PRP for Alopecia: Cruciani 2023 Systematic Review Research Summary

Last verified: Apr 2026Platelet-Rich Plasma (PRP)Limited evidence

This is a plain-language summary of the original published research. We do not add conclusions or opinions of our own. This is not medical advice — consult a certified healthcare practitioner before making any decision.

Original research published in Blood Transfusion, 2023

PRP for Alopecia

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Study conclusion

Systematic review and meta-analysis of 27 articles found limited evidence for PRP in alopecia. Evidence was rated mostly low quality. Positive effects on hair density were found for pattern hair loss, but evidence for immune-related patchy hair loss (alopecia areata) was unclear.

Strength of evidence

Strength of evidence
Limited evidence · 5/10

This was a systematic review and meta-analysis of 27 articles. The score is limited because evidence quality was rated as mostly low, study designs were heterogeneous, and PRP preparation protocols varied substantially. The authors' own assessment was that evidence is limited.

Who it applies to

Who was studied

Adults with pattern hair loss and alopecia areata. 27 articles included. Various PRP preparation and administration protocols.

Who was NOT studied

Children. People with scarring or other types of alopecia. Standardised PRP protocols.

What to look for when shopping

PRP is a clinic-based procedure with no standardised protocol. PRP is not FDA-approved for hair loss.

What research cannot help you decide

Whether PRP works for immune-related patchy hair loss. Which PRP protocol produces the most reliable results.

Key findings

  • Positive effects on hair density were found for pattern hair loss
  • Evidence for alopecia areata was unclear — results were inconsistent across studies
  • Most included evidence was rated as low quality
  • High heterogeneity across studies due to different PRP protocols
  • PRP is not FDA-approved for hair loss

What they did

Researchers searched multiple databases for studies of PRP for alopecia. 27 articles were included. Hair density was the primary outcome. Evidence quality was assessed and results combined statistically where possible.

What they found

ComparisonResultSignificant?
PRP — pattern hair loss hair densityPositive effect foundYes
PRP — alopecia areataEvidence unclear — inconsistent across studiesNo
PRP evidence quality overallMostly low qualityNo

What this study does not show

  1. 1.Whether PRP works for alopecia areata — evidence was inconclusive.
  2. 2.Which PRP preparation protocol is most effective.
  3. 3.Long-term outcomes beyond trial periods.

Limitations

  1. 1.Evidence quality was mostly low
  2. 2.27 articles is a moderate-sized review but heterogeneity was high
  3. 3.PRP preparation protocols varied substantially
  4. 4.PRP is not FDA-approved for hair loss

Who funded it

No funding source declared. No conflicts of interest reported.

Used in these articles

Links added as fact-checks and articles citing this study are published.