Most clinics in Noida sell PRP as the answer to hair fall. It is not — at least not on its own. Hair fall has a cause. Until you find that cause, no procedure produces durable results. This page explains how we approach hair fall at Derma Essence — diagnostics first, treatment after.
The most common drivers we see
- Telogen effluvium — diffuse hair fall 2 to 4 months after a trigger. Common triggers: COVID, surgery, severe illness, dramatic weight loss, post-pregnancy.
- Androgenetic alopecia (pattern hair loss) — genetic, slow, follows Norwood (men) or Ludwig (women) patterns. Most responsive to PRP + minoxidil + finasteride.
- Nutritional deficiencies — low ferritin, vitamin D, B12 are the big three. Hair fall stops once these are corrected, no procedure needed.
- Thyroid disorders — both hyper- and hypothyroidism cause hair fall. Easy to test, easy to treat.
- PCOS in women — drives both hair fall (scalp) and excess facial hair. Needs gynaecological co-management.
- Alopecia areata — patchy autoimmune hair loss. Different protocol entirely (intralesional steroids, immunomodulators).
- Traction alopecia — from tight hairstyles, helmet use, or hair extensions. Often reversible if caught early.
The diagnostic visit
History and lifestyle review 15 min
When did the hair fall start? Was there a trigger event 3 to 4 months earlier? Family history of hair loss? Diet, sleep, stress? Recent illness or medication change? We are looking for the cause, not just the symptom.
Trichoscopy (digital scalp imaging) 10 min
A high-magnification camera lets us examine follicle health, miniaturisation patterns and density. This distinguishes androgenetic alopecia (miniaturised follicles, classic patterns) from telogen effluvium (diffuse thinning, normal follicle structure).
Blood tests review 10 min
If you have not had bloods done in the last 6 months, we order: CBC, ferritin, vitamin D3, B12, TSH/free T3/free T4, and (for women) free testosterone + DHEA. Results tell us if a deficiency is driving the hair fall.
Tailored 3-month plan 15 min
We build the plan from the data: prescription topicals, in-clinic procedures (PRP, mesotherapy), nutritional supplements, lifestyle adjustments. We do not propose procedures unless they will help your specific cause.
The treatment toolkit (in priority order)
- Correct nutrition first — iron, vitamin D, B12, protein. No procedure compensates for deficiencies.
- Prescription topicals — minoxidil 5% (men) / 2% (women), tretinoin, ketoconazole shampoo. Daily, long-term.
- Oral medications — finasteride (men), spironolactone (women), oral minoxidil low-dose (selected patients).
- PRP — 4 to 6 sessions for follicle stimulation, then maintenance. Best for androgenetic alopecia.
- Mesotherapy — vitamin/peptide cocktails delivered to scalp. Often combined with PRP.
- Lifestyle — sleep, stress, less heat styling, less tension on roots. Slow but compounding.
