Microneedling with Tranexamic acid, does it help?

This is difficult to answer without pictures. A combination approach will give the most improvement. For rosacea, I like a combination approach, using lasers (ProYellow, Pulsed Dye/Vbeam, Excel V), peels and botox to the cheeks. This makes dramatic changes in color and symptoms. See an expert. Best, Dr. Emer

Hello thank you for your question. With out a picture and based on your description it is difficult to say if Tranexamic acid serum will be more effective than PRP. The great thing about adding serums after a Microneedling treatment is that the skin can really absorb these solutions because there are microchannels that are open and facilitate this absorption. Tranexamic acid is used for patients with pigmentation disorders such as Melasma. If you don't have Melasma I would ask if they have Vitamin C as an option or Hydroquinone, both of these should brighten up your skin. PRP is still my favorite serum to apply after any procedure, it cuts down the healing time and it give patients better outcomes. Hope this helps, Dr. S.