Concierge laryngology · UK
PRP injection for voice and throat disorders - a laryngologist, a stroboscope, and honest indications.
Vocal fold and pharyngeal PRP injection by a specialist laryngologist for atrophic vocal folds, sulcus vocalis, post-radiation vocal fold stiffness and selected scarring - with proper voice assessment before the needle, not after.
Why patients choose us
- 01
A specialist laryngologist, not a general ENT
A consultant with a defined voice practice, weekly stroboscopy lists and formal training in office-based vocal fold procedures.
- 02
Voice therapy woven in
A specialist speech-and-language therapist works with you before the injection and drives the recovery - the results depend on it.
- 03
Independent, and free
We hold no clinic contracts. If a medialisation implant, laser or Reinke reduction is the right answer, we say so - and it costs you nothing to ask.
Indicative pricing
What private PRP injection for voice and throat disorders costs in the UK.
Indicative ranges across our laryngology partners - one-off in-office injections, and courses under local or general anaesthetic.
In short
A laryngologist-led vocal fold PRP session in our network: £1,800–£3,600, with stroboscopy and SLT included.
| Option | Indicative range | Typical duration | Follow-up |
|---|---|---|---|
| Laryngology consultation with stroboscopy | £350–£650 | 45–60 min | Same visit |
| Office-based awake vocal fold PRP | £1,800–£3,600 | 30–45 min | 4-week review included |
| Theatre vocal fold PRP under GA | £4,500–£8,500 | 30–45 min in theatre | Day-case |
| Vocal fold PRP course (three injections) | £4,800–£9,000 | 3 visits over 8–16 weeks | SLT throughout |
| Voice therapy - SLT session | £120–£220 | 45 min | Per session |
| Vocal fold medialisation (comparator) | £3,500–£7,000 | 30–60 min in theatre | Day-case |
| Laser microlaryngoscopy (comparator) | £4,500–£9,500 | 45–90 min in theatre | Day-case |
Prices vary by clinic, by consultant seniority and by whether combined visits or extra work-up is needed. We come back with a firm quote within one working day.
The problem
PRP for the voice is new - and easily oversold.
Vocal fold PRP is promising for atrophy and superficial scarring. It is not a hoarseness cure-all, and it is not a substitute for voice therapy or careful diagnosis.
Stroboscopy first, needle second
A rigid or flexible stroboscopy examination diagnoses the pathology. Without it, PRP is a guess.
Voice therapy runs alongside
A speech-and-language therapist works with you before and after - PRP amplifies what therapy delivers, it does not replace it.
Not every hoarseness is a candidate
Reinke oedema, polyps, cysts, papilloma and cancer need their own pathways. A laryngologist tells you what you actually have.
The journey
From enquiry to recovery - what happens, in order.
One team from first message through the last follow-up.
Phase 1 · Before
Assessment and planning
Phase 2 · On the day
Treatment
Phase 3 · After
Follow-up
- 01
Before
You describe the voice change
A short, confidential form. Onset, singing vs speaking impact, prior surgery or radiotherapy, reflux, smoking and singing history.
- 02
Before
Stroboscopy and voice assessment
A laryngologist performs stroboscopy and objective voice measurement, working with a specialist SLT for perceptual assessment.
- 03
Before
The honest recommendation
Whether PRP, medialisation, laser, cordotomy or continued voice therapy alone is the best next step for your voice.
- 04
On the day
Office or theatre injection
Office-based awake injection under transnasal endoscopy with topical anaesthesia - or a brief GA in theatre using suspension laryngoscopy for complex cases.
- 05
On the day
Voice rest, then measured onset of therapy
24–48 hours of full voice rest, then a graduated return to voice use guided by your SLT.
- 06
After
Stroboscopy at 4–6 weeks
Objective re-assessment on stroboscopy and acoustic measures. A second injection at 8–12 weeks is common for atrophy and scar.
- 07
After
Voice therapy course
6–12 sessions of specialist voice therapy over 3–6 months - the durable gain comes from this combination.
Typical end-to-end: 2–3 weeks from enquiry to first injection. Full response: 3–6 months.
When it helps
When vocal fold PRP is genuinely worth trying.
The voice problems where PRP has emerging evidence - and the red flag that means urgent head-and-neck oncology.
-
Presbyphonia (aged vocal folds)
Age-related vocal fold atrophy with breathy voice, vocal fatigue and reduced volume - the largest single indication for vocal fold PRP.
-
Sulcus vocalis
A depression running along the vocal fold with stiff mucosal wave and hoarse voice - a difficult problem where PRP is a considered option.
-
Post-radiation vocal fold stiffness
Radiation-induced fibrosis after head-and-neck radiotherapy - small case series suggest a role for PRP alongside voice therapy.
-
Vocal fold scar (post-surgical)
Scar from previous excision of nodule, polyp or cyst - where scar is superficial and not deep, PRP is worth a considered trial.
-
Mild vocal fold bowing
Bowed vocal folds with a small glottic gap - often combined with a temporary medialisation trial before committing to a permanent implant.
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Professional voice recovery
Singers and voice professionals with subtle vocal fold stiffness who have plateaued on therapy - carefully selected, individualised.
-
Adjunct to medialisation
Occasionally combined with medialisation for unilateral vocal fold paralysis to improve mucosal wave and voice quality.
-
Red flag: hoarseness over 3 weeks in a smoker
Persistent hoarseness, unexplained weight loss or a neck lump needs urgent head-and-neck referral for possible laryngeal cancer - not a PRP appointment.
Delivery options
Vocal fold PRP is one option in a laryngology toolkit.
What each option offers for scarred, atrophic or stiff vocal folds, and how PRP compares with the alternatives.
Office-based awake vocal fold PRP
Injection through the mouth or nose under topical anaesthesia with the patient awake. Quick, well tolerated in experienced hands, no GA needed.
Theatre PRP under general anaesthetic
Suspension laryngoscopy under GA - used for anxious patients, difficult anatomy or when combined with laser or excision.
Vocal fold medialisation (implant or injection)
A structural fix for vocal fold paralysis or significant atrophy - hyaluronic acid, calcium hydroxylapatite or a permanent implant.
Reinke oedema reduction
Microlaryngoscopy for smoker-related vocal fold swelling - not PRP territory.
Vocal fold laser (CO2, KTP)
Office-based or theatre laser for papilloma, dysplasia and selected varices - a different tool for different pathology.
Cordotomy or arytenoidectomy
For bilateral vocal fold paralysis with airway compromise - a very different indication from PRP.
Voice therapy alone
For many patients with vocal fatigue or muscle-tension dysphonia, structured voice therapy is the whole answer - no injection needed.
Reflux medication + lifestyle
Where laryngopharyngeal reflux is contributing, PPI plus lifestyle measures often precedes any injection decision.
Our vetted UK network
A small panel of laryngologists, we picked them.
Consultant laryngologists across London, Manchester and Birmingham with defined voice practices, on-site stroboscopy and specialist speech-and-language therapists.
Selection criteria
How we choose every clinician in our network.
Laryngology fellowship-trained consultants with a defined voice practice
Stroboscopy and objective acoustic measurement in every clinic
Specialist speech-and-language therapist embedded in the pathway
Access to office-based and theatre-based procedures under one team
Safety and recovery
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Voice rest matters
24–48 hours of full voice rest after the injection. Whispering counts - it stresses the folds more than gentle voicing.
Transient worsening is normal
The voice often sounds slightly worse for 1–2 weeks as the PRP is absorbed. Objective gain builds over 6–12 weeks.
Bleeding and airway are the acute risks
Rare but real. Any breathlessness, stridor, or spitting fresh blood needs same-day laryngology review or A&E.
Infection is very rare
Sterile technique brings the risk well under 1 in 500. Fever, worsening throat pain and swallowing difficulty after 48 hours needs review.
GA has its own considerations
For theatre cases, standard GA risks apply. Same-day discharge is normal; someone must collect you.
Not for active laryngeal cancer or dysplasia
Any suspicious lesion needs biopsy first. PRP has no role until malignancy is excluded.
Anticoagulation is planned around the injection
Warfarin, DOACs and antiplatelets are reviewed. Simple aspirin usually continues; more potent regimes are individually managed with cardiology.
Not every voice will respond
Even for the best-selected patients, roughly half report meaningful voice change. Objective stroboscopy and acoustic measures - not just impressions - drive the review.
Reflux and hydration are non-negotiable
Untreated laryngopharyngeal reflux and chronic dehydration undo the gain. We address both before the injection.
Reading your laryngology record
Your vocal fold PRP record in four parts. Read the last one first.
The stroboscopy report, injection note, voice measurement and forward plan - take them in order, but read the impression first.
A quiet reminder
Voice results without stroboscopy and acoustic measurement are subjective. We always capture both.
If you would like us to talk you through the record before your review, just ask.
- 01Diagnosis
Stroboscopy findings and voice metrics
Baseline mucosal wave, glottic gap, symmetry, and objective voice measures (Voice Handicap Index, MPT, jitter, shimmer).
- 02Technique
Injection approach and volume
Awake or GA, transoral or transnasal, needle placement in the superficial lamina propria, PRP volume delivered per fold.
- 03Recovery
Voice rest, SLT plan and follow-up
Rest schedule, SLT programme and the exact date and metrics for the follow-up stroboscopy.
- 04Impression
Expected response and next step
Read this first: expected timeline, whether a second injection is planned, and when medialisation or another intervention becomes an option.
Recognised by major UK insurers
PRP for the voice is considered emerging by most UK insurers. Cover is variable - we check policy wording and code choice before booking.
Frequently asked
Everything we get asked about PRP injection for voice and throat disorders.
Quick answers on cost, safety, recovery and how we compare with the NHS pathway.
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What voice problems can PRP help?
The best evidence is for aged vocal folds (presbyphonia), superficial vocal fold scar and post-radiation stiffness. It is being explored for sulcus vocalis and mild bowing. It has no role for polyps, cysts, papilloma, Reinke oedema, dysplasia or cancer.
-
Is it done awake or under general anaesthetic?
Most patients tolerate an office-based awake procedure under topical anaesthesia - 30–45 minutes on the couch. Anxious patients, difficult anatomy or combined procedures are done in theatre under a short GA.
-
How long is voice rest?
24–48 hours of full voice rest, including no whispering. Then a graduated return to gentle voice use guided by your speech-and-language therapist. Full voice use - including singing - is usually not before week 3.
-
How many injections will I need?
One in some, three in others. Presbyphonia and scar protocols commonly use two or three injections at 8–12 week intervals, alongside voice therapy.
-
How much does vocal fold PRP cost privately in the UK?
Roughly £1,800–£3,600 for an office-based awake injection and £4,500–£8,500 in theatre under GA, with voice therapy on top. A three-injection course runs £4,800–£9,000. Firm quotes within one working day.
-
Is it available on the NHS?
Not routinely - a handful of tertiary laryngology units offer it in research pathways. Most vocal fold PRP in the UK is private.
-
Can I still sing after PRP?
Yes, with a graded return. Professional singers should not perform for at least 3–4 weeks, and should work through a structured voice-return programme with an SLT. Overuse in the first month risks losing the gain.
-
How is this different from a medialisation injection?
Medialisation adds bulk to move a paralysed or bowed fold across midline - a mechanical fix. PRP delivers biological factors into the lamina propria to change tissue behaviour. The two can be combined but they are not the same treatment.
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