PRP, mesotherapy & exosomes — a 45-minute regenerative protocol, no downtime
The regenerative hair-medicine protocols (platelet-rich plasma, mesotherapy, exosomes) work on the same biological principle: deliver growth factors and signalling molecules directly to the dermal papilla of hair follicles to slow miniaturisation and stimulate the early growth phases. They are not a substitute for transplantation when the hair is gone — they are the right answer when the hair is thinning, the follicles are still alive, and the goal is to maintain or thicken what is there.
We perform regenerative hair sessions as a 45-minute appointment in the trichology suite. No incision, no shave, no time off work.
What each protocol is
| Protocol | What it is | Mechanism |
|---|---|---|
| PRP (Platelet-Rich Plasma) | Your own blood drawn, centrifuged, plasma rich in platelets re-injected into the scalp | Platelet α-granules release PDGF, VEGF, IGF-1, EGF — growth factors that signal dermal papilla cells to extend the anagen (growth) phase |
| Mesotherapy | Vitamin / amino-acid / peptide cocktail injected into the upper dermis of the scalp | Supplies localised dermal-papilla nutrition; vasodilator components improve microcirculation |
| Exosomes | Mesenchymal-stem-cell-derived nanovesicles delivered intradermally | Carry signalling miRNAs that modulate dermal-papilla cell behaviour at a finer biochemical level than PRP |
Exosomes are the newest of the three and still command the highest-tier evidence base. PRP has the longest published outcome data; mesotherapy sits in the middle.
When regenerative is the right answer
| Goal | PRP / Meso / Exosomes | Hair transplant |
|---|---|---|
| Slow miniaturisation, maintain existing hair | Preferred | Not applicable |
| Thicken thinning hair (follicle still alive) | Preferred | Not applicable |
| Replace hair that is gone (no follicle) | Not effective | Required |
| Complement a transplant, accelerate recovery | Preferred | (Together) |
| Female-pattern hair thinning (diffuse) | Often first-line | Selective |
Choreography
| Time | What happens |
|---|---|
| 10:00 | Trichology consultation (Karnofsky scale, FOTOFINDER scan baseline) |
| 10:30 | Blood draw (PRP only) + centrifuge (PRP only) |
| 10:45 | Topical anaesthetic applied |
| 11:00 | Injection protocol (scalp grid, controlled depth) — 20–30 minutes |
| 11:30 | Discharge — work and exercise immediately resumable |
| +3 months | First follow-up FOTOFINDER scan |
| +6 months | Outcome assessment |
A typical course is three sessions at 4-week intervals, then maintenance every 4–6 months. Same-day discharge after each.
Who is a candidate
- Early-stage androgenic alopecia with miniaturising hair still present (Norwood II–IV; Ludwig I–II in women)
- Post-pregnancy or post-stress diffuse shedding (telogen effluvium)
- Pre- or post-transplant patients seeking to accelerate recovery and protect surrounding native hair
- No active autoimmune scalp condition, no anticoagulant therapy (PRP only)
Recovery
There is no recovery to speak of. Patients return to work immediately. Mild scalp tenderness for 24 hours is the most common transient effect. Exercise, swimming, and hair washing resume the same day.
What it is not
Regenerative protocols do not bring hair back where the follicle is dead. The single biggest source of patient dissatisfaction with these protocols is treating cases that needed a transplant — and that is on the consultation, not on the protocol. We screen for this at the trichology assessment and refer to FUE/DHI when transplantation is the right answer.
These are not "PRP injection" walk-in spa services.
The package
The regenerative-protocol package is sold per course of three sessions plus six months of follow-up. Includes blood draws (PRP), centrifuge processing, mesotherapy cocktail / exosome product, dermatology supervision, FOTOFINDER baseline + follow-up scans, video review. One number per course.