In this episode of Tea with Dr. D, host James Q. Del Rosso, DO, is joined by Gary Goldenberg, MD, for an in-depth discussion on integrating procedural dermatology, particularly regenerative treatments for hair loss, into a busy private practice. Together, they explore considerations for patient selection and the clinical value these procedures bring to aesthetic and medical dermatology settings.

The conversation begins with an overview of platelet-rich plasma (PRP), including its evolution in the US and the growing body of evidence supporting its role in androgenetic alopecia, telogen effluvium, alopecia areata, and scarring alopecia. Dr Goldenberg outlines PRP as a regenerative therapy rather than a hair-specific treatment, describing how growth factors help stimulate dormant follicles and prolong the anagen phase. He reviews the preparation process, ideal candidates, contraindications, and why early intervention yields the best outcomes. Procedural videos throughout the episode illustrate PRP techniques, from multi-needle mesotherapy devices to targeted injections with a 30-gauge needle, and demonstrate approaches to analgesia and treatment tailoring by pattern of loss.

The discussion extends to the role of exosomes in regenerative dermatology. Dr Goldenberg explains their mechanism, the distinction between human- and plant-derived products, and his rationale for combining exosomes with PRP when feasible. Additional videos highlight injection and microneedling-based delivery methods, offering insight into how these modalities complement each other in alopecia.

Tune in to the full episode for expert guidance