RF Microneedling w/PRP vs. Fraxel (non-ablative) procedure? (photos)

I am a 59yr fair skin woman, w/no acne scars. I'm torn between having a Fraxel or the RF Microneedling w/PRP. I know that I would need to have at least 3 Fraxels to see results. - My doctor is partial to the RFM & says I will need only one (1) RFM w/PRP treatment. However, I'm reading that I will need at least 3 FRM''s (w/PRP) to see results? I'm also reading that RFM is painful? Help!

Doctor Answers 3

Fraxel v. Microneedling

I find that with either Fraxel or RFM at least three treatments are needed to see results. Most patients tolerate the microneedling very well and say it is a comfortable procedure. Based on the photos I concur with the other doctors that you may benefit from more aggressive therapies and utilize the RFM for maintenance treatments.

Long Island Dermatologic Surgeon
4.9 out of 5 stars 20 reviews

Combination treatments work best.

Like Dr Emer, I seldom work with one device, its finding the best METHOD to give you your desired result. As  you have textural changes- wrinkles but most importantly brown pigmentation and sun damage, I would opt for a high density CO2 laser in combination with Microneedling (energy based to stimulate collagen), at the same time I would use PRP. This ensures that your healing times are shortened, but with laser, this also address the superficial component of skin ageing- namely texture. See a expert who has many devices as he or she will often combine treatments to give the best results. Dr Davin Lim, Brisbane. Australia. (PS. Never forget volume correction - the balance of texture, tone and volume with filers gives the most natural results)

Davin Lim, MBBS, FACD
Brisbane Dermatologist
4.7 out of 5 stars 77 reviews

I'd do a Combination

I usually recommend a combination of RF treatments and/or ultrasound with microneedling/PRP to get the best results. you are really a candidate tho for a combination of more agressive laser like co2 or erbium, fillers, and botox. See an expert. Best, Dr. Emer

Jason Emer, MD
Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 196 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.