How much of a difference does PRP make when microneedling?

Hello and thank you for your question.We only microneedle with PRP in our office. The additional amount you pay is absolutely worth the benefits of using PRP during your microneedling treatment. Not only does PRP speed up the process of wound and soft tissue healing. The healing properties of platelets and growth factors from your blood help to stimulate a stem cell response. These stem cells allow production of new collagen, repairs and regenerates damaged skin, and helps reduce the signs of aging.Hope this helps,

I actually do not use PRP with microneedling as I have such good results without it.  I've been using microneedling as an adjunct to surgical procedures since before the hype of PRP became popular and have used it myself to correct severe acne scarring. My patients tell me that all the photos of the Vampire facelifts online scare them off from wanting to do microneedling and are relieved when they hear their experience won't be like that. 
With that being said, I don't think it bad to use it, but I'd rather add a chemical peel to or recommend skin products to use with microneedling. My patients are very happy with this and are obsessed with how their skin looks even after one treatment. 
I hope this helps,
Sarah Saxon, MD