Which is better for face volume and lifting, vampire/blood injections or hyaluronic acid injections?

Thank you for your question. You didn’t submit a photo, but your question is very straightforward asking what is better for facial volume: vampire blood lifting, or hyaluronic acid injections?
I can share with you how I answer this question almost every day in our practice. A little background: I’m a Board-certified cosmetic surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have been in practice in Manhattan and Long Island for over 20 years. I have been a very vocal member of the Vampire Facelift® Network of doctors as I have been called upon numerous times as a resource for media in answering this type of question.
If you want volume, think about where you want volume to give you an understanding of how the mechanisms of the Vampire procedure work. When people say the Vampire procedure, they mean PRP, but there is actually a very strict definition of the Vampire Facelift®.
The Vampire Facelift® was created by Dr. Charles Runnels who came up with this idea of trying to get the best of all worlds by combining the skin boosting effect of PRP (platelet-rich plasma), with the volume correction effect of a single syringe of a hyaluronic acid filler such as Restylane or Juvederm. When we demonstrate the Vampire Facelift® procedure, we usually begin with the hyaluronic acid filler at limited strategic places such as the tail of the eyebrow, tear trough area, cheeks, lips, and nasolabial folds, but it’s limited to a single syringe.
PRP will provide a volumizing effect, which is the reason he referred to it as the Vampire Facelift®. When a surgeon like myself thinks of a facelift, we think of vertical repositioning of sagging tissue. When it came from an aesthetic physician’s perspective such as his, it meant lifting the skin away from the bone structure, which consistently happens with facial aging. So the goal of the Vampire Facelift® is improving the softness and quality of the skin.
If you want specific volume, we do a procedure called Structural Volumizing that in a way does mimic the effects of a facelift by addressing the structural elements of facial aging. By placing hyaluronic acid filler such as Juvederm Ultra Plus or Juvederm Voluma at the cheekbone level, jawline, chin, and jaw angle, we get much more volume correction which cannot be accomplished with PRP.
PRP can be manipulated to a degree by creating platelet-rich fibrin matrix  (PRFM) which has a little more viscosity, but it’s not going to behave the same way as a hyaluronic acid filler. Often when people come for volume correction, they also want to improve their lips, and the same thing applies where a hyaluronic acid filler has a much more reliable volumizing effect.
I explain to my patients that PRP is more about a stimulatory effect on the skin. If you are dealing with fine lines and wrinkles, acne scars, sun-damaged skin, then PRP stimulates your body’s natural collagen repair mechanisms to build collagen and improve more of a global health and quality of the skin. I often compare it to exercise: you treat, you observe, then treat again. If you do it with some consistency, you get the nice benefit, but it depends on your body’s ability to generate very limited amounts of volume, while with a hyaluronic acid filler you get the immediacy of the correction. You do have to come back for repeat treatments, but there are different timeframes depending on the area and the material being used. I hope that was helpful, I wish you the best of luck, and thank you for your question.

PRP and HA are two entirely different entities.HA will contour the face by adding volume to various areas to enhance existing landmarks and/or to correct deficient areas.  It has a lifetime of 6-9 months.PRP is a biologic (from your own body) stimulant comprised of various growth factors that are blueprinted from your DNA and target specific cells to promote cell growth and development.  It acts on a cellular level. PRP doesn't contour or act as a filler, it is a liquid vehicle which delivers the growth factors where they are needed.  It's primary purpose is to improve the integrity and quality of your skin and directly improve the changes due to aging- fine lines, dry skin, thin skin, lax skin.  PRP is so powerful that it can restore hair growth in areas of permature hair loss and also improve sexual function/satisfaction for women by addressing aging changes at the vagina and clitoris.PRP, unlike HA, is best valued when used in a series, example 1x per month for 3 months and then just 2-3x per year.  It builds tissue and the repetition maintains tissue growth.Using PRP and HA together is a great combination!In good heatlh,Ellen Mahony, MD

Hyaluronic acid fillers are a much better choice for addition of facial volume.  More specifically, Voluma is specifically designed and FDA approved for this purpose.