PRFM vs. PRP Therapy: A Head-to-Head Comparison

PRP vs PRFM

The Healing Power Within

The human body is a remarkable thing, with an innate ability to repair and heal itself. In the realm of advanced medicine, we’re constantly tapping into this potential, unlocking powerful tools to support and accelerate those natural healing processes. Two such tools garnering increased attention are Platelet-Rich Plasma (PRP) and its evolved cousin, Platelet-Rich Fibrin Matrix (PRFM). Both harness the healing power of your own blood, but the question arises: which one reigns supreme?

For years, Platelet Rich Plasma (PRP) has been a popular choice, utilizing concentrated platelets rich in growth factors. But Platelet Rich Fibrin Matrix (PRFM) has emerged as a potential game-changer. It takes the core concept of PRP to the next level, incorporating a unique fibrin matrix for sustained growth factor release and potentially longer-lasting results. 

So, which therapy truly shines? Is PRFM the next big thing, or does Platelet Rich Plasma still hold its ground? In this blog post, we delve into a head-to-head comparison, dissecting the science, benefits, and applications of both PRP and PRFM. We’ll answer your burning questions, explore the key differences, and help you understand which approach might be the best fit for client’s specific needs. If you’re already convinced, check out Selphyl’s PRFM kits and centrifuges to start offering elevated care to your patients. If you want more details, keep reading!

Understanding the Basics: PRP vs. PRFM

Imagine harnessing your own body’s healing potential to address various concerns. That’s the promise of both Platelet-Rich Plasma (PRP) and its advanced counterpart, Platelet-Rich Fibrin Matrix (PRFM). Let’s break down their key differences:

PRP

Think of PRP as a concentrated cocktail of growth factors extracted from your blood. These factors play a crucial role in tissue repair and healing. PRP therapy involves collecting a blood sample, separating the platelets rich in growth factors, and injecting them back into the targeted area to stimulate healing.

PRFM

Like Platelet Rich Plasma (PRP), Platelet Rich Fibrin Matrix (PRFM) utilizes your own platelets and your body’s natural healing abilities. However, it takes things a step further by incorporating a natural scaffold called a fibrin matrix. This matrix, created during the activation process, acts like a slow-release capsule for the growth factors, allowing for their sustained release over time. This key difference unlocks several potential benefits:

White Blood Cells & Red Blood Cells 

Unlike PRP, PRFM is primarily composed of concentrated platelets and the fibrin matrix, excluding red blood cells and white blood cells. This minimizes potential risks like allergic reactions and inflammatory responses.

Fibrin Matrix 

This unique scaffold in PRFM offers multiple advantages:

  • Enhanced Wound Healing: The sustained release of growth factors promotes faster and more effective tissue repair, benefiting the wound healing process, hair restoration, and even skin aesthetic outcomes.
  • Collagen Production: The fibrin matrix acts as a temporary framework, encouraging the body to produce its own collagen, a vital building block for healthy tissue.

Controlled Process: 

Both PRP and PRFM involve controlled extraction and activation of platelets. However, PRFM utilizes a slightly different process with a lower spin speed, potentially preserving more valuable factors within the platelets.

Key Benefits of PRFM: Unlocking Potential

Compared to PRP, PRFM offers several potential advantages:

Enhanced Wound Healing Process

The sustained release of growth factors from the PRFM fibrin matrix promotes a longer-lasting healing environment, potentially accelerating repair and improving outcomes in wounds, hair loss, and even post-surgical sites.

Longer-lasting Effects

Unlike PRP’s burst release of growth factors, the sustained delivery of PRFM can extend the healing process for many months. This may translate to fewer treatment sessions and longer-lasting results, enhancing skin, hair growth, and potentially other applications.

Versatility of Applications

While both PRP and PRFM can address various concerns, the unique properties of PRFM may offer broader potential. Its sustained release and matrix structure might benefit wider conditions like acne scars, chronic wounds, skin grafts, and even sports injuries, while PRP may be limited to specific applications.

Remember, this is just the beginning of our comparison. Stay tuned for the next section where we delve deeper into the science and explore real-world applications of both PRFM and PRP therapy.

PRP Drawbacks:

Limited Healing Window: 

PRP’s burst release of growth factors might lead to shorter-lasting effects, requiring more frequent treatments compared to PRFM.

Potential Allergic Reactions: 

The presence of white blood cells in PRP can possibly increase the risk of allergic reactions.

Limited Applications: 

PRP’s benefits may be limited due to its shorter-acting nature.

PRFM Advantages

Sustained Healing

The fibrin matrix of PRFM acts as a reservoir, promoting longer-lasting effects and potentially fewer treatments.

Versatility 

The sustained release and matrix structure of PRFM may offer broader applicability for various conditions.

Faster Cellular Activation 

The sustained release of growth factors of PRFM keeps cells active and engaged in the healing process for longer.

Collagen Production

The fibrin matrix of PRFM acts as a scaffold, encouraging the body to produce its own collagen, a key component of healthy tissue.

Formation of New Blood Vessels

There is promising evidence suggesting that PRFM therapy may promote the growth of new blood vessels, potentially offering significant benefits for tissue repair. Here’s a breakdown of the current understanding:

Research: 

Studies, such as those conducted at Ohio State University, are exploring the impact of PRFM on angiogenesis (new blood vessel formation). While more research is needed, initial findings suggest PRFM’s potential to stimulate the growth of new blood vessels.

Mechanism: 

The fibrin matrix in PRFM is believed to play a key role. It contains various growth factors known to influence angiogenesis, including vascular endothelial growth factor (VEGF) and platelet-derived growth factor (PDGF). These factors signal to surrounding cells to initiate blood vessel formation.

Clinical Observations: 

Anecdotal evidence and initial clinical applications report positive outcomes related to increased blood flow and tissue healing in areas treated with PRFM, potentially linked to new blood vessel formation.

Important Considerations:

  • Research Stage: It’s still early days for research on PRFM, and more comprehensive studies are needed to definitively confirm its impact on blood vessel growth and determine its effectiveness in various clinical settings.
  • Individual Variability: As with any medical treatment, individual responses to PRFM can vary. The extent of blood vessel formation may be influenced by factors like the underlying condition, individual healing capacity, and specific PRFM preparation techniques.
  • While definitive conclusions await further research, the current evidence suggests promising potential for PRFM therapy to promote new blood vessel growth. This offers exciting possibilities for enhancing tissue repair and healing in various applications.

Who Can Benefit from PRFM?

The versatility of PRFM makes it applicable to a range of conditions where tissue and wound healing are desired. Here are some potential areas of application for PRFM. As with PRP treatments, PRFM uses are also unapproved by the FDA and research in each of the following applications should be thoroughly considered and compared to the unique case of each patient before undergoing.

Hair Loss

The concentrated growth factors and fibrin matrix of PRFM hold promise for stimulating hair follicle restoration in cases of androgenetic alopecia (genetic hair loss), alopecia areata (patchy hair loss), and even eyebrow hair loss.

Skin Concerns

PRP has become popular for skin improvement, and PRFM offers potentially more effective results. In PRFM facial treatments, the fibrin matrix acts as a scaffold, providing sustained release of growth factors for smoother, firmer skin, and addressing concerns like fine lines, wrinkles, acne scars, and volume loss.

Sports Injuries

Athletes seeking faster recovery from tendonitis, ligament sprains, and muscle tears may benefit from the ability of PRFM to promote tissue repair and reduce inflammation. Ischemic injuries, conditions with limited blood flow hindering healing, may also see improvement with the enhanced healing potential of PRFM.

Other Potential Applications

Research continues to explore the effectiveness of PRFM in various areas, including wound healing after surgery, osteoarthritis management, and even dental procedures.

Conclusion: PRFM vs. PRP: A Clear Advantage

Both PRFM and PRP leverage your body’s healing potential, but key differences set PRFM apart:

  • Enhanced Growth Factors: PRFM concentrates platelets and growth factors to a greater extent, potentially boosting healing effects.
  • Fibrin Matrix Advantage: The PRFM fibrin matrix provides a scaffold for sustained growth factor release, promoting longer-lasting benefits.

While research is ongoing, PRFM holds significant promise for various advanced applications. If you’re seeking natural, minimally invasive approaches to tissue repair and healing, explore PRFM to elevate your practice. If you’re looking to begin offering this next-generation PRP to your patients, the experts at Selphyl can supply you with convenient kits for the safe and rapid preparation of PRFM. Check out the Selphyl System today!

SELPHYL® has not been approved by FDA for subcutaneous, submucous or intradermal injection in aesthetic medicine and the safety and effectiveness of SELPHYL® for these conditions has not been established.  SELPHYL® is designed to be used for the safe and rapidpreparation of autologous platelet-rich plasma (PRP) from a small sample of peripheral blood at the patient’s point of care. The PRP is mixed with autograft and/or allograft bone prior to application to a boney defect for improving handling characteristics.

References 

  1. https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/plateletrich-plasma-prp-treatment
  2. https://www.selphyl.com/post/prf-vs-prp-vs-prfm-what-s-the-difference-and-which-one-is-the-best
  3. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3623798/ (Wound repair)
  4. https://www.sciencedirect.com/science/article/pii/S2049080121003009#:~:text=Highlights&text=Platelet%2Drich%20plasma%20(PRP),product%20used%20in%20wound%20healing.&text=Platelet%2Drich%20fibrin%20matrix%20(PRFM,quality%20in%20helping%20wound%20healing.&text=Using%20PRFM%20in%20skin%20graft,made%20into%20a%20sheet%20forms. (skin grafts)
  5. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9946120/ (PRFM dermatology)
  6. https://www.mdpi.com/2077-0383/12/7/2747 (Return to Sports after Achilles Tendinopathy with PRFM therapy)
  7. https://www.avalon-laser.com/blog/prp-vs-prfm-for-hair-restoration/ (hair restoration)
  8. https://www.quantificare.com/wp-content/uploads/2020/03/plasticsurgerypractice.pdf
  9. https://www.selphyl.com/post/prf-vs-prp-vs-prfm-what-s-the-difference-and-which-one-is-the-best

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