Microneedling


Microneedling  PRP/rf/prf


At Wondermedspa, we use the most cutting-edge technology and science to reactivate hair growth without surgery, Our providers offer a variety of skin treatments including Microneedling whit PRP, chemical peels, and/or medical-grade skin care products to treat wrinkles, age spots and reduce acne scarring. We welcome you to contact us to learn more about acne treatments and to set up a consultation with our caring acne experts. You are just a click away from a treatment that will soon have you showing a full head of lustrous, thick hair, or youthful skin  just like you did when you were in the prime of your youth.

MICRONEEDLING WITH HYALURONIC ACID SERUM

Short term, microneedling makes skin look plumper and more radiant. Long term, it encourages the body to create more collagen and elastin for thicker and smoother skin. It also allows your skincare products to penetrate deeper for boosted results. Microneedling can address some of the most common skin issues and aesthetic concerns including:

Fine lines, Wrinkles, Overly large pores Hyperpigmentation, Sunspots, Scarring,Acne, Alopecia, Rosacea, Melasma, Loose skin,Uneven skin texture, Stretch marks.

Single Session   $250
3 Session   $1200
 Save Single Session  $400
4 Session   $750
 Save Single Session  $187

PROCELL

A single Procell treatment creates hundreds of thousands of microchannels. In response to each micro-injury, an inflammatory healing process begins which initiates the formation of new collagen. Over time the repeated healing process begins which initiates the formation of new collagen. The repeated healing process improves the surface texture and overall appearance of the skin.

Single Session   $350
3 Session   $1200
 Save Single Session  $400
4 Session   $1,050
 Save Single Session  $262

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Procell Microchanneling Treatment

How does a Microchanneling Treatment stimulate cellular activity? A single treatment creates hundreds of thousands of microchannels. In response to each micro-injury, an inflammatory healing process begins which initiates the formation of new collagen. Over time, the repeated healing process improves the surface texture and the overall appearance of the skin


Why Does Skin Age?

You age, visibly and invisibly, every day. Sun damage,  internal inflammation, chem icals, and even gravity all  work against the youthful vitality of your skin. As we  get older, fewer regenerative stem cells survive to  repair this constant damage.


How Do Stem Cells Assist Healing?

Human growth-factor serums derived from bone marrow mesenchymal stem cells are known to promote scarless healing with minimal inflammation. Application of serums immediately after microchanneling treatment enhances delivery and collagen growth.

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WHO IS MICRONEEDLING SUITABLE FOR?

Microneedling is safe for use on all skin types and every skin color.As microneedling causes very little damage to the epidermis, the treatment is a safer alternative to traditional lasers and chemical peels for those with darker skin tones.


HOW DOES MICRONEEDLING WORK?

As we age, our body reduces the amount of collagen - the protein that gives skin its youthful texture and tone - it produces. Fine lines and wrinkles develop as a result. The body also slows its production of elastin, which gives skin its elasticity. The Dermapen used in microneedling uses fine, sterile needles to create tiny micro punctures in the skin. These fine needles penetrate the skin, creating small injuries which trigger the body to increase its production of collagen and elastin. The needles used in the Dermapen vary in length, Our lead aesthetician to choose a needle designed to reach a precise depth. Skin is left tighter, smoother, and brighter without the need for surgery.


CAN I ADD OTHER TREATMENTS TO ENHANCE THE MICRONEEDLING RESULTS?

Yes! Many patients are suitable for add-on treatments that are specifically designed to enhance the results from a microneedling procedure, such as PRF. Platelet-rich fibrin (PRF) combined with a microneedling procedure can be used to improve your skin quality and texture even further. We also use this combination of procedures to treat dark circles.


WHY SHOULD I CHOOSE MICRONEEDLING OVER OTHER TREATMENTS?

While all skin rejuvenation treatments offer great results, the benefits of microneedling or collagen induction therapy go beyond just improving your skin’s tone and texture.These include:

  • All the skin layers remain intact.
  • Fewer side effects.
  • Minimal healing time.
  • Less painful.

The microneedling procedure can also significantly improve wrinkles, decrease the size of the pores, and reduce the visibility of acne scars.


HOW DEEP DO THE MICRONEEDLES OF THE DERMAPEN PENETRATE?

Needle depth depends on the condition being treated and the thickness of your skin in the targeted areas. We determine the depth that the microneedles will penetrate into the skin before the procedure.


DOES THE MICRONEEDLING PROCEDURE HURT?

Our patients often liken the sensation of microneedling to the feeling of sandpaper gently moving across your skin. To minimize discomfort, we apply topical numbing cream. Our state-of-the-art Dermapen also vibrates during the procedure; this vibration helps interrupt the receptors responsible for signaling the brain to feel pain. Some areas are slightly more sensitive than others. For example, areas with less tissue (e.g., the forehead) tend to be more sensitive than the areas that have more tissue (e.g., the cheeks). However most patients tolerate the microneedling procedure well and, of course, we do everything we can to make it as comfortable as possible.


WHEN CAN I SEE THE RESULTS OF MY MICRONEEDLING TREATMENT?

While some improvement may be seen right away, you’ll typically notice significant improvements after 10 - 14 days.This is because as the growth hormones stimulate the production of elastin and collagen, your skin continues to improve. You can expect to see an improvement in your:

  • Fine lines.
  • Skin texture.
  • Pores.
  • Skin tone.
  • Pigmentation variances.
  • Scarring.
  • Dark circles.

If you choose to have collagen induction therapy at regular intervals, your skin will keep getting better as the treatments trigger the body to produce more and more of these vital proteins.


WHAT WILL THE RESULTS OF MICRONEEDLING BE?

Within a few days, you’ll experience smoother and healthier-looking skin and smaller pores. If you wear makeup, you will notice quicker and easier foundation application. Your skincare products will also tend to penetrate deeper compared to before your microneedling treatment for boosted results.


HOW LONG IS THE RECOVERY PROCESS?

The aggressiveness of the treatment determines healing time. However, you can expect your recovery to last anywhere from two to five days.Most of our patients feel comfortable enough to return to their approved normal activities within 72 hours of their treatment.You can apply makeup after 24 hours post-surgery. Before this period, makeup must be strictly avoided.


HOW FREQUENTLY SHOULD THE MICRONEEDLING TREATMENTS BE PERFORMED?

The most dramatic results are seen after three collagen induction therapy treatments in a row. We recommend having three treatments spaced between four to six weeks apart. Having regular collagen induction therapy promotes continued collagen and elastin production as well as skin cell renewal. Microneedling can be performed regularly to maintain healthier skin with a more youthful appearance.

AQUA GOLD

AQUAGOLD ® fine touch ™ is a 24ct patented gold-plated micro-injection system that painlessly delivers custom solutions into the skin at the ideal 600 micron depth micro needles to reach the dermis. This single use disposable applicator contains a reservoir that can be filled with ingredients tailored to your patients specific skin needs – such as vitamins, enzymes, hormones plant extracts, micro quantities of botulinum toxin and hyaluronic acid fillers –  it is then applied gently to the surface of the skin, with the entire treatment taking less than 20 minutes! 

Single Session   $350
3 Session   $1200
 Save Single Session  $400
4 Session   $1,050
 Save Single Session  $262

PROCELL HAIR RESTURATION

Scalp Microneedling with human stem cells. This procedure is an amazing treatment for patients with thinning or balding hair. We use a serum with cutting edge stem cell science with over 350 growth factors for optimal results. Applying this serum with micro-needling allows you to receive 300% more product penetration for maximal benefit. Microneedling along your skin also stimulates collagen and elastin production. In combination with the stem cell serum, this procedure stimulates hair growth to turn back the hands of time against aging.

Single Session   $350
3 Session   $1200
 Save Single Session  $400
4 Session   $1,050
 Save Single Session  $262

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AQUAGOLD – FOR A FLAWLESS, SUPER HYDRATED, GLOWING COMPLEXION

AQUAGOLD® Rejuvenation

AQUAGOLD Super Facial – The luxury 24-carat gold medical facial device designed to deliver a bespoke blend of skincare, favoured by Hollywood elite including Kim Kardashian. This new revolutionary micro- infusion delivery mechanism is a patented innovative device made to provide a truly customised facial treatment – CE marked and FDA approved.

AQUAGOLD Fine Touch Treatment is ideal if you are afraid of needles and want the convenience of a facial with the “after” photos of a cosmetic injectables brochure.

Bespoke Rejuvenation with AQUAGOLD

AQUAGOLD offers the ability to effectively deliver your own signature GLOW cocktail tailored to your own skin goals.

Bespoke GLOW Cocktail may include;
hyaluronic acid, micro- Botox, vitamins, PRP, stem cells , gluthatione, growth factors, antioxidants, and nano-peptide. Our doctors will recommend the right dosage for your unique skin concerns.

Instead of requiring multiple procedures, AQUAGOLD is one customised vial mixed with everything you need to address your skin care goals. Bespoke GLOW Cocktail infusions are delivered through gold coated micro channelling device.

What Is Baby Botox?

The AQUAGOLD device can deliver small amounts of botox below the skin surface. In this more diluted and superficial dose, botox works differently and functions more specifically on the upper layers of the skin for a softer and more natural look vs frozen look created by using Botox to block muscles. The result is that skin appears relaxed, smoother, and glowing with improved skin tone and pore size.

How does AQUAGOLD work with Hyaluronic fillers?

Hyaluronic Acid is what makes up the extracellular space between the body’s cells. It is a the primary ingredient in most facial fillers and in many medical grade skin care products, giving the skin a hydrated, plumped and healthy glow.

Can Aquagold replace Botox & Fillers ?

This treatment does not replace Botox and fillers (designed to temporarily fix a specific problem such as dynamic lines, loss of volume and deep wrinkles) but instead complements all rejuvenation treatments in that improves long term skin health.

Why Is Aquagold™️ priced higher than a regular facial ?

Unlike any other facial treatment, Aquagold is using FDA approved patented luxury gold pleated device to deliver medical grade vitamin cocktails, dermal fillers, skinboosters and micro – Botox (where advised by health practitioner). Unique micro infusion delivery system and effects of medical grade products on the long term skin quality cannot be compared to a regular facial treatment.

Renowned for its glow enhancing features, Aquagold is best booked to boost skin radiance as well as to prepare for an important event – weddings, filming shots, public speaking, fashion shows etc.

Your Treatment Plan with AquaGold

A personalised treatment plan with AquaGold includes:

  • Reducing wrinkles, fine lines
  • Reducing melasma, pigmentation
  • Reducing scarring, acne
  • Reducing enlarged pores
  • Enhancing skin hydration
  • Enhancing youthful natural glow
  • Rejuvenation of face, neck, décolletage and hands

Benefits of AquaGold

  • Aquagold is the only device that can be safely used to rejuvenate sensitive skin around eye / mouth area
  • Revolutionary, personalised skin treatment
  • Easy application of a revitalisation cocktail
  • Deep level skin hydration
  • Hydrates, clarifies, refines and rejuvenates skin
  • Regain a healthy glow
  • Smooth skin texture / tone with dermal micro-hyaluronic gel
  • Smooth wrinkles with micro-Botox
  • Reduce sebum production in oily skin and T zones
  • Enhance laser treatments with micro-serums containing growth factors and vitamins
  • Brighten and whiten skin with micro-pigment reducers
  • Virtually a painless procedure with minimal short-term redness

AQUAGOLD™ Treatment includes:

Bespoke Beauty GLOW Cocktail with hyaluronic acid, vitamins, antioxidants, and nano-peptide.
Baby Botox (optional and as advised by health practitioner)
Rejuvenating LED Light
Collagen LIFT mask

When Can I See Aquagold Results ?

Results are seen within 3-7 days after treatment and typically last approximately 3-4 months (depending on your lifestyle and overall skin quality). Ideal as event skin prep. Procedure can be done as often as every 1-3 months, doing several treatments throughout the year will continue to improve long term skin quality.

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ProCell Microneedling: Hair Regrowth

ProCell Microneedling for Hair Regrowth

About

Scalp Microneedling with human stem cells. This procedure is an amazing treatment for patients with thinning or balding hair. We use a serum with cutting edge stem cell science with over 350 growth factors for optimal results. Applying this serum with micro-needling allows you to receive 300% more product penetration for maximal benefit. Microneedling along your skin also stimulates collagen and elastin production. In combination with the stem cell serum, this procedure stimulates hair growth to turn back the hands of time against aging.

Procedure

Each session lasts approximately 60 minutes.

Length

A numbing cream will be applied 10-15 minutes prior to your treatment. Then the stem cells are applied in sections and are needled into the skin.

Place of Treatment

You will be treated in our medical spa room in Our Surgical Team's state of the art medical office and surgery center.

FREQUENTLY ASKED QUESTIONS

After your treatment apply the stem cell serum every 10-15 minutes until there is no serum left. Micro channels in your skin will remain open for a few hours following the treatment, so the serum will continue to penetrate the skin to enhance the production of new collagen and elastin in your skin. Be sure to drink lots of water to keep hydrated and to help flush toxins out of your body. Do not apply any products to your hair. A gentle shampoo may be used at bed time, avoid using any heavy conditioners. For best results apply the hair growth serum daily.

For best results you should return for a follow up MicroNeedling Scalp treatment once a week or five weeks. Reschedule a follow up appointment a month later to assess results and begin another treatment battery.

Your health and well being will always be our first concern. When numbing wears off your skin, you may feel like you have a mild sunburn and exhibit a red glow. You may apply a cool compress such as an ice pack to relieve the burning (do not use creams or other topical medications). These side effects are generally resolved by the following morning. Longer needle lengths may continue to be red for an extra day, or may result potential pinprick scabbing (red dots). You can expect to return to normal within 2-3 days.

There is no recovery time associated with the ProCell Microneedling. You may return to work and your daily activities immediately after the treatment.

A mild topical anesthesia may be applied 10-20 minutes prior to your appointment.


MICRONEEDLING WITH PRP (Platelet-Rich Plasme)

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. PRP contains proteins and several growth factors that regulate and activate cell migration and stimulate the production of collagen and elastin. 

Single Session   $500
3 Session   $1200
 Save Single Session  $400
4 Session   $1400
 Save Single Session  $350

MICRONEEDLING WITH PRP + INJECTION

 (Platelet-Rich Plasme)

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. PRP contains proteins and several growth factors that regulate and activate cell migration and stimulate the production of collagen and elastin. 

Single Session   $600
3 Session   $1800
 Save Single Session  $500
4 Session   $1800
 Save Single Session  $450

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    WHAT IS PRP HAIR RESTORATION THERAPY?

    Platelet-Rich Plasma, or PRP, therapy is a new and advanced technology that can be effectively applied to hair restoration. This method uses PRP, which is derived from the patient’s blood (by separating it into blood cells and plasma), to jumpstart the body’s hair follicles to produce and grow hair faster and thicker. This is possible because the plasma contains platelets rich in growth factors. These substances are naturally responsible for the skin’s turnover rate and the production of things like collagen and elastin. In this case, growth factors can return hair follicles to their normal production rate.

    WHO IS A CANDIDATE FOR PRP HAIR RESTORATION THERAPY?

    PRP Hair Restoration can be an excellent alternative to follicle transplant techniques, which can be invasive and require the use of foreign substances. Because PRP therapy uses the patient’s own blood, there’s little risk of reaction or irritation. Candidates that benefit most from PRP techniques are those that are beginning to show signs of early hair loss or thinning on the top of the head or in the front or temporal area. Patients should also be in good health and avoid certain medications before treatment. Our care team at your consultation will provide specific recommendations.

    WHAT HAPPENS DURING PRP HAIR RESTORATION THERAPY?

    To begin, both the donor site and the treatment area are prepared for the procedure, and a blood sample is taken from the patient. The amount needed can depend on the size of the treatment area, which will be determined by the provider. The vials are then placed within a centrifuge, which quickly spins them so that the blood cells are separated from the platelet-rich plasma. The PRP is then injected at regular intervals into the scalp at the level of the hair follicles in order for the PRP to best reach them. Depending on how large the treatment area is, this procedure can take around thirty minutes. On some occasions, this will be combined with microneedling, which can also help stimulate growth factors. Your provider will help you decide which technique is best for you.

    WHAT CAN I EXPECT AFTER TREATMENT?

    PRP Hair Restoration therapy works best as a series of treatments, usually spaced a month apart. In general, most patients see results after their second treatment or later, due to the nature of hair growth cycles. Patients usually experience some hair shedding before this, which usually indicates that the hair replacing it will be thicker and longer. During your consultation, our providers can give you the best idea of what to expect during your recovery and further treatments. After each treatment, patients are generally a little sore but can return to normal activities with little downtime.

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    WHAT IS PRP HAIR RESTORATION THERAPY?

    Platelet-Rich Plasma, or PRP, therapy is a new and advanced technology that can be effectively applied to hair restoration. This method uses PRP, which is derived from the patient’s blood (by separating it into blood cells and plasma), to jumpstart the body’s hair follicles to produce and grow hair faster and thicker. This is possible because the plasma contains platelets rich in growth factors. These substances are naturally responsible for the skin’s turnover rate and the production of things like collagen and elastin. In this case, growth factors can return hair follicles to their normal production rate.

    WHO IS A CANDIDATE FOR PRP HAIR RESTORATION THERAPY?

    PRP Hair Restoration can be an excellent alternative to follicle transplant techniques, which can be invasive and require the use of foreign substances. Because PRP therapy uses the patient’s own blood, there’s little risk of reaction or irritation. Candidates that benefit most from PRP techniques are those that are beginning to show signs of early hair loss or thinning on the top of the head or in the front or temporal area. Patients should also be in good health and avoid certain medications before treatment. Our care team at your consultation will provide specific recommendations.

    WHAT HAPPENS DURING PRP HAIR RESTORATION THERAPY?

    To begin, both the donor site and the treatment area are prepared for the procedure, and a blood sample is taken from the patient. The amount needed can depend on the size of the treatment area, which will be determined by the provider. The vials are then placed within a centrifuge, which quickly spins them so that the blood cells are separated from the platelet-rich plasma. The PRP is then injected at regular intervals into the scalp at the level of the hair follicles in order for the PRP to best reach them. Depending on how large the treatment area is, this procedure can take around thirty minutes. On some occasions, this will be combined with microneedling, which can also help stimulate growth factors. Your provider will help you decide which technique is best for you.

    WHAT CAN I EXPECT AFTER TREATMENT?

    PRP Hair Restoration therapy works best as a series of treatments, usually spaced a month apart. In general, most patients see results after their second treatment or later, due to the nature of hair growth cycles. Patients usually experience some hair shedding before this, which usually indicates that the hair replacing it will be thicker and longer. During your consultation, our providers can give you the best idea of what to expect during your recovery and further treatments. After each treatment, patients are generally a little sore but can return to normal activities with little downtime.

HAIR RESTORATION 

To prepare your PRP, blood is drawn and placed in a machine called a centrifuge. PRP is derived from your whole blood, so the platelets need to be separated from the red blood cells and white blood cells. This process occurs during centrifugation and the platelet concentration is increased. The platelet-rich plasma is then injected into your scalp to promote hair growth and the healing process. Your scalp is numbed with an anesthetic to minimize discomfort. The procedure is fairly quick, taking approximately 1-1.5 hours. For optimal results, we recommend 3 treatments spaced 4-6 weeks apart and maintenance treatments every 6-12 months

Single Session   $600
3 Session   $1200
 Save Single Session  $400
4 Session   $1800
 Save Single Session  $450

MICRONEEDLING WITH RF

Radio frequency (RF) microneedling devices use specially insulated needles that deliver high-intensity radio frequency energy into the targeted tissue under your skin. This procedure gives a uniform warming effect to the deep tissue, which helps to stimulate new collagen fibers to grow (leading to significant improvement to skin quality and texture). The result is a minimal downtime (or none at all), and a nearly painless procedure that can significantly improve wrinkling, scars and skin laxity.


Single Session   $500
3 Session   $1800
 Save Single Session  $500
4 Session   $1,500
 Save Single Session  $375

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Why choose us?

When considering any facial rejuvenation procedure, always look for cosmetic experts with specialized training and significant experience. Our specialists have extensive experience in all areas of cosmetic procedures and can help you explore options to rejuvenate or refine your appearance (and your self-confidence). To get the best results from any cosmetic procedure, you need the highest quality team. You can rely on our experts, who are nationally ranked for their expertise and care.

How to Prepare

It’s best to avoid alcohol and any nonsteroidal anti-inflammatory medication (a class of pain relievers called NSAIDs) before treatment, as both may contribute to bruising after the procedure. Stop using products that have salicylic acid (often found in facial cleansers) before the procedure.

Please inform your physician if you’re currently taking, or have taken, any blood-thinning medication, as it may increase bleeding or bruising during and following the procedure.

What to Expect

After your consultation, your provider performs the procedure under topical numbing. It takes about an hour. Typically, two to four treatments are recommended for best results.

Side effects following RF microneedling are mild, resulting in minimal downtime after treatment. For some patients, there may be mild pinpoint bleeding and slight bruising. Typically, your skin is mildly red for around 24 hours. Most people can resume their normal routine within a day.

It’s important to recognize that these treatments aren’t a replacement for surgery and won’t achieve the results that surgical procedures can. Not every patient is a candidate for these procedures.

Results

Best results are typically achieved after three to six months from the first treatment (your skin continues to improve as the new collagen is produced). Based on your consultation, your physician will recommend a treatment plan (most patients receive two to three treatments).

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Microneedling and Platelet-Rich Plasma (PRP)


If you’ve struggled with acne scars, wrinkles or sun damage, you’ve probably heard of Microneedling the treatment which uses controlled micro-injuries to stimulate your skin’s natural healing process.

Perhaps you’ve also heard of microneedling with platelet-rich plasma (PRP) – popularly known as the “vampire facial.”

This treatment might look like something out of a horror movie – but it’s growing in popularity due to its endorsement by celebrities like Kim Kardashian. The vampire facial takes microneedling to the next level, using your own blood’s special healing cells to improve your skin tone and smooth out any imperfections. Let’s take a look at how it works…

What Is Platelet-Rich Plasma (PRP)?

In this setting, platelet-rich plasma (PRP) is derived from a small sample of your own blood.  PPR is used because it contains a variety of growth factors and other beneficial proteins.

On the day of your treatment, a small sample of blood will be drawn and then spun in a centrifuge for roughly 15 minutes.

Centrifugation causes the various components of blood – including platelets – to separate by density. Your clinician will then extract the PRP in order to harness its powerful skin-healing effects.

How Does Microneedling with PRP Work?

After a small blood draw, your clinician will apply a topical anesthetic to your face. Then they’ll pass over it with a microneedling pen or derma-roller. These devices prick tiny holes in your skin, stimulating its natural healing processes – and creating channels for the PRP. In addition, the tiny breaks in the skin stimulate collagen production in the deeper layers of the skin which allows for facial rejuvenation by reducing the appearance of facial wrinkles and scars.

The microneedling portion of the procedure typically takes about 30 minutes – giving your clinician plenty of time to centrifugate that blood sample into PRP.

Next, your clinician will massage the PRP into the treated areas of the skin.. This helps the platelets and beneficial growth factors in PRP penetrate deep into your skin so they can work their rejuvenating magic.

Finally, your clinician will apply a balm to your face to reduce redness and irritation. The treatment usually takes less than two hours in total, and it has little to no downtime. Many patients return to work the next day.

What Skin Conditions Can Platelet-Rich Plasma (PRP) Treat?

Microneedling (with or without PRP) can improve a variety of skin conditions, including:

  • Acne scars
  • Age spots
  • Wrinkling
  • Sun damage
  • Scarring caused by injuries such as burns
  • Hyperpigmentation

Even if you’re lucky enough not to have any of these issues, you may want to consider microneedling with PRP to improve your skin’s tone, texture and overall appearance.

The treatment is usually well-tolerated in adults, and has very few side effects other than minor irritation for a couple of days. For best results,patients should avoid direct sunlight and minimize their use of personal skin care products for the first few days of recovery.

In sum, microneedling with PRPis a powerful treatment for a variety of common skin concerns.