Hair Loss

Thinning hair affects both men and women and may occur at any age. People under a lot of physical or emotional stress and women who have given birth may notice hair loss. Certain underlying illnesses or conditions, such as thyroid abnormalities, anemia, or medications can lead to hair loss. Heredity, however, is by far the leading cause of hair loss. In Chapel Hill and Sanford, among other offices, Central Dermatology Center’s board-certified dermatologists and highly trained physician assistants, who have expertise in dermatology, diagnose and oversee hair loss treatment. Even though thinning hair or balding isn’t always a serious health issue, it can undermine your self-confidence.

If thinning hair is bothering you, request an appointment online, or call (919) 401-1994 to schedule an appointment at one of our locations including Chapel Hill, Sanford, or Cary, North Carolina.


The FDA has approved both over-the-counter and prescription treatments to generate new hair growth in men and women with non-scarring hair loss. Your dermatologist at Central Dermatology Center will discuss the options to help you decide on a course of action.

  • Non-prescription – Minoxidil (Rogaine®) is a liquid or foam rubbed into your scalp twice daily. It may slow hair loss or encourage new growth. In some cases, people experience both benefits. It may take up to 3 months before you notice new hair growth. Side effects include an irritated or oily scalp and unwanted hair growth on skin near the scalp.
  • Prescription – Finasteride (Propecia®) or, less commonly, Dutasteride (Avodart®) or spironlactone, are medications used to treat male-pattern baldness. Men using Propecia usually notice slower hair loss, although some also see new growth. Side effects are rare, but include diminished sex drive. Women who may have children are not candidates for this therapy.
  • Evaluation – A thorough examination of your scalp and review of your health history can be the first step in addressing hair loss.

PRP/PRFM for Hair Loss

P.R.P. (Platelet-Rich Plasma) therapy is an exciting non-surgical medical treatment for mild to moderate hair loss in both men and women. The most advanced form of P.R.P. Therapy currently available is P.R.F.M. (Platelet-Rich Fibrin Matrix).

P.R.F.M. uses an individual’s own platelets to stimulate hair growth in areas of the scalp that have been adversely affected by hereditary hair loss.

P.R.P. (P.R.F.M.) was established two decades ago as an effective treatment for wound healing and bone regeneration. It was then found to be effective at promoting hair growth. At Central Dermatology Center, we are excited to offer P.R.F.M. as a proactive therapeutic option for male and female hair loss.

How PRP/PRFM Works

P.R.P. (Platelet-Rich Plasma) and P.R.F.M. (Platelet-Rich Fibrin Matrix) are created by concentrating platelets found in whole blood. Platelets contain healing growth factors. These growth factors, when injected at the vascular layer of your scalp, have been found effective at stimulating hair follicle growth, prolonging the anagen (growth) phase of the hair cycle, and decreasing inflammation.

With P.R.P./P.R.F.M. for hair loss, we see:

  • Increase in thickness of hair follicles
  • Increased length of the anagen (growth phase)
  • Decreased hair loss
  • Increased blood supply to the follicle

The process requires 3 simple steps:

  1. A special collection system is used to draw your whole blood. This blood is placed in a centrifuge.
  2. Afterwards, the platelet-rich plasma/ fibrin matrix is drawn up into a syringe.
  3. A Board-Certified Dermatologist uses a small needle to inject the platelet-rich plasma/fibrin matrix into your scalp areas of hair loss.

Frequently Asked Questions

How many treatments are required?

This will depend on the severity of your hair loss and your providers assessment. Most patients need three (3) visits every 4-6 weeks initially, then maintenance treatments 1-2 times per year.

Do you recommend P.R.P/P.R.F.M. use in conjunction with prescription and over-the-counter medications, or alone?

Your provider will determine the appropriate regimen for your hair loss. P.R.P./P.R.F.M. can be used as monotherapy or in conjunction with topical and oral medications.

Does the procedure hurt?

You may have some sensitivity to the treatment. We have a variety of options available for anesthesia, if needed.

What is the expected recovery?

Most patients can return to work after treatment. For 72 hours after the procedure, you should not apply any pressure to the scalp. You will be provided with detailed post-treatment instructions at your visit.

How To Schedule

By Phone – 919-401-1994

Contact our office to schedule PRP/PRFM therapy for hair loss. We will assist you in setting up a consultation with one of our Board-Certified Dermatologists to evaluate your scalp and to discuss treatment with you.

Associated Images and References:

  • Garg S, Manchanda S. Platelet-rich plasma-an “Elixir” for treatment of alopecia: personal experience on 117 patients with review of literature. Stem Cell Investig. 2017;4:64. Published 2017 Jul 18. doi:10.21037/sci.2017.06.07

  • Kachhawa D, Vats G, Sonare D, Rao P, Khuraiya S, Kataiya R. A Split Head Study of Efficacy of Placebo versus Platelet-rich Plasma Injections in the Treatment of Androgenic Alopecia. J Cutan Aesthet Surg. 2017;10(2):86-89. doi:10.4103/

  • Ferrando J, Garcia-Garcia SC, Gonzalez-de-Cossio AC, Bou L, Navarra E. A Proposal of an Effective Platelet-rich Plasma Protocol for the Treatment of Androgenetic Alopecia. Int J Trichology. 2017;9(4):165-170, doi:10.4103/ijt.ijt_27_17