Thanks for the great question! Microneedling with PRP is a great way to improve your skin's texture (it smooths the skin), reduce pigmented lesions (spots typically lighten), reduce the depth of fine lines, wrinkles & scars, and improve skin tone. Microneeding w/ PRP works by creating tiny holes or "channels" in the skin that your body views as micro-injuries. The body's response to this micro-injury is to begin synthesizing collagen to heal the tissue. PRP amplifies this result by supplying needed growth factors to aid in & optimize healing. It is best to complete a series of treatments for maximal results (we typically recommend a series of 3), although you can often see a difference after just one treatment. It's not uncommon for the skin to undergo some light peeling after a microneedling treatment- so the first improvement you can see is an improvement in texture. Remember that building collagen takes time, and your final result post-microneedling will come several weeks after the procedure. Additional treatments ensure that your skin's collagen network is robust, and will yield more impressive results. As with most aesthetic collagen-stimulating procedures, we are not immune to the aging process, so yearly maintenance is required to maintain optimal results. Health & Happiness, Dr. Hester