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West Vancouver · MD-Led · RegenLab Switzerland · No Transplant

PRP
hair
restoration.

Your own growth factors, precision-concentrated with Swiss RegenLab technology and delivered exactly where your follicles need them. Physician-supervised by Dr. Eli Akbari, MD, FRCSC.

PRP hair restoration procedure at Monarch MD West Vancouver
Fig. 1 PRP Hair Restoration
01
What PRP Does

Grow.
Thicken.
Restore.

01
Reactivate Dormant Follicles
Growth factors delivered directly to the follicle bulge stimulate miniaturized follicles back into active production, reversing the miniaturization process at its source.
02
Increase Hair Density
A landmark randomized placebo-controlled trial confirmed a mean density increase of 45.9 hairs per cm2 after a three-session protocol, with no adverse effects.
03
Prolong the Growth Phase
PRP extends the anagen (growth) phase and suppresses catagen (shedding) entry, keeping more hairs actively growing for longer.
Autologous Regenerative Medicine

Your own biology.
Working harder.

"PRP does not introduce a foreign substance. It concentrates what is already in your blood and delivers it precisely where your follicles need it most."

Platelet-rich plasma is prepared from a small sample of your own blood. Using our RegenLab Swiss closed-system centrifuge, we separate and concentrate the plasma layer that is richest in platelets and their associated growth factors. That concentrate is then injected into the scalp, placing the active proteins directly at the follicle level.

Because PRP is autologous, the risk of allergic reaction or rejection is minimal. It works with your biology rather than suppressing it, making it well-suited alongside other restoration therapies and safe for long-term use.

At Monarch MD, every PRP treatment is preceded by a comprehensive hair analysis so that we know precisely which follicles are viable, what pattern we are treating, and how to design the protocol for your biology.

45.9
Hairs/cm2 Increase
Mean density gain vs baseline (RCT, PMC)
43
RCTs Analyzed
1,877 participants in 2025 meta-analysis
4x
Platelet Concentration
Above whole blood baseline. Optimal therapeutic range for hair follicle stimulation
1-1.5M
Platelets per uL
Expert consensus target concentration for AGA treatment
RegenLab Switzerland · CE Marked · FDA Cleared

The equipment
makes the
difference.

Le Mont-sur-Lausanne, Switzerland · Founded 2003 · GMP Certified Manufacturing

Not all PRP is the same. The outcome depends entirely on the quality of the concentrate injected. At Monarch MD, we use the RegenLab RegenPRP system, a Swiss closed-circuit medical device that produces standardized, leucocyte-reduced PRP with over 80% platelet recovery, every draw, every session.

Concentration is everything. Whole blood carries 150,000 to 400,000 platelets per microlitre. Expert consensus identifies 1 to 1.5 million platelets per microlitre as the optimal target for AGA, a controlled 4x concentrate. RegenLab hits that window reproducibly, independent of operator.

4x
The Evidence-Based Target
More is not better.
RegenLab is engineered for 4x.
The landmark 2025 meta-analysis of 43 RCTs (1,877 patients) found that standardized PRP at or below 4x whole blood concentration outperforms higher preparations. Over-concentrated PRP shifts TGF-beta ratios and can actively inhibit follicle cell proliferation. RegenLab is engineered precisely for the zone the evidence supports, not beyond it.
CE certified under EU MDR 2017/745 · Quality Management System GMP compliant · Used in 200+ peer-reviewed clinical studies across orthopaedics, dermatology, trichology, and plastic surgery worldwide
4x
Platelet Concentration
Reproducible concentration above whole blood baseline, within the clinically validated therapeutic window for AGA
>80%
Platelet Recovery
High yield from each draw, maximizing growth factor concentration per session while keeping dose controlled
96%
Granulocyte Depletion
Pro-inflammatory neutrophils removed. Pure leucocyte-reduced PRP that does not trigger an inflammatory response at the follicle
99.7%
Erythrocyte Removal
Virtually no red blood cells in the final concentrate. Erythrocyte degradation products are harmful to follicle tissue and are eliminated
5 min
Single Centrifugation
1,500g closed-system spin. Operator-independent, reproducible output that matches the evidence base session after session
200+
Clinical Studies
Peer-reviewed research validating RegenLab technology across dermatology, trichology, orthopaedics, and plastic surgery worldwide
Watch and Learn

See how PRP
hair restoration
works.


This short video walks through exactly how PRP works for hair restoration, from the blood draw through to how growth factors interact with your follicles. It is the most efficient way to understand the treatment before deciding if it fits your goals.

The right starting point is always a comprehensive hair analysis. Dr. Akbari assesses your specific loss pattern, the condition of your follicles, and your overall health before recommending any protocol.


PRP Hair Restoration Overview · Monarch MD · West Vancouver, BC
Results Gallery

Before & After.

Book a Hair Analysis
Hair restoration result at Monarch MD West Vancouver
Hair density improvement after PRP treatment Monarch MD
PRP hair restoration before and after Monarch MD
Hair regrowth result West Vancouver
Hair loss treatment result Monarch MD
PRP hair treatment result West Vancouver
Hair restoration before after Monarch MD Vancouver
Hair density restoration result Monarch MD

Individual results may vary. All treatments personally overseen by Dr. Eli Akbari, MD, FRCSC. View the full gallery at monarchmd.ca/hair-loss-before-afters

The Biology

Six growth factors
working in concert.

PDGF
Platelet-Derived Growth Factor
Stimulates proliferation and differentiation of dermal papilla cells. Activates the ERK and Akt signaling pathways to drive follicle cell survival and growth cycle entry.
VEGF
Vascular Endothelial Growth Factor
A potent hair growth stimulator through angiogenesis induction. Increases vascular density around the follicle, ensuring better oxygen and nutrient delivery to sustain the anagen phase.
EGF
Epidermal Growth Factor
Promotes bulge stem cell renewal by retarding premature differentiation. Also protects hair follicles from T-cell mediated inflammation that disrupts the growth cycle.
IGF-1
Insulin-Like Growth Factor 1
Directly upregulates Wnt/beta-catenin signaling in bulge stem cells to promote migration and differentiation into new follicle structures. A key driver of follicle regeneration.
FGF
Fibroblast Growth Factor
Stimulates Wnt/beta-catenin signaling in the dermal papilla. Contributes to angiogenesis, extracellular matrix remodeling, and prolonging the anagen growth phase.
TGF-b
Transforming Growth Factor Beta
Regulates the transition between hair cycle phases. Contributes to extracellular matrix stabilization and supports the structural integrity of the follicle and surrounding scalp tissue.

+
Enhance Your PRP

Adding Scalp
Microneedling.

PRP is potent on its own. When combined with precision scalp microneedling, it becomes significantly more so. The mechanism is straightforward: the microchannels created by the needles provide direct conduits for the PRP concentrate to reach the follicle bulge and dermal papilla, two to three millimetres below the surface where injection alone cannot reliably deposit.

But the benefit of adding microneedling goes beyond delivery. The controlled micro-injuries independently activate the scalp's own wound-healing cascade, triggering Wnt/beta-catenin signaling in follicle stem cells, stimulating the release of the body's endogenous VEGF and IGF-1, and promoting a shift from the telogen to the anagen phase. Two complementary mechanisms, both stimulating the same target, at the same time.

Clinical studies comparing PRP alone to PRP combined with microneedling consistently show superior outcomes for the combination in both hair density and hair count. For patients with moderate to significant loss patterns, Dr. Akbari typically recommends the combined protocol.

How the combination works
PRP + Microneedling:
Two signals, one target.
Deeper Growth Factor Delivery
Microchannels at 0.5 to 1.5 mm depth carry PRP directly to the follicle bulge and dermal papilla, bypassing the epidermal barrier that limits standard injection.
Independent Follicle Activation
Micro-injuries independently trigger stem cell activity in the follicle bulge, activating Wnt/beta-catenin signaling and telogen-to-anagen phase shift.
Enhanced Scalp Vascularization
Both modalities independently stimulate VEGF, producing a compounding angiogenic effect that improves blood supply, oxygen delivery, and nutrient access to the follicle.
Improved Topical Absorption
The microchannels also significantly increase absorption of any topical agents applied during the session, including minoxidil and the PRP itself, for up to 24 hours post-treatment.

The clinical rationale
PRP + Dutasteride:
Growth factors meet DHT suppression.
PRP Stimulates New Growth
Growth factors from PRP reactivate dormant follicles and extend the anagen phase, directly increasing hair density and thickness.
Dutasteride Blocks the Cause
Intradermal dutasteride inhibits both 5-alpha-reductase type 1 and type 2 at the scalp level, blocking DHT conversion directly at the follicle. The cause of androgenetic alopecia is addressed at its root.
Protecting What PRP Builds
Without DHT suppression, newly stimulated follicles remain vulnerable to the androgen-driven miniaturization that caused the loss. Dutasteride mesotherapy protects and preserves the gains from PRP.
Systemic Safety, Local Effect
Because dutasteride is delivered intradermally rather than orally, scalp-level concentrations are therapeutic while systemic exposure remains minimal. The benefit without the systemic side effect profile of oral 5-ARIs.
+
Enhance Your PRP

Adding Dutasteride
Mesotherapy.

PRP restores. Dutasteride mesotherapy protects. Together, they address androgenetic alopecia from two complementary and non-redundant directions, making this combination one of the most clinically rational protocols in hair restoration medicine.

Androgenetic alopecia is driven by DHT, the androgen metabolite that binds to follicle receptors and causes progressive miniaturization. PRP addresses the consequence of this process by reactivating follicles and stimulating new growth. Without also addressing the hormonal driver, however, DHT will continue to attack the follicles that PRP is working to revive.

Dutasteride mesotherapy delivers a dual 5-alpha-reductase inhibitor directly into the scalp dermis at therapeutic concentrations. It blocks DHT conversion at the follicle level with minimal systemic absorption, protecting the density gains from PRP over the long term. For patients with active androgenetic alopecia who want lasting results rather than a temporary improvement, Dr. Akbari recommends considering both in the same protocol.

Why combine these two treatments
PRP stimulates follicles. Dutasteride stops DHT from shutting them back down. Together, they address the full cycle of androgenetic hair loss.
Dutasteride inhibits both type 1 and type 2 5-alpha-reductase, making it a more complete DHT blocker than finasteride at the scalp level.
Intradermal delivery concentrates the drug where it is needed most while substantially reducing the systemic exposure associated with oral dosing.
Patients who combine both modalities tend to sustain and build on results over successive maintenance cycles rather than plateauing.
The Treatment Protocol

Your appointment,
step by step.

01
Hair Analysis and Consultation
Dr. Akbari assesses your hair loss pattern, follicle health via trichoscopy, and medical history. A personalized protocol is designed before any treatment begins.
02
Blood Draw
A small sample of your blood is drawn into sealed RegenLab pharmaceutical-grade borosilicate tubes. The closed vacuum system ensures sterility from the moment of collection.
03
Centrifugation and Concentration
The RegenLab system centrifuges your blood at 1,500g for 5 minutes. The patented thixotropic separator gel isolates the platelet-rich plasma from red cells and granulocytes with over 80% platelet recovery.
04
Scalp Preparation
The scalp is cleansed and a topical numbing cream is applied for comfort. Treatment areas are mapped based on your follicle health assessment and loss pattern.
05
PRP Injection
The concentrated PRP is injected superficially into the scalp in a precise grid pattern, delivering growth factors directly to the follicle zone. Up to 120 injection sites per session for comprehensive coverage.
06
Aftercare and Follow-up
Avoid NSAIDs for 7 days post-treatment. Do not wash or apply products to the scalp for 24 hours. Return for your next session in 4 to 6 weeks. Visible improvement typically begins at the 3-month mark.
What to expect
and when.
24-48h
Some redness and scalp sensitivity is normal. Avoid washing, heat styling, or applying products. Sleep with the scalp undisturbed.
Wk 1-4
Growth factors are actively stimulating follicle activity. Some patients notice reduced shedding within the first few weeks as the growth phase begins to extend.
Mo 2-3
Hair texture often improves noticeably. Fine, vellus-like hairs begin to thicken. The active shedding phase typically slows significantly after sessions 2 and 3.
Mo 3-6
Visible increase in density and coverage in most patients. Follicles that were miniaturizing begin producing thicker, longer terminal hairs.
Mo 6-12
Full results visible. Maintenance session at 6 to 12 months sustains results. Patients who continue maintenance typically see cumulative improvement over successive years.
Who It Is For

PRP may be right
for you if

You are in the early to moderate stages of androgenetic alopecia and still have active follicles that can be reactivated.
You are a woman with diffuse thinning or female pattern hair loss and want to avoid the systemic side effects of oral medications.
You want to enhance or accelerate results from an existing regimen such as minoxidil, finasteride, or dutasteride.
You prefer a natural, autologous treatment that uses your own biology rather than introducing synthetic agents.
You have experienced hair loss from stress, postpartum shedding, or nutritional deficiency and want to accelerate recovery.

PRP works best when there are still living follicles present to stimulate. Dr. Akbari uses trichoscopy to assess follicle miniaturization at your analysis appointment, so you know exactly what PRP can realistically achieve for your specific pattern before you begin.

Not sure if you are a good candidate? That is precisely what the hair analysis is designed to answer. Dr. Akbari will review your Norwood or Ludwig grading, scalp health, and medical history before recommending any protocol.

Combination Protocols Available

PRP combined with scalp microneedling, dutasteride mesotherapy, or topical minoxidil consistently outperforms any single modality in clinical studies. Dr. Akbari designs multi-modal protocols for patients who want maximum, lasting results.

Contraindications include active scalp infection, platelet dysfunction, critical thrombocytopenia, haemodynamic instability, or anticoagulant therapy. A full medical history is reviewed at consultation.

Peer-Reviewed Evidence

What the clinical
literature shows.

Randomized Placebo-Controlled Trial · PMC
PRP in Hair Regrowth: A Randomized Placebo-Controlled Trial
20 men received PRP on one half of their scalp and placebo on the other over 3 sessions at 30-day intervals. Mean total hair density increased by 45.9 hairs per cm2 compared to baseline. No adverse effects were noted. Ki-67 positive keratinocytes increased significantly in treated tissue, confirming active follicle stimulation at the cellular level.
Read on PubMed
Meta-Analysis · 43 RCTs · 1,877 Participants · 2025
PRP in the Management of Alopecia: Systematic Review and Meta-Analysis
The most comprehensive meta-analysis on PRP for alopecia to date, searching PubMed, EMBASE, and Scopus through July 2025. Activated PRP significantly increased hair density and minimized recurrence versus placebo. Critically, the review found that moderately concentrated, standardized PRP at or below 4x whole blood concentration delivers the most consistent clinical outcomes. Published in Dermatology and Therapy.
Read Full Review
Expert Consensus · Indian Dermatology Online Journal
PRP in Androgenetic Alopecia: IADVL Expert Consensus Recommendations
After reviewing 30 articles including meta-analyses and prospective studies, the expert taskforce established that 1 to 1.5 million platelets per microlitre is the recommended concentration for AGA treatment. Whole blood baseline is 150,000 to 400,000 platelets per microlitre, making therapeutic PRP a 4x concentration. Standardized preparation was identified as the single most important determinant of outcome reproducibility.
Read Consensus
Systematic Review · Journal of Cosmetic Dermatology · 2024
The Role of PRP in Androgenetic Alopecia: A Systematic Review
Reviewed 9 RCTs and one prospective cohort study with 291 total participants. Six studies reported a statistically significant increase in hair density in the PRP group versus control. Five reported a statistically significant increase in hair count. Variability in PRP preparation protocols, including inconsistent platelet concentration, was the leading source of result heterogeneity across studies. Published in the Journal of Cosmetic Dermatology, January 2024.
Read on Wiley
Patient Experiences

What our patients
say.

"The hair analysis gave me a clear picture of where my follicles actually were. After four PRP sessions I can genuinely see the difference in density at my hairline. Knowing the clinic uses RegenLab technology also gave me a lot of confidence going in."

Sarah M., West Vancouver Patient

"Dr. Akbari told me exactly what PRP could do for my type of hair loss and what it could not. I went in with realistic expectations and ended up exceeding them. My hair has more thickness and volume than it has in years."

James T., North Vancouver Patient

"The shedding that had become a daily anxiety has slowed significantly. I was skeptical about PRP at first, but the quality of the equipment and Dr. Akbari's explanation of why it works changed my mind. I plan to continue with maintenance sessions."

Linda K., Vancouver Patient

"Dr. Akbari treats hair loss with the same precision she brings to facial procedures. The trichoscopy at my first appointment showed me exactly which areas had dormant follicles worth treating. That level of detail made all the difference."

David R., West Vancouver Patient
Frequently Asked

Your questions,
answered.

PRP (platelet-rich plasma) is prepared from a small sample of your own blood. The sample is centrifuged to concentrate the platelet-rich plasma layer, which contains high densities of growth factors including PDGF, VEGF, EGF, IGF-1, FGF, and TGF-beta. This concentrate is injected directly into areas of hair thinning.

When delivered to the follicle zone, these growth factors stimulate dormant follicles, extend the anagen growth phase, increase blood supply to the follicle, and suppress the premature catagen entry that causes progressive thinning. The result is denser, thicker hair from the follicles that are still viable.

Platelet concentration is the most important variable in PRP preparation. Whole blood normally contains between 150,000 and 400,000 platelets per microlitre. RegenLab targets 4x, the evidence-based optimal concentrate. Expert consensus from a comprehensive dermatology evidence review identifies 1 to 1.5 million platelets per microlitre as the optimal target concentration for androgenetic alopecia treatment specifically.

RegenLab's Swiss closed-circuit system uses a patented thixotropic separator gel that achieves over 80% platelet recovery, reproducibly standardized to the therapeutic concentration window every draw. It depletes approximately 96% of pro-inflammatory neutrophil granulocytes and removes over 99.7% of red blood cells. Erythrocyte degradation products are harmful to follicle tissue; the RegenLab system eliminates them almost entirely, leaving pure leucocyte-reduced, growth factor-dense plasma. A single 5-minute spin at 1,500g in a fully closed pharmaceutical-grade borosilicate glass system produces a consistent, operator-independent result every session.

Critically, the landmark 2025 meta-analysis of 43 RCTs (1,877 patients) found that moderately concentrated standardized PRP at or below 4x whole blood concentration delivers the most consistent outcomes. Excessive over-concentration can actually inhibit follicle cell proliferation by shifting TGF-beta ratios. Standardization in the right range matters as much as concentration level, and RegenLab is specifically engineered to hit that window reliably.

For most patients, yes. Adding scalp microneedling to PRP works on two levels. First, the microchannels created by the needles allow the PRP to penetrate far deeper into the dermis, closer to the follicle bulge and dermal papilla where it is most effective. Second, the micro-injuries independently trigger the scalp's own healing response, activating stem cells in the follicle bulge, stimulating Wnt/beta-catenin signaling, and releasing endogenous growth factors.

Clinical studies comparing PRP alone to PRP combined with microneedling consistently show superior outcomes for the combination. Dr. Akbari will assess your pattern and follicle health at your hair analysis and recommend whether the combination is appropriate for your specific situation.

For patients with active androgenetic alopecia, combining PRP with dutasteride mesotherapy addresses the condition from both directions simultaneously. PRP stimulates growth factor activity to revive follicles. Dutasteride blocks DHT at the scalp level, removing the hormonal driver that is causing the follicles to miniaturize in the first place.

Without addressing DHT, newly reactivated follicles remain vulnerable. Dutasteride mesotherapy is delivered intradermally rather than orally, achieving therapeutic scalp-level concentrations with minimal systemic absorption. Patients who continue to see progressive loss despite PRP alone are typically strong candidates for the combination protocol.

The standard initial protocol is 3 to 6 sessions spaced 4 to 6 weeks apart. Most patients notice reduced shedding within the first few sessions. Visible improvement in density and thickness typically becomes apparent at the 3 to 6 month mark, as hair follicles need several growth cycles to reflect changes in their environment.

Maintenance sessions every 6 to 12 months help sustain results. Some patients with ongoing androgenetic alopecia continue maintenance indefinitely to stay ahead of progressive loss.

Yes. PRP has been studied extensively in both men and women with androgenetic alopecia, with positive outcomes in both groups. For women, PRP is often particularly suitable because it does not carry the hormonal side effect profile of oral 5-alpha-reductase inhibitors. Multiple systematic reviews confirm improvements in hair density and thickness in female patients with pattern hair loss.

PRP has an excellent safety profile because it is autologous, prepared from your own blood, which eliminates the risk of allergic reaction, immune rejection, or pathogen transmission. The RegenLab closed system further reduces contamination risk. The most common side effects are mild and temporary: scalp redness, tenderness at injection sites, and occasional minor bruising, typically resolving within 24 to 48 hours.

Absolute contraindications include critical thrombocytopenia, platelet dysfunction, active scalp infection, or haemodynamic instability. A comprehensive health review is completed at consultation to confirm candidacy.

Yes. PRP hair restoration using the RegenLab system is available at Monarch MD at 210 16th Street, West Vancouver, BC, under the supervision of Dr. Eli Akbari, MD, FRCSC. We serve patients from West Vancouver, North Vancouver, Burnaby, and greater Vancouver.

We recommend beginning with a comprehensive hair loss analysis before starting any protocol. This ensures PRP is applied where it will have the greatest impact for your specific pattern of loss.

Start with a
hair analysis.

Before any treatment begins, Dr. Akbari assesses your follicle health, loss pattern, and candidacy. RegenLab PRP works best when applied precisely. The analysis tells us exactly where and how to use it.

This page is for educational purposes only and does not constitute medical advice. PRP therapy for hair loss is an off-label treatment that requires a physician consultation and informed consent. Individual results vary. RegenLab and RegenPRP are registered trademarks of Regen Lab SA, Le Mont-sur-Lausanne, Switzerland. All treatments at Monarch MD are preceded by a comprehensive hair loss analysis. Content reviewed by Dr. Eli Akbari, MD, FRCSC, Facial Plastic Surgeon, Monarch MD, 210 16th Street, West Vancouver, BC. · View Hair Gallery · Book Hair Analysis

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