Dr. Donovan's Daily Hair Loss Blog (2011-2017)

  RECENT Q & A

Women's PRP Hair Loss Program

 

To book an appointment for a PRP Consultation, prospective patients are encouraged to make sure they qualify for our program (please see four criteria below). If you quality, please click here to make an appointment for a consultation.  

 

CRITERIA FOR BOOKING AN INITIAL APPOINTMENT IN THE PRP PROGRAM  

*** Our PRP Program is a highly specialized treatment program and not all patients qualify for our program.  Please note: Effective December 1, 2015, ALL PATIENTS requesting an initial consultations in our  Vancouver PRP Program MUST meet AT LEAST ONE of the following 4 criteria. 

1. The individual has been diagnosed with ANDROGENETIC ALOPECIA (FEMALE PATTERN HAIR LOSS) by a health care professional but the individual does not wish to start treatment with the FDA approved treatment minoxidil (Rogaine)

2. The individual has been diagnosed with ANDROGENETIC ALOPECIA (FEMALE PATTERN HAIR LOSS) by a health care professional and used minoxidil (Rogaine) and/or Spironolactone (Aldactone) but ultimately stopped these medications on account of side effects.

3. The individual has been diagnosed with ANDROGENETIC ALOPECIA (FEMALE PATTERN HAIR LOSS) and is currently using minoxidil (Rogaine) or Spironolactone (Aldactone) and wishes to try to achieve even further improvement through use of PRP  

4.   The individual has been diagnosed  scarring hair loss conditions or alopecia areata who did not respond to standard treatments. Please click on the links above for a list of standard treatments.  We do not accept patients with scarring alopecia or alopecia areata to our PRP Program if they have not been evaluated by a dermatologist first and first used (or reviewed ) treatments discussed in the links above. 

Patients who do not meet one of these 4 criteria may wish to see a dermatologist or hair loss specialist first for diagnosis and guidance. At this time, we regret that we can not offer an appointment. 

 

INFORMATION ON THE WOMEN'S PRP PROGRAM AT DONOVAN MEDICAL IN VANVCOUVER

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The Women's Non-Surgical Platelet Rich Plasma (PRP) Program is a treatment program for women with hair loss. We specialize in a variety of PRP protocols aimed at helping women with hair loss due to a) hereditary and hormonal thinning (female pattern hair loss), b) alopecia areata and c) chronic hair shedding (chronic telogen effluvium) based on the use of a treatment known as "platelet rich plasma therapy." Our centre has grown to be a large provider of PRP treatments in Canada.  

 

 

Dr. Donovan's Latest PRP Research is Published !  Donovan JC. Successful treatment of corticosteroid resistant ophiasis type alopecia areata with platelet rich plasma.  2015  

 

Information about The Women's PRP Hair Loss Program

The Women's Non-surgical Program is a treatment program for women with genetic hair loss (hair thinning), alopecia areata and chronic telogen effluvium who have not responded to conventional treatments. The program was specifically designed for women with concerns about hair thinning who have not responded to other treatments for hair loss (i.e. women with genetic hair thinning who have not improved with minoxidil, not improved with spironolactone, women with alopecia areata who have not improved with steroid injections or DPCP or pill forms of medications or women with chronic telogen effluvium who have not improved with minoxidil or laser therapy, etc).

We specialize in some of the most challenging cases of women's hair loss.

 

Components of the PRP Hair Loss Program

Our non-surgical program centres around the use of PRP. We use technology from Cytomedix. A short video from the company provides a helpful overview of the steps in PRP.

To learn more about PRP, click the link:

PLATELET RICH PLASMA THERAPY (READ MORE)

 

Who is a candidate for PRP? 

1. Women with hair thinning who do not wish to start minoxidil (Rogaine) or had side effects

2. Women with hair thinning who improved their hair with minoxidil (Rogaine) and now wish to see if they can get even further improvement using PRP

3. Women with hair thinning who do not wish to use or had side effects from Spironolactone

4. Women with hair thinning who improved their hair with Spironolactone and now wish to see if they can get even further improvement using PRP

5. Women with hair thinning who did not benefit from low level laser therapy (LLLT)

6. Women with hair thinning who benefitted from low level laser therapy (LLLT) and now wish to see if they can get even further improvement using PRP

7. Women with scarring alopecia or alopecia areata who did not respond to traditional treatments 

 

Pre and Post Procedure PRP Instructions:  

Click here to review our instructions: PRP INSTRUCTIONS

 

OUR PRP-MMEC PROTOCOL

PRP – MICRO/MACRO Protocol with Exogenous Calcium Gluconate

 

After obtaining 120 mL of blood from the patient, we use a unique PRP protocol which incorporates the concept of traditional microneedling and extends this to include what we have termed macroneeding.  Use of 120 mL of PRP gives us approximately 17-20 mL of PRP to inject throughout the scalp - a volume we feel is essential in treating hair loss.  We do not use ACell with PRP (as some countries do) as this is prohibited under Heath Canada regulations.   

We have abandoned use of a traditional skin roller (Dermaroller, etc) device on account of it creating excessive damage to hair fibers. Our micro needling and macro needling involves dermal puncture. As part of our PRP protocol,  microneedling is not done with a roller but rather with a 30 gauge needle at a density of 4 intradermal site creations per square inch repeated at a second 15 minute interval.  This serves to provide a pro-inflammatory wound healing response and helps activate platelets. Both our initial injections and injections at 15 minutes are done with use of freezing medications (local anesthetics). This is followed by macroneedling and PRP injection at a density of 5 intradermal site creations per square inch with a 25 gauge hypodermic needle. All of our PRP procedure is done with sterile hypodermic needles which are discarded at the end of the procedure and not reused. 

Our preliminary studies suggest that creation of very small “micro wounds” in the dermis are important to the success of PRP. However, it appears to be finely regulated – excess wound creation appears to impair PRP response; insufficient wound creation appears less effective to patient PRP responses.

Calcium gluconate is an important exogenous platelet activator in our PRP-MMEC protocol. We use concentrations varying from 1:20 to 1:10 with higher concentrations seeming to be more effective in men than women. 

 

 

CONSULTATION FEES

A comprehensive consultation is required for all patients

 

 

PRP Treatment Fees:

 

The following are our fees for PRP treatments: 

1 session: $ 1,500 + tax

2 session package: $ 2,800 + tax

4 session package: $ 5,500 + tax

 

 

 

Common questions about the Non-Surgical Program

 

1. How do I make an appointment with the Non-Surgical Program?

At the present time, appointments are booked through our 'contact us' page of this website. If you have questions, you can can email us at vanvouveroffice@donovanmedical.com

 

2. What is the fee for the initial consultation ? What is the fee for PRP treatments?

The fee for the Introductory Consultation is $ 750 + 5 % GST.  The PRP treatment fee is $1500 + 5 % GST per session (2-3 sessions per year). 

 

3. Do I need a referral from my doctor to be seen?

A referral from a physician is not required for our PRP injection program. However, should your physician wish to fax us any information about previous treatments for your hair loss, or blood work, this may be done via fax to our Vancouver location at (604) 648-9003 

 

4. I have questions about the non-surgical Program. Who can I contact?

Email us at vancouveroffice@donovanmedical.com and we will respond within 24 hours. You may also contact the Vancouver office at (604) 283-9299

 

5. Is PRP an approved treatment for hair loss in Canada?  

Platelet rich plasma is considered an "off-label" treatment for hair loss in women. PRP technology is approved in Canada and we use it in treating hair loss.  In fact, it is the basis for our non surgical program and used for patients with hair thinning who don't improve with minoxidil. The only FDA approved treatment for hair loss in women is 2 % minoxidil. However, hair specialists use other treatments "off-label" including 5% minoxidil, spironolactone pills, and platelet rich plasma (PRP) and low level laser therapy. All three of these are 'off-label' treatments. 




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