How to Do PRP (Platelet-Rich Plasma) Therapy/Procedure | Hair Loss Treatment | Baldness | Alopecia
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- Опубликовано: 15 янв 2023
- Watch how PRP (Platelet-Rich Plasma) Therapy is done for Scalp Hair Loss Treatment. Hair Loss occurs in Androgenetic Alopecia (Pattern Baldness).
See Step by Step Guide including Preparation of PRP, Local Anesthesia and Injecting into Scalp. Important precautionary measures of every step are mentioned.
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VIDEO SECTIONS:
00:06 Step 1: Preparation of PRP from Patient's Blood
06:19 Step 2: Local Anesthesia
10:18 Step 3: Injecting PRP into the Scalp
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Procedures & Methods: • Procedures & Methods
ECG: • ECG
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#prp #hairloss #hairlosstreatment #plateletrichplasma
If you understand Hindi / Urdu language, do SUBSCRIBE to my channel "Khan Time 2.0". Here is the link:
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@@asad.mughal Platelets get activated as soon as they are injected into the scalp.
Moreover, before injecting, when you are tapping the syringe and removing the bubbles, that process also activates them.
@@asad.mughal No brother. I do not offer any training. I just go to clinics and record procedure videos after getting proper permission and assuring privacy to them.
perfect and complete
Thanks for your comment.
amazing illustration , million thanks
Thanks for your appreciation 💚
very best and complete video
Thanks a lot
Very informative thanks alot
You are most welcome 💚
Fantastic
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Thanks for such a precised description
You are most welcome 🌸
Very niiiiiiiiiíiiiiiiiiiiiice
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Very good explanation. Thanx for sharing
You are most welcome
Really really good
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Very nice 🎉
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Thanks to sharing this❤lot of love from Jaipur Rajasthan
You are most welcome 🌺
Excellent
Thanks for your comment
Very nice
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Very helpful 🙏
Thanks for your comment
Good
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Very helpful
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Awesome 🔥🔥
Thanks
Thanks
Most welcome...
Saved
1st comment appreciated
Thank you sir for providing the informations.
Thanks a lot for your great support 💜
Mrs you use ppp for you are course it shoulder be prp for best result thanks lot for you are various....
Ohh Thanks, very detailed video...
You are most welcome.
Hello doctor,very nice demonstration, don't you need any activator for your platelet before the injections such as CaCl²?Many say that if platelets are not activated it is pointless to use just blood because growth factors can not start do their job. Don't you agree?
It is completely okay not to use any activator. Platelets get activated automatically as soon as they are injected into the scalp.
great video bu i have a question. In second spin, i thought that platelets stuck down with the remaining rbc's(a white substence), and the remaining plasma is the ppp. You discard some ppp and then you shake he remaining ppp with the platelets and rbc's, and you have your prp, wich is a litle red. Do i miss something?
It's okay if ppp is not removed from the top. Total number of platelets injected still remain almost the same. RBCs should be removed as much as possible. They should not be mixed with PRP by shaking.
I need to know about the prf.. Plz make it's video and it's machine, rpm and time plz plz plz
Hi can we use prilox ( lignocan& PRILOCAIN ) cream instead of local anesthetic injection
Cream cannot penetrate that deep in the skin. Therefore, injection is required.
Note: Some people choose PRP to be done without any Local Anesthesia. Because pain is only mild and bearable.
Super Video, can i take citrat tube wich i use for pt and INR? Its fantastic , i thaught it needs speciall tube with gel ,,, thank you very much
Yes. Citrate tube used for PT and INR should be used. It is recommended one.
Where can I get the 20 ml syringe with the needle? I’ve been looking and I can’t find one
It is available in Medical Stores where other Medicines are available. 20ml syringe is easily available in any Medical Store.
Awsome video ....❤❤❤❤❤❤❤❤❤❤
Thanks a lot 🌺
Thank you for the great video Doctor. I am curious, how come the anesthesia is so far away from the scalp, and how does it reach to the scalp?
You are most welcome. Local anesthesia as shown in the video blocks the "supra-orbital nerves". These nerves go up and supply the scalp skin. Therefore, blocking these nerves blocks the pain sensation in the area supplied by them.
Sir can u give a demo on how to make PRF..
is any direction for pricking or we can prick randomly here and there on scalp??
You can go with the direction as shown in the video (as the person performing the procedure is a trained Dermatologist)
Hello, great demonstration! Make I please ask what kind of machine youre using? Cam i find it on Amazon?
Thanks for your comment. The machine is called "centrifuge machine". However, I'm not sure where to find one.
Excuse me you use normal pt/PTT vials for prp? And we also can use any pt/ptt vial for any company?
And we should add blood according to the vials instructions?
Yes, you can use PT/APTT vial of any company. And you can fill the blood up to the the top marking on the vial.
@@MedTimewithKhan thank you❤️
And 1 more question
Any tube for any company doesn't have sideeffect for this kind of operations? I read that random vials we use for lab test, can't use for prp
@@hafezerastan8033 Vials used for blood tests are good and they can be used for PRP. However, blood test vials usually come in 5ml size. However, for PRP you will have to use 10ml vials made by the same company.
Very helpful... Thanks doctor
Most welcome
Thankyou it is very helpful 👍🏻
Plz also make a video about latest technique used, and the type if centrifuge tht takes only 2-3mins,
Noted. Thanks a lot for your comment.
How can you take sample with glooves and re distribute it.
Very helpful video. I just have 2 questions:
-What are the prescriptions you give with the prp and which dosage?
- How many sessions of prp and for how long ?
Thank you for your sharing
- Prescriptions include Multi-Vitamin once daily or Vitamin D once every 15 days or once every month. And Topical Hair Sprays containing Minoxidil a few puffs on scalp 3 to 4 times daily.
- One session per month for 4 months. Then one session per 3 months for next few times. Then shift to one session per six months, etc.
Minoxidil is used once/twice day
@@MedTimewithKhan so im doing my prp, i did mine in October, and I'm getting my next session in December . When I got mine done , I didn't get anesthesia, just needle in scalp, and some of the plasma was sprayed on the scalp instead of injected. i use minoxidil and other vitamins, but is once every month better than every two months?
K2 or k3 edta vacutainer,which i the best option
Either of the two can be used. No issue.
is balancing the plasma vial with a water vial in the centrifuge actually accurate? yes you are trying to make the volume of the water vial equal to the plasma vial, but isn’t it technically lighter in weight than plasma? therefore, it’s not balanced in the centrifuge?
Slight variation in weight does not cause any problem. If the levels are very off from each other, only then centrifugation gets difficult.
I want growth factor concentrate (gfc) procedure video
Excellent video! My question is, is the insulin needle size a cause for concern. Will the small size destroy some of the PRP when injecting?
No issue. It is okay if platelets are destroyed or activated right at the time of injection. Growth factors inside them are released and they work. However, before injecting, care should be taken to use wide-bore needles only.
Bht achi vedio thi Apki vedio dekhne se mre bhai ne Meri prp krdi 1 session one month phle Kya tha bht acha result aya hai
Thanks a lot for your comment
Jazzak Allah kher ♥️
Face prp pe b detail video banai. Tnx
Hello
May I ask about Sodium Citrate percentage on each blood tube? What the accurate ratio to be added with blood
You don't need to add anything from your side. Everything is already present in the vial. Just fill it with Blood up to the given marking on the vial.
@@MedTimewithKhan Thank you a lot for your precious info, and your valuable content, please continue your useful activity on RUclips and again I am big fan.
Thanks again.
@@hazelmagazine1101 You are most welcome 💜
Hello another time thank you very very much for your video. Very helpful and clear. Do you thing that adding gel in the citrate tube gives better results?
Thanks for your comment. Nothing should be added in the citrate tube.
P rp and Stem cells is best tinnitus plz comment s
Sorry, I don't know
dr, can combine prp with triamnicolone acetonide together?
No. Because for Alopecia Androgenica, PRP is given. While for Alopecia Areata, only Triamcinolone Acetonide is effective.
Plz tell is fever common post prp session??
No. Fever is not common after PRP. Fever is a sign of infection somewhere in the body. If you are having fever, consult your local doctor for it.
Hi, I have a question. I have EDTA tubes (anticoagulation). If I draw blood into this tube and let it stay vertically for 2-3 hours, you get automatically a separation by weight into blood cells and plasma/platelet, Isn't it an alternative option for someone who does not have a centrifuge? The result of the tubes looks the same as with centrifuge. Thanks in advance.
Yes. You can get plasma in that way too. But that takes a great amount of extra time. Moreover, some plasma is still present between RBCs settled at the bottom because they are settled by force of gravity only. Hence, a lot of plasma is lost as well.
On the other hand, centrifugation saves time. And separates RBCs with force greater than gravity. Hence, no plasma is lost in the process.
A question 🙋🏻♂️ if the harsh place of the eyebrows that someone plucked isn’t growing back can prp be a solution for the hair that not’s growing back be come back as it use to be is that possible.
@@metinali1691 show the area to your local Dermatologist (Skin Specialist) first. He/she will evaluate whether hair can grow back there or not. For example, if the area has scar with fibrosis, hair cannot grow there.
Is it using EDTA tubes or HEPARIN tubes ? Is it good if we use a serum without anticoagulation?
@@nandahardianti543 both can be used. Anti-coagulation is must. Otherwise blood will clot and platelets will be used up in the clot.
We have tried various combinations of settings in centrifuge, but unable to derive two separate layers for platelet rich and poor plasma.
Yes. They cannot be distinguished as separate layers. It is just known that plasma near the bottom is rich in platelets.
So do you take the Platelet-rich-plasma and the Platelet-poor-plasma mixed together instead of the Platelet-rich-plasma and the blood mixed together? Because on a different Dr's video he used the Rich-plasma and the blood mixture and removed the Poor-plasma.
I don't think taking blood will have any benefit. But taking plasma will surely have benefit because growth factors, etc are present in platelets and plasma and not inside red blood cells. Yes, both poor and rich plasma is taken and blood is discarded in the video.
@@MedTimewithKhan Great, thank you for the information and quick response
how about PRF?
I'm confused for hair treatment you inject the top PPP and the bottom PRP of the white plasma only the layer in the middle in between the top and bottom right above the Buffy coat layer is the Platlet Rich Plasma the top is Platlet Poor Plasma ??
Can you numb the scalp by injecting small bolus of 2% lidocaine injection?
Injecting lignocaine in vein (systemic circulation) will reduce the overall pain. Still the effect will be greatly lower than that of local anesthesia.
❤
How long before seeing affects? How long do you wait to assess if a second treatment is needed?
Effect starts within a month. And lasts as long as PRP and adjuvant therapies (Minoxidil, Multi-Vitamins, etc) are continued.
Note: All these therapies slow down the process of hair fall and alopecia. Currently, no therapy can actually prevent or stop it.
Aoa. . I Have Some Questions Please Answer!
1. I Have a old centrifuge Machine it's not digital there's a dial on it which refers to speed it's mentioned from 5 to 40 . . So i want to know the settings at which speed scale or time should i set. .
2. Can i do prp in standard cbc vials of sodium citrate? If Yes kindly tell me the best settings of centrifuge according to these standard cbc vials & centrifuge machine which i have mentioned above in my 1st question
3. What should i mix with prp for best results kindly tell the name or formula which i can buy from pharmacy e.g. vitamin's,minerals to add with prp
1. Settings should be 17 in Round 1 and 22 in Round 2 as mentioned in the video.
2. CBC vials have usually EDTA in it. It is better to use vials having Sodium Citrate inside. Use the vial on which it is mentioned that it has Sodium Citrate inside.
3. No need to add anything in the PRP. Besides PRP, use 5% minoxidil hair spray daily 3 to 4 times and take vitamins orally regularly. Hair spray should not be used for 24 hours after PRP. After that, continue using it again.
Can i do second spin as it is the 1st spin without extracting prp or is it necessary to put prp in empty vial then centrifuge again?
Or is there any difference between 10ml sodium citrate vial & 5ml sodium citrate vial (standard one) ?
@@The.Rex.1 second spin is better but not necessary. 5ml and 10ml Sodium Citrate vials are same. Both can be used. Just the total quantity of PRP we get in 10ml is double. Only that is the difference.
@@MedTimewithKhan So how often should i spin if i spin one time?
Very informative content, where do u practice doctor?
Thanks a lot. I practice in Pakistan.
What are these red top tubes (do they contain any preservative and if yes then what?) @medtimewithkhan
Red Top Tubes are called Serum Vials. They do not have any chemical or anticoagulant inside them. They are just empty vials.
@@MedTimewithKhan so nice of you. Kindly make detailed video on microneedling procedure as well
@@mzafarmumtaz9710 Video on microneedling procedure is already made. Kindly check it out. Thanks. Here is the link: ruclips.net/video/zPJA56e-pDk/видео.html
I’m a phlebotomist and cosmetologist, I’m not a doctor can I do it to my clients I already know the procedure about gfc and prp and have done to my family members
Yes you can do it.
During local anaesthesia
1) can we use lignocaine with adrenaline
2) why are we pressing the notch, is it to guide the anesthesia towards scalp only?
1) yes
2) notch is pressed so that lignocaine remains in the area injected and does not go to the loose areas nearby, like eyelids, etc. If lignocaine remains in the injected area for long enough, its effect will be maximum.
Legnocain which percntage is used plz reply
Lignocaine 2% Injection
Is there any serum used in white cells?
Hi sir,
Me abhi finasteride tab 1mg aur minoxidil tab 2.5 mg daily le raha hu, to kya me prp kara sakta hu, because mere blood me finasteride and minoxidil dono rahenge na .plz help me
Jee han kara sakte hein. Oral medicines jari rakhein. PRP procedure un ko further help karta he.
Nd m using 2500rpm centrifuge machine ..is it fine ..or I need to buy 3500rpm
2500 RPM is more than enough.
Can you please tell me local anesthesia is any topical solution substitute are available ..
pl recommend Name
Lignocaine Spray can be used as topical anesthetic.
Hi ..the blue and red cap containers are these both chemical free or with acd gel?
Blue contains anticoagulant (Sodium Citrate). Red is called Serum Vial. It has no chemical in it.
@@MedTimewithKhan thank you very much
Can i must use sodium citrate containers???? What happen if i use normal plastic tubes?
@@nonamemyname862 Using a tube (vial) that contains some anticoagulant is necessary. Usually Sodium Citrate containing vials are used. It prevents blood from clotting and the separation and whole process is possible. Otherwise, blood will clot and all the RBCs and platelets will cluster up and the whole process becomes useless and impossible.
Is there no need to sterilize the scalp with alcohol swipes before injecting?
You can if you want. But using swab there is a little difficult because of the hair present.
Thanks for full procedure, word to word
Thank you so muchh
Aise hii har tarha k procedure ki video baniyeee,
like Face prp and
Knee injection etccc
Ye video bhu helpful tha.
Thanks a lot❤❤❤❤
You are most welcome. Thanks a lot for your immense support.
Where are the gloves?
It is impossible to derive that much true PRP from 30 ML blood draw. What this is producing is platelet poor plasma with a small amount of PRP mixed in.
The amount of true PRP/Buffy Coat would be maybe 3-4 ml at best with this technology.
Hi, isn't the red buble in the bottom of the vial after the 2nd spin is prp?
That "Red Spot" at the bottom of the vial after 2nd spin is actually RBCs (which were previously dissolved in the plasma). They are discarded.
Note: A single spin is also enough. Two spins are better though.
Which type of vial you use, if i need to buy , what i said on shop ?
Blue Vial = Sodium Citrate Vial or PT/APTT vial. Because PT and APTT Tests are also done in it.
Red Vial = Serum Vial. It has no chemical inside.
K2 or k3 edta vacutainer , which is the best
Either of the two can be used. No issue.
what’s the best machine for PRP hair? And where can i get it from
Sorry, I don't know much about the machines. It can be done manually by hands too. For machines, kindly ask someone who uses these. Thanks.
Prp ke sath minoxidil bhi use krna hota hai ky
Yes, Minoxidil and Oral Supplements should be continued. PRP is to help those further.
Please show the achieved concentration as proof.
Which vial is more suitable
Ptinr vial or acd vial ?
PT INR Vial should be used.
I had this done today without local anaesthesia or numbing cream, is that normal?
Yes, it is completely normal to have this procedure without local anesthesia.
Was it painful?
How about platelets when plasma travels through low gauge prp needle ?
When they pass through low gauge prp needle, they get activated. It is desired that they get activated at that time and not before that. Therefore, prp syringes should not be tapped or shaked to remove air bubbles until the time of injection comes. Air bubbles should be removed just before injecting the prp.
Gloves????
Gloves ????????
Which tube is best for prp, sod citrate or Acd tubes?
Sodium Citrate Tubes are best.
Sir i followed the procedure but after second spin in red vials , i got lumpy prf like material not liquid prp .. why so?
I think your blood sample was not properly mixed with the anticoagulant in the beginning because of some reason. Follow these points for avoiding it in the future:
1. Buy the vials from some good quality medical store. Make sure you can see anticoagulant drops in the vial before using it.
2. Put Blood Sample in Sodium Citrate Vial as soon as you draw it. A delay of even a few minutes is not good because blood would have started clotting already.
3. Fill the vial up to the top mark. Do not fill above it. Otherwise, anticoagulant will not be sufficient for the given quantity of blood sample.
4. After filling the vial, gently roll the vial in hands so that anticoagulant is properly mixed with blood.
5. Now spin. Even a single spin is sufficient. But blood and plasma should be properly separated and there should be no clotting.
If above points are not followed properly, blood can clot and whole process will be failed.
What the use of water that you had centrifuge in the machine
Water vial is placed in the centrifuge machine just for the purpose of maintaing balance in the machine, because the machine cannot rotate a single vial properly.
Do you think it’s safe to get a friend that doesn’t have experience with this to do the injections?
PRP injection can be easily given by anyone. However, the procedure to make PRP requires care.
nice ill sub for more videos. Thanksss
s
Thanks a lot 🌺
Please biotin prp tubes are better or there's no difference?
I don't know any research that Biotin is effective. So, no difference.
I want to abot local anesthesia
I got it done today but there wasnt any round 2 as u did in the video is that fine?
Yes, that's fine. No issue.
Quick question: do you mix the Platelet rich plasma and the Platelet poor plasma mixed together for the face?
Can be mixed, no problem.
Question plz ❓ microneedling is more effective or may be the insulin syringe?
No. Microneedling should be done only by microneedles.
Transfering needle details plz and from where we can buy these
You can buy it from any local medical store/chemist. Just ask him to give you LP (Lumbar Puncture) Needle. Size = 16G or 18G.
Note: This is the same needle used for giving Spinal Anesthesia to a women before C-Section. In that case, anesthetic medicine is injected into her lower back through this needle.
hi. I don't have a digital centrifuge. Up to how high can you set the (x100) RPM? Then I will know approximately the ratio which I should use. In the video you use 17 and 22 RPM.
Is it common for the plasma to become lumpy at first and then the longer it stays in the centrifuge it then liquefies?
In the first Round: 1700 RPM for 15 Minutes. In the second Round: 2200 RPM for 10 Minutes. Some other combinations of RPM and Minutes are also followed in different places. For a rough idea, try to keep RPM between 1700 and 2200 and try to keep the time between 10 and 15 minutes.
U mix injection kenacort or only platelet rich plasma in this procedure?
Only Platelet Rich Plasma is used in this procedure. No other injection is used.
thank you for this helpful video. i have question that is there any side-effects of this treatment??
No side effect. But the effect of treatment only lasts as long as you continue doing PRP. Initially you do it every month. Then once every six months.
means if one stops the treatment then hairfall will start again?@@MedTimewithKhan
What is the difference between using different vials , like sodium citrate or Bd ACD vials ???
Different types of vials are made for carrying out different types of blood tests. Some have EDTA as anti-coagulant in them. Some have Sodium Citrate as anticoagulant in them. Some have no anti-coagulant at all, etc.
For PRP, it is recommended to use vials having Sodium Citrate as anti-coagulant in them. These vials are usually used for carrying out blood tests called PT, APTT & INR. Therefore, these vials are also called PT/APTT vials.
My question is using different types of vials in prp gives any different results or its same using sodium citrate or ACD vials
when i went to my hair clinic, before starting PRP for Hair. They told me to get tested for Hiv, other STDs,..
I want to know is this procedure safe? Because I see a lot of blood work and injections.
Will STDS get transferred if clinic re-uses syringe, needle of infected person who came before me for PRP. Is there any risk?
Yes. STDs can be transmitted from one person to another by reusing syringes, etc. However, if proper precautions are taken, it is not transmitted. Most important precaution is to always use new syringes for every new patient.
I take my blood and put in to normal plastic tube.. And..I try to centrifuge (amazon purchased not digital ) 2600rpm / 10minits... In the first spin my total blood and some white material totally cloted.. Even i dnt get any drop of plasma.. Why???
Using a tube (vial) that contains some anticoagulant is necessary. Usually Sodium Citrate containing vials are used. It prevents blood from clotting and the separation and whole process is possible. Otherwise, blood will clot (as in your case) and all the RBCs and platelets will cluster up and the whole process becomes useless and impossible.
I did prp for my hairs but the clinic put the blood only one cycle in side that machine not two like what you did here. Do u know why ?
One Cycle method is also correct. No problem.