Advanced Hair Loss in a 57-Year-Old Male Treated with PRP, Dutasteride, and Oral Minoxidil in Houston and Katy, TX
Introduction
Hair loss, especially androgenetic alopecia (AGA), affects a significant number of men over the age of 50. In this case report, we highlight the customized approach taken by Dr. Reena Jogi, a board-certified dermatologist in Houston and Katy, Texas, in managing a 57-year-old male patient with diffuse hair thinning. The patient had been on Rogaine and finasteride, but sought additional options for improved results. Dr. Jogi’s personalized treatment protocol combined platelet-rich plasma (PRP), oral minoxidil, and dutasteride to deliver targeted hair regrowth support.
Patient Background
Age: 57
Gender: Male
Location: Katy, Texas
Chief Complaint: Diffuse, moderate hair loss for over 7 years
Current Regimen at Time of Visit:
Finasteride 5mg twice weekly
Positive family history (father)
Clinical Evaluation
The patient presented with long-standing hair thinning, primarily on the vertex and frontotemporal areas of the scalp. A dermatoscopic exam confirmed patterned, non-scarring alopecia consistent with androgenetic alopecia. The hair pull test was positive. Despite stable hair on the current regimen, he desired enhanced outcomes.
Treatment Plan
After a detailed discussion about cosmetic and medical treatment options, the following plan was developed:
1. Platelet-Rich Plasma (PRP) Therapy
Procedure: Blood draw, centrifuge to isolate platelet-rich plasma, followed by scalp injections
Volume Injected: 7 cc into the subdermal space
Pain Control: Zimmer cooling
Outcome: Patient tolerated procedure well
Post-care: Warm shower, sulfate-free shampoos, continue prescribed treatments, no hair coloring for 2–3 days
2. Oral Medications
Risk counseling included side effects like fluid retention, dizziness, unwanted hair growth
Patient instructed on shedding phase (8–10 weeks) and to report any adverse effects
Dutasteride 0.5 mg daily
Counseling on potential side effects: decreased libido, breast tenderness, mood changes
Explained that dutasteride is a 5-alpha reductase inhibitor with stronger DHT suppression than finasteride
3. Continuation of Topical Minoxidil (Rogaine)
Follow-Up and Outlook
The patient is scheduled to return in one month for his second PRP session. Given his compliance and motivation, outcomes are expected to include reduced shedding and improved hair density. This multi-pronged regimen—customized by Dr. Jogi—aligns with the latest evidence-based approaches for male pattern hair loss.
Why Choose Reena Jogi MD for Hair Loss in Katy & Houston, Texas?
Dr. Jogi's practice combines cutting-edge dermatologic care with compassionate, patient-specific solutions. Whether it's hormonal, genetic, or lifestyle-related hair loss, her clinic offers PRP, oral therapies, laser treatments, and customized counseling for both men and women. Schedule a consultation now!
