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Home ›General Reconstructive Plastic Surgery ›PRP Therapy in Reconstruction
Adjunct therapy

PRP Therapy in Reconstruction

PRP therapy concentrates platelets from a small sample of your own blood and applies them to a wound or scar. It is used as an addition to reconstructive care, not as a replacement for surgery, and the evidence is still developing.

PRP Therapy in Reconstruction, Elegance Clinic Surat
Anaesthesia
Usually none, or local if injected
Hospital stay
Day care or outpatient
Back to routine
Usually the same day
Cost band
Written estimate
Quick answer

PRP stands for platelet rich plasma. A small sample of your blood is spun so the platelet rich portion can be separated and applied to a wound bed or injected into a scar. In reconstruction it is used as an adjunct alongside surgery and dressings. Research is ongoing, so it is offered where it may help rather than as a routine step.

Key takeaways
  • PRP is prepared from your own blood, so it carries no chance of rejection and no donor material is involved.
  • In reconstruction PRP is an adjunct that supports wound and scar care alongside surgery rather than replacing an operation.
  • Evidence for PRP varies by condition and study quality differs, so any recommendation should say what is known and what is not.
  • Preparation methods differ between centres, which is one reason published results are difficult to compare directly.
  • PRP is usually given as a short course of sessions, with progress reviewed rather than assumed.
Platelet rich plasma: Platelet rich plasma, or PRP, is the concentrated portion of your own blood that carries platelets and the growth factors they release.

What PRP is and how it fits into reconstruction

Blood contains platelets, small cells that gather at an injury and release signals involved in repair. PRP therapy takes advantage of that. A sample of your blood is drawn, spun in a centrifuge and separated so the fraction richest in platelets can be collected. That fraction is then applied to a wound bed, layered under a graft or injected around a scar.

Interest in PRP comes from the idea that concentrating these signals may support healing in tissue that is struggling. In reconstructive practice it is used most often for slow healing wounds, ulcers with a poor base, and as an addition when a graft is placed on difficult ground. It sits beside surgery, dressings and infection control rather than in place of them.

Honesty about the evidence matters here. Studies exist across several conditions, but methods of preparation, volumes and treatment schedules vary widely between them, which makes results hard to compare. Some findings look encouraging while others show little difference. That is why PRP is offered as a considered addition, with clear discussion of what remains uncertain.

Situations where PRP may be considered
✦Wounds that are healing slowly despite good dressing care
✦Ulcers with a poor tissue base being prepared for grafting
✦Graft or flap sites where the underlying bed is difficult
✦Scars being treated alongside other measures such as microneedling
✦Donor areas that are taking longer than expected to heal
✦Selected hair restoration cases after scarring

Signs to report after a PRP session

The treated area becomes hot, swollen or increasingly painful.
Discharge, an unpleasant smell or spreading redness develops around the wound.
Fever, chills or feeling generally unwell follows a session.
The wound looks larger or deeper at review rather than smaller.

Who PRP may suit

PRP is considered case by case, and it is only sensible when the basics of wound care are already in place. Any recommendation should come with a plain account of what it can and cannot add.

May be suitable when
✦People whose wound care and infection control are already optimised
✦Patients with a slow healing wound that has no clear surgical solution yet
✦Those who understand PRP is an addition to treatment, not a substitute for it
✦Anyone able to attend a short course of sessions and review visits
May not be suitable when
✦People with active infection in the wound, which must be treated first
✦Patients with blood disorders or on medicines affecting platelets, without specialist advice
✦Anyone expecting PRP alone to close a wound that needs surgical cover
✦Smokers who continue to smoke, since blood supply remains the limiting factor

How a PRP session is carried out

01
Review and consent

The wound or scar is examined, existing treatment is checked and the reasoning for adding PRP is explained. Questions about the strength of the evidence are answered before you agree.

02
Blood sample

A small amount of blood is drawn from your arm, much as it would be for a routine test. The sample is handled under sterile conditions from that point on.

03
Preparation

Your sample is spun in a centrifuge so the platelet rich fraction separates from the rest. That fraction is collected and made ready for use within a short period.

04
Application

Depending on the plan, the preparation is applied to the wound surface, placed under a graft during surgery or injected into and around a scar with a fine needle.

05
Dressing and review

A dressing is applied and the area is reviewed at set intervals. Progress is measured against how the wound looked before, so any change can be judged fairly.

What to expect afterwards

Day 1 to 3

Mild soreness or aching at the treated area is common, and bruising can appear where blood was drawn. Most people carry on with normal daily activity.

Week 1 to 2

The dressing routine continues as before. Your wound or scar is reviewed and photographed so change can be compared with the starting point.

Week 6

If a course of sessions was planned, it is usually complete around now, and the response is assessed before deciding whether to continue.

Month 6 and beyond

Scar softening and wound healing are judged over months. PRP forms one part of the record, alongside surgery, dressings and general health.

What PRP may add

✦A treatment prepared from your own blood, avoiding donor material
✦An outpatient step that fits alongside existing dressing and surgical care
✦Possible support for wounds that have stalled despite good basic care
✦Preparation of a difficult wound bed before a graft is attempted
✦Little downtime, so daily routine is rarely interrupted

What results are realistic

PRP is best understood as a possible help rather than a decisive treatment. Some wounds show quicker granulation and closure, some scars soften, and some cases show no clear difference at all. Because preparation methods and schedules vary between centres, published results are difficult to compare. Any plan is reviewed after a set number of sessions, and if no benefit is visible, the honest step is to stop and reconsider.

Risks and limitations

PRP uses your own blood, which lowers some risks, though it is still a procedure with limits worth stating plainly.

Pain, bruising or swelling at the injection or blood draw site
Infection, as with any procedure that breaks the skin
No response at all, since not every wound or scar improves
Cost of repeated sessions without a certain outcome
Evidence is still developing, so benefit cannot be assumed for every condition

Aftercare at home

The routine after a session is straightforward, and your usual wound care continues unchanged.

✦Keep the dressing dry and in place for the period advised
✦Take simple pain relief if the area aches, as discussed at your visit
✦Continue offloading, compression or splinting exactly as before
✦Avoid smoking and keep blood sugar under control if you have diabetes
✦Attend review visits so the response can be measured rather than guessed

Myths about PRP

MythPRP is a stem cell treatment
In practice

PRP concentrates platelets and the signals they release. It is not a stem cell therapy, and the two are often mixed up in advertising.

MythPRP can replace surgery
In practice

A wound that needs proper cover still needs an operation. PRP is used alongside surgical care, never instead of it.

MythAll PRP preparations are the same
In practice

Spin speed, volume and technique differ between centres, which is one reason results reported in studies vary so much.

MythOne session is enough
In practice

Where PRP is used it is usually planned as a short course with review, and the plan changes if there is no response.

Why patients choose Elegance Clinic

Elegance Clinic in Surat offers PRP only where it makes sense within a wider plan, and the conversation includes what the evidence does not yet show.

✦A frank discussion of what PRP may add in your particular case
✦Basic wound care, infection control and nutrition addressed first
✦A written estimate covering the planned number of sessions
✦Review points built in, so treatment stops if there is no benefit
Further reading from independent sources
Cost & insurance

Cost and insurance

PRP is usually priced per session, and the number of sessions depends on the wound or scar being treated. Because it is an addition to your main treatment, the estimate sets it out separately from surgery and dressings so you can see exactly what you are paying for. A written estimate follows assessment, along with the review point at which we decide whether to continue.

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PRP Therapy in Reconstruction
Written estimate
After assessment
Patients ask

Questions patients ask, answered

These are the questions that come up most often in consultation. If yours is not here, send it on WhatsApp and the team will reply, usually the same day.

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PRP is normally charged per session, and the total depends on how many sessions are planned. It is listed separately from surgery and dressings in the estimate so the added cost stays visible. A written estimate follows assessment, before any session is booked.

Because the preparation comes from your own blood, rejection is not a concern. The usual risks apply, mainly discomfort, bruising and a small chance of infection where the skin is broken. People with blood disorders need specialist advice before proceeding.

Most people return to normal activity the same day. Mild aching or bruising can last a day or two, and the existing dressing routine carries on unchanged. Heavy strain on the treated area is usually avoided for a short period.

Results vary by condition, and study quality differs, so a fair answer is that it may help in some situations and shows no clear benefit in others. Any course is reviewed at a set point, and treatment stops if nothing is changing.

It is avoided when there is active infection in the wound, which needs treating first. People with platelet or clotting disorders, and those on medicines affecting platelets, need specialist advice. Anyone expecting it to replace surgery is not a suitable candidate.

Usually after the basics are in order, meaning infection controlled, pressure relieved and nutrition addressed. Adding it before those steps rarely helps. In theatre it can also be applied under a graft at the time of surgery.

You should hear what PRP might add in your case, what the evidence does and does not show, how many sessions are proposed and when the plan will be reviewed. A written estimate is given before anything is arranged.

Related

Related pages

Seeing patients from across the city and beyond: read about the practice on the plastic surgeon in Surat page, or check what a written estimate covers on the costs and insurance page.

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