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The effect of platelet-rich plasma on female androgenetic alopecia: a randomized controlled trial

Danielle P. Dubin, Matthew J Lin, Hayley Leight, Aaron S. Farberg, R. Torbeck, W. Burton, H. Khorasani

Journal of American Academy of Dermatology, 2020

47 citations

Abstract

BACKGROUND

Platelet-rich plasma (PRP) may be a useful treatment for androgenetic alopecia (AGA), although objective studies are needed.

OBJECTIVE

To determine whether PRP injections improve female AGA.

METHOD

Prospective, randomized controlled trial of 30 females diagnosed with AGA. Patients received subdermal scalp injections of Eclipse system PRP or placebo saline at weeks 0, 4 and 8. Outcome measures were changes in hair density (hair/cm2), hair caliber (mm), and blinded global photographic assessment (improved or not improved) at week 24.

RESULTS

Blinded global photographic assessment indicated that 57% of PRP patients vs. 7% of saline patients improved at week 24 from baseline (p<0.01). Compared to baseline, there was improvement in mean density in the PRP group vs. the placebo group at week 8 (+71.1 vs. -26.7 hairs/cm2, p<0.01) and week 24 (+105.9 vs. -52.4 hairs/cm2, p<0.01). Compared to baseline, there was improvement in mean caliber in the PRP group vs. the placebo group at week 8 (+0.0043 vs. -0.0034 mm, p<0.01) and week 24 (+0.0053 vs. -0.0060 mm, p<0.01). Adverse effects included headache, scalp tightness, swelling, redness, and post-injection bleeding.

LIMITATIONS

Two patients lost to follow-up.

CONCLUSION

PRP with the Eclipse system is a safe and effective intervention for female AGA.

How strong is the evidence?

Evidence Hub reads this as a randomized trial, done in people. Its evidence level is 2 of 5 (High · randomized trial). Randomized trials of a reasonable size are the strongest single-study design.

How the five levels of evidence work. The level is assigned automatically from the abstract and can be wrong, so check the paper.

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