Longstanding Hair Loss in a 67-Year-Old Male Managed with PRP Therapy: A Case from Houston & Katy, Texas
At Reena Jogi MD in Houston and Katy, Texas, we frequently see patients dealing with androgenetic alopecia—also known as male pattern hair loss. One such case is that of a 67-year-old male patient who has been experiencing scalp hair loss since his 30s. Despite the slow progression of his condition, he had never pursued consistent treatment, with the exception of a platelet-rich plasma (PRP) session several years prior.
Patient Background and Presentation
This established patient presented for evaluation of progressive hair loss. He reported no current treatment regimen. Upon examination, diffuse non-scarring patterned hair loss was evident across the scalp, primarily affecting the vertex and frontotemporal regions—classic hallmarks of androgenetic alopecia. The patient declined a full-body skin check, but no other acute dermatologic concerns were identified during the head and scalp exam.
Treatment Discussion and Plan
We discussed comprehensive treatment options tailored to male pattern hair loss, including:
Supplements (Nutrafol, Viviscal, Votesse)
Oral finasteride
Alma TED technology
After reviewing the benefits, risks, and expectations of each therapy, the patient opted to move forward with a PRP session during the visit. PRP therapy works by utilizing a patient’s own platelet-rich plasma to stimulate follicular activity and improve hair density over time.
Procedure Details
The treatment was performed as follows:
Blood was drawn using a butterfly needle and processed in a sterile centrifuge.
PRP was separated and prepared in 3-cc sterile syringes.
A total of 7 cc of PRP was injected subdermally into the scalp, targeting thinning areas.
Pain control was provided using the Zimmer system.
The patient tolerated the procedure well, with no complications noted.
Post-procedure instructions included washing the scalp with sulfate-free shampoo, avoiding hair dye for 2–3 days, and continuing any existing topical treatments such as minoxidil.
Secondary Concern: Mild Rosacea
During the visit, a mild case of rosacea with seborrheic dermatitis overlap was noted on the patient’s left cheek. He was counseled on skincare, sun protection, and possible treatments including Zoryve and laser therapy, with a recommendation to follow up if symptoms worsened.
Conclusion
This case highlights how even patients with decades-long hair loss can benefit from modern therapies like platelet-rich plasma (PRP). At Reena Jogi MD, serving the Katy and Houston, Texas areas, we tailor solutions to each patient's unique needs and expectations, delivering safe, effective, and compassionate care. The patient is scheduled for his second PRP session in one month.
If you're struggling with hair thinning or loss and are unsure where to begin, contact our clinic today for a personalized consultation.
