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I always tell my patients, if a facial feels good for you torelax, get it. If you are actuallytrying to improve your skin in the long term, do Dermapen instead. You know when you go on a trip and you get afacial, you glow that day, then go back to looking normal the day after. After Dermapen, you glow for a month and getlong-lasting collagen production. You can get Dermapen (or microneedling) with blood or spundown blood to isoloate the PRP (platelet rich plasma). This boosts the efficacy of microneedling bypenetrating your own growth factors deep into your skin, again, causing morecollagen production and lon-lasting benefits for your skin. I prefer PRP over blood because we haveisolated the growth factor portion of the blood to use in the treatment. You can expect improvement in fine lines and wrinkles, hyperpigmentation,and a long-lasting glow. Personally, Ilove this treatment and try to get it done every couple of months. You will be addicted too. Promise!
Retinoids are very commonly used and do not typically need to be stopped prior to extractions. Ensure that you're seen by an expert esthetician who will treat your skin with care. I hope this information is helpful for you.Stephen Weber MD, FACSDenver Facial Plastic Surgeon