In general, you’ll want to increase your water consumption for a day or two prior to the appointment. This helps increase the volume of blood in your body, making the PRP process much easier. You’ll also want to avoid blood thinners, if at all possible, for up to two weeks prior to appointment. These include over-the-counter pain medications and vitamins. Do not stop prescription medication blood thinners without first consulting with the doctor who prescribed them to you.
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.
The efficacy of PRFM is contested. As of March 2011, according to a New York Times report, it is attested by several plastic surgeons who use it but remains unproven by research.[1] Phil Haeck, the president of the American Society of Plastic Surgeons, dismissed the procedure as "creepy", "a gimmick" and as "antiquated as bloodletting".[1] It is marketed as Selphyl, TruPRP, Emcyte, Regen, and Pure Spin.
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Later that night my skin was pretty red but when I woke up the next morning most of the redness had disappeared. It takes four to six weeks to see the treatment’s full results (collagen takes a bit of time to grow), but I can assure you that I saw benefits almost immediately. I’ve had a fair share of facials that left me wondering if the treatment worked or if my skin was just having a good couple of weeks. Trust me — you will never once question whether or not this treatment is effective.
"It’s rare for an incident like what happened in New Mexico to occur with PRP therapy, though it can be avoided by working with a qualified properly licensed physician provider," Hah said. "The spa operating in New Mexico did not have the credentials to perform this kind of medical procedure. Since their license expired, there was no oversight of the spa’s safety and cleanliness practices. Per the Department of Health’s findings, it appears the spa in question did not properly store, handle, or dispose of used needles."
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!
So, what is it and how does it work, exactly? Don't let the name fool you. In fact, "It's usually done in full light of day," says Beverly Hills-based dermatologist Ava Shamban. In all seriousness, the treatment is a "combination of a microdermabrasion, followed by the application of PRP (platelet-rich plasma)," says Shamban. "The PRP is derived from the serum portion of the blood, which contains platelets. The platelets contain high levels of growth factors, which, when applied to the skin, will stimulate cell turnover."
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