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Typically, the process includes the initial blood draw, then running the blood through a centrifuge to isolate the platelets. You'll then receive microneedling or microdermabrasion just before your PRPs are slathered across your face. This can be accompanied with or without radio frequency, too. "It sounds gory and mysterious, but in fact, it is central to our evolving understanding of the physiology of the skin and advanced techniques with which to improve the quality of the skin," says Shamban.
The day leading up to my appointment, my best friend continually cringed at the idea of my soon-to-be bloody face while my mom made sure to text me every five minutes asking if this is really something I wanted to go through with, having sensitive skin and all. While their concerns pushed me to the point of advising my editor that I may need to work from home the next day if I look busted AF (since bruising and redness are possible short-term results), I stuck to my appointment and headed to the Upper East Side to arrive early for a treatment that, at the very best, could change the way I view my complexion, and, at the very worst, put me out of commission for a couple of days. 
Executing the technical aspects of the PRP process so that you get all of the added benefits: PRP is a new technology, but to the extent that it has been studied thus far, we know that the processes used to isolate and concentrate the serum is very important in terms of its effectiveness. We use a system that creates a serum that has 8x the concentration of growth and healing factors found in normal blood. Typical systems used by other practices often get concentrations in the 2-3x range.
“Thanks to modern science, we now know that platelets contain various factors that stimulate the production of collagen, elastic fibers and new blood vessels,” says Mandeville. “Microneedling causes direct trauma to the skin. As a result, the body rushes to repair the wounds, sending platelets and cells to the rescue. As platelets play a significant role in terms of growth factors, it seems particularly appealing to inject the plasma back into the skin through the punctured holes to really speed up the healing of the tissues.”
The patient is numbed with a topical anesthetic gel.  The PRFM is then injected with a short, small gauge needle into the desired areas of the face.  The PRFM induces growth of new blood vessels, skin cells and collagen resulting in a healthy glow, better color, better tone, reduced wrinkles and sagging.  The new blood flow helps create volume and shape, lifting the skin and sculpting the face.  In 30 minutes, you are on your way to a new you with a more youthful appearance!
I have had 2 of these treatments 6 weeks apart…. I am due for my 3rd treatment this coming Monday but considering canceling as I really have not noticed any results…. The pain was excruciating – even with the topical numbing agent on my face for 20-30 min. I also was swollen for a couple days and bruised for well over a week. Not sure I want to go through the pain for this last treatment if I am not going to see any results….
The New Mexico Department of Health has since shut down the spa and is urging any of its clients who received a vampire facial or other injection-based treatments in May or June of this year to get tested for HIV, hepatitis B and hepatitis C for free at the Midtown Public Health Office. The statement does not mention which of these infections the client contracted, nor which specific treatment the individual had received.
Tell your doctor if you have received any other botulinum toxin product in the last 4 months; have received injections of botulinum toxin such as Myobloc®, Dysport®, or Xeomin® in the past (tell your doctor exactly which product you received); have recently received an antibiotic by injection; take muscle relaxants; take an allergy or cold medicine; take a sleep medicine; take aspirin-like products or blood thinners.
As for recovery, it might take a day or two of downtime before you're ready to hit the streets. Shamban says recipients may need one or two days, depending on how aggressive the microdermabrasion was on your skin. You'll emerge from treatment a bit red, almost like a sunburn, which means post-procedure sunscreen is highly recommended. Applying makeup, though, is discouraged.
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