I am a cosmetic surgeon practicing in Manhattan and Long Island for over 20 years and I’ve seen a lot of different modalities come and go with the expectation that a certain level of trauma to the skin will result in improvement. There have been many patients who come to me after they had frequent laser treatments with thermal devices with the intention of tightening skin. Unfortunately, the skin has a threshold where it cannot be stimulated through heating or abrading to get enough collagen. In our practice, we use platelet-rich plasma (PRP) to help a lot of people who have had issues related to hyperpigmentation related to loss of volume in the skin. We also used it in the tear trough area for hollowing, for thinning skin, and lastly for a variety of reasons including skin affected from excessive laser treatment. Until today, platelet-rich plasma has not harmed anyone because it is derived from your own blood, and is a concentration of healing and growth factors, platelets and the vascular stimulating factors. Our PRP patients report that their skin has a nice glow. I’ve also used PRP for a lot of revision procedures. We’ve had patients coming from all over the world who have problems with their lower eyelid being pulled down and who have had multiple operations. We’ve used this material to help rehabilitate the scar tissue not only under the eyes but also scars all over the body. In addition, we use this to support our surgical procedures in order to restore their appearance. The Vampire Facelift™ is simply a concept of using a single syringe of a hyaluronic acid filler in combination with platelet-rich plasma. It improves skin quality and skin thickness, but it does not restore volume in the way a filler does. On the other hand, the Vampire Facial™ that was made famous by Kim Kardashian involved combining platelet-rich plasma with microneedling to the skin. She made it famous because she had little blood spots on her skin from the level of depth of the microneedling. In our practice, we typically do platelet-rich plasma injection over the course of 3-4 months and looking at how the skin responds. Most of our patients seem to respond very well to this. It has a very unique niche in the aesthetic world because no filler can stimulate collagen and blood supply and create the effect that platelet-rich plasma does. Often, we do this in combination in the form of The Vampire Facelift™ procedure or in combination with other fillers. We customize this procedure for every patient. Platelet-rich plasma will probably help you rehabilitate your skin. I always describe it like exercise; you don’t go to the gym once and do one set of exercise and expect that it will last you forever, you have to do it regularly. Platelet-rich plasma can have both the reparative benefit as well as a maintenance benefit to keep your skin looking good which appears very important to you. I hope that was helpful, I wish you the best of luck, and thank you for your question. This personalized video answer to your question is posted on RealSelf and on YouTube. To provide you with a personal and expert response, we use the image(s) you submitted on RealSelf in the video, but with respect to your privacy, we only show the body feature in question so you are not personally identifiable. If you prefer not to have your video question visible on YouTube, please contact us.