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.

Sclafani's injections are an off-label use of Selphyl, the Aesthetic Factors technology that separates plasma from the blood. Bruce Katz, another New York dermatologist who offers individual injections, uses a similar technology made by the Swiss company Regen Lab. Katz advertises "twilight plasma renewal treatment" on his website. His patients get about 20 injections at once in the face, neck and décolleté, he says.
You've probably seen the photos on Instagram: A celebrity or influencer's face covered with blood splatter. No, it's not Halloween makeup, it's actually one of the latest treatment trends in skin care, also known as a "vampire facial." Celebrities, including Kim Kardashian West and Bar Refaeli, are fans of the facial, which might look quite scary, but boasts big-time results.
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