624 hairs

My Hair Transplant Journey with Shapiro Medical Group

Thank you for sharing this, Dr. Wesley. This is very promising, even if it is subtle. There is an obvious improvement in density in that area. It's also interesting in the use of PRP for Psoriasis.

__________________
Finasteride 1.25 mg. daily
Avodart 0.5 mg. daily
Spironolactone 50 mg twice daily
5 mg. oral Minoxidil twice daily
Biotin 5000 mcg.
MSM 1500 mg. twice daily
Zinc 50 mg. daily

Damn, with all the stuff you put in your hair are you like a negative NW1?

Hows the scarless FUT research going Dr Wesley??

__________________
Newhairplease!!
Dr Rahal in January 19, 2012
4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads

My Hairloss Website

Thanks for your comments, guys. While I certainly wouldn't consider PRP a first-line therapy for psoriasis, it has been shown to thicken the epithelium, cause collagen fiber and fibroblast proliferation, and increase the numbers of blood vessels around hair follicles. Some literature suggests its positive effects on wound healing in plastic surgery and PRP has even has been shown to increase hair numbers and hair thickness. This is really the rationale behind using this method on this particular patient. The resolution of his psoriatic flare up was a bit of an unintended benefit.

And, yes, NEWHAIRPLEASE. Research is going well. We recently received a research grant to further the work with the hope that it can help the community in the future.

__________________
Dr. Carlos Wesley is recommended on the Hair Transplant Network

Great news!!

__________________
Newhairplease!!
Dr Rahal in January 19, 2012
4808 FUT grafts- 941 singles, 2809 doubles, 1031 triples, 27 quads

My Hairloss Website

Dr. Wesley,

Thanks for presenting such an interesting case. Given previous discussion surrounding PRP's possible benefits in aiding wound healing and potentially increasing the number of terminal hairs, I'll be interested to see how this patient's scalp looks several months down the road.

Please keep us posted.

Best wishes,

Bill

__________________
Managing Publisher of the Hair Transplant Network, the Hair Loss Learning Center, the Hair Loss Q&A Blog and the Hair Loss Forum and Social Community

View our hair loss articles on EZineArticles.com

Follow us on Facebook | Twitter | YouTube

Subscribe to our Newsletters | How We Recommend Physicians

-----

To learn about how I restored my hair, view my my hair loss website.

Remember, true beauty radiates from within, not from the skin.

I am not a medical professional and my words should not be taken as medical advice. All opinions and views shared are my own.

This video demonstrates an improvement in mid scalp coverage 2.5 months after a session of platelet-rich plasma (PRP) was administered.

__________________
Media Assistant for Dr. Carlos Wesley
---------
Carlos K. Wesley, M.D. is recommended on the Hair Transplant Network.