Platelet-Rich Plasma (PRP) – Natural Skin Rejuvenation
Platelet-rich plasma, commonly called PRP is used to direct your body’s own wound healing abilities for various situations. Among the first professionals to use PRP were oral surgeons who used PRP to improve the healing process of dental implant surgery. Orthopedic surgeons use PRP for different joint injuries. In Aesthetic Medicine, Dr. Amiya Prasad was an early proponent for the use of PRP for enhanced healing and skin quality improvement. He was able to see many clinical benefits with PRP, although at the time, many dermatologists and plastic surgeons were dismissive of the potential benefits of PRP. So many years later, PRP is now being used by doctors in the cosmetic field for skin rejuvenation, wound healing, as well as for hair loss treatment.
Platelet-rich plasma comes from your own blood. The blood contains cells called platelets, which are needed to form clots when you have a cut. These platelets can be concentrated by drawing blood (like a routine blood test) and then spinning the blood in a centrifuge. This results in a clear yellow serum with concentrated platelets, or platelet-rich plasma.
What is Platelet-Rich Plasma Used for?
PRP can be injected into different areas to improve skin quality, texture, increase circulation, and improve blood supply. The effect of PRP on your skin is unique in how the skin texture and “glow” that results after PRP treatment is not usually seen in the same way with other skin treatments.
PRP for different treatment issues, and treatment areas include:
- Under eye dark circles
- Fine lines and wrinkles associated with aging and excess sun exposure
- Forehead lines
- Glabellar lines (“11” lines between the brow)
- Periorbital lines (crow’s feet)
- Nasolabial folds (parentheses lines)
- Smile lines
- Acne scars
- Vertical lip lines (lipstick lines)
- Marionette lines (the ones that extend from the corners of the mouth to the chin)
Differences of PRP from the Vampire Facelift
PRP alone is not the same as the “Vampire Facelift”. While the Vampire Facelift procedure does use PRP, and derives its name from using a patient’s blood, the Vampire Facelift is a specific procedure with a license to its brand. In addition to PRP, the Vampire Facelift involves the application of a single syringe of a hyaluronic acid filler in a specific combination approach. Neither the Vampire Facelift or injections of PRP alone can replace the results of a surgical facelift. PRP is used for skin rejuvenation, while the hyaluronic acid filler used in the Vampire Facelift is used to enhance volume to lift the skin away from the underlying bone structure. There is no lifting of sagging skin and soft tissue as in a surgical facelift.
Differences of PRP from Cosmetic Fillers
Many people believe that PRP is a “natural” cosmetic filler that could be a substitute for commercially manufactured fillers. This is not the case. Cosmetic fillers, which are most commonly hyaluronic acid fillers, have a viscosity and longevity that PRP does not have. While PRP can enhance the volume of the fatty layer below the skin, PRP cannot be used to add a significant amount of volume to treat hollow areas or age-related facial bone volume loss. We routinely use hyaluronic acid fillers for volume correction and use PRP for skin quality improvement during the same visit.
Platelet Rich Plasma (PRP) Treatment in Manhattan, New York City and Garden City, Long Island
Oculoplastic surgeon Dr. Amiya Prasad has been using PRP to enhance and restore the skin of the face and neck. Platelet-rich plasma (PRP) contains growth factors which stimulate your body to repair and restore tissues using your body’s own natural processes. With his technique, Dr. Prasad is able to rejuvenate your skin by isolating elements from your blood, which can then be injected below wrinkles, folds and even acne scars.
Platelet-rich plasma (PRP) systems such as Selphyl® technology, produce a platelet-rich fibrin matrix (PRFM) from your own blood. This PRFM contains the growth factors your body uses to initiate and control wound healing. Dr. Prasad uses platelet-rich plasma (PRP) to improve wrinkles, folds and scars (including acne scars) on your face in combination with or without surgery or lasers.
In fact Dr. Prasad also uses PRP to accelerate recovery from and to enhance the results of rhinoplasty, facelift, fat transfer and facial implant surgery.
Platelet Rich Plasma Preparation
A small amount of your blood is drawn (like having routine blood tests in your doctor’s office), and Dr. Prasad uses platelet-rich plasma (PRP) with Selphyl® technology (an FDA cleared device to separate the elements of your blood in a specific way) to generate a platelet-rich fibrin matrix (PRFM).
This Selphyl® PRFM primarily contains fibrin, a natural blood protein, and platelets, the part of your blood chiefly responsible for stopping bleeding. In addition to this function, platelets also contain growth factors and proteins which signal cells in your body to perform tasks such as producing or reorganizing collagen, developing blood vessels, etc. The platelets in the Selphyl® PRFM, as opposed to other platelet systems, release these growth factors in a concentrated but natural way.
It is believed that these growth factors stimulate the cells in the tissue being treated—such as those below wrinkles, folds, laugh lines and acne scars—to rejuvenate the skin over the next few weeks.
How PRP is Done
After determining that platelet-rich plasma (PRP) or Selphyl® platelet-rich fibrin matrix (PRFM) is right for you, a small amount of your blood will be drawn, similar to having basic blood tests at your doctor’s office. This will then be used to prepare the Selphyl® PRFM, which is a process that takes approximately 6 minutes to complete. During that time, the areas of the face to be treated will be cleansed and numbed, with either a topical cream, spray, or a small injection.
Once this is done, the platelet-rich plasma (PRP) or Selphyl® PRFM is injected into the skin to be treated. Cool compresses are then applied to these areas. The entire process typically takes no more than 15-20 minutes.
What to Expect After PRP Injections
Immediately after treatment with platelet-rich plasma (PRP) or Selphyl® platelet-rich fibrin matrix (PRFM), the treated area should look slightly red, though this typically fades in a few hours. There is usually very little bruising, which is generally limited to a few “points” and can easily be covered with make-up. There will be some mild swelling, which, in most patients, fades in a few days.
Beyond this, there is usually some “settling” of effect over the first 1-2 weeks, after which the improvements noted are long-lasting. Selphyl PRFM can provide a natural-looking improvement using your body’s own capacity for repair and regeneration.
Before and After Platelet Rich Plasma Injectable Examples
Shown here are before (left) and after (right) views of actual patients. It’s important to remember that every patient responds differently to surgery, and no one can be certain that he or she will get the results shown. However, these photos will illustrate the changes that are possible with these procedures.