Case Study: PRP Hair Restoration and Melasma Treatment for a 53-Year-Old Female in Houston, Texas
At Reena Jogi MD, we frequently see patients who are dealing with more than one skin or hair concern. This case highlights how our Houston and Katy dermatology offices can provide personalized treatment for both androgenetic alopecia (female pattern hair loss) and melasma, a common cause of facial hyperpigmentation.
Patient Overview
A 53-year-old female visited our clinic with two main concerns:
Diffuse hair thinning over the past 5–6 years
Facial discoloration affecting both cheeks
She had been taking Nutrafol supplements for hair health and using hydroquinone for pigmentation. She reported a family history of fine, thinning hair on both maternal and paternal sides.
Hair Loss Diagnosis and PRP Treatment
A scalp examination and positive hair pull test confirmed a diagnosis of androgenetic alopecia (AGA) with no scarring. We discussed multiple treatment options, including:
Oral or topical minoxidil
Finasteride or spironolactone (for appropriate candidates)
Low-level laser therapy
Hair supplements (Nutrafol, Viviscal, Votesse)
AlmaTED treatments
The patient opted to start PRP hair restoration.
PRP Procedure
Blood was drawn and processed in a centrifuge to isolate platelet-rich plasma.
7 cc of PRP was injected into the scalp using a subdermal technique.
Pain control was provided with Zimmer cooling, and the procedure was well-tolerated.
Post-procedure instructions included using sulfate-free shampoos, continuing any hair loss supplements, and avoiding hair dye for 2–3 days.
The patient also used Pro-Nox™ (a patient-controlled inhaled analgesia) for comfort during the procedure.
Melasma Evaluation and Treatment
The patient had ill-defined hyperpigmented patches in the cheek area, consistent with melasma. We discussed:
Triggers: Sun exposure, hormonal changes, pregnancy, and certain medications
Treatment options:
Topical bleaching agents (hydroquinone)
Retinoids
Vitamin C
Superficial chemical peels
Non-ablative Fraxel laser
Strict sun protection with SPF reapplication every 2 hours
She was prescribed a compounded topical hydroquinone cream from a specialty pharmacy to be used for 2–3 months before reassessment.
Plan and Follow-Up
Continue Nutrafol and hair care regimen
Return for PRP session #2 in 1 month
Continue hydroquinone for melasma with strict sun protection
Follow-up in 3 months for melasma re-evaluation
Why This Matters for Our Patients in Katy and Houston
This case demonstrates that Reena Jogi MD offers comprehensive dermatologic care that addresses both cosmetic and medical concerns. We provide advanced, evidence-based treatments like PRP hair restoration for hair loss and targeted pigmentation therapies for melasma, all personalized to your needs.
If you live in Houston or Katy, Texas, and are struggling with hair loss or skin discoloration, contact us today to schedule a consultation and explore your treatment options.
