FAQ: PRP & HD-PRP

It is our sincere hope that you will find the information provided herein is e of benefit to you and that you may make a better informed decision regarding your health care. There is no substitute for an actual licensed medical physician that assesses your condition and provides you with either a sound medical opinion or a referral to someone else that can better provide for your individual needs. This web site is intended to simply provide information and not diagnose or treat any medical indication.  

Are There Differences in PRP’s?

Yes, there can be a wide variance in the densities and potencies of PRP. The density of PRP is the most critical factor of PRP. The density of PRP dictates the amount of platelets, growth factors and other beneficial components per mL which translates to the strength and ultimate efficacy of the PRP. Factors that have a direct impact upon PRP include, but not limited to:

  • Method used to produce PRP,
  • Kits used to produce PRP,
  • Age and Health Habits of the Patient,
  • Hydration of Patient,
  • Whether the Produced PRP Contains Red or White Blood Cells,
  • Purpose of Use.

There is no one method or standard to produce PRP. Not all methods and kits are created equal. Different densities and types of PRP are applicable for nearly all customary uses, but it is High Density PRP (HD-PRP) that generally has the greatest efficacy for nearly all uses. Other factors to consider:

  • PRP created to contain white and red blood cells is more applicable to joint issues. 
  • PRP created absent white and red blood cells are better for skin, follicules, tendons, ligaments and other tissues.
  • Younger individuals (20’s and younger) tend to require lesser density PRP because they are already awash with regenerative ability and their tissues would simply not absorb the higher levels of growth and other beneficial factors because it is already produced by them.
  • Beginning at about 25 years of age and the older we get, we progressively benefit from higher platelet densities in the PRP.
  • Depending on lifestyle, at as young as 50, our PRP can actually and likely benefit from fortification with a biologic most suited for the indication.
  • In most cases, individuals 65 years and older will definitely benefit from fortification with a biologic. On better than average, the regenerative ability is in rapid decline and at an accelerating rate the older we get.     

We continuously strive to research and seek out the latest methods, kits and ways to improve this wonderful natural rejuvenating and regenerative treatment and related procedures. We believe we offer PRP therapies and procedures that may be offered by few other providers, but certainly is unsurpassed in quality, density, skills and delivery of PRP therapy treatments and procedures.

How Does Age and Health Habits Impact Our PRP?

One way to describe how our regenerative abilities decline with age is to compare the potency and vitality of stem cells at different ages. 

If we were to take a single stem cell from a baby, place it in culture to expand its numbers, we would obtain about 1 billion cells in 30 days. 

If we were to take a single stem cell from a 70 year old, place it in culture to expand its numbers, we would obtain only about 200,000 cells in 30 days. 

Obviously our regenerative abilities are profoundly different the older we get. 

Our underlying health as well as nutritional habits and social habits play a significant role in our overall health and ability to regenerate and remain more youthful.  

What is High Density PRP(HD-PRP)

High density PRP is simply a PRP that is highly concentrated platelets, growth factors and many other beneficial healing factors. Typically, HD-PRP is considered to be any PRP that has a concentration of 5 times (5X) of the baseline blood. Gel separator tubes generally only produce on average a <2X PRP. Even when double spun they typically don’t exceed 4X.

At Gentle Touch Aesthetics & Wellness, we only use in the majority of cases a HD-PRP that is on average 6.5X to 7.5X. This concentration strength provides the highest density to value ratio for greatest efficacy.  In special cases we can obtain higher ratios where the efficacy and value over cost is justified or simply desired by the patient (only if it won’t hurt, may or will benefit, we will accommodate patient desires).

How Much Blood is Required For HD-PRP Treatments?

This depends on the intended application. The size of a treatment area or number of locations dictate the amount of PRP or HD-PDP required. Though we carry lesser density kits for some applications, our go to kits require 25 mL and 50 mL blood draws. The required amount of blood drawn and yield of HD-PRP for a typical case type sampling are:

  • Aesthetic Skin Treatments: 25 mL draw / 3.5 mL HD-PRP yield
  • Hair Regeneration: 50 mL draw / 7.0 mL HD-PRP yield
  • P-Shot: 50 mL draw / 7.0 mL HD-PRP yield
  • O-Shot: 25 mL draw / 3.5 mL HD-PRP yield
  • Prolotherapy Injection: 25 mL draw / 3.5 mL HD-PRP yield

Should a greater coverage area or number of treatment areas be required additional blood draws are available. Up to 450 mL of blood may be drawn in any given 3 month period.

Why Does Some PR Burn or Sting at One Provider and not another?

This is due to the anticoagulant used in the process of making PRP. The anticoagulant is acidic. Many providers simply don’t understand how to balance the pH.

What is the Process Like?

On the day of your treatment, some of your own blood will be drawn (be sure to drink plenty of water in advance to facilitate this process!).  In a single step, the plasma and platelets are separated from other components of your blood and the growth factors in the platelets are activated to ensure maximum efficacy. The PRP is then carefully injected into the target areas with very small-gauge syringes, enabling it to be applied to nearly any treatment area without trauma or scarring.

How Soon are the Results Noticeable?

Results vary from individual to individual depending on the specific treatment PRP is used for and other factors:

  • Skin: Most individuals experience visible or feel tangible results with their skin within days, and can continue to see improvement for up to 4 months. Most skin regeneration treatment results last for about 12 – 18 months and in some cases far longer, although some procedures may require repeat treatments at 3 – 4 month intervals or sooner if a severe condition is being treated to achieve more robust and longer-term results.
  • Hair Restoration, realization of results can take longer. Please refer to the following link> FAQ: PRP Hair Restoration 
  • Joints: Are highly dependant on the severity and type of injury and joint. Results may not become apparent for several weeks. 
  • Soft tissue tendons and ligaments: Soft tissues such as these obtain accelerated healing. depending on the type of tissue, healing time may be decreased by 30% to 50%.

What are the risks to PRP treatments?

PRP therapy is made using the patient’s own blood so there is no risk of rejection. With sterile medical equipment and procedures, the risk of infection is minimal. However, persons with porcine (pig) or bovine (cow) allergies should not receive PRP+ treatments containing those proteins. Depending upon the procedure or treatment performed, patients can return to work on the same day for basic treatments, within 2-3 days for moderate treatment and within 5-7 days for an extensive treatment.The vast majority of PRP treatments require no downtime to 12 hours of restricted activity. It is important to note that, as with any treatment or procedure, results may vary due to many contributing factors such as individual physiology, lifestyle factors, age, and post-treatment care.

It is important to ensure that your PRP therapy is conducted safely. At Gentle Touch Aesthetics and Wellness our PRP therapies are properly prepared, applied correctly, and performed under sterile conditions. You can be confident that you are making the best and safest choice.  Our physicians and staff bring their medical expertise and compassionate bedside manner to every procedure we perform.  We understand the importance of treating the whole person—mind, body, and soul. Schedule an appointment today to find out if PRP therapy is the right choice for you to rejuvenate your appearance and outlook!

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