Female Pattern Baldness & PRP Treatment

Female pattern hair loss is a progressive condition that affects millions of women and often develops gradually. Genetic factors, hormonal changes, and age-related shifts in estrogen and androgen levels can weaken hair follicles, producing finer, shorter hairs and visible thinning. Many women notice changes during periods such as postpartum recovery, perimenopause, or menopause, when hormonal fluctuations can increase shedding and slow regrowth. Female pattern hair loss can be especially frustrating because it often progresses slowly and may not respond well to over-the-counter products alone. Platelet-rich plasma therapy has emerged as an effective option for women seeking to improve hair density and reduce shedding without surgery or daily medications. At her private dermatology office in New York City, Dr. Michele Green evaluates the underlying causes of hair loss and helps patients determine whether PRP treatment is right for them.

Platelet-rich plasma therapy is a non-surgical hair restoration treatment that uses growth factors naturally present in the patient’s own blood to support healthier hair growth. A small blood sample is processed to concentrate platelets, which contain proteins that support tissue repair and cellular regeneration. When injected into areas of scalp thinning, PRP can improve circulation, stimulate inactive hair follicles, and encourage hair to enter the active growth phase. Clinical studies have shown that PRP can increase hair thickness, density, and overall hair quality in women with female pattern hair loss, provided follicles are still present. The treatment requires minimal downtime and can be safely combined with other medical or topical therapies as needed. Dr. Green customizes each PRP treatment plan based on scalp health, hair loss pattern, and individual goals to achieve gradual, natural-looking results.

Dr. Michele Green is an internationally recognized, board-certified dermatologist with over 25 years of experience treating hair loss with advanced, non-invasive techniques. She was among the first dermatologists in New York City to incorporate platelet-rich plasma therapy into comprehensive hair restoration plans for women experiencing thinning and shedding. Dr. Green follows a personalized, less-is-more approach, prioritizing long-term hair health over aggressive treatments. She is consistently recognized by Castle Connolly, New York Magazine, and Super Doctors for her expertise and patient-centered care. When you consult with Dr. Green at her Upper East Side dermatology practice, she will work closely with you to develop a customized hair restoration plan that preserves hair density and supports healthier hair growth over time.

What causes female pattern hair loss?

Female pattern hair loss (FPHL) results from a combination of genetic predisposition, hormonal influences, and age-related changes that disrupt the hair growth cycle. Many women with FPHL have a family history of thinning hair, which can heighten hair follicle sensitivity to androgens such as testosterone. These androgens are converted into dihydrotestosterone, which gradually shrinks hair follicles, leading to finer hair strands, a shorter growth cycle, and reduced hair density over time. Hormonal fluctuations also play a significant role, particularly changes in estrogen and progesterone levels that occur after childbirth, during perimenopause, and throughout menopause. Women with conditions such as polycystic ovary syndrome (PCOS) may experience hair loss due to elevated androgen levels. In contrast, others may notice thinning related to stress, medical conditions, or certain medications. At her private dermatology office in New York City, Dr. Michele Green carefully evaluates each patient’s medical history, hormone levels, and hair-loss pattern to determine the underlying cause and develop a personalized treatment plan.

How does PRP work for women’s hair loss?

Platelet-rich plasma delivers a high concentration of platelets and biologically active growth factors directly to areas of thinning hair on the scalp. Platelets play an essential role in tissue repair and cellular signaling. When injected into the scalp, they improve circulation, support hair follicle health, and help keep follicles in the active growth phase. PRP is most effective in women with functioning hair follicles, as it strengthens existing follicles rather than generating new ones. PRP also helps activate stem cells within the hair follicles, contributing to hair regeneration and follicular function. The growth factors in platelet-rich plasma support hair growth and scalp health through several complementary mechanisms, including:

• Epidermal Growth Factor (EGF) supports cell regeneration in the scalp and helps stimulate hair follicles to enter the active growth phase. It also helps maintain a healthy scalp environment, allowing hair follicles to function more efficiently over time.
• Fibroblast Growth Factor (FGF) promotes the formation of new blood vessels that deliver oxygen and nutrients to hair follicles. Extending the hair growth phase helps support longer, thicker hair strands.
• Insulin-like Growth Factor (IGF) supports cell growth, repair, and differentiation in the hair follicle. It also helps protect hair follicles from prematurely entering the resting phase, which can contribute to excessive shedding.
• Platelet-Derived Growth Factor (PDGF) contributes to blood vessel development and cellular repair within the scalp. It may help counteract shrinking hair follicles associated with female pattern hair loss by keeping hair follicles strong and active as hair grows.
• Transforming Growth Factor Beta (TGF-β) helps the scalp recover after treatment and supports normal healing. A healthy, well-balanced scalp allows hair follicles to function more normally as hair grows.
• Vascular Endothelial Growth Factor (VEGF) improves blood supply to the scalp by stimulating the formation of new blood vessels. Improved circulation helps deliver essential nutrients and oxygen required for sustained hair growth.

By improving scalp circulation and strengthening hair follicles, PRP helps reduce shedding and, with repeated treatments, gradually improve hair thickness and density. At her private dermatology office in New York City, Dr. Michele Green tailors PRP therapy to each patient’s hair-loss pattern, scalp health, and treatment goals to achieve natural, consistent results.

Who is a good candidate for PRP therapy?

A good candidate for PRP therapy is a woman with early-to-moderate hair thinning, increased shedding, or a widening part, and with active hair follicles on the scalp. PRP works best for patients with specific hair-loss conditions, including female-pattern hair loss, postpartum shedding, or hormone-related thinning, because it strengthens existing follicles rather than restoring areas where follicles are absent. Women who seek treatment soon after noticing changes in hair density often respond better than those with longstanding or advanced hair loss. PRP may not be appropriate for individuals with certain blood disorders, active scalp infections, or medical conditions that affect platelet function. During a consultation at her private dermatology office in New York City, Dr. Michele Green reviews each patient’s medical history and examines the scalp to determine whether PRP therapy is the best option and to create a personalized hair restoration plan.

What is the process of getting PRP injections?

PRP treatment for hair loss with Dr. Michele Green begins with a one-on-one consultation at her private dermatology office in New York City. During this visit, Dr. Green carefully examines the scalp, reviews the pattern and extent of hair thinning, and discusses the patient’s medical history, hormonal background, and prior hair loss treatments. She explains how PRP works, what results are realistic given the individual’s condition, and whether PRP alone or in combination with other treatments is the most appropriate approach. Clinical photographs are often taken before treatment begins to help track progress over time.

If PRP therapy is recommended, the process begins with a simple blood draw in the office. The sample is centrifuged to separate and concentrate the platelet-rich plasma, which contains growth factors that support hair follicle health. The centrifuge separates platelets from other blood components, such as red blood cells, so that the platelet-rich plasma can be used for treatment. Once prepared, the PRP is injected into the scalp’s targeted areas where thinning or shedding is most noticeable. The procedure is performed in a sterile medical setting and typically takes about 30 minutes from start to finish. Most patients experience only mild discomfort during the injections and can return to normal daily activities shortly afterward, with minimal aftercare required. Avoid washing your hair or exercising until the next day. Avoid alcohol, smoking, and hair dyeing for three days. Dr. Green will provide you with all the necessary aftercare instructions to help you achieve the best results.

PRP treatments are typically performed as a series of sessions spaced several weeks apart to achieve optimal results. After completing the initial treatment series, patients return for follow-up visits so Dr. Green can evaluate hair growth and determine an appropriate maintenance schedule. Because hair naturally cycles through growth and shedding, ongoing support is often needed to maintain improvements over time. Maintenance treatments may be recommended periodically to help preserve hair density and reduce ongoing shedding. Throughout the process, Dr. Green tailors the treatment plan to the patient’s hair response, ensuring a personalized and safe approach to long-term hair restoration.

Are there any side effects to PRP treatment?

PRP treatment is considered very safe because it uses the patient’s own platelets to support the body’s natural healing process, minimizing the risk of allergic reactions or unexpected responses. The most common side effects are mild tenderness, redness, or slight swelling at the injection sites, and these usually improve within 1 to 2 days. Some patients may notice light bruising or scalp tightness after treatment, particularly in areas where injections were given. These effects are temporary and typically resolve on their own without medication or downtime. At her private dermatology office in New York City, Dr. Michele Green reviews each patient’s medical history and uses careful technique to minimize discomfort and support a smooth recovery.

How long does PRP last for hair loss?

The results of PRP treatment for hair loss develop gradually and can last several months after the initial series of treatments. Many patients first notice reduced shedding, followed by improvements in hair thickness, overall density, and new hair growth as hair follicles respond to treatment and new growth cycles begin. Because hair grows in cycles and sheds naturally, visible changes take time and appear gradually as new hair grows in. Female pattern hair loss is also a progressive condition influenced by genetics, hormones, and age, so that hair thinning can continue even after successful treatment. For this reason, PRP is not considered a one-time solution, and ongoing maintenance treatments are often needed to help preserve results. Maintenance sessions support hair follicles as they move through normal growth and shedding cycles and can slow future thinning. At her private dermatology office in New York City, Dr. Michele Green monitors each patient’s progress and recommends a personalized maintenance schedule based on how their hair responds and how their hair loss changes over time.

Is PRP effective for female pattern baldness?

One of the most common questions patients ask in Dr. Green’s office is, “Does PRP work for female pattern baldness?” The answer is yes, though PRP’s effectiveness depends on factors such as the stage of hair loss, scalp health, and whether hair follicles are still active. Clinical trials have shown that platelet-rich plasma therapy is a promising treatment for various types of hair loss, including female pattern baldness (androgenetic alopecia). Multiple studies published in journals such as the Journal of Cosmetic Dermatology, Aesthetic Plastic Surgery, and the International Journal of Women’s Dermatology report that PRP can enhance hair growth, increase the number of hairs, and improve hair thickness. On average, patients who undergo multiple PRP treatments over 3-4 months experience improved hair growth, reversing signs of hair loss in those with androgenic alopecia. PRP is a safe and effective hair restoration option when performed by an experienced medical professional, such as board-certified dermatologist Dr. Michele Green in New York City.

What hair restoration treatments can be combined with PRP therapy?

PRP therapy is an effective option for many women experiencing hair thinning, but multiple factors often influence hair loss. Hormonal changes, genetics, scalp health, and nutritional status can all affect hair growth and shedding over time. For this reason, PRP is often combined with medical treatments, topical therapies, and in-office procedures to create a more comprehensive hair restoration approach. During a consultation, Dr. Michele Green evaluates the underlying cause of hair loss and develops a personalized treatment plan to support healthier hair growth and reduce ongoing thinning.

• Topical minoxidil is the only FDA-approved topical treatment for androgenetic hair loss. It works by prolonging the hair growth phase and improving blood flow to hair follicles, thereby strengthening existing hair and reducing shedding over time. Many patients apply topical minoxidil once or twice daily; consistent use is important, as discontinuing treatment can lead to a recurrence of thinning. This option is widely used because it is accessible and easy to incorporate into a daily routine. Topical minoxidil is often combined with PRP to support more consistent regrowth.
• Oral minoxidil was originally developed as a blood pressure medication, but dermatologists prescribe it at very low doses to support hair growth. At these doses, it is generally well tolerated in healthy patients and does not typically affect blood pressure. Oral minoxidil can help patients who do not respond well to topical treatments or prefer a daily pill. It promotes more even scalp growth and is taken under medical supervision to ensure safety.
• Spironolactone is an oral medication commonly prescribed for women with hormone-related hair loss. It works by reducing androgen effects on hair follicles, helping slow thinning and support stronger growth over time. This medication is especially useful for women with conditions such as PCOS or those who also experience hormonal acne. Spironolactone is taken daily and requires regular follow-up to adjust dosing based on response and tolerance. It is often combined with PRP for women with signs of androgen sensitivity.
• Finasteride is an FDA-approved oral medication for male pattern hair loss that works by lowering dihydrotestosterone (DHT), a hormone linked to follicular miniaturization. Although it is not approved for women, finasteride may be prescribed off-label in select cases to women who are not pregnant and not planning pregnancy. Careful evaluation and ongoing monitoring are required when using this medication. In appropriate patients, finasteride can be combined with PRP to help slow further hair thinning.
• Custom topical formulas from Dr. Green’s MGSKINLABs collection, designed for men and women, support scalp health and strengthen existing hair. These formulas contain ingredients that calm the scalp, reduce irritation, and nourish hair follicles, creating a healthier environment for hair growth. They are applied directly to thinning areas and can be used alongside PRP and oral medications.
• Hair growth supplements may be recommended when nutritional deficiencies contribute to hair thinning or shedding. These supplements often contain vitamins and minerals such as biotin, iron, zinc, and vitamin D, which support normal hair growth when levels are low. Supplements work gradually and are most effective when tailored to a patient’s individual needs rather than taken without guidance. They can be safely combined with PRP and other hair restoration treatments to support overall hair health.
• Hydrafacial Keravive is a scalp treatment that cleanses, exfoliates, and hydrates the scalp. It removes buildup, excess oil, and flakes that can interfere with healthy hair growth, while delivering nourishing ingredients to the scalp. Patients often notice cleaner, healthier-looking hair after treatment. Keravive can complement PRP by creating a cleaner, more balanced scalp environment.
• Hair transplant surgery may be an option for patients with advanced hair loss who no longer have active follicles in certain scalp areas. During the procedure, hair follicles are moved from areas of permanent growth to areas with thinning or baldness. Transplanted follicles continue to grow naturally and provide long-term density. PRP may be used before or after hair transplant surgery to support healing and improve the overall quality of existing hair.

Hair restoration works best when treatments are tailored to the cause and severity of hair loss rather than relying on a single solution. Combining PRP with targeted medical therapies and supportive scalp treatments can help preserve hair density and improve long-term outcomes. Dr. Green works closely with each patient to adjust treatment plans over time, ensuring care remains aligned with changes in hair growth and individual goals.

34 year old female, PRP to scalp for hair loss – after 3 treatments

requently Asked Questions (FAQs) about PRP and Female Pattern Hair Loss

How does PRP work for female hair loss?

PRP helps treat female hair loss by strengthening existing hair follicles, reducing shedding, and supporting healthier hair growth over time. During treatment, platelet-rich plasma is injected into areas of scalp thinning, delivering growth factors directly to weakened follicles. These include platelet-derived growth factor, which supports follicle repair; vascular endothelial growth factor and fibroblast growth factor, which improve blood supply and support the hair growth phase; and epidermal growth factor, which helps maintain healthy follicle function. PRP also contains insulin-like growth factor, which supports hair growth and helps limit excessive shedding, as well as transforming growth factor beta, which supports normal scalp healing after treatment. Together, these growth factors help improve hair thickness and density over time. With a series of treatments, many patients notice fuller-looking hair, and maintenance sessions are often recommended to help preserve results and slow ongoing thinning.

Does PRP work for hair loss in females?

PRP has been studied in multiple clinical trials and systematic reviews as a treatment for female pattern hair loss, and research indicates it can be an effective option for many women. A 2024 systematic review of 21 studies and more than 600 participants found that PRP significantly improved hair density and thickness in women with hair loss, with a favorable safety profile and minimal side effects. Other research has shown that PRP can increase hair count and reduce hair shedding compared with baseline measurements. Some studies suggest that the effectiveness of PRP on hair density may be comparable to that of topical treatments such as minoxidil. Although results vary by age, hair loss stage, and the specific PRP preparation and treatment protocol used, many patients experience noticeable improvements in hair thickness and overall hair quality after a series of PRP sessions. Studies have also reported high patient satisfaction with PRP treatment, and side effects, such as mild tenderness and temporary redness, are generally mild and well-tolerated. PRP is not considered a cure for hair loss, but when started early and combined with a comprehensive treatment plan, it can play an important role in slowing hair thinning and supporting healthier hair over time.

What does female hair loss look like?

In female-pattern hair loss, shedding and thinning are often more evenly distributed across the scalp, though they often begin at the part. Patients will initially notice thinning of the part, followed by widening. Some patients may also notice thinning around the temples and the crown.

Which female hormone causes hair loss?

Hormonal changes can play a significant role in female hair loss. Estrogen supports hair growth and prolongs the resting phase, which is why many women notice thicker hair during pregnancy, when estrogen levels are higher. When estrogen levels decline after childbirth or during menopause, increased shedding and thinning may occur. Androgens, such as testosterone, can also contribute to hair loss by causing hair follicles to shrink in genetically susceptible women. The impact of hormones varies from person to person, which is why evaluation by a dermatologist is important.

When does female pattern baldness start?

It is estimated that 30 million American women are affected by female pattern baldness each year. Some women may experience hair loss as early as their teens, while others may not experience it until after menopause.

37 year old female, PRP for hair loss – after 6 months

Where does female pattern baldness start?

Female pattern baldness typically begins at the part line, marked by thinning and widening of the part line. The widening of the part line is often called the “Christmas Tree pattern” because it resembles an upside-down Christmas tree.

Is female hair loss genetic?

Yes, current research indicates that genetics can be a major factor in female hair loss, alongside hormonal factors. Many women who experience hair loss have relatives who do as well. Women may also be genetically predisposed to lower estrogen levels or higher androgen levels, which can lead to hair shedding and thinning.

Why is female hair falling out rapidly?

A rapid hair loss may indicate telogen effluvium. Telogen effluvium is temporary, diffuse hair thinning and shedding caused by extreme stress or shock, including surgery, childbirth, death in the family, divorce, rapid weight loss, or severe infection. Stress on the body pushes hairs into the resting (telogen) phase, leading to shedding. Hair typically regrows 2 to 4 months after the stressful event resolves. PRP injections, as well as oral or topical medications, can help prevent further hair loss and speed hair regrowth.

Is female hair loss permanent?

Not necessarily. Female pattern hair loss is characterized by gradual thinning at the part, temples, and crown. Once a hair follicle dies, it cannot be restored, and the area will remain permanently bald. PRP injections, along with topical or oral medications, can help prevent baldness, slow hair loss, reduce shedding, and increase hair density and growth. Patients should begin treatment as soon as hair loss begins to prevent permanent baldness and preserve hair.

Is PRP good for female hair loss?

Yes! PRP is a safe and effective treatment for many women experiencing hair thinning or increased shedding from female pattern hair loss. It is particularly beneficial for patients with active hair follicles, as PRP strengthens existing follicles rather than restoring areas where follicles are absent. Many women choose PRP for its non-surgical approach to hair restoration and for its avoidance of daily medication or topical application. PRP can be used alone for early thinning or combined with oral medications, topical treatments, or scalp therapies for a more comprehensive approach. Most patients undergo an initial series of treatments to stimulate hair growth, followed by maintenance sessions to help preserve improvements over time. Because hair loss is a progressive condition and hair naturally sheds during the growth cycle, ongoing treatment is often needed to maintain hair density. During a consultation at her private dermatology office in New York City, Dr. Michele Green evaluates each patient’s hair loss pattern and develops a personalized treatment plan to support long-term hair health and reduce further thinning.

When doesn’t PRP work for hair loss?

PRP may not be effective for all types of hair loss. It works by strengthening existing hair follicles, so areas without follicles will not respond to treatment. Results may also be limited in patients with advanced hair loss or untreated underlying conditions, such as hormonal imbalances, nutritional deficiencies, or chronic medical issues. In these cases, PRP may need to be combined with oral medications, topical treatments, or other therapies. During a consultation, Dr. Green evaluates the cause and extent of hair loss to determine whether PRP is appropriate or whether alternative treatments are needed.

How effective is PRP for hair loss in women?

PRP is a highly effective treatment for many women experiencing hair thinning or increased shedding from female pattern hair loss. It works best in patients with active hair follicles, as it strengthens existing hair rather than restoring areas where follicles are absent. Many patients first notice reduced shedding, followed by gradual improvements in hair thickness and overall density over a series of treatments. Results vary based on factors such as genetics, hormones, and the timing of treatment. PRP is not a cure for hair loss, but it can help slow progression and support healthier hair when used as part of a personalized treatment plan. At her private dermatology office in New York City, Dr. Michele Green works with each patient to determine whether PRP alone or in combination with other therapies is the best approach for long-term hair health.

Is PRP worth it?

Absolutely! PRP is an excellent non-invasive hair restoration treatment that can thicken hair, reduce shedding, and promote hair growth. It is minimally invasive, requires no downtime, and is completely safe because it uses the patient’s own blood. After an initial series of treatments, most patients need a few maintenance sessions each year to maintain their ideal results. To maximize your results and ensure your hair is thicker, fuller, and healthier for longer, it is important to consult with an experienced board-certified dermatologist, such as Dr. Michele Green in NYC, as soon as you notice signs of hair thinning or loss. Dr. Green has been providing PRP hair restoration treatments at her private dermatology clinic in New York City for many years.

How do I get started with female PRP hair treatment today?

Platelet-rich plasma therapy is a non-surgical hair restoration treatment that uses growth factors from the patient’s own blood to strengthen hair follicles, reduce shedding, and support healthier hair growth. PRP works by improving circulation and encouraging hair follicles to remain active, making it an effective option for women experiencing thinning from female pattern hair loss. Because PRP has minimal downtime and is well-tolerated, it can be safely combined with other hair restoration treatments, such as oral medications, topical therapies, and scalp treatments, for a more comprehensive approach. A board-certified dermatologist, such as Dr. Michele Green, can evaluate your hair loss pattern and develop a personalized treatment plan to preserve hair density and support long-term hair health.

Dr. Michele Green is an internationally renowned, board-certified dermatologist with over 25 years of experience treating some of the world’s most discerning individuals with non-invasive treatments, including PRP injections, microneedling, and Botox. She takes an individualized approach to hair restoration, tailoring each treatment plan to the cause of hair loss, scalp health, and personal goals. Dr. Green is consistently recognized by Castle Connolly, Super Doctors, and New York Magazine for her expertise and dedication to patient care. When you schedule a consultation at her private dermatology office on Manhattan’s Upper East Side, Dr. Green will work closely with you to create a customized hair restoration plan to help maintain fuller, healthier hair over time. To book a consultation, please call (212) 535-3088 or contact the office online today.