Guide · Treatment guide
Should you have PRP therapy, a hair transplant, or both?
The honest answer depends on how many follicles are still alive in the thinning zone and how much donor hair you can safely spend. Here is how we decide.
PRP Follicular Therapy
You are likely a candidate if
- Norwood stage 1–3 or early female pattern thinning
- Widening parting, visible scalp under bright light
- Increased shedding over the last 6–18 months
- Follicles are miniaturised but still present on trichoscopy
- Post-transplant patients protecting native hair around grafts
- Telogen effluvium after illness, stress or postpartum
This is not for you if
- Completely smooth, shiny scalp with no follicular openings
- Active scalp infection, uncontrolled diabetes or bleeding disorders
- Expectation of new hair in an area with no follicles left
FUE / FUT Hair Transplant
You are likely a candidate if
- Norwood stage 3 and above with a stable pattern
- A defined receded hairline, bald mid-scalp or crown
- Healthy donor density (>60 follicular units per cm²) at the occipital rim
- Age 25+ with loss that has plateaued or is controlled medically
- Scarring alopecia that has been inactive for 12+ months
- Beard, eyebrow or previous-scar corrective work
This is not for you if
- Rapid, diffuse, unstable loss in the early twenties
- Insufficient or miniaturised donor supply
- Active alopecia areata or an uncontrolled autoimmune condition
When we combine both
Most stage 4–5 patients get the best long-term result from a combined protocol: PRP to strengthen the native hair that surrounds the recipient area, followed by FUE for the zones where follicles are genuinely gone. PRP is also given on the day of surgery to improve graft uptake, and again at month 3 to soften post-operative shock loss.
Your pathway
From first consultation to final result
Trichoscopy & donor mapping
We measure density, calibre and miniaturisation across six scalp zones.
Medical stabilisation
Loss is stabilised first with topical or oral therapy, so a transplant is not undermined later.
PRP course
4–6 sessions to thicken existing follicles before deciding whether surgery is needed at all.
Surgical planning
If indicated, we design the hairline and graft distribution against a 20-year donor budget.
Procedure day
Harvest, sorting, site creation and implantation over 6–8 hours under local anaesthesia.
12-month follow-up
Reviews at week 1, month 3, 6 and 12 with standardised photography.