PRP Treatment for a 31-Year-Old Male With Long-Standing Androgenetic Alopecia in Katy & Houston, Texas
Hair loss is one of the most common concerns we evaluate at Reena Jogi MD Hair Loss Dermatology, serving patients throughout Katy, Texas and Houston, Texas. Today’s case highlights a 31-year-old male presenting with a multi-year history of progressive hair thinning who elected to begin Platelet-Rich Plasma (PRP) therapy after discussing multiple treatment options.
Patient Background
A 31-year-old male presented as a new patient with concerns of diffuse, gradually progressive hair loss over several years. He reported:
Moderate, diffuse thinning on the scalp
A strong family history of hair loss (father, maternal and paternal grandfathers)
Prior inconsistent use of oral minoxidil, finasteride, and dutasteride, discontinued due to worry about possible side effects
Current use of Nutrafol supplements consistently for 4 years
No scalp symptoms such as itching, burning, or pain
He denied any recent illness, hospitalizations, or thyroid-related symptoms.
Clinical Examination
A focused scalp and facial examination showed:
Diffuse non-scarring hair loss
Patterns consistent with androgenetic alopecia (male-pattern hair thinning)
Positive hair pull test, suggesting active shedding
No redness, scale, inflammation, or scarring
Healthy overall appearance and no acute distress
A dermatoscope was used to visualize follicular miniaturization—a hallmark of androgenetic alopecia.
Diagnosis
Androgenetic Alopecia (AGA)
ICD-10: L64.8 – Diffuse non-scarring patterned hair loss
The condition was explained as:
Genetically driven
Gradually progressive
Often worsened by stress, lifestyle changes, or inconsistent treatment
Because the patient had a long-standing history but no inflammatory symptoms, a scalp biopsy was offered but not required.
Treatment Discussion
A full review of treatment options was provided, including:
Oral Therapies
Oral minoxidil
Finasteride
Dutasteride
The patient declined restarting oral medications at this time due to prior concerns.
Topical Options
Minoxidil 5%
Compounded minoxidil/finasteride/tretinoin formulas
OTC options (Rogaine)
Regenerative & Advanced Therapies
Platelet-Rich Plasma (PRP) injections
Scalp microneedling / micro-perfusion
Low-level laser therapy (LLLT)
Supplements
Nutrafol (already using)
Viviscal
Votesse
After discussing effectiveness, risks, costs, and expectations, the patient elected to begin PRP therapy.
Treatment Performed: PRP Injection #1
Procedure Summary
Written consent obtained
Blood drawn in sterile fashion using a butterfly needle
Spun in centrifuge to isolate PRP
7 cc of PRP prepared in 3cc syringes
Injections performed throughout the scalp at subdermal depth
Pain minimized using Zimmer cooling device
No complications observed
Post-Procedure Instructions
Wash with warm water & sulfate-free shampoo
Avoid hair coloring for 2–3 days
Continue supplements or topical treatments if previously used
Expect mild scalp tenderness or pressure for 24–48 hours
Follow-Up
The patient will return in 1 month for PRP treatment #2, with typical protocols recommending 3–4 sessions spaced one month apart.
Why PRP Is an Effective Option for Men With AGA
PRP is ideal for patients who:
Prefer non-drug, procedural options
Want to avoid or reduce oral medication use
Are early to moderate in their hair loss
Have strong family history and progressive thinning
Wish to enhance results from supplements or topicals
PRP helps by:
Delivering concentrated growth factors
Re-activating dormant hair follicles
Increasing hair density and thickness
Reducing shedding over time
Serving Patients Across Katy & Houston, Texas
At Reena Jogi MD, we specialize exclusively in diagnosing and treating hair loss, offering advanced options such as PRP, AlmaTED, laser therapy, scalp biopsies, and personalized medical regimens.
If you are experiencing hair thinning or shedding, early evaluation is key.
