Is it normal to have dried blood on your face all day after PRP microneedling? (Photo)

Question

I had PRP Microneedling ("vampire facial") done on my face today. The nurse told me to wait until tomorrow morning to wash my face, but it is covered in dried blood. I am really not supposed to wash that off until 24 hours later? Is this normal?

Jeffrey B. Wise, MD, FACS · Answer

In our facility we use a highly concentrated PRP that can look very red. Fortunately, our device separates the plasma into two concentrations and we layer the second, clear, plasma on top. We ask patients to leave the solution on the skin for 24 hours to enhance results. I would suggest washing your face although it isn't usually recommended. Best of luck!

Oxana Popescu, MD · Answer

Hello and thank you for your question.
It makes sense to have the PRP's applied immediately after the treatment. The moist environment and the opened pores will  help with the absorbtion of nutrients and GF's. Once this has dried out I would remove it gently with NS solution since it can be a good environment for bacterial overgrowth and infection.

Best,

Oxana Popescu MD

Ram Chandra, MD · Answer

Thank you for the question and posting the photos. The pure form of PRP should not have any red blood cells in it. Its golden yellow color.  A little bit of red blood cell sneaking in is not going to make the treatment bad. Microneedling alone can produce some pin point bleeding points based on the depth used. PRP used will reach the deeper layers of the skin thru the microneedled gaps or micro injuries so to speak. The PRP also has anti-infective properties and leaving the dried part on your skin is not going to predispose you to infection. If the dried blood looks too obvious, and after about at least 6 hours and preferably after 12 hours, its okay to gently wash off. There is no generally agreed upon consensus as to how long it should be left on. However long it is, there is no harm. But you don't need to keep it on for 24 hours.

Leslie Pickens, MD · Answer

The Vampire Facial will leave some dried blood on the face.  The microneedling will cause punctate bleeding to create the channels through which the PRP can enter the skin. The PRP is straw colored.  It is rare for infection in the head due to the large amount of blood flow and oxygenation for a short period especially.  We ask our patients to leave the PRP and sometimes even continue to apply extra PRP for the hour following a couple of times at home in some cases then wash gently before bed.

Laura Phan, MD · Answer

At our practice, the PRP isolated from the reagent is actually a yellow serum and is injected into the skin before as well as overlaid on the skin after microneedling. There may be dried blood on the face from the microneedling. We typically ask the patient to not wash the face until that evening with a gentle cleanser, like Cetaphil, and then apply antioxidant serum. The antioxidant serum is applied twice daily until the redness resolves. In addition to the antioxidant serum, we have patients use post-procedural sunscreen.

Daniel DePrince, DO · Answer

We use Selphyl PRP/PRFM when we do the Vampire Facial which creates very clear yellow fluid where the PRP is contained. There is virtually no red cells with this kit . It's true that the longer that PRP stays on the skin the better chance it has of going where it's needed. It travels through the channels created by microneedling. Typically 4-6 hours is appropriate time to leave the PRP on the skin. 
Sincerely,
Dr. Daniel DePrince III

Nicholas Gentry, MD · Answer

24 hours is a bit excessive. I’m not sure anyone knows how long to leave the blood/PRP on your face. We typically recommend at least 4-6 hours. I have also used eclipse or other PRP kits to remove more red blood cells so that the PRP on the face appears as plasma (clear yellow) not red. The effects are the same without having red blood on your face.

Anteneh Roba, MD · Answer

There is some debate about washing or not washing your face after a vampire facelift procedure. As far as how we do it in our clinic is to have the patient come late afternoon,  if possible,  and get the procedure done. We inject the PRP then microneedle the PPP. We then leave the Platelet Poor Plasma on till the next morning. So, yes it is okay to have PPP on your face after the treatment is done. It's usually not that bloody though.

Richard E. Moore, MD · Answer

Thank you for your question and posting your pictures. I would follow the advise of your practitioner. If you wash your face prior to that time you will be washing away some of the PRP and this in theory could reduce the effectiveness of your result. It would have been nice had the blood been cleansed away prior to the application of the PRP. Then it would not have been an issue for you.I hope this was helpful - Dr. Moore.

Justin Harper, MD - Account Suspended · Answer

Hi msw123, Normally, PRP is a straw-colored serum rich with growth factors. Once spread on your face, it becomes a film that prevents bacteria from entering. It also enters the microwounds and accelerates healing. We only inject for hair loss. Some clinics suggest up to 25 hours. If it doesn't bother you, should follow your clinic's protocol. If it bother's you, gently wash off but don't scrub.All the best, Justin Harper, M.D.

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