Microneedling with Platelet-Rich Plasma (PRP) is generally considered a safe and effective treatment for various skin concerns, including fine lines, wrinkles, and skin texture. However, individual responses to the treatment can vary. In most cases, microneedling, especially when combined with PRP, is aimed at stimulating collagen production and improving skin elasticity. It is not commonly associated with causing sagging skin or making nasolabial lines more prominent. However, there are a few considerations: Individual Variability: Skin response to treatments can vary from person to person. Factors such as skin type, age, and the specific techniques used can influence outcomes. Healing Process: The skin may go through various phases during the healing process. Sometimes, temporary changes can occur as the skin remodels and collagen production is stimulated. Technique and Device: The effectiveness and outcomes of microneedling can depend on the device used (such as the SkinPen), the depth of the needles, and the technique employed by the practitioner. Underlying Skin Condition: Pre-existing skin conditions or concerns might influence how the skin responds to microneedling. While studies generally support the effectiveness of microneedling in improving skin texture and firmness, there is limited evidence to suggest it causes sagging skin. In fact, microneedling is often used to address mild skin laxity. If you are experiencing unexpected results, it is important to follow up with your dermatologist. They can assess your skin, review your treatment history, and determine if additional treatments or modifications to your skincare routine are necessary. For further assessment and personalized advice, I recommend scheduling an appointment with your dermatologist to discuss your concerns in detail.