Dermatologist Questions Facial Fillers For Wrinkles

PRP before or after fillers?

I want to get the platelet rich plasma treatment but also want to get some fillers(Juvederm) for my cheeks, temples and under eyes. If I get the PRP afterwards, will this minimize the results of the fillers? Also how long is the downtime for PRP- will my skin peel?

14 Answers

Better PRP before fillers

Alessandro Thione MD, PhD
Plastic and Reconstructive Surgeon
Mobile Phone: 0034639002875
The PRP will not minimize the results of the fillers. It should not cause any downtime, except there is fluid injected so the areas might be a little puffy for a few hours. If they do micro-needling, then your skin will be red for a few hours, maybe more
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PRP is an excellent way to enhance the effect of the fillers so these treatments can be certainly be combined. Downtime from the PRP usually is a few days just because of possibility of minor bruising and/or swelling. There typically is not skin peeling. We usually perform microneedling together with the PRP to further improve skin texture.
Hope that answers your questions.
R. Herbstman, MD FACS
This question is better asked of your injector.

So for Juvederm, as far as fillers under the eyes - I wouldn't recommend it, I've done it for the dermal filler smile lines and lips. I have heard patients get that done, but it's approved for certain things. I know they have voluma, but I cannot honestly tell you about getting both of them together. You probably can, but it depends on who does it, the machine and their product. I recommend you find a place you like and go in for a consult to see their products.
PRP has been proven to improve the effect of hyaluronic acid fillers, so I always use PRP injections after a filler. Your skin is unlikely to peel with PRP injections, but may peel if it is used with microneedling.
Great question... PRP is a wonderful anti inflammatory part of our blood. It has been less than optimal as a facial filler used in conjunction with a patient's own fat. It can improve permanent fat take in the face. It is also great as a post co2 laser healer.

You can do PRP first then wait 3 weeks for the collagen stimulating effects to begin, then do your fillers, OR do the reverse.

We are using PRP and autologous fat to create a stem cell stimulating emulsion filler that lasts for up to 4 to 5 years. It is called ALMI, for autologous lipocyte micronized injection. We are very excited with our early results, done with the patient awake!
There will be no down time or peeling with PRP. You can combine fillers and PRP with no problems.

Thank you for your question. PRP and Fillers are compatible for staging separately or together. I would recommend doing them together. The PRP can be applied via micro needling to treat the skin surface texture and tone (Vampire facial) and/or as an injectable around the filler (Vampire facelift) for volumizing. We would be happy to schedule you a complimentary consultation for evaluation. Please contact our office at 909-463-0715 or email at!
Thank you!!

Dr Bennett
Hi! These are great questions! A PRP facial will not minimize the results of the fillers. Normally we do the PRP facial with a microneedling treatment so you will be a a little red and some slight swelling. Normally people do not peel but they may have some flaking for a couple days. If you have any more questions please feel free to call our office at 303-381-3223. Hope this helps!

Hi, and thank you for your question.

PRP or platelet-rich-plasma is a relatively new treatment that utilizes a concentrated fraction of platelets from your blood. These tiny blood cells are full of growth factors and stimulants that can help regenerate your skin and provide a natural glow.
Often, treatments are performed every 1-3 months (for a total of 3-4 treatments) depending on age, patient needs, and the degree of skin laxity/aging. Unfortunately, there is currently no standardized protocol for PRP treatments, and it is often left up to the patient and their doctor to have a thorough discussion of expectations and goals. There are many commercial kits available each with their properties and platelet recovery rates, so it's important that you ask your physician which equipment they use and what kinds of results they've obtained in the past.
The current standard of practice is to provide the patient undergoing the treatment with a printed sheet that shows the percent recovery rate of platelets (you want this to be above 65%). Some doctors deliver the plasma using needles, Mesotherapy delivery device (my preference), or a micro-needling device. Some doctors also include injections of certain vitamins during the sessions.
As for the use of hyaluronic acid fillers, this can be safely done along with the PRP session, and there is no risk from having the treatment performed that way. In fact, the original developer of the "Vampire Facelift" intended for the treatment to be carried out in this way.
The side effects from a PRP treatment are usually very mild and can include redness, mild swelling, mild bruising, and some irritation that usually subsides after 2-3 days.

Best of luck.
Dr. Fadi
Hi. You should have PRP done before fillers. They can be done the same day, but PRP should be done first. With PRP, there is no peeling of the skin. There may be some bruising, which is extremely rare, and there may be some swelling.
It is certainly possible to do PRP after filler. They are completely separate things. The filler is a temporary volume replacement, lasting ~10 months, so it would have to be repeated if you like the result.

PRP will rejuvenate your skin, stimulating new circulation which increases skin thickness, tone and elasticity. Best results with PRP are realized with a series of 3 treatments 2-4 weeks apart.

Please call the office number below to schedule a complimentary consultation.

Best regards,

Dr. Miles

Wendell G. Miles, M.D., F.A.C.S.
5530 Wisconsin Ave.
Suite #1235
Chevy Chase, MD. 20815
O: 202-236-4046
F: 301:951:8128
We usually perform both fillers and PRP at the same setting; it depends a bit on your doctor's preference.

Best regards,
Dr Moelleken