Dr. Gökay Bilgin, hair transplant surgeon in Istanbul

Written by Dr. Gökay Bilgin, MDHair transplant surgeon · Istanbul University-Cerrahpaşa Faculty of Medicine · Co-founder of Smile Hair Clinic (2018) · 5,000+ proceduresLast updated: November 2026 · More about me
Key Takeaways

✓PRP (platelet-rich plasma) is made from a small amount of your own blood and injected into the scalp to support weakening follicles.
✓It is the best-studied in-clinic hair loss treatment: a 2025 analysis of 43 randomised trials found it increased hair density and reduced hair loss.
✓A typical plan is three sessions four to six weeks apart, judged at around six months, then maintenance every six to twelve months if it works.
✓PRP strengthens hair that is still there. It cannot regrow hair where follicles are gone, and it works best with medication, not instead of it.
✓Around a hair transplant, PRP supports healing in the donor and recipient areas. It is included in my Diamond package.

PRP is the in-clinic hair loss treatment patients ask me about most. It sounds natural, because it comes from your own blood, and it is often marketed as a way to avoid medication or surgery. The truth is more useful than the marketing: PRP has real evidence behind it, but it has limits, and how it is prepared and used makes a big difference.

On this page I explain what PRP is, what the research says about whether it works, who it suits and who should avoid it, why not all PRP is the same, what happens in a session, how many sessions you need and when you will see results, how I use it with hair transplants, how it compares with minoxidil, PRF, exosomes and mesotherapy, what the risks are, and what it costs. For an overview of every option, see my hair loss treatments guide. If PRP is part of a transplant plan for the beard, brows or scalp, my hair transplant treatments page compares the procedures.

What Is PRP Hair Treatment?

PRP stands for platelet-rich plasma. Platelets are small blood cells best known for helping blood clot, but they also carry growth factors, proteins that signal cells to repair and grow. To make PRP, a small amount of your blood is spun in a centrifuge to separate the platelets and concentrate them in plasma. The concentrated plasma is then injected into the thinning areas of the scalp.

The growth factors are thought to prolong the growth phase of the hair cycle, support the cells at the base of the follicle and improve the blood supply around it. In practice, that means thicker, stronger hair from follicles that are weakening, and less shedding. In this short video my colleague explains how PRP differs from mesotherapy.

Video: PRP or mesotherapy, which does your hair need?

Does PRP Work for Hair Loss?

For pattern hair loss, the answer is yes, with realistic expectations. PRP has been tested in more randomised trials than any other in-clinic hair treatment. A 2025 meta-analysis of 43 randomised trials with nearly 1,900 participants found that PRP increased hair density and reduced hair loss compared with placebo, though it did not make individual hairs thicker. A 10-year randomised study published in 2026 found that hair density was about 31% higher than baseline one year after three sessions, and still above baseline years later, especially with maintenance.

What PRP does not do is just as important:

  • It does not regrow hair where follicles are gone, such as a bald, shiny crown or a receded hairline.
  • It does not stop the cause of pattern hair loss; without maintenance, gains fade over time.
  • It does not work equally for everyone. Some patients respond well, some modestly, some hardly at all.
  • It is not clearly better than minoxidil; studies show similar effects on density, and combining them works better than either alone.

Who Is PRP For, and Who Should Avoid It?

Usually a good fit

  • Early to moderate pattern hair loss in men, with hair still present in the thinning areas.
  • Female pattern hair loss, especially thinning along the parting.
  • Patients who cannot or do not want to use certain medications, or want more than medication alone.
  • Patients before and after a hair transplant.
  • Some cases of shedding after the trigger has been treated.

When PRP is not suitable

  • Low platelet count or platelet function disorders, and other blood disorders.
  • Blood-thinning medication; never stop it yourself, but tell me so we can plan.
  • Active scalp infection or inflammatory scalp disease in the treatment area.
  • Active cancer or ongoing cancer treatment, severe anaemia or uncontrolled systemic illness.
  • Pregnancy, and breastfeeding after individual assessment.
  • Bald areas where follicles are gone, and scarring alopecias, which need other treatment.

Women have additional causes of hair loss to rule out first, which I explain on my female hair transplant page.

Not All PRP Is the Same

“PRP” describes the idea, not a single product. Clinics use different kits and protocols, and this is one reason study results vary. These are the variables that matter:

Blood volumeWhat it meansA small draw, often around 10–60 mL depending on the system.Why it mattersEnough to produce PRP for the whole treated area.
CentrifugeWhat it meansA single or double spin.Why it mattersDetermines how concentrated the platelets are.
Platelet concentrationWhat it meansHow many times higher than in your blood.Why it mattersToo low gives little effect; there is no proven perfect number.
ActivationWhat it meansSome systems add calcium or other activators, some do not.Why it mattersActivated PRP showed more consistent results in the 2025 meta-analysis.
White and red blood cellsWhat it meansSystems leave more or fewer of them in the plasma.Why it mattersAffects inflammation and how the injection feels.
DeliveryWhat it meansInjections into the scalp, sometimes with microneedling.Why it mattersEven coverage at the right depth matters.

You do not need to become an expert, but a good clinic should be able to tell you which system they use, how they prepare the PRP and why. If the answer is vague, ask more questions.

A PRP Session Step by Step

AssessmentI examine the scalp with a dermatoscope, take standardised photos and confirm that PRP suits your type of hair loss.
Blood drawA small amount of blood is taken from your arm, like a routine blood test.
PreparationThe blood is spun in a centrifuge to separate and concentrate the platelets.
ComfortThe scalp is cleaned. Numbing cream, cooling or local anaesthetic can be used.
InjectionsThe PRP is injected in small amounts across the thinning areas.
AfterwardsMost patients return to normal activities the same day. The whole visit usually takes under an hour.

How Many PRP Sessions Do You Need?

Initial courseUsually three sessions, four to six weeks apart.
AssessmentAt around six months, with photos and a scalp examination compared with the start.
MaintenanceIf it works, a session every six to twelve months keeps the effect.
If it does not workIf there is no measurable benefit after a full course, I do not continue it.
After a hair transplantUsually from about one month after surgery, often combined with mesotherapy, for at least eight months.

In this short video Dr. Mehmet Erdoğan explains whether PRP is better before or after a hair transplant.

Video: PRP before or after a hair transplant?

PRP Results Timeline

First weeksLittle visible change. Some patients notice their hair feels stronger.
Around 2–3 monthsShedding usually slows.
Around 3–6 monthsDensity and thickness start to improve in responders.
Around 6 monthsThe time to judge it fairly, with standardised photos.
Beyond a yearGains are kept with maintenance and medication; without them, they fade gradually.

PRP and Hair Transplant

PRP is most valuable to me as part of a hair transplant. A transplant creates hundreds of tiny wounds in the donor and recipient areas, and grafts depend on new blood supply in their first days. Growth factors have a clear role there.

Before surgeryPRP, with medication, can help stabilise shedding and strengthen native hair.
On the day of surgeryI apply PRP to the treated areas on the day of the operation to support healing in the donor and recipient areas.
After surgeryFurther sessions usually start about one month after the transplant, often with mesotherapy, for at least eight months.
Long termPRP and medication help protect the native hair around the transplanted area.

Studies support this. A systematic review found that adding PRP to hair transplantation was associated with higher density, better follicle survival and earlier growth, and a 2026 study found that PRP roughly doubled the speed of donor-area wound healing in the first 24 hours. In this video you can see a PRP session on the same day as a patient’s hair transplant.

Video: a hair transplant journey with a same-day PRP session, Smile Hair Clinic.

PRP supports careful surgery; it does not make up for poor technique. You can read about how I perform transplants on my hair transplant and techniques pages.

PRP vs Minoxidil, PRF, Exosomes and Mesotherapy

PRPWhat it isGrowth factors from your own platelets.EvidenceModerate; dozens of randomised trials.Typical course3 sessions, then maintenance.
MinoxidilWhat it isA medication applied daily or taken as tablets.EvidenceStrong.Typical courseDaily, long term.
PRFWhat it isA fibrin-rich preparation from your blood, usually without anticoagulant.EvidenceEarly; some small trials favour it.Typical courseSimilar to PRP.
ExosomesWhat it isCell-free vesicles carrying growth signals.EvidenceEarly.Typical courseA few sessions, often with PRP.
MesotherapyWhat it isMicro-injections of vitamins, peptides or drugs.EvidenceEarly; depends on the cocktail.Typical course4–6 sessions, then maintenance.

A simplified guide; plans are adjusted for each patient.

These treatments are not rivals. Medication addresses the cause of pattern hair loss every day; PRP adds growth signals in sessions. Studies show that PRP combined with minoxidil gives better results than either alone. Read more on my exosome hair therapy, hair mesotherapy and ozone hair therapy pages.

What the Research Shows About PRP for Hair

Meta-analysis · 43 randomised trials · 2025PRP increases densityA meta-analysis in Dermatology and Therapy (Anitua and colleagues, 2025) of 43 randomised trials with 1,877 participants found that PRP increased hair density and reduced hair loss, without a significant effect on hair thickness. Activated PRP gave more consistent results.What it means: PRP works for many patients, and preparation matters.
Randomised study · 234 patients · 10 years · 2026Long-term resultsA randomised, evaluator-blinded study in the Aesthetic Surgery Journal (Gentile, 2026) gave 234 men and women three PRP sessions 30 days apart. Hair density was 31% higher at 12 months, 17% higher at 5 years, and 11% higher at 10 years in patients who had maintenance.What it means: Benefits can last for years, but they fade without maintenance.
Systematic review · 217 patients · 2025PRP with hair transplantA systematic review in Cureus (Sindhusen and colleagues, 2025) of controlled studies found that adding PRP to hair transplantation was associated with higher density, better follicle survival and earlier growth, though protocols varied.What it means: PRP is a reasonable part of a transplant protocol.
Prospective study · 19 patients · 2026Faster donor healingA study in Dermatologic Surgery (Zontos, 2026) compared donor areas after FUE with and without PRP. Wounds treated with PRP shrank by 50% in 24 hours, compared with 21% without it.What it means: PRP helps the donor area heal faster after extraction.
My viewI use PRP every day, and I see it work. But I tell patients three things before they start. First, it strengthens hair that is still there; it does not bring back hair that is gone. Second, it works best with medication, not instead of it. Third, not everyone responds, so we judge it with photos at six months, not with hope. Around a hair transplant, I have no hesitation: PRP supports healing in both the donor and recipient areas, which is why it is part of every Diamond operation I perform.

Side Effects and Aftercare

CommonTenderness, mild swelling, redness and pinpoint marks for a day or two; a mild headache.
OccasionalBruising at the blood draw or injection sites; temporary shedding; swelling that moves down to the forehead.
RareInfection if sterile technique is not followed; fainting during the blood draw.

Before your session

  • Tell me about every medication and supplement, especially blood thinners.
  • Avoid anti-inflammatory painkillers such as ibuprofen or aspirin for a few days before and after, unless your doctor says otherwise; they can reduce platelet activity.
  • Eat and drink normally before the blood draw.

After your session

  • Do not wash your hair or use hair products for the rest of the day.
  • Avoid saunas, swimming and heavy exercise for about 24 hours.
  • Do not massage or scratch the injection sites.

PRP Hair Treatment Cost

PRP is priced per session or as a course. The total depends on the system used, the number of sessions and whether PRP is combined with other treatments. These are typical 2026 market ranges per session:

Turkey$100–$300(€80–€250) per session at most clinics
United States$500–$1,000(€420–€850) per session; not covered by insurance

Because a course plus maintenance is what produces results, compare the full plan, not a single session price. A very cheap session may use a low-concentration system or skip the assessment that tells you whether PRP is right for you.

PRP with a transplantMy Diamond hair transplant package is €5,790 ($6,840 · £4,840) at a fixed price and includes PRP, exosome treatment, medication and a 3-month hair care kit. For PRP on its own, I give you a personal plan and price after the consultation. All packages are compared on my hair transplant Turkey packages page. How transplant prices are set is explained on my hair transplant cost in Turkey page, and travel and safety on my hair transplant in Turkey guide.

Six questions to ask before you pay for PRP

  • Is my type of hair loss likely to respond to PRP?
  • Which PRP system do you use, and how is it prepared?
  • How many sessions, how far apart, and what is the full course price?
  • How and when will we judge whether it is working?
  • What else should I use alongside it?
  • Would a hair transplant serve me better in some areas?

Frequently Asked Questions About PRP Hair Treatment

Does PRP really work for hair loss?

For many people with pattern hair loss, yes. Dozens of randomised trials show that PRP increases hair density and reduces hair loss. It works best on hair that is thinning, not on bald areas, and not everyone responds.

How many PRP sessions do I need for hair?

Usually three sessions four to six weeks apart, then maintenance every six to twelve months if it works.

How long do PRP hair results last?

Gains can last for years with maintenance. Without it, they fade gradually, because the underlying cause of hair loss continues.

When will I see results from PRP?

Shedding usually slows in two to three months; density improves from three to six months. Judge it at around six months.

Is PRP painful?

Most patients feel pressure and stinging. Numbing cream, cooling or local anaesthetic make it comfortable.

Is PRP better than minoxidil?

Studies show similar effects on hair density. Combining PRP with minoxidil gives better results than either alone.

Can PRP regrow a bald area?

No. PRP works on follicles that are still present. Bald areas need a hair transplant.

Is PRP done during a hair transplant?

I apply PRP on the day of surgery to support healing in the donor and recipient areas, and further sessions usually start about one month later.

Who should not have PRP?

People with platelet or blood disorders, those on blood thinners that cannot be managed, active scalp infection, active cancer treatment, and pregnant women.

Can women have PRP for hair loss?

Yes. PRP is used for female pattern hair loss, after the cause of thinning has been checked.

Find Out If PRP Can Help Your Hair

Send me clear photos of your hairline, crown and parting, and tell me how long you have been losing hair and what you have tried. I will tell you whether PRP is likely to help, what I would combine it with, and whether a transplant should be part of your plan.Get a Free Consultation