How does a PRP facelift restore volume to the face?

I've watched videos with doctors drawing blood from a woman's arm and injecting the Platelet-Rich Plasma into the areas of her face where the collagen is scarce. Does PRP act as any other injectable? What happens when it reaches the drooping areas? I suffer from volume depletion in the mid and lower face as a result of aging, and I'm searching for a viable solution to restore some of the lost volume.


F, 47, New York

PRP therapy or platelet-rich plasma therapy is a non-invasive procedure which involves the re-injection into the skin of the patient's own blood plasma. During the process, a small amount of the patient's blood is extracted and treated with a high speed centrifuge to remove red blood cells. After extracting the red blood cells, the plasma with a high concentration of platelets is left behind.


When this plasma is injected it encourages tissue repair and blood flow at the injection site. Over time this process can help reduce fine lines and wrinkles associated with aging.

To answer your question: PRP therapy is not like traditional dermal fillers. A hyaluronic dermal filler works by adding volume to the face whereas PRP injections work by encouraging the skin's natural growth factors and collagen production.

As you mentioned in your question, you are looking to address volume depletion in the mid and lower face. For this I would recommend using a traditional hyaluronic-acid based dermal filler as well.

I encourage you to contact us for a personal consultation and a discussion of which treatments will be the most efficient at helping you reach your goals.

That's a great question. First, it's important to establish realistic expectations when it comes to PRP injections and to clarify what they are--and what they are not.

A PRP facelift is a non-surgical treatment which uses injections of platelet-rich plasma or PRP to help remove fine lines and wrinkles. PRP is prepared by extracting a sample of the patient's blood and processing it. This process separates the red blood cells from the blood plasma.

This plasma with a high platelet concentration is then injected at specific sites on the patient's face in order to encourage collagen development and improve the quality of the subcutaneous fat.

The PRP releases growth factors into the skin which stimulate the development of reparative cells and help jump-start the skin's natural healing processes. It increases blood flow within the skin and can stimulate your body's natural collagen production.

Unfortunately the term "PRP facelift" can mislead some patients into thinking the procedure will garner the same results as a facelift.

Platelet-rich plasma therapy is a limited procedure which tends to work very well on the surface layer of skin.

Following the PRP treatment, the skin tends to take on a healthy glow and, over time, fine lines and wrinkles are reduced as the skin's natural collagen production is stimulated.

Platelet-rich plasma treatment is often combined with a traditional hyaluronic acid filler like Restylane. The “Vampire Facelift” is one example of this combination therapy.

PRP is also commonly combined with microneedling treatment. A PRP microneedling treatment typically requires a few extra days of healing versus treatment with PRP injections alone.

I encourage you to contact a board-certified dermatologist to review some before-and-after photos of the results of clients who’ve received platelet-rich plasma injections--and to discuss which treatment options are best for you.

That's a great question and in my opinion PRP injections are totally unproven and only marketing/adverstising pushed by dermatologists. Fillers like HE's and fat grafting are excellent ways to improve facial volume. Good Luck! 

If you are interested in non surgical volume in the midface I would recommend you consider Sculptra injectable


JackPeterson MD