Microneedling with PRP (Platelet-Rich Plasma)

Often, results of microneedling can be further improved when used in combination with Platelet-Rich Plasma (PRP). Studies have shown that PRP can expedite the healing process of tissues and reduce the appearance of pigmentation and acne scarring when used with microneedling. PRP treatment involves using the patient’s own blood as a resource to isolate the platelets with a centrifuge. Because the blood is directly from the patient, the risks of the body rejecting the plasma or having an allergic reaction are minimal. The blood is separated into 3 layers which leaves the PRP available for use during the microneedling process. 

In order to process PRP there will be a 30mL-60mL blood draw using an aseptic technique from your arm.  Before the blood is drawn, a nurse will take your blood pressure, pulse rate, body temperature, and respiration rate.  It takes about 10 minutes to prep the area and draw your blood.  The blood will then be processed in an FDA approved device for PRP where it will be mixed with calcium chloride and thrombin to separate out the plasma. The PRP will be applied to the treatment area during the microneedling process. PRP contains proteins and several growth factors that regulate and activate cell migration and stimulate the production of collagen and elastin.

By using microneedling as the supplemental delivery method for the PRP, the two treatments work synergistically which leads to more rapid collagen production. Results can vary based on a number of factors including needle penetration, overall skin health, number of passes and treatments received as well as needle size. Patients will be able to note a youthful radiance and tightening of their skin directly following microneedling with PRP but it is recommended to receive 4-6 treatments 4 weeks apart to maintain collagen production and to optimize their skin rejuvenation.

The goal of a microneedling and PRP procedure is to target imperfections of the skin with micro-injuries which cause the release of growth factors and triggers the wound healing process, thereby producing collagen and creating younger looking skin.

Microneedling with PRP addresses concerns such as:

• Uneven Skin Tone/Texture
• Facial Volume
• Fine Lines & Wrinkles
• Marionette Lines
• Large Pores
• Facial Skin Laxity
• Uneven Skin Tone
• Uneven Skin Texture

PRE- TREATMENT INSTRUCTIONS FOR PRP PROCEDURES:

1. Avoid the following for at least 1 week prior to your procedure:

• Do not use any prescription or over the counter anti-inflammatory medicines such as NSAIDS (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin, Voltaren, Diclofenac, Meloxicam, Mobic, or Celebrex) for 4 days prior and 7 days after the procedure, or as stated by your primary care physician– Tylenol is allowed
• Certain nutritional supplements (Gingko, Garlic, Vitamin E, Vitamin A, Flax Oil, Curcumin and other anti-inflammatory nutrients)
• Systemic Steroids (prednisone, dexamethasone) must be discontinued 2 weeks prior to and 4 weeks after PRP injections or as stated by your primary care physician. No Alcohol, Caffeine and Cigarettes 3 days prior to treatment
• Discontinue blood thinning medications or supplements (Plavix, Coumadin, Heparin) one week prior to treatment unless you are taking them for a medical condition. If so, please consult your primary care physician to see if you are a candidate.
• If you are taking broad beta-blockers such as Inderal (propranolol), please contact your primary care physician as this medication may need to be changed in advance of the treatment.

2. Prescription medications including heart and blood pressure medication should be taken as prescribed right up to and including the day of and the day after your treatments.

5. Hydrate well the day before and the day of the procedure for ease of blood draw.
6. You may start Arnica 5 pellets, 3 times a day starting 2 days before, and continuing the day of and for 2 days after the procedure to decrease the risk of bruising.
7. Ensure you have not been on Accutane in the past 6 months.
8. If you believe that you may have a medical condition or are taking any medications not listed above that could interfere with treatment, please speak with your primary care physician to see if you are a candidate for PRP treatment.

THE DAY OF THE PRP PROCEDURE:

1. Blood is drawn and PRP is processed.
2. Topical Anesthetic is applied to the treatment area for 20-30 minutes.
3. Specific procedures are listed below:

• For the PRP facial: The Microneedling pen and/or hydra needle is used to stimulate the skin tissue. PRP is then placed on the surface and can penetrate easily into the areas being treated with the device.
• PRP for the Scalp: A topical anesthetic is applied to the treatment area for 20-30 minutes. PRP is processed and a hydra needle will be used to stimulate the area and the remaining PRP is rubbed into the scalp.

POST- TREATMENT INSTRUCTIONS FOR BEST RESULTS AFTER PRP:

1. Expect mild inflammation, redness, swelling for a few days.
2. Bruising may last several weeks.
3. Avoid the sun & use a physical sun block daily to prevent permanent discoloration.
4. Avoid manipulating or pressing on the treated area(s) for 48 hours (including having other treatments done). If you are concerned with any lumps felt, please call the office for a follow up appointment within 48 hours.

5. Try to sleep on an incline and not on your belly.
6. Avoid any massages to the areas treated.
7. After a scalp treatment, you can wear a laser cap for 20 minutes every other day for 6 weeks.
8. Eat healthy and hydrate very well ( at least 64 ounces of water daily)
9. You may wear a hat immediately after your PRP treatment.
10. For the first 3 days, use shampoo that is pH balanced.
11. It is normal to experience bruising, redness, itching, swelling and/or soreness that may last from 2-5 days following your procedure. If you experience any pain or discomfort you may take Tylenol or other Acetaminophen containing products as directed.

12. Avoid the following for at least 1 week:

• Retin A/ Trentinoin or retinol containing products
• NSAIDS (Ibuprofen, Motrin, Aleve, Naprosyn, Aspirin)- Tylenol is allowed for pain reduction
• Certain nutritional supplements (Gingko, Garlic, Vitamin E, Flax Oil, Curcumin, and other anti-inflammatory nutrients)
• Systemic Steriods (prednisone, dexamethasone)
• Avoid Alcohol, Caffeine and Cigarettes 3 days post treatment
• You may wash your hair the day after your PRP treatment (avoid resuming Minoxidil products or hair coloring or straightening for 3 days.
• Do not wet your hair for at least 3 hours after your treatment.
• Do not use any hair products for at least 6 hours after your treatment.
• Avoid saunas, steam rooms, and swimming for 2 days after your treatment.
• Avoid vigorous exercise, sun and heat exposure for at least 2 days after your treatment.
• Do Not touch, press, rub or manipulate the treated area(s) for at least 8 hours after your treatment

• Avoid applying ice on the injected area as ice acts as an anti-inflammatory.