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The Thinning Hair Guide

What's really happening, and what PRP can realistically do about it.

Hair thinning is one of the most distressing things people come to me about, and one of the least well explained. Before we talk about treating it, it's worth understanding which kind you're dealing with — because it changes everything.

First, the thing I say to nearly everyone: hair loss is a symptom, and it's worth finding out what it's a symptom of. Thyroid, iron, ferritin and hormones all show up in your hair. Before or alongside anything I do, get bloodwork from your physician. PRP works far better when whatever caused the shedding has been addressed.
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01

The two patterns

Most of what I see falls into one of these, and they behave very differently.

  • Shedding you can date. It started a few months after something — a baby, an illness, surgery, a rough year. Hair sheds all at once and it's frightening, but this kind very often recovers, and PRP can speed that along.
  • Thinning you can't date. It crept up. The part is wider, the ponytail is thinner, the crown shows more in photographs. This is the gradual, hereditary pattern, and it is a long game rather than a fix.
02

Postpartum and perimenopause

The two conversations I have most often.

  • Postpartum. Pregnancy keeps hair in its growing phase; afterwards it all catches up at once. It usually peaks around three to five months post-birth and usually recovers on its own. PRP can help it recover faster and fuller, but you are not broken and you are not going bald.
  • Perimenopause. Shifting hormones change how hair grows — often finer, slower, and thinner at the crown and temples. This one benefits from starting earlier rather than waiting to see how far it goes.
03

What PRP is

No mystique — it's a straightforward process.

  • We draw a small amount of your blood, spin it in a centrifuge to concentrate the platelets, and place that concentrate into the scalp where follicles are struggling.
  • Platelets carry growth factors. The idea is to wake up follicles that are still alive but underperforming, improve blood supply to them, and hold hair in its growing phase for longer.
  • It's your own blood. Nothing synthetic goes in, which is a large part of why people are comfortable with it.

The hair growth cycle

AnagenGrowing2–7 years

85–90% of your hair is here right now

CatagenTransitionAbout 2 weeks

Roughly 1% at any moment

TelogenResting, then shedsAbout 3 months

10–15%, then the cycle restarts

Why postpartum shedding is so frightening

Pregnancy holds hair in anagen, so almost nothing sheds for nine months. Afterward it all moves into telogen together and leaves together. It looks like catastrophe. It is a queue clearing.

This is why hair is judged at three to six months and never at six weeks. A follicle you wake up today still has to grow the hair.
04

Who it works for

The honest version, including who it doesn't suit.

  • It works best on thinning, not bald. If a follicle is gone, nothing here brings it back. Earlier is substantially better — the single most common regret I hear is waiting.
  • It works best when the cause is handled. If your ferritin is on the floor, treat that first or alongside.
  • It is not a one-off. Expect an initial series and then maintenance. Anyone promising one appointment and a permanent result is overselling it.
05

What to expect, and when

Hair is slow. Everyone finds this frustrating; nobody escapes it.

  • An initial series spaced roughly a month apart, then maintenance.
  • Shedding often calms first — usually the earliest sign it's working, and easy to miss.
  • New growth shows up as short baby hairs along the part and hairline, and you're realistically judging this at three to six months, not at six weeks.
  • Take photographs. Same spot, same light, before you start. Hair changes too slowly to see in a mirror, and without photos you will not be able to tell.

If you're somewhere between “it's probably nothing” and “I don't want to look” — that's exactly when to come in. It costs nothing to talk about, and the earlier we start the more there is to work with.

Ready when you are

Questions this didn't answer?

Text me. Guessing from the internet is how people end up disappointed, and consults are free anyway.

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