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A gentleman’s face got damaged 3 years ago because of microneedling and Tretinoin cream. He wants to know if PRP or The Vampire Facelift™ would help his skin to heal. Dr. Amiya Prasad is a cosmetic surgeon practicing in Manhattan and Long Island for over 20 years and he has seen a lot of different modalities come and go with the expectation that a certain level of trauma to the skin will result in improvement. There have been many patients who come to him after they had frequent laser treatments with thermal devices with the intention of tightening skin. Unfortunately, the skin has a threshold where it cannot be stimulated through heating or ablating to get enough collagen. In Dr. Prasad’s practice, he uses platelet-rich plasma (PRP) to help a lot of people who have had issues related to hyperpigmentation, to loss of volume in the skin. He also used it in the tear trough area for hollowing, for thinning skin, and lastly for a variety of reasons including thinned skin from excessive laser treatment. Until today, platelet-rich plasma has not harmed anyone because it is derived from the patient’s own blood and is a concentration of the healing and growth factors, platelets and the vascular stimulating factors. His patients for PRP treatment report that their skin has a nice glow. He has also used this for a lot of revision procedures. He has had patients coming from all over the world who have problems with their lower eyelid being pulled down and who have had multiple operations. He used this material to help rehabilitate the scar tissue not only under the eyes, but also scars all over the body. In addition, he uses this to support his surgical procedures in order to restore their appearance. The Vampire Facelift™ is simply a concept of using a single syringe of a hyaluronic acid filler in combination with platelet-rich plasma. It improves skin quality and thickness, but it does not restore volume in the way a filler does. On the other hand, the Vampire Facial™ that was made famous by Kim Kardashian involved combining platelet-rich plasma with microneedling to the skin. She made it famous because she had little blood spots on her skin from the level of depth of the microneedling. In Dr. Prasad’s practice, he typically does platelet-rich plasma injection over the course of 3-4 months and looks at how the skin responds. Most of his patients seem to respond very well to this. It has a very unique niche in the aesthetic world because no filler can stimulate collagen and blood supply and create the effect that platelet-rich plasma does. Often, Dr. Prasad does this in combination in the form of The Vampire Facelift™ procedure or in combination with other fillers. He customizes this procedure for every patient. Platelet-rich plasma will probably help this gentleman rehabilitate his skin. He always describes it like exercise, as people don’t go to the gym once and do one set of exercise and expect that it will last them forever, but rather have to do it regularly. So platelet-rich plasma can have both the reparative benefit as well as a maintenance benefit to keep the skin looking good. To learn more about the Vampire facelift, please visit: http://prasadcosmeticsurgery.com/dr-a... To learn more about Platelet-rich plasma, please visit: http://prasadcosmeticsurgery.com/dr-a...