Microneedling/PRP VS Fraxel.

Hello I would like to ask this question to doctors that have both experience from Fraxel and PRP. Which would you choose between Microneedling/Prp vs Fraxel for better results the following 3 different skin cases for the face : 1.Antiaging and Wrinkles 2.Melasma and skin discoloration 3.Acne scars (Without considering price , downtime ,risks involved etc. Just Pure Results Thank you)

Doctor Answers 5

Microneedling/PRP VS Fraxel

It is hard to give you generalized opinion stating that one or the other treatment is better for one or the other condition. I had patients with different skin condition and acne scars that had to receive different combination of treatments. For some Fraxel laser worked better while others had better results with microneedling. I would avoid using Fraxel for Melasma since skin is more sensitive and it may lead to hyperpigmentation. I would preferably use chemical peels for Melasma. All treatments are great and it is important to determine if you are the right candidate for the treatment. Good luck! 


Summit Emergency Medicine Physician
5.0 out of 5 stars 35 reviews

Best solution for your skin concerns.

Each device has its own optimal use, namely, for acne scars I prefer energy based insulated RF microneedling compared to Fraxel - why? Because it works better, and spares the upper layers of skin. For pigmentation such as melasma, the use of the 1927 wavelength in either Fraxel low density pass, or the Clear and Brilliant Permea is best as it targets the upper layers of skin. As work anti ageing and wrinkles, depending on the severity, microneedling can be combined with Fraxel to give results in the epidermis and deep dermal layer to stimulate collagen. All the best, Dr Davin S. Lim 

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 70 reviews

Microneedling with PRP and Fraxel

I perform both microneedling with PRP and Fraxel and eMatrix and other lasers.  There is a place for all of these treatments and the key is selecting the right patient with a certain skin type and condition for these treatments.  They are both extremely effective for the correct patient.  Please consult an expert.  Best, Dr. Green

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 71 reviews

Microneedling/PRP VS Fraxel.

Thanks for your query. If we consider purely the results, then for anti aging, wrinkles, melasma and skin discoloration micro needling with PRP would give better results as the growth factors in PRP will stimulate the formation of new collagen which will lead to resurfacing of the skin thus leads to decreased wrinkles and improves melasma and skin pigmentation , giving it a glow. Acne scar respond better to fraxel. Both the treatments require multiple sittings and involve a little bit of downtime but the result is appreciable. Hope it helps.


All The Best

Ajaya Kashyap, MD
India Plastic Surgeon
4.9 out of 5 stars 161 reviews

Microneedling with PRP - A Fad without proven results

I think you must watch for the hype with the microneedling and PRP. I have yet to see demonstrated science behind it or great results. Also, PRP is all over the map as far as concentrations. It must be 6X (6 times the normal platelet concentration) to be most effective. Most is about 2. Fraxel will be better for all the cases you are asking about . I also don't believe that one is driving in the PRP with the microneedling. If it is laid on the surface after microneedling with a soaked facial mask, this might allow the PRP to penetrate. Also, injecting the PRP is better too.

Steven F. Weiner, MD
Panama City Facial Plastic Surgeon
4.7 out of 5 stars 35 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.