PRP in Combination with Microneedling
with New Jersey Expert Dr. Nicole Schrader
Introduction to PRP
PRP stands for Platelet Rich Plasma. PRP is simply blood plasma that has a very high concentration of platelets. The plasma does not act as a filler but rather nourishes the tissue and increases tissue regeneration. It releases its inherent growth factors, which aid in repairing deep skin damage, improving wrinkles and scars.
What is PRP Facial Rejuvenation?
During an in-office treatment your physician will begin the procedure by drawing a small amount of the patient’s blood. Using a centrifuge, the red blood cells are separated from the plasma, which is rich in platelets. The platelets have growth factors that increase tissue regeneration and accelerate the healing process. Because the patient’s own bio-product is used, there is no risk of rejection and less of a risk of infection as the body recognizes the plasma as safe.
PRP is applied through a series of injections at the sources of lines, wrinkles, and other skin irregularities. The other way to introduce the platelets to the dermis, or deepest layer of skin, is by first using a micro-needling technique. A handheld pen with vibrating needles at its tip is guided along the skin, creating micro-injuries through which the platelets can access the underlying skin. Both the micro-needling and the addition of the platelet-rich plasma are cutting edge skin-renewing treatments. The skin will naturally heal from the small injuries caused by the needles, and the plasma offers its inherent restorative qualities to these same regions.
Other procedures like fat grafting and laser skin resurfacing can be combined with PRP injections. This is effective for reducing scars and acne scars because it can boost collagen production and can offer a faster recovery.
What to Expect after PRP Facial Rejuvenation
After undergoing PRP injections on their skin, patients may notice swelling at the application sites for up to 24 hours. Typically, this is the liquid plasma that is settling under the skin and will resolve soon. After micro-needling with the addition of PRP, the patient may notice more effects from the needles. The skin can remain sensitive and red for up to 5 days from the micro-needling. Throughout this healing process, the patient may notice some early repair to the skin, which will include light scabbing and some flaking with associated dryness. By one week the skin should be completely healed.
Areas of the Face that Benefit from PRP Facial Rejuvenation
Areas of the face that can be notably improved by a PRP facial treatment include the nose-to-mouth lines (nasolabial folds), laugh/smile lines at the corners of the eyes and mouth, acne and facial scars, and the wrinkles of the face and neck. Additional treatment sites may include the décolleté and hands.
Candidates for PRP Facial Rejuvenation
Patients with signs of aging or scarring, and certain skin conditions may be eligible to undergo the PRP treatment. The procedure can be performed alone or in conjunction with other treatments, such as micro-needling, laser resurfacing, dermal fillers and Botox injections.
Frequently Asked Questions about PRP Facial Rejuvenation
Is the PRP facial rejuvenation procedure safe?
Orthopedic physicians and sports medicine specialists have used the healing power of PRP for years, and it has proven to be a safe and an effective technique in repairing tissues. There is very low risk associated with this procedure.
How often should a patient undergo PRP facial rejuvenation?
While patients will notice an improvement in the quality and texture of the skin after a single treatment, better results are seen when patients undergo a series of treatments. Most physicians recommend at least two consecutive treatments for better aesthetic improvement.
What can patients do to heal favorably following PRP facial rejuvenation?
The most important thing for patients to do is to follow Dr. Schrader’s directions after undergoing the procedure. She may create specific instructions based on individual patient needs and how their treatment was performed. General instructions are to keep the skin clean and hydrated, and to use a daily SPF to protect the skin from sun damage.
What side effects can be expected when platelet-rich plasma is introduced into the skin?
Following PRP injections, patients may notice swelling in the areas of the face that were treated with the product. It can take about 24 hours for the plasma to dissipate under the skin. While rare, it is also possible for patients to experience some minor bruising.
Throughout the healing process, the skin may become dry and flaky but will eventually reveal fresh undergrowth that appears much more vibrant.
Why is PRP so effective in healing injuries within the body?
The biology of platelet factors are fascinating. For about a week following an injury, the platelets form a time-release response that promotes cell growth. These regenerating properties can deliver new blood vessels and stem cells to the treated areas so that bio nutrients can reach and repair the tissues. Essentially, the addition of micro-needling or laser therapy can offer some of the best benefits scientifically available.
Is the PRP procedure painful?
There is the minor pain associated with drawing blood. While the blood is being treated, the patient’s face is prepped with a topical anesthetic, typically lidocaine. The numbing cream ensures patient comfort throughout the procedure.
How long does the PRP procedure take?
The entire procedure takes approximately 90 minutes.
What will I look like immediately after the PRP procedure?
After undergoing PRP injections on their skin, patients may notice redness and/or swelling at the application sites for up to 24 hours. There may be blood on areas of the face. While rare, it is also possible for patients to experience some minor bruising. There may be minor discomfort, but there are very few adverse reactions associated with this type of facial rejuvenation.
Does PRP work for all skin types?
There may be certain skin issues that must be resolved prior to treatment, including active cystic acne breakouts, any infections of the skin, or other conditions that may negatively impact the outcome of the procedure. Patients prone to keloid scars may seek out alternate treatments to avoid production of unwanted keloids. Those with hemophilia or other clotting issues could require medical clearance prior to undergoing PRP facial rejuvenation.
Can I return to work the same day?
Most patients can return to work the next day, although some patients may develop some facial swelling and or bruising which will improve in 2 to 3 days. Sun exposure is to be avoided for a few days.
How long will the results last?
Results obtained with PRP and microneedling generally last for 6 months to a year before a maintenance treatment is necessary. Collagen is continually broken down, and is not produced as readily as you age. Therefore periodic treatments of PRP and micro-needling are necessary to maintain the results. When the treatments are completed, Dr. Schrader will determine what maintenance regimen best suits your skin care goals.
How is PRP different from Botox and fillers like Juvederm and Restylane?
PRP improves the skin texture and give the skin a glow by improving skin quality. It is best when combined with micro needling. PRP is being also used for hair rejuvenation, acne scars, wrinkles, tear trough correction etc. Botox corrects wrinkles by relaxing the underlying muscle. Fillers correct volume loss and wrinkles by adding volume.
Is PRP the same as stem cell implantation?
No, PRP is the injection or addition of blood platelets to enhance or jump-start the healing of soft tissue. Stem cell therapy is the process of using stem cells to create new cells to promote damaged or lost cells.
How is PR used for hair growth?
PRP contains many growth factors that stimulate the hair follicle’s growth.The primary purpose of using PRP in hair restoration is to stimulate inactive or newly implanted hair follicles into an active growth phase. The process of applying the PRP is the same – the prepared serum is applied to areas of the scalp being treated after the microneedling. Several treatments are recommended to achieve optimal growth.
About Dr. Nicole Schrader
Dr. Schrader with office locations in Princeton, New Jersey as well as Robbinsville and Voorhees, provides her patients with natural results, and specializes in minimally invasive procedures. She has been in private practice for more that 12 years. Dr. Schrader holds dual board certifications in Facial Plastic Surgery and Otolaryngology – Head and Neck Surgery. She has as a solid patient base, many of whom return to undergo more procedures with her. An area favorite, Dr. Schrader has been featured as Best Plastic Surgeon by Princeton’s local publication Town Topics in their Readers’ Choice Awards edition. Dr. Schrader holds an appointment as Clinical Assistant Professor in the Department of OtoRhinoLaryngology – Head and Neck Surgery at the University of Pennsylvania in Philadelphia, PA.
Book a consultation through Dr. Schrader’s Contact Form, or call one of her New Jersey practice offices to reach the Princeton, Robbinsville, or Voorhees location:
Central New Jersey: (609) 279-0009
Southern New Jersey: (856) 656-0060