Can microneedling be combined with PRP and filler?

Question

I saw an ad today for microneedling with prp and filler. Is this possible? I know about aquagold, but I heard that this treatment is superficial. I think microneedling is deeper than aquagold. Is microneedling with filler and prp good for cosmetic appearance of the skin? How common is this treatment? Can it help with surgical scars?

Raffy Karamanoukian, MD, FACS · Answer

Our office has many different treatments for scars depending on the depth of atrophy or hypertrophy. Scars require a combination approach using our HI DEF protocol which uses a combination of lasers, topical scar modulation, and RF treatments to pixelate scars, improve contour, reduce hyperpigmentation, and improve the visibility of the scars so that they are no longer visible in ambient light. Everyone has a unique pattern of scarring and we employ our HIDEF technique to improve texture, color, contour, and topography. We often use a combination of treatments that begin with a careful examination to examine the micro texturing of the acne scars. Atrophic scars and indented  scars can benefit from injectable fillers such as Radiesse, Sculptra, and Restylane with or without subcision to remove tethered scars and atrophic depression. Hyper-redness in scars can be improved with V beam laser, Excel V, BBL, IPL, and Venus RF to improve  the redness and reduce the visibility of deep scars. Fractional Thulium laser and clear & brilliant can also reduce the inflammation and redness of the scar when combined with topical therapy. Fractional lasers such as Fraxel, erbium, and CO2 laser can be combined with radio frequency and also fractional RF to improve textual issues and microtopography. Subcision and TCA cross are also used for deep ice pick scars and narrow valley scars in order to improve the micro texture.  Above all, our combination approach with our clinical nurses and board-certified plastic surgeons can improve the quality of your skin by using at home Melarase creams combined with PRP treatments in our office to improve your skin quality and tone. I recommend getting a formal evaluation with an experienced team of experts in order to reduce your scarring.
 
Finally, hyperpigmentation of scars can be improved with at-home Melarase AM, Melarase PM, and Melapads to help reduce active PIH and melanin deposition.

Best, 
Dr. Karamanoukian
Realself100 Surgeon

J. Jason Wendel, MD, FACS · Answer

Thank you for your question in regards to microneedling. Microneedling is a great method to treat a plethora of skin concerns with little downtime. It generally takes several treatments to achieve desired results, although adding PRP (platelet rich plasma) will often amplify the results. Pairing PRP and microneedling is very common. It will help with skin tone, texture, pore size, fine lines, scarring and stretch marks. Fillers are injectables to enhance volume loss and would most likely be schedule out after micropen treatments once healed (about a week). To be sure what is best for you, see two or more board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have treatment. I hope this helps.

Jason Emer, MD · Answer

Thank you for your question, In our practice we refer to PRP as "liquid gold" because it provides healing and rejuvenation and is a natural way to improve the appearance of your skin. Platelet-rich plasma is a high concentrate of protein derived from the blood; blood is drawn from the patient and placed in a tube that, once spun in a centrifuge, separates natural growth factors and stem cells from red blood cells. In addition to helping you maintain a fresh, youthful appearance, PRP can address localized conditions such as acne, wrinkles, cellulite, scars, and sun damage, and it's great when used in conjunction with lasers, radiofrequency devices, and microneedling treatments. The Vampire Facial uses PRP and stem cells to improve complexion, texture, and fine lines and wrinkles. When combined with lasers and radiofrequency treatments, it can also address scars, pores, and pigmentation. I recommend getting a formal evaluation with an experienced cosmetic dermatologist. Best, Dr. Emer

Ramandeep Sidhu, MD · Answer

Great question and short answer is yea microneedling can be combined with PRP and fillers. PRP is your own blood product that is rich in growth factors and low in inflammatory markers so when added with microneedling or even if used all by itself with injections is a great treatment and one of the most natural way to a healthy skin. Yes it will help with scars too. One of the most commonly performed treatment is microneedling.

Dmitriy Schwarzburg, MD · Answer

Microneedling is a non-invasive skin rejuvenation technique that uses a mechanical device with fine needles to create controlled injury. This triggers the body to produce more collagen. It addresses fine lines and wrinkles, loose and sagging skin, acne and scarring, uneven texture, stretch marks, and pore size. You can combine it with PRP and fillers. Make sure this is the most appropriate treatment for you. Please contact a qualified provider or a board-certified physician with extensive experience in these procedures and get a complete assessment to see which are the best treatments for you.

Accents Cosmetic Surgery and Medical Spa · Answer

Thank you for your question. Please keep in mind that an in person consultation is best for a thorough treatment plan.
Microneedling is excellent to help improve the skin tone and texture by stimulating the building of collagen. It is also combined with PRP to help further the building of collagen. Using PRP with filler can be done to restore volume to the face, as well. I typically do not use filler alone with microneedling for the specific intention of skin improvement as this is not what filler is intended to do.

Chien C. Kat, MD · Answer

HiYes this combination will produce great results however if you have the fillers first we recommend waiting 2 weeks until undergoing Needling and PRP.A course of Needling such as SkinPen will need to be performed with a minimum of 3 treatments at 4 weekly intervals.Hope this helps

Michelle A. Radeka, DMD · Answer

Hello and thank you for your questions.  Microneedling with PRP and filler is possible and yes it has been shown to be good for the cosmetic appearance of the skin.  PRP really works best when injected however.  You can still benefit from microneedling it into the skin, but ideally you should have it injected and microneedled.  Make sure you are going to someone who is using a good surgical system as well as knowledgable in injecting the PRP.  It is a fairly common treatment and it can help with scar reduction.  Hope this answer helps and best of luck from the Art of Ageless Aesthetics

Maha S. Shakir, MD, FACS · Answer

Hi thank you for your question.
If you have had filler recently we suggest waiting 2 weeks before getting PRP microneedling. Wish you the best. 
LOVA- Lake Oswego Vein & Aesthetic

Can microneedling be combined with PRP and filler?

Answers (9)

More Microneedling Questions

Which is safer, AND would provide the best results for sun spots, fine lines and crows feet: microneedling, or halo? (Photo)

Does microneedling help with large pores? To reduce the size? And will it effect filler I currently have in cheeks?

Microneedling with exosomes or with old and tested PRP?

How soon after Botox can I get Microneedling done?

Microneedling helpful for fine lines under the eyes? (photo)

What procedure is best for permanent results on white stretch marks?

WE SEND PRETTY
EMAILS