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PRP Consent Form

PRP therapy for hair loss involves using a patient's own blood to create platelet-rich plasma, which is injected into the scalp to stimulate hair growth. Certain medical conditions and medications may contraindicate the treatment, and specific pre- and post-treatment instructions must be followed to optimize results and minimize risks. Patients should monitor for signs of infection and contact the office if any concerning symptoms arise.

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0% found this document useful (0 votes)
41 views2 pages

PRP Consent Form

PRP therapy for hair loss involves using a patient's own blood to create platelet-rich plasma, which is injected into the scalp to stimulate hair growth. Certain medical conditions and medications may contraindicate the treatment, and specific pre- and post-treatment instructions must be followed to optimize results and minimize risks. Patients should monitor for signs of infection and contact the office if any concerning symptoms arise.

Uploaded by

eswar
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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PRP for hair loss treatment instructions

Treatment Overview:
PRP therapy for hair loss involves withdrawing a patient's own blood, processing it so that only the enriched cells (platelet-rich
plasma) remain, and injecting it into the scalp. PRP contains essential proteins that stimulate natural hair growth. Due to the natural
variation in the quality of platelet-rich plasma, results will vary between individuals. Some patients may require multiple sessions to
obtain the desired outcomes.

Contraindications:
You should not have PRP treatment done if you have any of the following conditions:
• An impaired immune system due to immunosuppressive diseases, HIV, HTV, or immunosuppressive medications
• Skin conditions and diseases including- Facial cancer, existing or uncured. This includes SCC, BCC and melanoma, systemic
cancer, and chemotherapy.
• Steroid therapy, dermatological diseases affecting the face (i.e. Porphyria), communicable diseases, blood disorders and platelet
abnormalities, anticoagulation therapy (i.e. Warfarin)
• Do not have PRP treatment if you are pregnant.

Pre-Treatment Instructions:
• If you are taking any blood thinners, please inform your provider immediately, as they may represent a contraindication to this
treatment. These medications include Plavix, Coumadin and Heparin.
• Avoid aspirin, Advil, Motrin, Ibuprofen, Naproxen, Voltaren and other anti-inflammatory medications. We want inflammation to
occur – as this is one mechanism by which PRP works.
• You may use Tylenol (acetaminophen) as needed before the treatment.
• Prescription medications (including heart and blood pressure medication) should be taken as prescribed right up to, and
including, the day of and the day after your treatments.
• If you are taking broad beta-blockers such as Inderal (Propranolol), please inform your provider as this medication may need to
be changed to a select beta-blocker in advance of the treatment.
• Avoid excessive sun or heat exposure.
• Avoid alcohol consumption and smoking, as they impact the healing process.
• You may continue other hair loss treatments such as laser treatment, minoxidil, or hormone-blocking tablets before your
procedure. If you are not sure if you should be stopping a medication, please ask.
• It is ok to color your hair up to 10 days before the procedure.
Diet and Fluid Intake:
• Increase your intake of fluid the day before your procedure by simply drinking 2 glasses of water in the morning, 2 glasses at
lunch, and 2 glasses at dinner, in addition to your normal intake of water.

Day of Procedure:
• Shower the morning of your treatment and wash your hair very thoroughly using preservative-free shampoo.
• Do not apply sprays, gels, or any other styling products to your hair.
• If you wear a hair system, please remove it before shampooing and do not wear it before your PRP treatments.
• Please eat a normal breakfast or lunch on the day of your PRP session.
• Drink a bottle of water (500 mL) at least 2 hours before your session.
• It is strongly recommended to take a hot shower to wash your hair that evening, after the treatment, to promote the effects of
PRP.

Immediately Following Treatment:


• It is normal to experience bruising, redness, itching, swelling and/or soreness that may last from 2-5 days following your
treatment. If you experience any pain or discomfort, you may take Tylenol or other Acetaminophen-containing products as
directed.
• You may have a bruise at the blood draw site.
• You may notice a tingling sensation while the cells are being activated.
• In rare cases, skin infection or reaction may occur, which is easily treated with an antibiotic or inflammatory. Please contact our
office immediately if you notice unusual discomfort.
• Try to refrain from applying ice to the injected area as ice acts as an anti-inflammatory. Ice or cold compresses can be applied to
reduce swelling if required.
• Under physician consent avoid aspirin, Advil, Motrin, Ibuprofen, Naproxen, Voltaren and other anti-inflammatory medications
for 3 days after your procedure (if possible, try for 7 days).
• Avoid vigorous exercise, sun and heat exposure for at least 2 days after your treatment.
• Do not let your hair dry for at least 3 hours after your treatment.
• For the first 3 days, use a shampoo which is free of preservatives and pH-balanced.
• Do not use any hair products for at least 6 hours after your treatment.
• Be sure to take a hot shower and wash your hair that evening, after the treatment, to promote the effects of PRP.
• Avoid saunas, steam rooms, and swimming for 2 days after your treatment.
• Avoid alcohol, caffeine, and smoking for 3 days after treatment. Smokers do not heal well and problems recur earlier and
results may take longer.
• Avoid resuming Minoxidil (Formula 82M, Rogaine®), hair colouring, and straightening for 3 days.
• Continue increased water intake the first week after your treatment.

Contact the Office Immediately if any of the Following Signs of Infection Occur:

• Drainage – looks like pus


• Increased warmth at or around the treated area
• Fever of 101.5 or greater
• Severe pain that is unresponsive to over-the-counter pain relievers

Please contact us at 9392148269 if you have any questions or concerns

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