Addressing Male Hair Loss with PRP, Minoxidil, and Finasteride: A Case from Houston, Texas
Hair loss can affect confidence at any age—and for men in their 40s, early intervention can make all the difference. A 46-year-old male patient recently visited Dr. Reena Jogi, board-certified dermatologist and hair loss specialist in Houston and Katy, Texas, for evaluation of gradual hair thinning that had progressed over the past year.
Case Overview
The patient described generalized scalp hair loss that began about a year ago, with no associated scalp irritation or tenderness. He reported no history of thyroid disease or anemia, and he was not using any hair loss treatments prior to his visit. His family history was notable for male pattern baldness in his father, suggesting a genetic predisposition.
Examination and Diagnosis
During examination with a dermatoscope, Dr. Jogi observed diffuse non-scarring hair loss consistent with androgenetic alopecia (AGA), accompanied by mild telogen effluvium (TE) — a temporary shedding pattern often triggered by stress, illness, or nutritional deficiency.
The patient’s mid-frontal scalp showed thinning consistent with AGA, and a positive hair pull test supported the diagnosis of concurrent telogen effluvium.
Treatment Discussion
Dr. Jogi reviewed all evidence-based treatment options for male pattern hair loss, including:
Topical Minoxidil (Rogaine®) — enhances hair follicle growth and density
Oral Minoxidil — low-dose oral therapy for systemic stimulation of follicles
Finasteride (Propecia®) — blocks DHT to reduce hormone-driven hair thinning
Platelet-Rich Plasma (PRP) therapy — uses the patient’s own growth factors to rejuvenate follicles
Alma TED — a needle-free ultrasound-based procedure for hair restoration
Low-Level Laser Therapy (LLLT) — stimulates circulation and scalp health
Nutritional Supplements such as Nutrafol, Viviscal, and Votesse
Each treatment’s risks, benefits, and expected outcomes were reviewed in detail. The patient expressed interest in PRP therapy and requested prescriptions for finasteride and minoxidil to consider as part of his ongoing regimen.
Personalized Treatment Plan
After discussion, the patient elected to proceed with the following plan:
PRP Treatments – A series of four monthly sessions priced at $800 each, or $3,200 as a package (including a complimentary Theradome laser helmet). Each session involves platelet-rich plasma injections directly into the scalp, with minimal downtime.
Topical Minoxidil 5% Foam – Applied to the scalp once or twice daily to support regrowth.
Oral Finasteride 1 mg daily – To reduce DHT-related miniaturization, with counseling provided on potential side effects including decreased libido, gynecomastia, and mood changes.
Oral Minoxidil 2.5 mg daily – With counseling on possible side effects such as leg swelling, dizziness, and unwanted hair growth.
Supplemental Support – Continuing vitamin D supplementation and considering Nutrafol for added follicle health.
Follow-Up and Patient Education
Dr. Jogi emphasized that androgenetic alopecia is a chronic, progressive condition—and that early, consistent treatment is crucial to maintaining results. PRP therapy, minoxidil, and finasteride work synergistically to promote healthier, denser hair growth over time.
She also provided patient handouts explaining:
Expected mild side effects from PRP (tenderness, swelling, pinpoint bleeding)
Guidelines for avoiding anti-inflammatory medications prior to procedures
Hair care recommendations before and after treatment sessions
The patient will return in six months for follow-up evaluation and PRP progress photos.
Expert Hair Loss Treatment in Katy and Houston, Texas
Dr. Reena Jogi and her team at Village Dermatology offer advanced, individualized treatments for hair loss in both men and women. From PRP and Alma TED procedures to prescription therapies and laser treatments, Dr. Jogi provides comprehensive care designed to restore hair health and confidence.
If you’re experiencing hair thinning or shedding, schedule a consultation with Dr. Jogi at her Katy or Houston, Texas office to explore customized treatment options for your needs.
