PRP is best thought of as a collection of growth factors. These growth factors are completely natural and there is no risk of infection or allergic reactions. This is because PRP is taken from your own blood. This is the main reason why the treatment is so attractive to so many people–it does not require any medication or surgery and we are simply concentrating and using the natural growth factors found in your own blood!
How is the procedure done?
The first step is to collect the blood using a tiny needle. Once collected, the blood is then spun down in a centrifuge. This is then processed and after separating out all the red and white blood cells, the platelet rich plasma (PRP) is concentrated and isolated. This is the part that contains the growth factors that you need. The PRP is then put into tiny syringes that make it easier to inject into the recipient areas.
Are there different systems used to isolate the PRP and is there a difference?
There are many systems available to isolate PRP. Three of the common systems are Selphyl, Eclipse, and Arthrex Angel. There does appear to be a difference between the systems as they seem to concentrate platelets to differing degrees. See our blog post on this here.
Although it would seem intuitively correct that higher concentration is better than lower concentration, we still do not know (more…)
In this video, Dr. Nakatsui discusses the various instruments for Follicular Unit Excision (FUE) that he uses during hair transplant surgeries. Technology is always evolving and it is always important to stay at the forefront of technique and technology in order to provide the best possible experience and results for our patients. Please visit our Youtube channel for more informative videos!
Number of Grafts: 407 Areas Treated: Right retroauricular region, right temple, and mid frontal region Number of Procedures: 1 Type of Surgery: Follicular Unit Excision (FUE)
This friendly gentleman came to see Dr. Nakatsui regarding a bout of scarring alopecia that occurred over 20 years ago. He had no complaints or issues with hair thinning, rather just 3 areas of scarring alopecia. The patient advised us that he had surgery elsewhere where the surgeon excised a portion of scar. This led to a linear scar line. When dealing with hair transplants into a scar region, we know that approximately 80% of the hairs will grow and survive whereas transplanted hairs into virgin scalp will have a success rate of approximately 96-98%. The patient was made aware of the decreased survival rate and still proceeded with the surgery. Ultimately, the end result is very natural, thick, and blends in well with his surrounding hair.
Hairs come in different angles and directions all throughout the scalp. The angle the hair will be different in the front of the scalp compared to the back of the scalp. The in the retroauricular region (behind the ear), the angle of the hair is fairly flat and facing downward. If hairs were transplanted perpendicular to the natural angle of the hair, the end result will be very unnatural. For more of Dr. Nakatsui’s before and after results, please click here.
Number of Grafts: 3,000 Areas Treated: Hairline and Frontal Region Number of Procedures: 1 Type of Surgery: Follicular Unit Transplant (Strip)
This gentleman came in with progressive hair loss throughout his scalp. Dr. Nakatsui transplanted approximately 3,000 grafts for his final result. The nice thing about this patient is that he grew out his hair demonstrating that hair transplanted hairs grow just like regular hair because it is natural hair. To view more of Dr. Nakatsui’s before and afters, please click here.
Areas Treated: Hairline and temples and mid region.
Number of procedures: 1
Type of surgery: Strip (FUT)
This gentleman came to our centre with recession to his hairline that extended back to his mid scalp. Dr. Nakatsui transplanted approximately 3,000 grafts for the final result. Close examination of the hairline demonstrates the absolute importance to angle and the use of follicular units (the very basic units of hair) when performing a hair transplant. The wonderful thing about hair transplant surgeries is that, once the transplant is complete, the hairs are generally permanent. They will act the same way as the hair from the back of your scalp; meaning they will grow at the same length and change colour at the same time generally. The best part about hair transplant surgery is that, it is your hair. To view more of Dr. Nakatsui’s before and after photos, please click here.
Number of Grafts: 2,000 Areas Treated: Hairline Number of Procedures: 1 Type of Surgery: Follicular Unit Transplant (Strip)
This young gentleman came to Dr. Nakatsui complaining of a high hair line. He denied any hair loss or recession, but rather simply a high hairline that he always had. In situations like this, medications such as Rogaine and Propecia will not be able to grow/regrow hair in an area that lacked hair follicles. The patient opted for a hair transplant surgery. The end results show a nice and natural lowering of the hair line. Close up photos also demonstrate the importance of using follicular units, dense packing, and angle of the transplanted hairs. To see more before and after results, please click here.
Number of Grafts: 2,200 Areas treated: Vertex and temples Number of procedures: 2 Type of surgery: Follicular Unit Excision (FUE)
This young man came to our clinic complaining of thinning to his vertex (crown) and his temples. After going through the options, he opted to have follicular unit excision surgery (FUE) because he did not want any noticeable scars on his scalp. Using the FUE method, Dr. Nakatsui transplanted 2,200 grafts into the vertex and temples.
At our centre, when a FUE surgery is performed, Dr. Nakatsui makes every tiny incision around every follicular unit graft. At many other clinics, technicians or sometimes robots perform this aspect of the procedure. Dr. Nakatsui prefers to perform this aspect of the procedure himself as the donor hair can change angle below the surface of the skin. If care is not taken and change in angle is not accounted for, the risk of transecting (cutting through) a graft increases, thereby rendering the graft unusable. Learn more about follicular unit excision (FUE) here. For more of Dr. Nakatsui’s results, please click here.
This friendly patient experienced slow gradual thinning to throughout his scalp. The angles in which the grafts are transplanted is incredibly important for the end result. The frontal aspect of the scalp will have a different angle than the vertex. All of these angles and directions need to be followed in order to achieve a natural end result.
At the very front of the hair line, only singles are used. Immediately behind those singles, only double grafts will be used. This provides a natural appearance. If grafts larger than 2 hairs are used at the very front of the hair line, it will be easily detected that was something done. Even in close up photos, the end result are undetectable. For more of Dr. Nakatsui’s results, please click here.
This patient experienced recession to the frontal aspect of his scalp. As with any hair transplant surgery, angle and direction of transplanted hairs is of utmost importance. Dr. Nakatsui transplanted approximately 2,400 grafts and followed the patients specific hair directions throughout the frontal region. In the photos seen from the various angles, care and precision were important in order to produce a natural looking result.
For more before and after results, please click here.
Number of Grafts: 2,200 Areas Treated: Frontal Region Number of Procedures: 1 Type of surgery: Strip (FUT)
This pleasant patient of ours came into our clinic with recession to the front region of his scalp. We discussed the various treatment options and the patient proceeded with a hair transplant surgery. A total of 2,200 grafts were transplanted into his frontal region for the end result.
As with any young patient with significant pre-existing hair, we always caution the risks of potential future hair loss to non-transplanted hairs. We recommended that should he proceed with a hair transplant procedure, utilising a medical treatment in addition to the surgery will greatly benefit him in the long run. Dr. Nakatsui recommended both Propecia and Rogaine 5% Foam.
This patient was kind enough to provide kind words on our Google review page and we greatly appreciate the kind words and we thank you for being a great patient!
For additional before and after results, please click here.