Whether you need LP-PRP for knee arthritis and hair restoration, or LR-PRP for a stubborn rotator cuff tear, we provide targeted biologic treatments designed for your anatomy


Understanding PRP Formulations:Leukocyte-Poor vs. Leukocyte-Rich


Understanding PRP Formulations

When searching for "PRP therapy in San Diego," many patients assume that all Platelet-Rich Plasma (PRP) is exactly the same. However, regenerative medicine requires high precision. At SD PRP Clinic, we utilize advanced, FDA-cleared double-spin systems to extract highly specific cellular concentrates.

The most critical factor in a successful PRP treatment is customizing the biological makeup of the injection to match your exact tissue injury. This comes down to the presence of white blood cells—specifically, choosing between Leukocyte-Poor (LP-PRP) and Leukocyte-Rich (LR-PRP) formulations.



What Are Leukocytes and Why Do They Matter?

Leukocytes are white blood cells that play a primary role in the body’s immune system. In regenerative medicine, specific white blood cells (like neutrophils) initiate acute inflammation to clear away damaged tissue, while others (like macrophages) help build new tissue.

Depending on whether we are treating a delicate joint, regenerating hair follicles, or repairing a torn rotator cuff, we must tightly control whether these inflammatory white blood cells are included in your PRP.

Here is the science behind how we customize orthobiologics and aesthetic PRP to deliver optimal results.

1- Leukocyte-Poor PRP (LP-PRP): Pure Growth Factors

What it is: LP-PRP is a highly concentrated platelet plasma where the red blood cells and the vast majority of white blood cells have been filtered out. The resulting fluid is clear or pale yellow.

How it works: LP-PRP delivers a massive dose of anabolic (tissue-building) growth factors—such as PDGF and VEGF—without triggering an inflammatory immune response. It acts as a powerful anti-inflammatory and cellular signaling agent.

Primary Indications for LP-PRP at SD PRP Clinic
  • Joint Osteoarthritis (Knee, Hip, Shoulder): The synovial capsule of a joint is highly sensitive to inflammation. LP-PRP protects delicate hyaline cartilage and provides profound anti-inflammatory relief for arthritic joints without causing severe post-injection swelling.
  • Hair Restoration: For scalp injections, LP-PRP delivers pure growth factors to dormant hair follicle stem cells, stimulating natural hair growth while minimizing scalp edema and downtime.
  • Facial Microneedling & Aesthetics: In aesthetic dermatology, LP-PRP signals dermal fibroblasts to produce new collagen and elastin for facial rejuvenation without unnecessary facial inflammation


2- Leukocyte-Rich PRP (LR-PRP): The Biological Restart

What it is: LR-PRP retains a highly concentrated "buffy coat" of white blood cells alongside the platelets.

How it works: Chronic injuries often stall in a failed state of healing where the body essentially "gives up" on repairing the tissue. LR-PRP intentionally triggers a brief, localized, and highly controlled inflammatory phase. The neutrophils in LR-PRP act like biological wrecking balls, breaking down chronic scar tissue so the platelets can initiate fresh vascularization and remodeling.


Primary Indications for LR-PRP at SD PRP Clinic

  • Tendon Tears: Vital for actively repairing partial tendon tears, including rotator cuff tears, where cellular remodeling is heavily required.
  • Chronic Tendinopathies: The gold standard for recalcitrant conditions like severe lateral epicondylitis (tennis elbow), Achilles tendinosis, and patellar tendinopathy.
  • Ligament Injuries: Highly effective in signaling aggressive cellular repair in damaged extra-articular ligaments.
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The SD PRP Clinic Difference: Advanced Double-Spin Technology

Standard, single-spin centrifuge kits found in many clinics are simply unable to separate LP and LR formulations accurately. They often yield low platelet counts with unpredictable white blood cell levels.

Under the direction of a board-certified physician, SD PRP Clinic exclusively utilizes FDA-cleared, EmCyte Pure PRP SP double-spin systems. This clinical-grade technology allows us to perfectly isolate the cellular fractions, ensuring you receive the exact biologic formulation your body needs. Furthermore, every musculoskeletal treatment is performed using precision ultrasound guidance to ensure the PRP is deposited exactly at the site of the tissue defect or tear.

Our care is optimal and our costs are very competitive!

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