“As far as what I can do as an aesthetician, this is my most effective treatment,” Chang said. “It can help with acne scarring by evening out hyper-pigmentation and it also helps with anti-aging in terms of reducing frown lines and marionette lines. But it doesn’t necessarily help with wrinkles. We can’t help what is underneath, but we can help with the collagen and it’s all about the collagen.”
Your best bet is to schedule a consultation with a board-certified plastic surgeon who has experience with all facial rejuvenation techniques and technologies. Due to the large number of doctors promoting themselves as qualified cosmetic surgeons, choosing a surgeon can be a challenge. To make this task easier, Consumer Guide to Plastic Surgery has created a directory that exclusively lists surgeons who are board certified by the American Board of Plastic Surgery (ABPS). Certification by the ABPS is widely accepted as the highest level of certification possible for plastic surgeons in the United States. Choosing one of these doctors guarantees you will be treated by a surgeon who has undergone extensive education, training and testing and is in excellent standing among his or her peers in the medical field.
"A few years ago, I heard about a 'vampire facial,' and I was so intrigued," Kardashian West wrote. Right before she signed up to try the treatment, she found out she was pregnant, which meant that she couldn't use the a numbing cream or painkiller before the treatment as doctors typically recommend, she says. That made for a super uncomfortable experience. "It was really rough and painful for me. It was honestly the most painful thing ever! It's the one treatment that I'll never do again."
PRP used for vampire facials contain about 19 growth factors that tone and smooth the skin while reversing the signs of aging. The procedure has been approved for use and requires a medical professional to draw the blood for the treatment. There have been no reported side-effects from the treatment, and most people report the pain from the micro-needling and blood draw to be minimal.

The Vampire Facelift is considered a medical treatment in all states. Consult with patients about their medical history and conduct a brief physical exam to accept them for treatment. The exam should be performed by a physician, physician assistant or nurse practitioner. Only doctors and licensed medical professionals can draw blood and make injections, but trained medical spa employees can apply surface PRP without needles or micro-needling devices. Talk to your state medical board or health care attorney to learn more about the rules in your state.
Going in for a vampire facial, only to see a few drops of blood on the apples of my cheeks, the area surrounding my nostrils, and where the Dermapen abruptly burst a particularly stubborn period pimple on my chin, was disappointing. Not that I’m a super-gory human, but I love me some My Favorite Murder and the idea of going under the pen to come out equally as bloody (and beautiful) as her royal Kim-ness. 
PRPs are one of the latest trends in beauty and skincare because of its ability to stimulate new cellular growth, purportedly improving skin tone and texture, smoothing fine lines and even promoting hair growth. Patients are advised to pop a pain pill or to apply numbing cream to diminish any pain from the initial blood draw, as well as the microneedling method.
"Maybe there's still some blood in it," suggests Sclafani, who's done extensive research on the competing $1,500 Selphyl system. He also injects platelet-rich plasma for facial rejuvenation, but without mixing in the added fillers. It's a simple injection, much like getting Botox or Restalyne. "No needle is fun, but most people are able to do this without any anesthesia," he says. "They shouldn't scream in pain like that."
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