Is Dermapen/Micro-needling more effective when combined with PRP? (Photo)

We've been performing microneedling with PRP for the past year and I've seen surprising results in terms of acne scarring and overall improvement in skin texture and pigmentation. Some of the most impressive results have been in patients who have already been treated with the gold standard laser resurfacing, chemical peels and dermabrasion. I do think that PRP is oversold in some circles as a miracle cure and the data is not there yet, as Dr. Ibrahimi suggested. However, I definitely think that this treatment is effective for many people with acne scarring. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon

Hi Sarah. The trouble we have with PRP is that there is no research to support that it helps.  Yes, it is FDA approved to aid in the healing of joints after reconstructive surgery, but that has not been extrapolated to the face with any clinical research.  So, we discount any benefit of this product and in most cases what you see is a very short term improvement because fo the volume of liquid that is placed into the skin.  We are also not big fans of the dermaroller or microneedling.  The challenge with these procedures is that they cannot remove scar tissue, but rather they pry it open a bit, only to have it close right up again.  In contrast, laser resurfacing vaporizes scar tissue by creating microscopic perforations in the skin.  These small perforations are then filled with new collagen, creating a smoother appearance.  We'd say stick with a laser combo, but if you choose dermapen, forego the PRP.  

Thank you for your question. In my opinion, adding PRP or platelet rich plasma to microneedling is a great adjunct in treating acne scars. You might need more than one treatment to achieve a desired outcome.
I hope this helps. Best wishes. Dr. Salameh (Plastic surgeon - Bowling Green, KY)