Effectiveness of Platelet-Rich Plasma (PRP) for Skin and Facial Rejuvenation
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- Опубліковано 16 лют 2016
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A 35-year-old lady asks a general question about platelet-rich plasma (PRP), presumably for facial rejuvenation. She asks how long the treatment lasts, and if the injections will leave marks on her skin.
New York oculofacial plastic surgeon Amiya Prasad, M.D. reviews the photo she submitted along with her questions in this video, describing what PRP is, and what it is proven to do:
1:02 - Dr. Prasad’s experience and use of PRP in several different areas of his practice
2:02 - Why referring to PRP as a filler is incorrect
2:17 - How PRP was first used by oral and orthopedic surgeons for its effects on tissue, which lead to it being used for skin rejuvenation in the cosmetic field
2:53 - How PRP uses growth and healing factors from the blood to stimulate collagen, blood supply, and improves health of fat cells
3:35 - Examples of PRP treatment for dark circles, fine lines and wrinkles, sun damage
3:56 - Results of PRP combined with extracellular matrix to stop hair loss and thicken hair
4:02 - PRP for overall complexion improvement to give the skin a unique glo
4:43 - Combining PRP with other materials like hyaluronic acid fillers
4:55 - Skin rejuvenation through skin quality improvement using PRP
5:12 - The variation of the onset of PRP’s effect
6:04 - PRP normally takes more than treatment, even though it doesn’t wear off
7:16 - Why minimal marks and swelling on skin happen, but giving a day to heal is a good strategy
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Wow dr amiya Prasad. I really loved the way you have described the prp procedure.so good and amazing. Got cleared my doubts
Glad you found the video helpful, honey s!
Thank you doctor Prasad for your valuable advice.
You're welcome, Anu Arora! Glad you found the video helpful!
Just Love you , So Proper Info You give , I left with no doubts
Thank you for your kind words, Asma Khan Suri! Glad you found the video helpful!
Thanks a lot for the useful information...i did it twice and the second one was 3 days ago..i believe i started to get some glowing
Glad you are happy with the results Maisoon Al!
@@AmiyaPrasadMD will it cure very thin transparent skin under eyes
Hi@@rangammarangamma4992,
Yes, PRP can make thinned lower eyelids thicker. I hope this clarifies things for you.
Useful info
Thanks again, Shadow UA-cam! Glad you liked the video!
Is prp useful for enlarged pores
In my case i am said that prp with micro needling can be done after 21 days again. 1)Is it too early to go for it after 21 days? My skin doesn't have any big issue. I just wanted to have a brighter looking skin and a better texture... So.. I consulted them.
2) Can a filler help in lifting the drooping eyes? Because When i enquired and wished for a blepharoplasty, I was suggested for filler and avoid surgical way. Is it safe taking a filler for eyelid lift or in getting a double fold on the eyelid?
3)Is it safe to get fillers injected while MY PRP and micro-needling going on?
Hi gerik jini,
Getting microneedling with PRP done again after 21 days depends on the depth of the microneedling, but it is possible.
Filler can help with upper eyelid hollowing, which may give the appearance of drooping eyelids. However, if drooping is due to excess eyelid skin, or a weak eyelid muscle, then surgery is needed. Filler cannot give a double fold, and surgery, maybe tape, can provide a double fold.
You want to have any filler treatment done after recovery from microneedling. Recovery from microneedling depends on the depth. I hope this clarifies things for you.
Hey sir, thanks for the post. Just a couple of questions if you don't mind... What is the currently thought process of platelet activation (calcium chloride for example) prior to treated, esp in regards to this turning the liquid (PRP), to a more jel-like substance (PRF), and wouldn't the change your treatment methods (as one is liquid and the other not)? Furthermore, what are the differences in PRF/PFRM in relation to just activated PRP (other than the use/non use of anti-coag)? Thank you kindly!
Hi Dynamic Osteopaths & Regenerative Medicine,
Platelet-rich fibrin matrix is used when a more gradual release of PRP is wanted. In most cases, I do use regular PRP, but PRFM created with PRP and calcium chloride is an option for treatment. I hope this clarifies things for you.
If after 3-4 session of PRP hair treatment if I stop does my hair quality remains same or I will be change to the previous one
Hi Sonia Sadhu,
I don’t administer PRP alone for hair loss because it has a limited effect on hair, usually just short-term hair growth. Also, the number of sessions needed does vary, and the longevity of results is unpredictable. Hair Regeneration is a PRP combination treatment where PRP is the activator of the main ingredient extracellular matrix by ACell. Hair Regeneration is a one-time treatment for most patients, and can last up to 5 years and beyond, depending on the aggressiveness of the hair loss pattern. You don't need repeat injections periodically, and many older Hair Regeneration patients don’t need maintenance drugs like finasteride, but finasteride can concurrently help younger male patients with very early and aggressive hair loss. PRP injections for hair loss are needed indefinitely.
How does PRP compare to getting the stem cells from fat and having that injected? I realize injecting fat creates volume and PRP does not, but in terms of skin rejuventation, is it the same effect?
Hi GirlyMuscleTV,
I don't do fat transfers under the eyes as they are highly prone to complications, which you can see in this video - ua-cam.com/video/mNo_EBcDi1k/v-deo.html
I don't do stem cell extractions from fat. The effects of PRP on skin quality, luster, and glow are not seen from other treatments. I hope this clarifies things for you.
do you think microneedling alone, with out injections, is still effective w/ prp? I noticed you do injections, but most aestheticians only use a needling pen.
Hi Jennifer Cvammen,
I also do perform microneedling, with PRP then applied to the microchannels created by it. I also perform a milder form of microneedling that also uses hyaluronic acid and PRP. There are different collagen induction treatments, and the appropriate modality can be chosen after physically assessing the issue to be treated. You can refer to this more recent video about it - ua-cam.com/video/UzNvtn0TxMc/v-deo.html
Hi Dr. Prasad,
I had Microneedling (1-1.5mm) with PRP. The provider used a dragging technique and i have some marking on my face 7 months later (i.e. the texture of my skin is not as smooth as before, appears to have some scarring lines). My skin and general facial experience also now looks “older” or aged. Prior to, i had completely smooth skin (no breaking out or acne, scars or anything) and now realize i should not have done it/was not a suitable patient for it, but it was pushed to me as a “preventative” procedure although there was no reason for it to be recommended. You can easily notice where it changed the skin texture/caused lines when i shave fully as i have a beard and didn’t do it in the area of my beard.
My question is, is 1-1.5mm microneedling with PRP possible to cause facial volume loss or is it simply not deep enough? I just had it about 6 months ago, and have noticed quite a bit of fat loss which i believe is unlikely to be from aging only seeing the short amount of time, that i eat a strictly consistent diet, and have had no other procedures.
Thank you.
Hi TheMFoxx,
Microneedling with PRP is unlikely to cause facial volume loss. Facial volume loss occurs with overdone laser treatments that can cook the essential fat layer beneath the skin, but microneedling does not have the same effect as there is no overexposure to heat, or overheating. I would have to perform a proper examination to determine the cause of your issues. I hope this helps you.
tq you sir
dr g meny ap ka programa ka ik hisa dekha h mujhy shmjh bhi agyi h kiu k mein pic dekh rhi thi jab ap shmjha rhy thy mujhy ap ka koi pta nhi k ap kha k ho meri skin bohat lose ho gyi h jhoria par gyi h andr eye bhi loss ho gyi h aur andar eye k nichy ajeeb si veen bhi nazar ati h ye 2 sal se hi h meri koi help nhi karta pliz ap meri help kary pliz mujh se rabta kary pliz mein bohat tenshan mein hu pliz dr
Thank you Doctor for this video . Sir I wanted to ask you I live in Miami and most places here do PrP mixed with the vampire Microneedling treatment is that treatment required to see better benefits with the PRP or can a person get great results with the prp injections alone . I have no knowledge on this things but soon I plan to go for fine lines but I wanted you to explain this for me I trust your knowledge.
Hi What's inside that heart ,
PRP injections alone can be very effective in improving skin quality, increase blood supply, softening scars, and to make the skin thicker. It really depends on what you want to treat. As a member of the Vampire Facelift Network of doctors, an examination is needed to determine what the best treatment for your case is. I hope this clarifies things for you.
Amiya Prasad, M.D. thank you Doctor you did clarify my questions I had humbly thank you
You're welcome, @@spoondippinggoodrecipes7382!
I had laser resurfacing in jan 28, 2015 on my nose and some of my pigmentaion did not return. i was wondering if prp would work for me to get my pigmentation back ?
Hi Droni0201,
Sorry to hear about your problem. We use PRP for hyperpigmentation when there is too much pigment, but it is not likely to be effective for hypopigmentation where pigment is lacking. Destroying the cells responsible for pigment called melanocytes is a risk in laser treatment. It is best to see the doctor who performed your laser treatment about your options. I hope this helps you
Amiya Prasad, M.D. Thanks doctor you explained very well.
I talked with the Doctor and he's at lost of procedures because he does not know. Can you recommend some for me ? THanks
How often should it be done to maintain results?
Hi Jenny Quezada,
The effects of PRP do last as the improve the skin from within, and treatment builds on results of past treatment. Maintenance treatments may be done one to two times a year, depending on the treatment area, and the person. I hope this clarifies things for you.
Hello!I have genetic dark circles which makes me look really dull!I tried creams but none worked! I consulted and was told that i could either go for carboxy for eyes along with prp for face or second option was prp for face and eyes! I need aparmanent solution for this and right now m very confused what should i go for? Prp for complete face including eyes? Orjust carboxy for eyes?Please help me out!
Hi Fatty 31,
I normally administer PRP for my patients with dark circles, which may take several treatments. This can be applied with a hyaluronic acid filler like Restylane for hollowness, and perhaps a laser treatment as well. Each treatment is customized for a person's individual needs and anatomy, so I would need to perform a physical exam before recommending the best treatment or combination of treatments. I hope this clarifies things for you.
thank you for the reply,my age is 23 and since my dark circles are genetic so doctor said that as per my age one treatment would be enough and it would show results in a period of 2 months approx and after seeing the results she will see if i need another treatment or not.
secondally i was told that fillers wont work for me as i have more of dark circles and less of depression(this word was told by my doctor) and i should go for laser but that machine is not available in my country.
so m really confused as one says go for prp complete face and other says laser.
Hi Fatty 31,
I hope you understand that I can't make a specific recommendation of one or the other for you because I haven't examined your skin like your two doctors have. Also, I often combine laser and PRP for a synergistic effect, and to also reduce laser exposure without reducing collagen stimulation. It is possible to do both if your doctor has experience with treatments. I hope this helps you.
Hi. do you have experience with hyperpigentation from PRP? Thanks from Sweden.
Hi Cicci lindström,
PRP treatment should not cause hyperpigmentation, but I did a recent video about treatments for hyperpigmentation - ua-cam.com/video/4nER0bK1Fvw/v-deo.html
What foods or supplements should I avoid after a PRP treatment. I heard that you can't have coffee, green tea, and certain vitamins for a very long time after treatment. Is that true?
HI John Peltrau,
Thank you for your question. I review each patient's medications and supplements before advising any adjustment after treatment. As a general rule, anything that helps healing is beneficial after platelet-rich plasma (PRP) injection. Thus begins with avoidance of smoking and excess sun exposure. I don't usually restrict supplements or caffeine. I hope this helps you.
+Amiya Prasad, M.D. Thank you. I had one treatment and it seems like the effects have gone away after 3 weeks. So, I thought that maybe the one cup of coffee, two cups of green tea, and the multi-vitamins were having an effect on the blood platelets. I'm glad to hear that I did nothing wrong. I have another treatment in a month, and I'm hoping that the results are better and longer lasting.
Hello.... I would like to know if PRP helps with strengthening the skin...? to help support the skin structure. Thank you
Hi @suzannehorton3146,
Yes, PRP is a collagen induction treatment, and collagen is the protein that gives the skin its strength, and suppleness. You can refer to this more recent video about the benefits of PRP in the skin - ua-cam.com/video/UQ-6jIfa3zQ/v-deo.html
can I use the sunscreen with spf 100+? is it good? pls suggest me sir.
Yes you can use SPF 100+ sunscreen
My age is 23 due to ultra violent rays of sun nd pollution my face neck and hand's nd legs are become tan but the body part which is not exposed to Sun are fair in colour soo cn I go for prp? are with the help of sunscreen can reduce tan is prp necessary for me? if I go through prp can I avoid tan in future days? plsss suggest me sir .
Hi shreegowthami 356,
PRP is not really used for lightening tanned skin, but it can be used to improve the skin quality of sun-damaged skin. If you are really concerned about getting tanned, I suggest you continue using sunscreen regularly, and cover the areas you don't want tanned with a hat, clothing, or even an umbrella/parasol.
Hy m 26 and I m facing the issue of dark circles frackels and dark spots and camadons can i go for it
Hi Ain aino kahlid,
You do sound like you have several different facial issues, and they will need to be treated separately. PRP can help with dark circles, but the other issues may need other treatments like lasers. I would need to examine your skin before recommending specific treatments. I hope this clarifies things for you.
Hello sir, is there any laser treatment available for rosacea, i m from lucknow, plzz suggest me a best laser to treat my rosacea problem on my face from past 2 yrr from steroid abuse.
Hi sabeena siddiqui,
Yes, rosacea can be treated with lasers. You would need to have a physical exam from an experienced doctor to decide the best treatment for you.
Amiya Prasad, M.D. thnxx sir.
It is 2019, are you still using PRP for under eye rejuvenation and also for fillers?
Hi BlackPipa,
Yes, we are still using PRP for under eye rejuvenation to improve skin quality, texture, and thickness, but PRP is still not a replacement for cosmetic filler. PRP still works in synergy with hyaluronic acid fillers for the under eye area. I hope this clarifies things for you.
Hi. I have a question. Can PRP also reduce purple/blue circles under the eyes ? I have very thin skin .
Hi Remy Telman,
Yes, PRP can help with dark circles and thin lower eyelid skin. You can refer to this video about it - ua-cam.com/video/QBvjjvxPt2g/v-deo.html
I have mild acne marks in my face. Which are reddish to purple shade in color. My dr. Suggested me PRP. According to your experience how many prp treatments is needed to treat mild acne marks. And how long the results will last for ?
Hi Aliya Mohd,
PRP can help improve the appearance of acne scars by improving skin health and skin quality. However, when treating acne scars, PRP is usually not the only treatment used, and other modalities are usually needed. The number of treatment sessions does vary greatly as acne scars usually need an ongoing treatment plan, and severity, depth, and type of acne scars are not the same among people. You can refer to these videos about acne scar treatment:
ua-cam.com/video/1AIRQbIuPrM/v-deo.html
ua-cam.com/video/yZVCxIOdvq8/v-deo.html
ua-cam.com/video/_gVcB8VPpLg/v-deo.html
ua-cam.com/video/4NEQjsJvIY4/v-deo.html
ua-cam.com/video/CuINXjqqIBI/v-deo.html
ua-cam.com/video/N-rFyV8KjBw/v-deo.html
Do antihistamines ruin the platelet growth factors. I needed to take an antihistamine after my prp treatment and now I’m worried. What about anti anxiety SSRI medications? Do these affect platelets? I was only told not to take NSAIDS.
Hi K G,
Antihistamines, and anti-anxiety medications do not affect platelets. I hope this clarifies things for you.
Hi! I am 30 years old and got post pregnancy melasma on my nose bridge and upper cheeks. Also my dark circles get worse. do u recommend this treatment for me? Thanks
Hi Raman Brar,
PRP can help with your dark circles, but melasma will likely need a laser treatment such as Q-switch laser. It is best to have your skin examined before deciding on treatment. I hope this helps you.
Hi doctor, Will prp improve my hollow/ sunken eyes? Nu injecting prp on my upper eyelids?
Hi azerty ytreza,
PRP can improve the quality, thickness, and appearance of eyelid skin, but it does not provide enough volume to treat hollowness, and replace a hyaluronic acid filler. You can refer to these videos about what PRP can do for the eyelids, and treating hollowness in the upper, and lower eyelids:
ua-cam.com/video/9m7cKRJ6j98/v-deo.html
ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
ua-cam.com/video/dCDRBngaq60/v-deo.html
hello can I do prp at 2 different surgeon or should I be consistent? also after my 3rd session do i need to take a break?
Hi GotherL,
I do recommend you stay with the same doctor. As for repeat sessions, find a doctor you trust and who can guide you on how many treatments you need for best results because they do depend on the health of your skin, and any issues you have prior to and after treatment. I hope this clarifies things for you.
Thanks, I am doing prp+microneedling 3 session. About the trust thing I just get this nagging feeling she only cares about my wallet. She asked if I worked or not and when I said no she seemed disappointed. She pressurized me twice to buy the iS Active Serum which only broke me out even when she is aware my skin is extra sensitive where alcohol would be bad for my skin. And I can almost swear she seems to miss some spots on my face intentionally. I've a lot of blackhead scars on nose and every single time she only does a small part of my nose with the microneedling then applies the prp on my nose. I don't know maybe it doesn't matter if she doesn't do it throughly? (Trying to think positive but I am obviously suspicious of her motives.)
Hi GotherL,
If you are unhappy with your practitioner, than you should seek someone else you trust and are comfortable with. There is no point in staying with someone who you don't feel gives you the best care.
Ok thanks maybe I'll just ask them to change surgeon. They've a couple of them in the same office.
I wnt to do thread lift for face. Bt m getng scare f doing. My age 44 now. Wrinkles near my smile lines.pls suggest me. Prp I done 4 times bt it wont last. Cn I go for threadlift
Hi sonal Mohite,
I don't perform threadlifts as they only lift the skin, and not the soft tissue and muscle, so results don't last. For someone your age, I may perform filler treatment to treat smile lines. You can refer to this video about it - ua-cam.com/video/rCjuUAofEFU/v-deo.html
Hello Doctor. Can we opt for PRO on thin skin?
Hi Goodness Everywhere,
Are you asking about prolotherapy? It's not a treatment I perform in my practice, but some of my patients, depending on the situation, have platelet-rich fibrin (PRF), which is an enhanced form of PRP. I hope this clarifies things for you.
Can multiple prp injections treat dark circles and hollows under eyes or is filler a better option?
Hi A P,
It's not an either/or situation, as the materials have different roles. PRP can help with skin quality improvement, discoloration, pigment, and skin thickness; while filler is used for volume to fill the hollow. I hope this clarifies things for you.
What if someone does the y lift procedure, can they then do treatments of prp injections /vampire face lift?
Hi Jaime Gasca,
Yes, PRP facial injections can be done as they are for improving skin quality, texture, and health, and not a significant treatment for facial volume. PRP is injected at a more superficial level than Structural Volumizing/ The Y Lift. A Vampire Facelift is not PRP alone, but a specific procedure of PRP and one syringe of a hyaluronic acid filler, and is only done by the Vampire Facelift network of doctors, which I am a part of. I hope this clarifies things for you.
@@AmiyaPrasadMDYes it did clarify things for me. Thank you, doctor!
You're welcome,@@jaimegasca9556!
Dr Prasad wow what an informative video , I am a male approaching 60 soon and I did PRP 6 months ago for the first time , I noticed great difference, I want a long term care so is it safe to do 3 or 6 monthly according to my age? , also shall I add fillers coz my naso labial folds are begining to appear recently. Thanks in advance
Hi nas s,
While PRP is generally safe to use repeatedly, using it that many times within a month is not necessary. While PRP is useful for skin rejuvenation, I do often combine it with other treatments like laser, Botox, hyaluronic acid fillers, HydraFacial, etc. as for more comprehensive treatment. While generally people over 45 can have PRP maintenance treatments about 3 times a year, there is no set number that applies to everyone. Age is not the only factor determining treatment, as lifestyle factors such as sun exposure, smoking, alcohol intake, diet, etc. also contribute to appearance. I hope this clarifies things for you.
@@AmiyaPrasadMD Thanks so much Dr Prasad for reply and advice, although I just saw your video few days back and the video already 4 years ago, your sincere reply and taking the time to reply to me to an old video you made indicates your sincere heart and dedicated person in your work field. God bless you always in the good deed you are doing in this world
You're welcome, @@nass6212!
How long is the result of the PRP on the skin? What if I don't go every 3 to 6 months?
Hi Biz888,
PRP is not a filler, so the effects don't necessarily fade like a filler. PRP improves the health and quality of the skin, and subsequent treatments build on those effects for better results. However, PRP does not stop the aging process of the skin. I hope this clarifies things for you.
I’ve heard this can cause blindness, can you advise further on what risks are etc?
Hi Basmah M,
There are risks to medical procedures, but these risks are reduced by the experience and expertise of the doctor performing them. You can refer to this video about the risks of injections in this area, and how they are minimized and avoided - ua-cam.com/video/lA6ietCvZf8/v-deo.html
I keep reading that prp is actually not effective and that clinical tests on its efficacy on skin are actually inconclusive. What are your thoughts on this?
Hi Myskinin Skincare,
PRP definitely improves skin quality, texture, and overall skin health, which I have seen time and again in my clinical practice, and my patients also consistently see its benefits. There are studies that show its efficacy on improving the skin, which are linked below. You need to consider who is funding the studies you refer to as PRP is not produced by any pharmaceutical company, and there is no way it can be patented or sold by a major drug company. You can refer to these unbiased studies about the the effectiveness of PRP on skin improvement. and you can Google for more:
www.ncbi.nlm.nih.gov/pmc/articles/PMC6260498/
www.ncbi.nlm.nih.gov/pubmed/29855132
You can see the results of PRP effectiveness on the skin in my own clinical results in this video - ua-cam.com/video/UQ-6jIfa3zQ/v-deo.html
Hello I would like to know why one would use the pen and others inject the plasma? The lady that I'm looking into says she will do both. What difference in these are there? And am I benefiting from her doing both? Thank you
Also I should add that Ian 33 year old with slight discolouration from sun and a laser treatment I had done. I'm looking for a more smother even complexion and just to keep up on the beginning of aging
Hi QueenBee,
Injecting PRP and microneedling are for two different indications and treatments. Injecting PRP is for skin quality improvement, collagen generation, increased blood suppy, and for issues like dark circles under the eyes. Microneedling also helps skin quality and generates collagen, but this is mainly done by causing micro injuries to the skin, so the skin has an injury response by generating more collagen. In microneedling, PRP is used topically, and rubbed into the micro holes caused by the needles, but PRP is not absorbed as efficiently when compared to injection. You certainly can have both techniques done for different areas of face, but make sure your practitioner explains clearly why they recommend both. I could give you a more definitive answer and recommendation if I'm able to perform a physical exam of your facial skin. I hope this clarifies things for you.
Amiya Prasad, M.D. Thank you for your reply. I understand well now what the difference is. I would actually have made appointment with you as I would love if you could examine my face for a more personal valuation. I'm in Toronto Canada, but if I'm ever in New York I will definitely make appointment with you! Thanks so much again
You're welcome QueenBee! Toronto is actually one of the more popular origins of our international patients because you're so close, and don't need to fly over :)
Amiya Prasad, M.D. i would like to know how many tomes a year to do the treamt
Hey dr Prasad.
Please make a video about the treatments for thinned facial skin/telangiectasia/ flushing/ fat loss from steroids use. Can this be reversed with prp injections?
This problem is prevalent in southeast asia so suggest something for darker skin tones. Treatments that don't cause further damage. I hope PRP injections repair that damage.
Thank you for the suggestion, @Maria_Shoaib
Hello doctor, I am Ramani from Sri Lanka. I watched your videos and learned a lot about PRP treatment. Is it a permanent solution for the face? How many treatments that i should under go?
Hi Ramani Tennekoon,
Thank you for watching! While PRP is a lasting treatment as it treats the health of the skin from within, it can't be considered "permanent" as it doesn't stop the skin from normally aging.
There is no set amount of PRP treatments as it's not clear what you want treated, and you won't know how you respond to PRP treatment without trying it first. PRP treatments also build upon the results of previous treatments. I hope this clarifies things for you.
I had my first Vampire Facelift done on 12/29/16. I have yet to see any positive results. I go for my second one on 1/28/17. I bought 3 sessions. I was hoping for tighter skin and some fullness/less wrinkles. I am a 46 year old man who does not smoke or drink. When can I expect to see results?? Plus the woman doing the treatment refuses to do my hairline....
Hi Andy Simmons,
Sorry to hear about your problem. It is unusual to have the sessions spaced that close together as a single procedure lasts 6 months to a year. Also, the Vampire Facelift is a trademarked procedure with only doctors in the network legally allowed to use the name. Are you sure it wasn't just PRP? The proper Vampire Facelift is also done only by accredited doctors in the Vampire Facelift Network, and you mentioned in a different comment that it was done by nurse.
Are there any dangers to the procedure when injecting under the eye (tear trough)? Is it the same as with fillers that can cause blindness or other undesirable results?
Hi Duchess DelaRue,
There are risks in injections under the eyes as the skin is very thin, and the under eye area is very delicate. However, the skill and experience of the doctor does reduce the risks. There is less chance of vascular occlusion with PRP than there is for filler as PRP would not block a blood vessel the same way filler would. I hope this clarifies things for you.
Amiya Prasad, M.D. it does. But when you say you mix PRP with hyaluronic acid do you mean you mix them in the same injection or just add some filler injections in some areas at the same time that you do the PRP injections?
Hi @@duchessdelarue8781,
Treatments are customized depending on the issue being treated, and the individual patient. I hope this clarifies things for you.
How long remain its effect for hollow under eyes.. Is it remain for lifetime. Plz reply..
Hi Vishal Pandey,
It isn't possible to treat hollowness under eyes with one procedure that lasts a lifetime. Hyaluronic acid cosmetic fillers are easily accepted by the body, but get metabolized in about a year. Tear trough implants do last longer, but many patients find them uncomfortable, and eventually won't fit as the facial dimensions get smaller due to aging. Permanent and semi-permanent fillers are not safe to use as the linger and migrate in the body, and the body can have a foreign body reaction or infection due to them. I hope this clarifies things for you.
how does it work on inflamed skin like Rosacea, acne, serreborhic dermatitis, Accutane damage skin? can you just put it topically on the skin and not needle or inject anything? The skin is way to sensitive!
do you treat other areas with prp? what about fibrotic issues that are mediated by tgf-beta1 which leads to collegen deposition/scar tissue? why would injecting prp with tgf-beta and collegen growth factors be good for fibrosis? thanks!
Hi Kyle A,
Rosacea we do address with a laser treatment. We do use PRP to treat acne scarring. As for Accutane, you do need to be off the medication for a year before we do injectable PRP. PRP can be applied topically after microneedling, but applying it just topically without channels to absorb it like microneedling will not do much - PRP needs to enter the skin for effectiveness.
We have successfully used PRP to treat hypertrophic scars. Scars need to be evaluated in order to determine if PRP could have potential benefit. Scientific references for scar treatment can be searched in the national library of medicine database if you'd like to learn more about the biochemical pathways. I hope this clarifies things for you.
I’m a African American male and was wondering is prp is very effective for dark under eye wrinkles.And also is it a good idea to try a co2 laser or any other device to improve skin quality also.
Hi chris Simeon,
Yes, PRP can be very effective for dark circles and under eye wrinkles. CO2 laser can also help you, but it's important to find a practitioner experienced with dark skin as laser treatment can cause hyperpigmentation or hypopigmentation with too much exposure or if settings are too high. I hope this clarifies things for you.
Amiya Prasad, M.D. thank you so much.
You're welcome, Chris!
And also I was wondering if it ok to do prp first and do fillers in the future.
Hi chris Simeon
,
It is possible to do PRP first, but if you have under eye hollowness with the wrinkles, I would probably do both at the same time as PRP can extend the effective life of filler, as the two have a synergistic effect when done together. I hope this clarifies things for you.
Does prp treat acne and prevent fresh breakouts . It improve blemishes . Pimple marks . It reduce melanin . Melanocytes enzyme that give the skin colour.
Why pimple produce in red colour is there any treatment that pimple did not produce in red colour . Plz answer me all these
Hi Iqra Sheikh,
PRP can help with pigmentation due to acne, but so can other treatments. You can refer to these videos about treating acne scars and pigmentation from acne scars:
ua-cam.com/video/1AIRQbIuPrM/v-deo.html
ua-cam.com/video/yZVCxIOdvq8/v-deo.html
Prp okay for 18year old ?i have pimple problem and scal can I go with this treatment ?
Hi Roshni Menezes,
PRP is generally safe and effective for an 18-year-old, but I would need to examine your skin before determining the best treatment for you. I hope this clarifies things for you.
Amiya Prasad, M.D. sir i have only acne and pimple problem and i have damage skin can I go with this
Amiya Prasad, M.D. ty for your suggestions sir
Hi Roshni Menezes,
PRP is not a treatment for acne, but it can help with acne scars and general skin health and texture. I suggest you see a dermatologist locally about help for treatment with acne and your skin. I hope this helps you.
hi, im planning to take prp for my skin colour improvement in kaya , delhi for my wedding. my age is 27... can i take this treatment?... will it painful during treatment?.. will i get results the best? plzzz suggest me... it ll be more helpful....
Hi charitha varma,
PRP treatment for skin quality improvement is safe and effective. They do improve skin texture, skin thickness, blood supply/circulation, and give a unique, healthy glow to the skin. It won't be painful as long as your doctor uses a topical and/or injectable anesthetic prior to treatment. You may need more than one treatment for best results, but effects of PRP continue as they improve the skin health overall. I hope this clarifies things for you.
thanks alot doctor... thanku soo much...now i ll start taking treatment for sure ...
doc, i had another questions like prp treatment is longterm? how long it works....??
Hi charitha varma,
PRP works long-term because it improves the health of the skin, unlike a filler alone which eventually gets absorbed. However, you may still need periodic treatments of PRP in the future as PRP does not stop normal skin aging. I hope this clarifies things for you.
@SHUBHAM ROR hi bro, can you share your experience?
Is prp is useful for skin whitening
Hi Hepsiba Vesapogu,
PRP is not used for skin whitening, but for improving skin texture and quality. I don't perform skin whitening treatments, and I do believe that naturally dark skin is beautiful, and actually has many advantages when it comes to natural sun protection and aging. I hope this helps you.
Any chanses to blindness ?
Hi Nadishani Madushanka Vidanapathirane,
The risks of under eye filler treatment such as blindness due to injecting an artery can be avoided or minimized by the experience of the doctor performing the treatment. You can refer to this video about the risks of this treatment, and how risks can be avoided and minimized - ua-cam.com/video/lA6ietCvZf8/v-deo.html
Hi doctor,I have been recommended a prp facial by my dermatologist,but I have melasma along with dark circles and depression around my eyes,I am 47 years old,so what else do you suggest for me to reduce pigmentation?
Hi Veena Jain,
PRP can help with dark circles, but melasma usually requires a laser treatment. You can refer to this video about it - ua-cam.com/video/O4lxlY_9akM/v-deo.html
👌👌👌nice
Thank you, Rashmi Manjunath!
Hi doctor! I'm 23 years old and I have thin hallow udereyes. Will a CO2 lasertreatmemt and prp help with the hallownes? Are there any risks? Do you recommand it? Thank you!😊
Hi Morina ty,
Sorry to hear about your problem. Lasers are for treating skin issues like wrinkles and discoloration, but not the hollowness under the eyes which are caused by a lack of volume, or too much volume with eye bags that make the adjacent area look hollow. An examination is needed to determine what the best treatment approach is for you, but you can refer to these videos about the different treatment options for under eye hollowness:
ua-cam.com/video/VzzsbNDlaHQ/v-deo.html
ua-cam.com/video/Q0QiNH7LUVI/v-deo.html
Doctor please suggest me best treatment my concern is permanent skin whitening with safe procedures including acne scar removal, fine lines, darkspots reduction , hyperpigmented skin. Iam 30 year old girl. And i am suffering from acne , now its reduced a bit due to mild peels given by my doc. But other issues didnot solved like my hyperpigmented skin, and complexion. I wanted to be fairer permanently. Plz suggest me goid treatment I can go. Will PRP help me?
Hi honey s,
PRP can be used for hyperpigmentation, but it is not a treatment for overall skin lightening. PRP can be used to treat fine lines, along with laser or radiofrequency treatment, but an exam is needed before heat treatments on darker skin. Other lasers such as Q Switch can be used for dark spots, even on dark skin. There are many treatments for acne scars, so a physical exam is needed to determine what kind of scars you have before determining mode of treatment. Acne scars take more than one treatment session, so it best to stay with one doctor and follow their treatment plan. You can watch these videos about acne scar treatment and dark spot treatment:
ua-cam.com/video/yZVCxIOdvq8/v-deo.html
ua-cam.com/video/kwENUPjg-7Q/v-deo.html
Amiya Prasad, M.D. thank you so much for your valuable time on replieying my query. Iam so happy to hear from you doctor. Your such an amazing human being. God bless u
You're welcome, honey s! And thank you for your kind words!
Pleasure doctor 😊😊. I'm thinking to go for prp and dermal rolling. Will this help me to give any better complexion to me for a longer period.and also get rid of hyperpigmentation dark spots and so on
Hi honey s,
I normally don't recommend dermarollers because depth is hard to control, professional experience is needed in microneedling, and the rolling action stretches microholes unnecessarily. Professional microneedling can be an option, but I would need to do a physical exam on your skin before determining if it's the right treatment for you. I hope this helps you.
I have prp under my eyes on 20 Feb. I had alot of swelling and lasted five days the pain was worst I've ever had. I'm due to have second session done 20th March and third five weeks later. apparently my reaction was worst she's seen. what do you recommend I do. hollows under my eyes. thanks
Hi shaz7642,
Sorry to hear about your problem. I normally combine PRP with a hyaluronic acid filler for hollowness in the under eye area such as Restylane or Juvederm. PRP improves the skin quality, skin thickness, increased blood supply, and pigmentation, and the filler helps with hollowing. Both materials combined have a synergistic effect, for both better results and also for both materials to last longer. I also suggest utmost sterility in you treatments as your problem may not have been the material itself, but external factors and environment. I hope this helps you.
Is prp treatment effective on brown indian skin
Hi Misha Dua,
Yes, PRP can be used in dark skin. You can refer to these videos about it used for treatment of dark under eye circles for patients with dark skin:
ua-cam.com/video/QBvjjvxPt2g/v-deo.html
ua-cam.com/video/jQUb67RpaAM/v-deo.html
ua-cam.com/video/RHJodb437o4/v-deo.html
When people get a vampire facial with PRP in a doctor’s office isn’t it usually a nurse who does the procedure?
Hi Nikki Red,
Strictly speaking, only doctors are trained with the Vampire Facial by its creator, Dr. Charles Runels. Many people who claim to do the Vampire Facial or Vampire Facelift are not authorized to use their names as they are trademarked by Dr. Runels. I am a trained member of the Vampire Facelift Network, and I do perform PRP and microneedling treatments personally for my patients. However, some offices may have their nurses or aestheticians performing microneedling and other injectables, as it really depends on the doctor(s) running the practice. I hope this clarifies things for you.
Amiya Prasad, M.D. Hello doctor , i am 41 yrs old but looks like 35 . And i visited a doctor in delhi 2 days back for a small scar and little bit of pigmentation on my cheek ( lighter line )on my right cheek and he suggested me PRP treatment for glow and he said it is only one time treatment and after that u need not to come again , and this therapy is enough for one time and will last forever . Is that true . Doctor is a scientist his name is vikram pubreja.
Hi@@anuarora5299,
Sorry, but that's not true in several aspects. PRP may take more than one treatment for best results. PRP or any other treatment cannot stop aging, so no treatment lasts forever. I hope this clarifies things for you.
Thank you...
You're welcome, JYOTI ROY! Glad you liked the video!
Does PRP helps to lift dropy eyes
Hi Sim sim Khan,
Sorry, but droopy eyes are either caused by excess eyelid skin, or a damaged or defective muscle that lifts the eyelid. Droopy eyes is treated through surgery, but it is important to seek an eyelid specialist (oculoplastic surgeon/oculofacial plastic surgeon) if the cause is muscle-related. Also, there are possible neurologicial causes for droopy eyes, so these will need to be ruled out before corrective eyelid surgery. I hope this information helps you.
Thank a lot for your response.
Can you please suggest me if u know any doctor in dubai a trust worthy.
You're welcome Sim sim Khan! I don't know doctors from the area, but it is best to meet with a few, and go with the doctor you feel you can trust and understands your treatment goals. Best of luck to you.
i'm 16 yrs old, can i do it?
Hi Crystal chan,
At your age, it really depends on what you would use PRP for. If it is used to improve scars, then by all means, but cosmetic treatments at your age are usually not needed or recommended. I hope this helps you.
Does it prevent acne and fresh brakeouts
Hi Iqra Sheikh,
PRP is not a treatment for acne prevention. I hope this clarifies things for you.
Which treatment is good for prevent fresh breakouts and pimple does not produce in red colour and dnt leave marks
Hi@@iqrasheikh9012,
I hope you understand that acne treatment and prevention are not my areas of focus as a cosmetic surgeon, so this is something you should be asking a dermatologist in your area. I hope this helps you.
how long does the prp effects stay? how often should one repeat it post 40
Hi Rubina Guleria,
PRP does need repeat treatments, but it all depends on person. The actual effects of PRP on improving the skin do not wear off, but building on improvement does take several treatments, depending on what area you want to treat. Combining PRP with fillers for say under eye hollowing actually extends the effective life of the filler. You can expect treatments of PRP alone to be twice a year, but this could be more or less, depending on issue being treated, and the individual reaction of the person. I hope this clarifies things for you.
Many thanks. Is PRP effective for melasma as well? How important / effective would you rank it in melasma treatment protocol?
Thanks in advance Amiya
Hi Rubina Guleria,
In our practice we treat melasma with a protocol which includes sunblock, tretinoin, hydroquinone, glycolic acid and Q switch laser. In addition, we often find the same patient also has solar lentigo and non melasma related hyperpigmentation and photoaging. In those areas, there can be a role for PRP. I hope clarifies things for you.
Amiya Prasad, M.D. thank you.
You're welcome, Rubina! Hope it helps you.
doctor iam 19 years old can i do vampire facelift?
my problem is under eye hallows its dark also
Hi mammukka bhakthan,
The Vampire Facelift is a very specific procedure to help with volume loss and skin quality from facial aging, but your dark circles and under eye hollows may benefit from a hyaluronic acid filler and platelet-rich plasma (PRP) performed in the under eye area. Hollows may also be due to adjacent puffiness causing the area to look hollow, so you will need a physical exam to determine if this is the best treatment for you. I hope this clarifies things for you.
Amiya Prasad, M.D. sir iam 19 years old i can doo this prp method for my under eye hallow any promblem doing prpbin this age?
Hi mammukka bhakthan,
I would have to physically examine your eye area before making a definite recommendation, but PRP and a hyaluronic acid filler are both generally safe. Once you start using filler to treat hollowness under the eyes, it does need to be maintained, but it is much safer, predictable, and cost-effective than fat transfer which I strongly advise against due to its potential complications and unpredictability. I hope this clarifies things for you.
is prp okay for 23 years old?
Hi amyra fc,
I'm not sure what you are trying to treat at your age as you are still very young, but PRP can be safely done at age 23, but the real question is if you need to do it.
amyra fc it surely is
Iam 30 years old. I got issues with acne, pigmentation , black marks and dark dull skin. I got 6 mild peels so far but none of my issues solved. I need permanent skin whitening with even skin tone , no acne scars or black spots or tanned skin. Which treatment should I go for. Please suggest me doctor
Hi honey s,
I'm sorry, I don't administer skin lightening treatments for naturally dark skin. I do perform treatments for hyperpigmentation, but one's natural skin color should be embraced. Skin lightening treatments can be unsafe, so I advise you consider them carefully.
AT 23 YRS OLD YOU STILL HAVE BABY SKIN, DING DONG
Is it useful for frown lines..
Hi Brahmin creators,
It depends on what is assessed during consultation. Frown lines can be helped with filler, Botox, PRP, or a combination, but a proper assessment of your skin is needed first. I hope this helps you.
this prp on face is prmamnt or temprary
Hi ravi gupta,
PRP improves circulation in the skin, as well as skin thickness and skin quality, which is a lasting change to the skin. However, PRP does not stop the aging process, so treatment may be needed again as the skin ages. I hope this clarifies things for you.