How is Platelet Rich Plasma (PRP) Performed:
The procedure starts with a blood draw of 30-60 cc in our office by a trained tech. A tiny amount of anticoagulant is mixed with the blood. It is processed in a special machine with a special kit, a new sterile kit being used for each client. Centrifugation concentrates the platelets in an area of blood that includes plasma and a few red blood cells. This final product is a red liquid. This is used for cosmetic, orthopedic or other injections.
The Platelet Rich Plasma (PRP) Facelift:
At this point one can do a nonsurgical “PRP facelift”. This involves facial injections using PRP. Although PRP procedures are often termed facelifts, they are only injection procedures. No scalpel is used, no general anesthesia is used and the procedures cost a fraction of what a facelift costs. Often fillers, like Juvéderm, are added to make the results more dramatic. These procedures are often called facelifts because the results are dramatic enough with a series of treatments that the wrinkle tightening can be similar to that achieved with a facelift. PRP also shrinks pores and improves scars, which a facelift does not. Other commonly requested cosmetic PRP treatments include neck skin tightening, V-neck or cleavage skin tightening or stretch mark treatments. Special problem areas like baggy or droopy eyes and prominent mouth wrinkles can be treated without treating the whole face for a smaller fee. After skin cleaning and application of a local anesthetic cream Dr. Van Reken will inject small amounts of PRP into the skin in the areas being treated. This is done with small needles. There is more discomfort than with Botox, but less than with fillers. Injections commonly include the forehead, temples, orbits, nose, cheeks, upper white lip, lower white lip and chin—the full face. Stopping after the injection procedure alone produces good results. However, for even better results without additional down time we can add microneedling over the same treatment area. This further reduces wrinkles and is also helpful for scar. Microneedling adds about $200 to the cost and is done by trained staff.
Factors Affecting Platelet Rich Plasma (PRP) Cosmetic Result:
Factors affecting PRP cosmetic results: clinical results vary depending on individual factors including medical history, skin type, age, pretreatment skin damage, severity of wrinkles, severity of volume loss and prior skin treatments. Wrinkles, loss of facial volume and scar conditions often improve nicely in 1-2 treatments. Good results are usually present within 90 days. Temporary bruising may occur with this or any injection therapy. Bumpiness at injection sites is usually gone in a day, but may persist for up to 3 days. There are 3-4 days of down time, but many patients return to work in 2-3 days.
Platelet Rich Plasma (PRP) with Micro-Needling:
Microneedling can be done as a separate procedure without PRP injections. This is cheaper than when done with PRP and takes less time. As an isolated procedure microneedling is helpful for scar, skin discoloration and wrinkle reduction, but results are not as dramatic as when it is combined with PRP. Microneedling can be performed by our trained medical staff or by our trained aestheticians.
Platelet Rich Plasma (PRP) for Female Orgasmic Dysfunction:
PRP injections near the clitoris and exterior portion of vagina greatly improves orgasmic function. Orgasms are much easier to achieve. 10% of adult women have never had an orgasm, but after PRP injections these same women are usually orgasmic. This is the only effective treatment for female orgasmic dysfunction.
Aging vagina syndrome (menopausal atrophic vaginitis):
A woman’s vaginal lubrication is regulated by estrogen. Most premenopausal women lubricate normally and enjoy sex with a loving partner. As a woman ages estrogen levels drop and estrogen sensitive genital tissues are affected. Vaginal changes include dryness, and atrophy–thinning and weakening of tissue. Many menopausal women need lubricants for sex, but it is often still painful. PRP injections in the outer portion of the vagina make the tissues thicker, better lubricated and essentially younger. Sex becomes fun again. Injections near the clitoris also make orgasms easier to achieve. This makes bother partners happier. Results are usually quite good. Vaginal CO2 laser therapy is also effective, but is more expensive over time. One can do both vaginal laser and PRP, although not the same day.
Platelet Rich Plasma (PRP) for Leg & Foot Wounds and Ulcers:
Those with poorly healing leg or foot ulcers from varicose veins, arterial insufficiency, trauma and diabetes often benefit from PRP injections into and near the ulcers or wounds to help wound healing and stimulate new skin growth. Insurance and Medicare still do not cover the cost.
Platelet Rich Plasma (PRP) Frequently Asked Questions & Answers:
Keep reading below as we answer some of the questions we get about PRP and Micro-Needling and how it can help you look younger longer with minimum downtime.
- I'm diabetic. Can I still get PRP treatments?
Yes, you can get them for cosmetic reasons, wrinkles, hair loss, orthopedic reasons and so forth. However, your diabetes should be fairly stable.
- Can I get facial PRP treatment with Juvederm the same day in the same area?
Sure. This is very popular. When the filler wears off in 6-24 months the PRP procedure has added volume to the treated area, a nice one-two punch.
- I just got a facial laser treatment 3 days ago. How long until I can get a PRP facial tx?
It depends on the type of laser. Lasers like the Medlite 1064 are gentle enough that you can do the PRP today. More aggressive treatments like the SmartSkin CO2 laser and EMatrix treatment require a wait time of 10 days or more, depending on how you look.
- Will PRP help acne and acne scars
It will definitely help acne scars, but severe cystic acne should be calmed down with medication first.
- I get fever blisters and shingles in my face. Can I still be treated?
Yes, but if you have an active infection now we ‘ll delay treatment. We may prescribe an antiviral medication to help prevent such infections at the time of treatment in a case like yours. Ask us in advance. Other facial treatments, including microneedling, laser therapies, IPL, and even sun exposure can raise the risk of a recurrent viral infection.
- I'm on blood thinners, can I get PRP Injections
Yes, but be sure to tell us ahead of time and ask the staff to discuss this with Dr. Van Reken. In some cases we me skip a single dose of anticoagulant or delay a day’s dose until after the procedure. Additional care will be used and the risk of bruising is clearly increased. An example would be someone on warfarin or Coumadin. Such patients can also be treated with Botox and fillers, but these too have an increased risk of bruising in such patients. Joint injections are also routinely done on people on anticoagulants like warfarin, Eliquis, Xarelto and Plavix.
- What type or PRP collection systems do you use?
We use a double spin system. Double spin systems provide a higher concentration of growth factors and platelets in the final PRP as the blood is centrifuged twice, which makes the PRP more effective.
- Will Dr. Van Reken do my procedure or an assistant?
The blood draw, centrifugation and skin cleansing over the treated area will usually be done by one of our trained medical assistants. The PRP injections are always done by Dr. Van Reken.
- If I get multiple skin or orthopedic areas treated with PRP the same day will I get a discount?
- If PRP injections into joints are so good, why don't all the joint specialists use them?
Great question. First, PRP takes more time, additional training, additional equipment and the cost of a kit for processing the blood and PRP. This disposable kit has to be purchased for a single patient use to ensure your safety. Second, there is also a blood draw involved. Third, insurance does not generally cover PRP joint or tendon injections, although this is changing. For a steroid joint injection we prepare and administer the shot in less then ten minutes from a vial, using product that costs us less than a tenth of what the PRP supplies cost. Steroid shots are quick, easy, cheap and covered by insurance.
- PRP vs. a steroid knee shot for knee arthritis. Which is best?
Steroid shots are a temporary fix. They improve pain and mobility for a few months, but do not really produce healing in the cartilage, ligament, meniscus or tendon. The arthritis or other pathology remains and MRI studies months after steroid shots show no healing. Six months later the shot will not be effective for pain relief. PRP injections often produce healing and lasting pain reduction for years. MRI studies of tendon problems, ligament tears, rotator cuff tears and cartilage damage often show healing and improvement in the months after PRP injections. This explains their lasting effects. If your co-pay was identical and your insurance covered both procedures which one would you choose? The decision is unltimatley yours.
- Are PRP knee injections an alternative to a total knee joint replacement
In many cases yes. The major goal of knee joint replacement is pain reduction and better ability to get around. After a series of joint PRP injections you will not have a normal knee or normal x-rays. However, let’s say you have a 75% pain reduction and can walk much better. This a reasonable alternative to a total knee replacement. In addition, many patients are not considered good candidates for total knee replacement due to advanced age, medical problems or obesity. In such patients biologic knee injections (like PRP) are currently the only option for lasting pain relief. In addition, there is much more cost, much more down time and a substantial risk of complications from a total knee replacement, including months off work for most people. This is not true with PRP.
- i got a cortisone shot in my left knee last month. When can I get PRP into this knee?
We like to wait about a month.
- Has Dr. Van Reken done PRP on himself and/or loved ones?
Yes, his significant other Lynne had a PRP facelift and neck injections. When he got his machine he injected his own knee and ankle the same day. His scalp for thinning hair was injected on 3/2/16.
- Do PRP injections hurt?
Yes, but it depends where they are given. During scalp injections Dr. Van Reken experienced moderate stinging pain (with no premedication taken other than some anesthetic cream). This pain was down to 1 out of 10 within an hour. The injected areas may remain sore for a few days. When Dr. Van Reken’s knee and ankle injected these joints remained sore for a few hours.
We hope this info sheet helps you. Ongoing advances in medicine offer exciting new opportunities for us to help our clients with the common cosmetic, orthopedic, menopausal and ED issues which we see in many clients every day. Your questions are always welcome.
Schedule Your Skin Care Consultation Today…
To schedule a Skin Care Consultation, with Dr. Van Reken here at the Reno Sparks MedSpa, give us a call or visit the contact us page.