If you are frustrated by fine lines and wrinkles, acne or chicken pox scarring, dry, dull or, uneven skin, then skin rejuvenation with PRP may be the treatment for you (*). ANEWU Medical Spa, P.C. offers platelet-rich plasma (PRP) treatments for skin rejuvenation with microneedling and laser resurfacing treatments(*). Dealing with hair loss or looking for a natural alternative to dermal filler? We also offer PRP treatments for hair restoration and PRP treatments as a facial filler(*).
What is Platelet-Rich Plasma (PRP)?
PRP has been used in orthopedics for decades to expedite joint, tendon and tissue repair. It is a popular treatment amongst professional athletes and is an alternative to steroids and pain medication (*). In more recent years PRP has been used in aesthetics to help with anti-aging, to promote wound healing and for hair restoration (*).
Platelet rich plasma, also known as PRP, can be used with skin rejuvenation treatments such as microneedling and with laser resurfacing treatments (*). PRP uses growth factors from the platelets of a patient’s own blood to rebuild and promote collagen and hyaluronic acid production, epithelial cell growth, and to promote wound healing and tissue repair (*). PRP can be used as an alternative to dermal fillers where it works in the tissue to stimulate the body’s natural collagen building process (*).
How can PRP or a PRP facial help improve the look and feel of my skin?
When combined with microneedling, PRP can help to stimulate the body’s own natural collagen even further than microneedling on its own. Microneedling, also known as collagen induction therapy, uses micro-fine needles to puncture the skin, creating tiny wounds and channels. On their own, these micro-wounds stimulate the body’s own natural healing process and stimulate collagen and elastin (*). PRP is then applied topically where the area has been treated with microneedling. Nutrient rich PRP enters the wounds, flooding it with growth factors which can further stimulate the body’s healing process, resulting in improved skin texture, the improved look of fine lines and wrinkles, and decreasing the visibility of acne scars and hyper pigmentation (*).
By combining high quality PRP with treatments such as microneedling and laser skin resurfacing you can expedite the healing process associated with these procedures and decrease downtime (*). Typical downtime with microneedling alone is up to three days (*). However when combined with PRP most patients can resume work or normal activities within 24-48 hours (*).
Typical downtime associated with a total or deep Acupulse™ CO2 skin resurfacing treatment is 7 days. Downtime can be reduced by 3 days when PRP is applied topically to the treatment area immediately after Acupulse™ treatments (*).
Where does Platelet-Rich Plasma come from?
PRP is produced by taking a sample of blood from the patient that is having the treatment. The blood is then placed in a centrifuge which separates it into platelet poor plasma, platelet rich plasma and red blood cells. By doing this the platelet rich plasma is concentrated to more than 4-13 times baseline. The platelet-rich plasma is then extracted and can then be applied topically to the skin to aid in wound healing or can be injected to help promote collagen production and tissue remodeling. It is this platelet-rich plasma that is often referred to as “liquid gold.”
How Does A Platelet-Rich Plasma Facial (PRP Facial) work for Skin Rejuvenation?
Platelets are a component of blood that aid in the body’s natural healing process. When added to wounded tissue or at surgical sites in a concentrated form they have the potential to accelerate healing. Platelets are best known for their role in helping the body to form clots to stop bleeding. They also contain growth factors which are released when they come in contact with a wound or are injected into tissue. By concentrating the platelets you get a higher concentration of reparative growth factors that can flood the treatment area to better help stimulate and signal the body to heal faster and promote collagen and hyaluronic acid production as well as tissue and cell growth and repair.
What Is Considered “Quality” PRP?
There are many factors that affect the quality of PRP. First is the quality of the starting product. If a patient has low platelets or known platelet dysfunction they may not be an ideal candidate for treatment. Therapeutic PRP for most applications should be 5-7x baseline. At ANEWU Medical Spa, P.C. we have the ability to vary the concentration of the platelets based on the patient’s condition and how much product is needed. This highly customizable closed system allows us to better serve our patients and deliver a superior product compared to many PRP systems on the market thus reducing the number of treatments a patient may need and improving overall outcome.
- History of severe medication allergies or anaphylaxis
- History of active infection or uncontrolled diabetes
- Active or recent cold sores or shingles in the treatment area
- Anticoagulant use such as Coumadin, Plavix, and Pradaxa
- History of cancer or chemotherapy (requires clearance from oncologist)
- History of bleeding disorders or platelet dysfunction (high or low platelet count)
- History of lupus or porphyria
- History of severe or metabolic systemic disorders
- History of liver disease
- Use of corticosteroids or steroid injections within one month of treatment
Since PRP involves using a person’s own platelets, it is uncommon to experience an adverse event.
- Common side effects include redness, swelling, bruising and mild tenderness and itching. Occasionally redness may occur and could last a few days however it typically resolves within a few hours and swelling within 72 hours.
- Bruising is common and can be mild to severe. To minimize bruising it is best to discontinue anti-inflammatory medications, aspirin, alcohol, ﬁsh oil and Vitamin E for two weeks prior to treatment. Do not discontinue medications without consulting your prescribing physician first.
- If you have a history of cold sores or shingles at or near the treatment area an anti-viral medication may be prescribed to minimize the chance of an outbreak.
- In rare instances nodules may form and can be a long term side effect.
- When the tear troughs (area under the eyes) are treated it is possible to have chronic swelling called lymphedema which typically occurs as a result of how the individual’s body processes the product.
- Rarely, numbness at or near the treatment site may occur.
- Occasionally product may migrate away from the area where it was injected.
- As with any injection, infection is a potential but rare side effect.
- The area may be iced for 15-30 minutes.
- To reduce the likelihood of bruising Arnica Montana may be used either orally or topically both pre and post treatment.
- Refrain from exercise, strenuous activity, sun exposure or tanning for 24-48 hours.
- If PRP has been injected into the tissue do not massage the treatment area for 6 weeks unless instructed to.
- If PRP has been injected into the tissue refrain from having a facial for 6 weeks.
- Refrain from laser or intense pulsed light treatments for a minimum of 2 weeks after PRP has been injected and a minimum of 4 weeks after microneedling and upwards of 6 weeks-4 months after an Acupulse™ CO2 Resurfacing treatment.
- Refrain from chemical peels and waxing for 4 weeks after microneedling.
What else can PRP be used for?
PRP may also be used as an alternative to dermal filler to help restore volume to the face and to help stimulate a patient’s own natural collagen. This provides an organic option for those seeking an alternative to synthetic dermal fillers. PRP facial filler is also a safe alternative for those with a history of anaphylactic reaction where traditional dermal fillers are contraindicated.
When injected into the scalp, PRP can also stimulate hair growth, which makes PRP an excellent choice for hair restoration. PRP injections in areas outside of the scalp such as the face do not stimulate hair growth. ANEWU Medical Spa, P.C. is proud to offer these additional treatments to our patients.