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  Table of Contents  
Year : 2020  |  Volume : 11  |  Issue : 5  |  Page : 685-692  

Platelet-rich plasma: The journey so far !

Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh, India

Date of Submission24-Sep-2019
Date of Decision24-Nov-2019
Date of Acceptance30-Dec-2019
Date of Web Publication19-Sep-2020

Correspondence Address:
Muthu Sendhil Kumaran
Department of Dermatology, Venereology and Leprology, Postgraduate Institute of Medical Education and Research, Chandigarh
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/idoj.IDOJ_369_19

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Platelet-rich plasma (PRP) is an autologous blood product, obtained after blood centrifugation. PRP is rich in growth factors which promote tissue-healing, alter angiogenesis, and possess versatile immunomodulatory effects, in the relative absence of any significant demonstrable adverse effects. Consequently, PRP has found application in multiple specialities in recent years, including dermatology. A literature search was performed on PubMed, Medline database, and Google Scholar, using keywords like platelet-rich plasma (PRP), platelet-concentrated plasma, platelet-rich growth factors, autologous platelet concentrate. Relevant studies were selected, and data was analyzed following extraction. Studies show that PRP has not only been used as an adjunctive modality but has been employed as a stand-alone therapy as well. Multiple authors have reported PRP to be efficacious in disparate dermatological conditions, like alopecia, skin rejuvenation, healing of refractory cutaneous ulcers, and even acne scar management. The strongest evidence so far has been demonstrated in androgenetic alopecia and facial skin rejuvenation. However, routine use in dermatological conditions is hampered by the relative paucity of high-quality evidence and large randomized studies. Furthermore, PRP composition and preparation methods are not yet standardized and even the treatment regimens proposed too vary widely. The present review provides a bird's eye view of the evidence available so far regarding the use of PRP in dermatology. The review focusses more on recent prospective studies, including randomized trials and tries to summarize the evidence in a brief, but comprehensive manner.

Keywords: Dermatology, platelet-rich plasma, platelet-rich plasma, treatment

How to cite this article:
Kaushik A, Kumaran MS. Platelet-rich plasma: The journey so far !. Indian Dermatol Online J 2020;11:685-92

How to cite this URL:
Kaushik A, Kumaran MS. Platelet-rich plasma: The journey so far !. Indian Dermatol Online J [serial online] 2020 [cited 2021 Oct 24];11:685-92. Available from: https://www.idoj.in/text.asp?2020/11/5/685/295570

   Introduction Top

Platelet-rich plasma (PRP) (also called platelet-concentrated plasma or platelet-rich growth factors), is an autologous blood product having a large concentration of platelets suspended in a small volume of plasma, above the baseline.[1] The initial description and clinical application of PRP were in cardiac surgery and hematology[2] but owing to its versatile anti-inflammatory and immunomodulatory actions, PRP found wide interest in a variety of clinical fields, including dentistry and ophthalmology. Use of PRP is of interest particularly among orthopedicians and sports medicine experts due to its regenerative and tissue healing effects.[3] Moreover, PRP has found use in dermatology, in conditions such as alopecia, wound healing, and skin rejuvenation. Rather than delving into history, this review tries to compile key uses of PRP in dermatology; focussing on evidence and reports published so far that remain in a nutshell.

   Methods Top

A thorough literature search was performed on PubMed, Medline database, and Google Scholar, with the following keywords: platelet-rich plasma (PRP), platelet-concentrated plasma, platelet-rich growth factors, and autologous platelet concentrate. The decision to include articles in this review was mutually decided by both authors, with preference given to studies with robust data and higher levels of evidence. Data were extracted and information so obtained was analyzed and organized coherently in the narrative flow. Wherever relevant, data and past studies were summarized in the form of tables.

Composition of PRP

PRP is an autologous blood product containing a rich concentration of not only platelets, but a variety of growth factors, cytokines, chemokines, and proteins.[4] The key growth factors present in PRP are summarized in [Table 1]. This unique power-packed composition of growth factors not only produces tissue repair, regeneration, and alters angiogenesis but also plays a vital role in connective tissue remodelling and cell-cycle regulation.
Table 1: Growth factors present in PRP and major physiological actions[5],[6]

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   Prp in Dermatology Top

Androgenetic alopecia

Androgenetic alopecia (AGA) is a common and psychologically distressing disorder affecting both males and females worldwide. Although a variety of management strategies prevail, including minoxidil, finasteride, and hair transplantation, a significant number of patients either remain outside the ambit of these strategies or may not fully respond to treatment. In the last decade, with the advent of PRP, it has been an active area of interest for AGA management. The role of PRP in the management of other alopecias is elusive.


The growth factors and immunomodulatory action of PRP may stimulate stem cell proliferation and differentiation in the follicle bulge. The possible mechanisms how PRP acts in AGA may include any/all the following:[1],[5]

  • Upregulating growth factors such as insulin-like growth factor-1 (IGF-1), fibroblast growth factor -7 (FGF-7), and vascular endothelial growth factor (VEGF) in dermal papilla → Lengthen the anagen phase
  • The Wnt/β-catenin signal pathway gets activated → Promotes the development of the follicles
  • Activation of the ERK/Akt signal pathway → Apoptosis is downregulated
  • Increased VEGF and PDGF promoting angiogenesis in the follicular area
  • Raised BCL-2 levels → Apoptosis is downregulated.

Administration of PRP

PRP may be administered by multiple modes. The possible modes may be:

  1. Interfollicular PRP injection: Retrogradely from deeper to superficial planes, in a dose of 0.05 to 0.1 mL/cm2
  2. Mesotherapy: Microneedle roller is used for scalp punctures using fine 1 mm needles, followed by interfollicular PRP injections
  3. Finally, PRP is sprayed topically on the scalp and left overnight.

PRP can also be used as adjunctive therapy in hair transplantation, by dipping the follicular grafts in PRP prior to transplant.[7] PRP has also been evaluated in follicular unit extraction hair transplant (FUE) in AGA patients. In a prospective randomized study in 40 FUE hair transplant patients, intraoperative PRP was reported to give faster density, reduction in catagen loss of transplanted hair, and activation of dormant hair follicles with faster skin recovery. In the PRP group, all patients showed >75% hair regrowth at 6 months, while in the non-PRP group, only 4 patients had >75% hair regrowth at the same time. Similarly, >75% graft density was noticed in 12 patients at 4 weeks in the PRP group while no patient showed the same in the non-PRP group.[8] More studies are needed before it becomes standard of care in these procedures. Takikawa et al.[9] suggested the use of dalteparin and protamine microparticles (D/P MPs) with PRP in AGA to produce better hair growth. The authors performed a comparative study in 26 patients with AGA, with 13 patients receiving 3 mL of PRP and D/P MPs, and 13 patients receiving PRP with saline for AGA. Significant differences were seen in hair cross-section with microscopy showing thickened epithelium, increased vessels around follicles, and proliferation of fibroblasts and collagen fibrils; but not in hair numbers in PRP, and PRP and D/P MP injections.

Evidence for use

The evidence for PRP use in AGA, as shown in multiple studies, is summarized in [Table 2]. In a study evaluating the role of CD34+ containing autologous interfollicular PRP injections on 26 patients with hair loss pattern, 13 patients received CD34+ cell containing PRP and 13 patients received interfollicular placental extract injections. The authors reported significant improvement in hair thickness but not in hair count.[10] Rodrigues et al.[11] reported significant improvement in hair count, hair density, and percentage of anagen hairs in AGA patients receiving subcutaneous PRP injections. However, the authors noted the lack of association between clinical improvement and levels of growth factors like PDGF, EGF, VEGF, and platelet count, thereby implying that mechanisms other than growth factors may probably be involved in the benefit. Another study reported a significant improvement in hair density, global assessment scores, and terminal to vellus hair ratios with two sessions of monthly PRP injections in 30 AGA patients (20 males and 10 females).[12] Similar beneficial effects were shown in a randomized trial by Alves and Grimalt[13] in 20 AGA patients.
Table 2: Evidence for the use of PRP in AGA

Click here to view

In a prospective study on 20 AGA patients, 3-weekly PRP injections given for 3 months showed significant improvement in hair count, hair diversity, increased number of thick terminal hairs, yellow dot reduction, and improved perifollicular pigmentation on dermoscopy.[14] Significantly better hair growth was reported in patients receiving PRP with microneedling, compared with PRP with 5% minoxidil as well as 5% minoxidil monotherapy.[15] Another prospective study was done in 30 male AGA patients, where patients receiving monthly interfollicular PRP injections (n = 16) were compared with patients receiving a topical application of 5% minoxidil twice daily for 4 months (n = 14).[16] The authors reported a better outcome in the PRP injection group than minoxidil group in terms of hair pull test, hair growth questionnaire, global photography, and patient satisfaction score. Side effects with PRP were minimal and were well-tolerated.

A systematic review and meta-analysis including 23 studies of PRP use in AGA (7 randomized controlled trials, with 6 studies having a half-head design) reported that monthly PRP administration for 3 months produced significant improvement in total hair density, compared to placebo, with most studies using a half-head design.[17] The authors further reported that while 26% of studies showed strong evidence for the use of PRP in AGA, 30% of studies showed moderate-level evidence and as high as 47% of studies had low evidence. Whereas another systematic review concluded the lack of enough evidence for the use of PRP-based therapies in androgenetic alopecia.[18] The review suggested that most studies regarding PRP use in AGA were small prospective studies with less than 30 subjects or were a meta-analysis of small studies. Furthermore, no standardization of PRP composition, preparation methods, and dosing were seen.

We found that most studies on PRP use in AGA used monthly injections, with treatment periods ranging from 2 to 4 months in most studies. Monthly PRP injections for 3–4 months seems to be a well-tolerated and efficacious management strategy for AGA. However, the strength of evidence available is overall moderate-to-low owing to lack of adequate large randomized studies and inconsistency in PRP composition and preparation methods, dosing schedule, and methodology of applications used in the various studies. Until more studies with strong evidence are available, PRP use in AGA remains more of adjunct therapy, although with promise for future routine use.

Skin rejuvenation

The role of PRP in aesthetic medicine and skin rejuvenation has been an area of interest in the past few years. Possible improvement in skin elasticity and cosmetic appearance has been proposed to be due to a variety of mechanisms, including the increased proliferation of dermal fibroblasts; increased expression of matrix metalloproteinases (like MMP-1 and 3) which degrade and remove photodamaged extracellular matrix; increased collagen type 1 production, and modifying cell-cycle regulators.[5] Cho et al.[19] have reported these PRP-induced remodelling effects in a recent study. As per authors, PRP induces increased expression of extracellular matrix products like type I collagen, elastin, MMP1, and MMP2, thus promoting wound healing. PRP treated human dermal fibroblasts (HDFs) also demonstrate a dramatic reduction in phosphorylation of c-Jun N-terminal kinase (JNK), which further promotes wound healing.

Evidence for use

Select studies evaluating the role of PRP in facial rejuvenation are summarized in [Table 3].
Table 3: Evidence for the use of PRP in facial rejuvenation

Click here to view

A recent randomized, split-face trial by Alam et al.,[20] reported significant improvement in coarse as well as the fine texture of skin by intradermal PRP, as assessed by masked participants themselves. Similar benefits were reported in a prospective study comprising 11 females.[21] However, another prospective study in 10 females reported significant improvement only in infraorbital colour homogeneity and not in melanin content, stratum corneum hydration, wrinkle volume, or visibility index.[22] Facial rejuvenation involving most procedures in the lower eyelid area is technically difficult due to thin skin and high risk of hematomas. There are reports of the significant improvement in skin firmness and elasticity with minimal side effects by monthly PRP injections in patients with actinic elastosis in the lower eyelid area.[23] In a retrospective study, Kamakura et al.[24] treated 2005 patients having wrinkles or depressed skin areas with a combination of 1 mL PRP injection and 10–20 μg of basic-fibroblast growth factor (bFGF) and reported significant improvement in the wrinkle severity improvement scale. Among reviews, one systematic review has reported beneficial effects of PRP in improving skin culture, dermal thickness, skin elasticity, decreased wrinkles, the severity of nasolabial folds, erythema, atrophic scars, and melanin levels.[25] However, the authors also noted the lack of standardization regarding the route of PRP preparation and application. Another systematic review has supported the role of PRP in revascularization, tissue regeneration, and oxidative stress, thereby suggesting its beneficial effects in skin rejuvenation.[26]

Looking at the currently available evidence, we conclude that PRP is a potentially exciting modality in facial rejuvenation, especially wrinkles owing to its favourable tissue remodelling roles. However, since the doses and treatment regimens of PRP used are not yet standardized, more evidence is needed before this genie can be considered an established therapy in aesthetic dermatology.

Chronic ulcers

The growth factors present in PRP produce modulation of mesenchymal cell recruitment, control proliferation and further promote extra-cellular matrix synthesis during the healing process; thereby suggesting a role in chronic wound healing.

Topical use of PRP has been reported to significantly improve epithelialization in acute and chronic ulcers due to varied etiologies (including stasis, diabetic ulcers, venous, and traumatic etc.).[27] Upregulation of cyclin A and cyclin-dependent kinase 4 (CDK4) was reported in these patients. Similar beneficial effects of PRP in bilateral elbow ulcers in dermatomyositis have been seen.[28] Rapid healing of venous ulcers by PRP use was reported in a case series of 17 patients.[29] A case series reported good efficacy of single dose of subcutaneous PRP, followed by topical PRP gel application in the healing of chronic non-healing ulcers of varied etiologies in 24 patients.[30] A recent animal study on rabbits reported improvement in wound contraction rates by the combined use of PRP and zinc oxide.[31]

Lately, PRP has been found to promote healing of trophic ulcers in leprosy patients. One study evaluated the use of topical PRP application under occlusive dressings in 50 leprosy patients with trophic ulcers.[32] The authors reported complete healing in 92% of patients, with the remaining 8% also showing a reduction in wound size and partial re-epithelialization. Similarly, there are reports of beneficial effects of autologous platelet-rich fibrin matrix (PRFM) in leprosy with chronic nonhealing ulcers.[33] Thus, PRP seems to be a useful therapy, either alone or in conjunction with other topical therapies, in chronic nonhealing wound ulcers due to varied etiologies.

Acne scars

PRP has a promising adjunct role in soft tissue augmentation and management of scars, especially post-acne scars, which are commonly seen in dermatology outpatient departments. The growth factors of PRP act synergistically with growth factors and collagen induction induced by microneedling techniques.

Evidence for use

The recent experimental ex-vivo study proposed that in wounded skin culture, autologous PRP had favourable modulation of collagen and elastic fibres with the promotion of skin regeneration and wound repair processes.[34] Significant improvement in acne scars by the use of PRP alone, as well as in conjunction with microneedling has been shown.[35] In a study on 55 adult patients with atrophic acne scars, significantly better improvement and better dermatology life quality index (DLQI) scores were reported by the use of derma roller combined with PRP, compared with derma roller alone.[36]

An in-vitro study has already shown that fat grafts mixed with PRP have greater vascularity, fewer cysts and vacuoles, and lesser fibrosis.[37] Cervelli et al.[38] reported successful treatment of traumatic scars using fat grafts mixed with PRP, followed by skin resurfacing using 1540 nm nonablative laser. In addition, Ozer and Colak[39] showed significantly better results when PRP was combined with microautologous fat transplantation for facial filling.

Recently, Hesseler and Shyam[40] conducted a systematic review evaluating the role of PRP in the treatment of acne scars. The authors reported that PRP in conjunction with fractional ablative laser treatment, given in 2

3 sequential sessions at a gap of 1 month, produces significant improvement in acne scar appearance. However, evidence was less supportive of the use of PRP with microneedling.

Thus, the current evidence favours PRP as an adjunctive efficacious modality in acne scars treatment. However, its use as a stand-alone therapy for this condition needs to be further defined.

Recent indications and upcoming uses for PRP


Treatment for vitiligo is challenging and a modality of therapies have been employed singly or in combination to stop disease progression and/or promote repigmentation. PRP has a high concentration of growth factors, which may stimulate melanocyte proliferation and repigmentation in the vitiligo lesions, as suggested by some authors.[41] Fractional carbon dioxide laser has been shown to promote growth factor secretion in producing repigmentation in vitiligo.[42] A similar role has been postulated for PRP.

Evidence for use

In stable vitiligo patients, autologous transplantation of noncultured epidermal cell suspension (NCES) on the derma-abraded vitiligo patch is a useful therapy. In a double-blinded randomized trial in 21 patients of stable vitiligo, NCES in PRP, followed by autologous transplantation produced significantly better repigmentation and patient satisfaction than suspension in phosphate-buffered solution (PBS).[43]

In a randomized, prospective study in stable nonsegmental vitiligo patients, a combination of PRP with fraction carbon dioxide laser was more effective in producing repigmentation than PRP alone or fraction carbon dioxide laser alone.[44]

Although PRP seems to be promising in vitiligo, the evidence is at the primary stage requires further substantiated evidence.


PRP has found its use in conditions like melasma, although this is an area for further research. Factors like TGF-β1 have been shown to decrease melanogenesis.[45] Further, PDGF increases skin volume and may further supplement skin texture in melanotic conditions.

Some case reports have reported improvement in melasma by use of PRP injections.[46] Recently, one study evaluated the use of PRP injection in 23 adult melasma patients and reported significant improvement in melasma area and severity index (MASI) and modified melasma area and severity index (mMASI) scores.[47] The study also compared microneedling versus microinjection techniques of PRP administration in melasma and both were found to be equally efficacious.

Striae distensae

Striae distensae, also known as stretch marks, are esthetically problematic dermal skin lesions often seen on abdomen, buttocks, thighs, and shoulder regions.

One pilot study combined PRP injections with intradermal radiofrequency device and reported good results in female patients with striae distensae.[48] Transdermal PRP with fractional radiofrequency has been successfully employed in such patients in one study.[49]

In 2015, a study compared PRP with microdermabrasion in 68 patients having striae distensae.[50] The study found PRP with microdermabrasion to produce significantly better results than microdermabrasion alone. The results were also better with PRP alone than microdermabrasion alone. Recently, PRP has been reported to produce significantly better improvement in striae distensae compared with topical tretinoin.[51]

As per a systematic review on striae distensae management, lack of adequate RCTs and relatively small sample size in most studies means drawing definite conclusions about PRP role is still uncertain.[52]

Lichen sclerosus

Lichen sclerosus is a chronic inflammatory disorder with significant tissue sclerosis and atrophy in the anogenital region. Corticosteroid use, although effective, needs to be used for prolonged periods and surgical techniques have high recurrence rates. PRP injections in conjunction with autologous fat transfer have been found to be effective in lichen sclerosus of the vulva, with no recurrences reported on follow-up up to 24 months.[53]

In another pilot study on vulvar lichen sclerosus, 5 mL intradermal PRP injections used in two separate sessions 6 weeks apart produced significantly decreased histopathological inflammation in 12 patients (out of 15).[54] There was a significant improvement in symptoms and the therapy was well-tolerated.


There has been a case report of beneficial effects of intralesional PRP in a 76-year old man with lipodermatosclerosis refractory to multiple therapies including anabolic steroids, compression therapy, antibiotics, and surgery.[55] Five cycles of intralesional PRP injections produced significant improvement in induration and complete re-epithelialisation of the ulcers. No recurrence was noted during follow-up for 6 months.

Refractory nail disorders

One study reported the significant benefit of three-weekly intramatricial PRP injections in refractory nail disorders like nail lichen striatus and idiopathic trachyonychia.[56] While the former responded in 3 weeks, the latter case showed significant improvement in 6 weeks of therapy. No relapses were seen during follow-up for 16 and 20 weeks, respectively.

   Summary Top

Although PRP has been in use for many dermatological indications of late and is often hypothesized as a potentially ground-breaking treatment modality in facial rejuvenation and androgenetic alopecia's, good quality evidence has been lacking so far. Previous reviews[5] have tried to analyze and summarize the evidence for its use and the present review adds to the growing corpus. We found that PRP did prove to be efficacious in multiple dermatological conditions but there is a general lack of adequate, large randomized controlled trials (RCTs), and the quality of evidence available is not robust. Furthermore, when the studies available so far are analyzed, we find that there is an absence of dose standardization of PRP, as well as the lack of standardized treatment regimens. Even the duration of PRP administration and follow-up in the studies is variable.

Although PRP promises to be a potential elixir for many problematic dermatological indications, the current evidence suggests that PRP works well in combination therapies, especially in indications such as androgenetic alopecia, skin rejuvenation, and chronic ulcers. More evidence is needed, though, to elucidate its role as monotherapy in dermatological disorders.

Financial support and sponsorship


Conflicts of interest

There are no conflicts of interest.

   References Top

Alves R, Grimalt R. A review of platelet-rich plasma: History, biology, mechanism of action, and classification. Skin Appendage Disord 2018;4:18-24.  Back to cited text no. 1
Andia I, Abate M. Platelet-rich plasma: Underlying biology and clinical correlates. Regen Med 2013;8:645-58.  Back to cited text no. 2
Nguyen RT, Borg-Stein J, McInnis K. Applications of platelet-rich plasma in musculoskeletal and sports medicine: An evidence-based approach. PM R 2011;3:226-50.  Back to cited text no. 3
Lynch MD, Bashir S. Applications of platelet-rich plasma in dermatology: A critical appraisal of the literature. J Dermatolog Treat 2016;27:285-9.  Back to cited text no. 4
Arshdeep, Kumaran MS. Platelet-rich plasma in dermatology: Boon or a bane? Indian J Dermatol Venereol Leprol 2014;80:5-14.  Back to cited text no. 5
Steed DL. The role of growth factors in wound healing. Surg Clin North Am 1997;77:575-86.  Back to cited text no. 6
Uebel CO, da Silva JB, Cantarelli D, Martins P. The role of platelet plasma growth factors in male pattern baldness surgery. Plast Reconstr Surg 2006;118:1458-66.  Back to cited text no. 7
Garg S. Outcome of intra-operative injected platelet-rich plasma therapy during follicular unit extraction hair transplant: A prospective randomised study in forty patients. J Cutan Aesthet Surg 2016;9:157-64.  Back to cited text no. 8
[PUBMED]  [Full text]  
Takikawa M, Nakamura S, Nakamura S, Ishirara M, Kishimoto S, Sasaki K, et al. Enhanced effect of platelet-rich plasma containing a new carrier on hair growth. Dermatol Surg 2011;37:1721-9.  Back to cited text no. 9
Kang JS, Zheng Z, Choi MJ, Lee SH, Kim DY, Cho SB. The effect of CD34+cell-containing autologous platelet-rich plasma injection on pattern hair loss: A preliminary study. J Eur Acad Dermatol Venereol 2014;28:72-9.  Back to cited text no. 10
Rodrigues BL, Montalvão SA, Cancela RB, Silva FA, Urban A, Huber SC, et al. Treatment of male pattern alopecia with platelet-rich plasma: A double-blind controlled study with analysis of platelet number and growth factor levels. J Am Acad Dermatol 2019;80:694-700.  Back to cited text no. 11
Butt G, Hussain I, Ahmed FJ, Choudhery MS. Efficacy of platelet-rich plasma in androgenetic alopecia patients. J Cosmet Dermatol 2019;18:996-1001.  Back to cited text no. 12
Alves R, Grimalt R. Randomized placebo-controlled, double-blind, half-head study to assess the efficacy of platelet-rich plasma on the treatment of androgenetic alopecia. Dermatol Surg 2016;42:491-7.  Back to cited text no. 13
Shetty VH, Goel S. Dermoscopic pre- and posttreatment evaluation in patients with androgenetic alopecia on platelet-rich plasma-A prospective study. J Cosmet Dermatol 2018. doi: 10.1111/jocd. 12845.  Back to cited text no. 14
Jha AK, Vinay K, Zeeshan M, Roy PK, Chaudhary RK, Priya A. Platelet-rich plasma and microneedling improves hair growth in patients ofandrogenetic alopecia when used as an adjuvant to minoxidil. J Cosmet Dermatol 2019. doi: 10.1111/jocd. 12864.  Back to cited text no. 15
Verma K, Tegta GR, Verma G, Gupta M, Negi A, Sharma R. A study to compare the efficacy of platelet-rich plasma and minoxidil therapy for the treatment of androgenetic alopecia. Int J Trichology 2019;11:68-79.  Back to cited text no. 16
Gupta AK, Versteeg SG, Rapaport J, Hausauer AK, Shear NH, Piguet V. The efficacy of platelet-rich plasma in the field of hair restoration and facial aesthetics-A systematic review and meta-analysis. J Cutan Med Surg 2019;23:185-203.  Back to cited text no. 17
Lotti T, Goren A, Verner I, d'Alessio PA, Franca K. Platelet rich plasma in androgenetic alopecia: A systematic review. Dermatol Ther 2019;32:e12837.  Back to cited text no. 18
Cho EB, Park GS, Park SS, Jang YJ, Kim KH, Kim KJ, et al. Effect of platelet-rich plasma on proliferation and migration in human dermal fibroblasts. J Cosmet Dermatol 2019;18:1105-12.  Back to cited text no. 19
Alam M, Hughart R, Champlain A, Geisler A, Paghdal K, Whiting D, et al. Effect of platelet-rich plasma injection for rejuvenation of photoaged facial skin: A randomized clinical trial. JAMA Dermatol 2018;154:1447-52.  Back to cited text no. 20
Everts PA, Pinto PC, Girão L. Autologous pure platelet-rich plasma injections for facial skin rejuvenation: Biometric instrumental evaluations and patient-reported outcomes to support antiaging effects. J Cosmet Dermatol 2019;18:985-95.  Back to cited text no. 21
Mehryan P, Zartab H, Rajabi A, Pazhoohi N, Firooz A. Assessment of efficacy of platelet-rich plasma (PRP) on infraorbital dark circles and crow's feet wrinkles. J Cosmet Dermatol 2014;13:72-8.  Back to cited text no. 22
Aust M, Pototschnig H, Jamchi S, Busch KH. Platelet-rich plasma for skin rejuvenation and treatment of actinic elastosis in the lower eyelid area. Cureus 2018;10:e2999.  Back to cited text no. 23
Kamakura T, Kataoka J, Maeda K, Teramachi H, Mihara H, Miyata K, et al. Platelet-rich plasma with basic fibroblast growth factor for treatment of wrinkles and depressed areas of the skin. Plast Reconstr Surg 2015;136:931-9.  Back to cited text no. 24
Motosko CC, Khouri KS, Poudrier G, Sinno S, Hazen A. Evaluating platelet-rich therapy for facial aesthetics and alopecia: A critical review of the literature. Plast Reconstr Surg 2018;141:1115-23.  Back to cited text no. 25
Lei X, Xu P, Cheng B. Problems and solutions for platelet-rich plasma in facial rejuvenation: A systematic review. Aesthetic Plast Surg 2019;43:457-69.  Back to cited text no. 26
Kim SA, Ryu HW, Lee KS, Cho JW. Application of platelet-rich plasma accelerates the wound healing process in acute and chronic ulcers through rapid migration and upregulation of cyclin A and CDK4 in HaCaT cells. Mol Med Rep 2013;7:476-80.  Back to cited text no. 27
Rallis E, Falidas E, Villias C. Amyopathic dermatomyositis-associated bilateral elbow ulcers successfully treated with autologous platelet-rich plasma. Int J Dermatol 2014;53:e50-2.  Back to cited text no. 28
Sarvajnamurthy S, Suryanarayan S, Budamakuntala L, Suresh DH. Autologous platelet rich plasma in chronic venous ulcers: Study of 17 cases. J Cutan Aesthet Surg 2013;6:97-9.  Back to cited text no. 29
[PUBMED]  [Full text]  
Suthar M, Gupta S, Bukhari S, Ponemone V. Treatment of chronic non-healing ulcers using autologous platelet rich plasma: A case series. J Biomed Sci 2017;24:16.  Back to cited text no. 30
Abdullah BJ, Atasoy N, Omer AK. Evaluate the effects of platelet rich plasma (PRP) and zinc oxide ointment on skin wound healing. Ann Med Surg (Lond) 2019;37:30-7.  Back to cited text no. 31
Anandan V, Jameela WA, Saraswathy P, Sarankumar S. Platelet rich plasma: Efficacy in treating trophic ulcers in leprosy. J Clin Diagn Res 2016;10:WC06-9.  Back to cited text no. 32
Nagaraju U, Sundar PK, Agarwal P, Raju BP, Kumar M. Autologous platelet-rich fibrin matrix in non-healing trophic ulcers in patients with Hansen's disease. J Cutan Aesthet Surg 2017;10:3-7.  Back to cited text no. 33
[PUBMED]  [Full text]  
Nicoletti G, Saler M, Villani L, Rumolo A, Tresoldi MM, Faga A. Platelet rich plasma enhancement of skin regeneration in an ex-vivo human experimental model. Front Bioeng Biotechnol 2019;7:2.  Back to cited text no. 34
Nofal E, Helmy A, Nofal A, Alakad R, Nasr M. Platelet-rich plasma versus CROSS technique with 100% trichloroacetic acid versus combined skin needling and platelet rich plasma in the treatment of atrophic acne scars: A comparative study. Dermatol Surg 2014;40:864-73.  Back to cited text no. 35
Porwal S, Chahar YS, Singh PK. A comparative study of combined dermaroller and platelet-rich plasma versus dermaroller alone in acne scars and assessment of quality of life before and after treatment. Indian J Dermatol 2018;63:403-8.  Back to cited text no. 36
[PUBMED]  [Full text]  
Oh DS, Cheon YW, Jeon YR, Lew DH. Activated platelet-rich plasma improves fat graft survival in nude mice: A pilot study. Dermatol Surg 2011;37:619-25.  Back to cited text no. 37
Cervelli V, Nicoli F, Spallone D, Verardi S, Sorge R, Nicoli M, et al. Treatment of traumatic scars using fat grafts mixed with platelet-rich plasma, and resurfacing of skin with the 1540 nm nonablative laser. Clin Exp Dermatol 2012;37:55-61.  Back to cited text no. 38
Ozer K, Colak O. Micro-autologous fat transplantation combined with platelet-rich plasma for facial filling and regeneration: A clinical perspective in the shadow of evidence-based medicine. J Craniofac Surg 2019;30:672-7.  Back to cited text no. 39
Hesseler MJ, Shyam N. Platelet-rich plasma and its utility in the treatment of acne scars-A systematic review. J Am Acad Dermatol 2019;80:1730-45.  Back to cited text no. 40
Abuaf OK, Yildiz H, Baloglu H, Bilgili ME, Simsek HA, Dogan B. Histologic evidence of new collagen formulation using platelet rich plasma in skin rejuvenation: A prospective controlled clinical study. Ann Dermatol 2016;28:718-24.  Back to cited text no. 41
Kim HJ, Hong ES, Cho SH, Lee JD, Kim HS. Fractional carbon dioxide laser as an “Add-on” treatment for vitiligo: A meta-analysis with systematic review. Acta Derm Venereol 2018;98:180-4.  Back to cited text no. 42
Parambath N, Sharma VK, Parihar AS, Sahni K, Gupta S. Use of platelet-rich plasma to suspend noncultured epidermal cell suspension improves repigmentation after autologous transplantation in stable vitiligo: A double-blind randomized controlled trial. Int J Dermatol 2019;58:472-6.  Back to cited text no. 43
Kadry M, Tawfik A, Abdallah N, Badawi A, Shokeir H. Platelet-rich plasma versus combined fractional carbon dioxide laser with platelet-rich plasma in the treatment of vitiligo: A comparative study. Clin Cosmet Investig Dermatol 2018;11:551-9.  Back to cited text no. 44
Kim DS, Park SH, Park KC. Transforming growth factor-beta1 decreases melanin synthesis via delayed extracellular signal-regulated kinase activation. Int J Biochem Cell Biol 2004;36:1482-91.  Back to cited text no. 45
Çayırlı M, Çalışkan E, Açıkgöz G, Erbil AH, Ertürk G. Regression of melasma with platelet-rich plasma treatment. Ann Dermatol 2014;26:401-2.  Back to cited text no. 46
Hofny ER, Abdel-Motaleb AA, Ghazally A, Ahmed AM, Hussein MR. Platelet-rich plasma is a useful therapeutic option in melasma. J Dermatolog Treat 2019;30:396-401.  Back to cited text no. 47
Kim IS, Park KY, Kim BJ, Kim MN, Kim CW, Kim SE. Efficacy of intradermal radiofrequency combined with autologous platelet-rich plasma in striae distensae: A pilot study. Int J Dermatol 2012;51:1253-8.  Back to cited text no. 48
Suh DH, Lee SJ, Lee JH, Kim HJ, Shin MK, Song KY. Treatment of striae distensae combined enhanced penetration platelet-rich plasma and ultrasound after plasma fractional radiofrequency. J Cosmet Laser Ther 2012;14:272-6.  Back to cited text no. 49
Ibrahim ZA, El-Tatawy RA, El-Samongy MA, Ali DA. Comparison between the efficacy and safety of platelet-rich plasma vs. microdermabrasion in the treatment of striae distensae: Clinical and histopathological study. J Cosmet Dermatol 2015;14:336-46.  Back to cited text no. 50
Gamil HD, Ibrahim SA, Ebrahim HM, Albalat W. Platelet-rich plasma versus tretinoin in treatment of striae distensae: A comparative study. Dermatol Surg 2018;44:697-704.  Back to cited text no. 51
Hague A, Bayat A. Therapeutic targets in the management of striae distensae: A systematic review. J Am Acad Dermatol 2017;77:559-68.e18.  Back to cited text no. 52
Casabona F, Priano V, Vallerino V, Cogliandro A, Lavagnino G. New surgical approach to lichen sclerosus of the vulva: The role of adipose-derived mesenchymal cells and platelet-rich plasma in tissue regeneration. Plast Reconstr Surg 2010;126:210e-1e.  Back to cited text no. 53
Goldstein AT, King M, Runels C, Gloth M, Pfau R. Intradermal injection of autologous platelet-rich plasma for the treatment of vulvar lichen sclerosus. J Am Acad Dermatol 2017;76:158-60.  Back to cited text no. 54
Jeong KH, Shin MK, Kim NI. Refractory lipodermatosclerosis treated with intralesional platelet-rich plasma. J Am Acad Dermatol 2011;65:e157-8.  Back to cited text no. 55
Kaur I, Jakhar D. Intramatricial platelet rich plasma therapy: A novel treatment modality in refractory nail disorders. Dermatol Ther 2019;e12831. doi: 10.1111/dth.12831.  Back to cited text no. 56


  [Table 1], [Table 2], [Table 3]


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