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PRF for hair — the next-generation upgrade to PRP

PRF is PRP without the anticoagulant — a slower-release, higher-concentration growth factor gel. In London, it's overtaking PRP at leading clinics.

DT

Dr. Theo Marwick

Hair Restoration Surgeon · Marylebone

8 min18 February 2026

In short

  • Second-generation platelet concentrate — no anticoagulant.
  • Slower release of growth factors over 7–14 days vs PRP's 24 hours.
  • Higher platelet and leukocyte concentrations.
  • London cost: £450–£800 per session; course of 3–4.

PRF (platelet-rich fibrin) is the natural evolution of PRP. Same blood-draw process, different spin protocol — no anticoagulant, so the platelets and fibrin form a matrix that releases growth factors over days instead of hours.

PRP vs PRF

  • PRP: liquid, immediate release, requires anticoagulant
  • PRF: gel/liquid matrix, sustained release, autologous fibrin scaffold
  • PRF: higher platelet concentration per volume
  • PRF: shorter processing time, no additives

Evidence and London use

Head-to-head trials show PRF non-inferior to PRP and, in some studies, superior for hair density and shaft diameter at 6 months. Adopted by leading London hair clinics over the past three years.

Protocol

Three sessions at 4-week intervals, maintenance every 4–6 months. Often combined with microneedling in the same session. Cost £450–£800 per treatment in London.

Frequently asked

Common questions

Is PRF better than PRP?+

Emerging evidence suggests yes for hair. Individual response varies.

Any downtime?+

Mild scalp swelling for 24 hours. Return to normal activity next day.

Can I combine with medical therapy?+

Yes — best results when layered with finasteride/minoxidil.

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