Wendy Bowers, R.N. Specializing in Aesthetic Medicine

William Scott, Jr. D.O. Medical Director

Microneedling with Platelet-Rich Plasma (PRP)
How is this different from regular microneedling?

Microneedling is a cosmetic procedure that’s primarily used to minimize the signs of aging. During a standard session, your aesthetic provider uses a special roller or device with needles to prick the skin and stimulate new collagen production. Because of this, Microneedling is also known as collagen induction therapy. Platelet-Rich Plasma (PRP) injections can be added to the session for an additional cost. Microneedling with PRP is said to create more tightness in the skin and speed the healing process along.

What is this procedure used for?

Traditional Microneedling is used to treat everything from age spots and wrinkles to scarring and other forms of hyperpigmentation. PRP injections may boost these effects and help you achieve your desired results faster.

Microneedling can be used to treat scars and stretch marks on other areas of the body, At A Fresh Face we apply PRP to the face, neck, decollate, scalp and hands.. You may have seen online photos of a celebrity or influencer’s face covered with blood after this procedure. These pictures show an older method of applying whole blood to the skin while Microneedling. With recent advances in treatment, only the PRP from the blood is applied to the face. The result is a milder pinkness or redness on the face.

You may be considered a good candidate for this procedure if you’re in sound health and looking to treat minor signs of aging. It may not be the best option for you if you’re:

  • Pregnant
  • Use Accutane for acne
  • Have certain skin conditions, such as facial eczema or rosacea
  • Scar easily
  • Have a history of poor wound healing
  • Have undergone skin radiation in the last 12 months

Your provider will evaluate your medical history to determine if you’re a good candidate for Microneedling with PRP.


How do you prepare for your appointment?

Your provider will give you specific instructions on how to prepare for your treatment. This may include:

  • avoiding direct sun exposure or tanning the week before your appointment
  • drinking lots of water in the final days before your appointment
  • arranging a ride home from your appointment
  • arriving with a bare face (you may cleanse that morning

What to expect during your appointment

Microneedling with PRP is a quick process compared to other cosmetic procedures.

Arrive at your provider’s office at least ten minutes before your appointment. This will give you time to finish up any last-minute paperwork or payments. After cleansing your skin, your provider will apply a topical anesthetic. The anesthetic is usually applied 30 minutes to an hour prior to your treatment.

The actual procedure involves two steps. The Microneedling portion lasts about 30 minutes. During this time your provider will apply a professional- grade derma roller or FDA-approved device to your face and move it in sweeping or circular motions. A syringe of blood will be drawn, usually from your arm, while your face is numbing. The blood is then put into a centrifuge, which separates the PRP from the blood. The PRP solution is then massaged into the treatment area, either during or after Microneedling. The Microneedling treatment opens channels into your skin, allowing for good penetration of the PRP. In the past, PRP has been injected into the skin, but it’s becoming more of a common practice to use it along with Microneedling.

Once the procedure is finished, your provider will apply a serum or balm to help soothe any redness and irritation. They may also use a portion of the blood drawn known as platelet-poor plasma. You may also have the option to put on makeup to camouflage any temporary side effects. Unless an adverse reaction occurs, you’re free to go home at this point. Although many people are comfortable enough to drive home, arranging a ride home in advance can help alleviate any uncertainty.


Potential side effects and complications

Bruises and inflammation are the most common side effects. They typically appear immediately after the procedure and clear within four to five days. Youʼll want to avoid sun exposure and harsh skin treatments during this time. The good news is that PRP contains your own blood, so thereʼs little chance of cross-contamination or infection. Rare, but serious, complications include infection and scarring.

What to expect during recovery
Recovery for this procedure is relatively minimal. You can go back to school or work the next day if you wish. There may still be some redness and other signs of minor irritation, but youʼll want to avoid applying too many products to your skin. Simply cleanse and moisturize your skin twice a day. Follow with a lightweight foundation or powder, as desired, to minimize redness. Your provider may also recommend or provide products to help your skin recover.

Youʼll want to avoid alcohol-based products and exfoliants during the recovery stage. Sun exposure may also slow down your results. Until your skin has completely healed, avoid rigorous activities that might cause excessive sweating and heat production. Examples include running, playing tennis, & heavy workouts. Sweating may cause additional irritation and rigorous activities may increase the risk of swelling or bruising. This usually should be avoided for at least 72 hours after your treatment.

When will you see results?
Using PRP alongside traditional Microneedling treatments results in smoother, firmer skin. Patients will see improvement usually within a week but will get subtle continued improvement for up to 6 weeks. But as with other Microneedling procedures, these results wonʼt last forever. After you finish your course of treatment, youʼll need to follow up with your provider once a year for potential maintenance. If your provider determines that you need a maintenance session, be prepared to spend the same amount per session as you did for your initial treatment.

You may be able to extend the results of your treatment by:

avoiding direct sun exposure
wearing sunscreen every day
cleansing your skin with a gentle cream or gel product only (exfoliants may irritate your skin after receiving this procedure)
moisturizing your skin properly
avoiding any picking or scratching of your face