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Comparison of the Efficacy of Homologous and Autologous Platelet-Rich Plasma (PRP) for Treating Androgenic Alopecia

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Abstract

Background

Androgenetic alopecia (AGA), the most common cause of hair loss in both sexes, accounts for 95% of all cases of hair loss. Although the literature has suggested that both nonactivated (n-PRP) and activated autologous (a-PRP) PRP can be used to treat AGA, we did not find any study investigating the use of homologous PRP (h-PRP) for this purpose. Also, to the best of our knowledge, there are no studies comparing the efficacy of h-PRP, a-PRP, or n-PRP on AGA therapy.

Objectives

The aim of this study was to compare the increase in hair density, average number of platelets, complications, preparation, and duration of application in the treatment of AGA using a-PRP, n-PRP, and h-PRP.

Methods

Between 2014 and 2015, we studied male patients who had experienced increased hair loss in the last year. Patients were divided into three groups: Group 1 received n-PRP, Group 2 received active PRP, and Group 3 received h-PRP. For Group 1, PRP was prepared by a single centrifugation prepared from the patient’s own blood. For Group 2, the PRP was prepared from the patient’s own blood, but a second centrifugation was applied for platelet activation with calcium chloride. For Group 3, the PRP was prepared from pooled platelets with the same blood group as the patient from the blood center. PRP was injected at 1, 2, and 6 months. The hair density (n/cm2) of each patient before and after injection was calculated. Each patient was assigned a fixed evaluation point at the time of application to calculate hair density.

Results

At 2, 6, and 12 months after the first treatment, the increase in hair density was calculated as 11.2, 26.1, and 32.4%, respectively, in Group 1; 8.1, 12.5, and 20.8%, respectively, in Group 2; and 16.09, 36.41, and 41.76%, respectively, in Group 3. The increase in hair density was statistically significantly greater in Group 1 than in Group 2 and more so in Group 3 than in both groups among all controls (p < 0.05).

Conclusion

The efficacy of both PRPs was determined in AGA treatment in our study. However, it was determined statistically that the increase in hair density with h-PRP was greater than with autologous PRP groups. We believe that h-PRP therapy can be used in patients with AGA presenting with hair loss.

Level of Evidence II

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Acknowledgement

The authors thank Mehmet Uyar, MD, for his statistical analysis support. This research was supported by Necmettin Erbakan University, Department of Scientific Research projects (No: 161218022).

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Authors and Affiliations

  1. Department of Plastic, Reconstructive and Aesthetic Surgery, Meram Faculty of Medicine, Necmettin Erbakan University, 42080, Meram, Konya, Turkey

    Bilsev Ince, Mehmet Emin Cem Yildirim, Mehmet Dadaci & Nedim Savaci

  2. Department of Pathology, Meram Faculty of Medicine, Necmettin Erbakan University, Konya, Turkey

    Mustafa Cihat Avunduk

Authors
  1. Bilsev Ince
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  2. Mehmet Emin Cem Yildirim
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  3. Mehmet Dadaci
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  4. Mustafa Cihat Avunduk
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  5. Nedim Savaci
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Contributions

Ince contributed to study conception and design. Ince, Yildirim, and Avunduk contributed to acquisition of data. Ince, Dadaci, and Savaci contributed to analysis and interpretation of data.

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Correspondence to Bilsev Ince.

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Conflict of interest

The research was not sponsored by an outside organization. We (all of the authors) have agreed to allow full access to the primary data and to allow the journal to review the data if requested. None of the authors have a financial interest in any of the products, devices, or drugs mentioned in this manuscript.

Ethical Approval

This study conformed to the Helsinki Declaration.

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Ince, B., Yildirim, M.E.C., Dadaci, M. et al. Comparison of the Efficacy of Homologous and Autologous Platelet-Rich Plasma (PRP) for Treating Androgenic Alopecia. Aesth Plast Surg 42, 297–303 (2018). https://doi.org/10.1007/s00266-017-1004-y

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