Do not take BOTOX® Cosmetic if you: are allergic to any of the ingredients in BOTOX® Cosmetic (see Medication Guide for ingredients); had an allergic reaction to any other botulinum toxin product such as Myobloc® (rimabotulinumtoxinB), Dysport® (abobotulinumtoxinA), or Xeomin® (incobotulinumtoxinA); have a skin infection at the planned injection site.
After an initial consultation appointment, a second visit is required for the actual procedure: Blood is drawn (just like a regular blood test) and then spun in a centrifugation system to separate the platelet-rich plasma (PRP) from the other blood elements. This is then injected with tiny needles into the superficial layers of the skin (called mesotherapy).
When I arrived at Skinfluence, I was met by Dr. Peredo and her nurse, Joanne Shellock, LPN. As I settled into the dentist-like chair (something I wasn’t totally fond of, given my hatred of the dentist office, though not dentists as a whole), they began giving me the rundown of what was about to happen. As they rolled up my sleeves to check my veins for blood draw, they told me, once again, just how beneficial this treatment can be for women of all ages. They pointed out, though, that at the ripe age of 25, with few wrinkles in sight, I may not see the same jaw-dropping results as my more mature counterparts. Regardless, I was ready to see what this vampire facial was all about. 
Once the microneedling was in full swing I was surprised at how little it actually hurt. I’m not going to say it was painless, but it wasn’t nearly as bad as I had imagined. It helped that throughout the 30-minute procedure Rhiannon made sure to check with me to see if I was in too much pain or needed a break. She also told me exactly what she was doing so there were no surprises and kindly warned me when it was time to needle my non-fatty areas because those are the spots that made me flinch.
The incisions are generally made in front of your ears, along the temple and continues around and behind the ear. This is to minimize noticeable scaring. After the operation is completed, small tubes will be inserted beneath the skin to drain away fluid that might otherwise accumulate. There is generally very little discomfort after the facelift surgery.
This unique procedure uses the patient’s own blood so there is no risk or rejection or complications.  It is all natural unlike the injectable fillers that are on the market.  The procedure take only about 30 minutes in a safe and sterile environment.  Blood is drawn from the patient and then is put into a centrifuge where the growth-rich platelets are separated.  These platelets are then put into a calcium chloride solution which causes them to release growth factors.  The patient is numbed with a topical anesthetic and then the growth-factor platelets are injected into the areas needed.  There are no side effects, little or no discomfort and the patient is able to return to work.
Platelets, Zeichner explains, are rich in growth factors, which essentially act as energy boots for our skin. This helps our skin function optimally, increasing everything from collagen to elastin, while also bringing antioxidant and hydrating properties. "Platelet-rich plasma is now commonly used topically as part of a regular facial, used along with microneedling to enhance penetration into the skin, and is even being injected into the skin in the same manner as dermal fillers," says Zeichner.
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