Microneedling with PRP.

What it is

Microneedling with PRP pairs two steps. A device makes thousands of tiny channels in the skin, which prompts it to build new collagen and elastin. Platelet-rich plasma (PRP), made from a small sample of your own blood, is then applied so its growth factors can reach the deeper layers.

People use it for skin texture, fine lines, acne scars, enlarged pores and uneven tone. Results build over several weeks as collagen forms, and most people plan a series of 3 to 4 sessions spaced 4 to 6 weeks apart.

What happens at a visit

1. A small blood draw (1 to 2 vials), spun in a centrifuge to make PRP.
2. Numbing cream on the treatment area for 20 to 30 minutes.
3. Microneedling for 20 to 30 minutes, depending on the area.
4. PRP applied during and after needling.
5. Redness and a sunburned feeling for 1 to 2 days.
6. Results build over 4 to 8 weeks as new collagen forms.

Who it is for

• People who want smoother, firmer-looking skin
• People with acne scars who prefer a gentler option than aggressive lasers
• People in their 30s and 40s with early fine lines
• People with uneven skin tone
• People with mild skin laxity after pregnancy or weight loss
• People who prefer a treatment made from their own blood over fillers

Evidence and safety

Microneedling is well studied for building collagen and is a well-supported treatment for acne scars. Studies suggest PRP can add to the results, though most of those trials are small. It is very safe with a trained provider, and redness for a day or two is expected. Skip it or check with a clinician first if you take blood thinners, have an active skin infection or have used isotretinoin (Accutane) in the last 6 months.

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