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PRP & PRF: Platelet-Rich Plasma Treatments

Your complete guide to PRP injections, PRF therapy, the vampire facial, PRP for hair loss, under-eye rejuvenation, and PRP microneedling — how they work, what they cost, and what results to expect.

Your Blood 100% Autologous
3-4 Sessions Typical
12-18 mo Results Duration
$400-$1,500 Per Session

The Complete Patient Guide to PRP & PRF Treatments in 2026

What Is PRP (Platelet-Rich Plasma)?

PRP, or Platelet-Rich Plasma, is a regenerative medical treatment that harnesses the healing power of your own blood. A small sample of your blood is drawn and processed in a centrifuge to separate and concentrate the platelets — the tiny cells responsible for clotting and tissue repair.

These concentrated platelets contain growth factors — proteins that signal your body to regenerate tissue, produce new collagen, and repair damage. When injected into targeted areas, PRP triggers a natural healing cascade that rejuvenates skin, stimulates hair growth, and reverses signs of aging from the inside out.

Key Fact: PRP contains a platelet concentration 5-10x higher than normal blood. This concentrated dose of growth factors — including PDGF (Platelet-Derived Growth Factor), TGF-β (Transforming Growth Factor), VEGF (Vascular Endothelial Growth Factor), and EGF (Epidermal Growth Factor) — supercharges your body's natural healing response.

Growth Factors in PRP

Growth Factor Full Name Primary Function
PDGF Platelet-Derived Growth Factor Stimulates cell growth, tissue repair, and new blood vessel formation
TGF-β Transforming Growth Factor Beta Promotes collagen synthesis and extracellular matrix formation
VEGF Vascular Endothelial Growth Factor Creates new blood vessels, improves tissue oxygenation
EGF Epidermal Growth Factor Stimulates skin cell renewal and wound healing
FGF Fibroblast Growth Factor Activates fibroblasts for collagen and elastin production
IGF-1 Insulin-like Growth Factor Cell proliferation and differentiation for tissue regeneration

How PRP Treatment Works

The PRP preparation process takes about 30-60 minutes from blood draw to injection. Here's exactly what happens during a PRP treatment session:

1
💉

Blood Draw

10-60 mL of blood is drawn from your arm (similar to a routine blood test)

2
🌀

Centrifugation

Blood is spun at high speed (1,500-3,500 RPM) for 5-15 minutes to separate components

3
🧪

PRP Extraction

The platelet-rich layer (golden-yellow plasma) is carefully extracted from the tube

4

Treatment

PRP is injected or applied topically to the targeted area (with numbing if needed)

Blood Separation Layers

After centrifugation, your blood separates into three distinct layers:

Layer Contents % of Volume Used in Treatment
Platelet-Poor Plasma (PPP) Plasma with few platelets ~55% Sometimes used as activator
Buffy Coat / PRP Layer Concentrated platelets + white blood cells ~5% ✔ This is the PRP
Red Blood Cells Red blood cells (erythrocytes) ~40% Discarded

What Is PRF? The Next Generation

PRF (Platelet-Rich Fibrin) is an advanced evolution of PRP therapy. Developed by Dr. Joseph Choukroun, PRF represents the next generation of platelet-based treatments with several key advantages over traditional PRP.

The critical difference is in the processing: while PRP uses anticoagulant-coated tubes and high-speed centrifugation that strips away many beneficial components, PRF uses plain tubes with no additives and a slower centrifugation speed. This preserves the natural fibrin matrix and retains white blood cells, stem cells, and a broader range of growth factors.

Why PRF Is Called "Next-Gen": PRF's fibrin matrix acts as a slow-release scaffold, releasing growth factors gradually over 10-14 days. Traditional PRP releases its growth factors in a burst within just a few hours. This sustained release means PRF provides longer-lasting tissue stimulation and potentially better results with fewer sessions.

Types of PRF

Type Form Best For How It's Used
i-PRF (Injectable PRF) Liquid Injections, skin rejuvenation, hair restoration Injected like traditional PRP but with superior growth factor release
A-PRF (Advanced PRF) Membrane/clot Wound healing, surgical sites, dental procedures Placed as a membrane directly over treatment area
PRF Gel / Bio-Filler Gel Volume restoration, under-eye hollows, facial contouring Heated A-PRF mixed with i-PRF to create an injectable bio-filler

PRP vs PRF: Complete Comparison

Understanding the differences between PRP and PRF helps you and your provider choose the right treatment for your specific goals.

PRP (Platelet-Rich Plasma)

  • Processing: Anticoagulant tubes
  • Spin speed: High (3,000-3,500 RPM)
  • Contains: Platelets + plasma
  • Growth factor release: Quick burst (hours)
  • Form: Liquid only
  • Established since: 1990s
  • Cost: $400-$1,000/session
VS

PRF (Platelet-Rich Fibrin)

  • Processing: No additives (plain tubes)
  • Spin speed: Low (700-1,500 RPM)
  • Contains: Platelets + WBCs + stem cells + fibrin
  • Growth factor release: Sustained (10-14 days)
  • Form: Liquid, membrane, or gel
  • Established since: 2001 (Choukroun)
  • Cost: $500-$1,500/session

Detailed Comparison Table

Feature PRP PRF
Blood draw amount 20-60 mL 10-40 mL
Tube type Anticoagulant (ACD-A, sodium citrate) Plain glass or plastic (no additives)
Centrifuge speed 3,000-3,500 RPM (hard spin) 700-1,500 RPM (soft spin)
Processing time 10-15 minutes 3-8 minutes (must be used quickly)
White blood cells ✘ Filtered out ✔ Preserved
Stem cells ✘ Filtered out ✔ Preserved
Fibrin matrix ✘ Anticoagulant prevents formation ✔ Natural scaffold
Growth factor release Rapid burst (2-4 hours) Sustained release (10-14 days)
Platelet concentration 5-10x baseline 3-5x baseline (but more bioactive)
Activation needed Sometimes (calcium chloride/thrombin) No (self-activating)
Shelf stability Can be stored briefly Must be used within 15-20 minutes
Can be used as bio-filler ✘ Too liquid ✔ PRF Gel/Bio-Filler
Research volume Extensive (30+ years) Growing (20+ years)
Cost per session $400-$1,000 $500-$1,500
Best for Hair restoration, joint therapy Facial rejuvenation, under-eyes, bio-filler

The Vampire Facial (PRP + Microneedling)

The Vampire Facial — made famous by Kim Kardashian in 2013 — is a combination treatment that pairs microneedling with PRP application. The microneedling device creates thousands of micro-channels in the skin, and PRP is applied topically during and after the procedure, allowing the growth factors to penetrate deeply into the skin.

This combination is more effective than either treatment alone because the micro-channels deliver PRP directly to the dermal layer where collagen is produced, while the microneedling itself triggers additional collagen induction.

How the Vampire Facial Works

1

Numbing

Topical anesthetic applied for 30-45 min before treatment

2

Blood Draw

10-20 mL drawn from arm and centrifuged to extract PRP

3

Microneedling

Device creates micro-channels (0.5-2.5mm depth) while PRP is applied

4

PRP Infusion

Additional PRP massaged into skin to saturate micro-channels

What the Vampire Facial Treats

Fine Lines & Wrinkles

Stimulates collagen production to smooth forehead lines, crow's feet, and perioral wrinkles

Most Popular

Acne Scars

Remodels scar tissue and promotes new collagen to fill pitted and rolling acne scars

High Efficacy

Uneven Skin Tone

Improves hyperpigmentation, sun damage, and melasma through cell turnover

Enlarged Pores

Tightens pore size through collagen remodeling and skin tightening

Dull Skin & Texture

Creates the "PRP glow" — smoother, more luminous skin through cellular renewal

Trending

Stretch Marks

Can be performed on the body to improve stretch marks on abdomen, thighs, and arms

Important Safety Note: Always ensure your provider uses single-use, sterile equipment and prepares PRP from your blood only. In 2018, a New Mexico spa infected clients with HIV by reusing blood-handling equipment between patients. This is completely preventable with proper sterile technique — always verify your provider follows standard infection control protocols.

PRP for Hair Loss & Hair Restoration

PRP injections for hair loss are one of the most studied and effective non-surgical treatments for androgenetic alopecia (pattern hair loss) in both men and women. The growth factors in PRP stimulate dormant hair follicles, extend the growth phase (anagen), and increase blood supply to the follicles.

How PRP Hair Treatment Works

PRP is injected directly into the scalp at the level of the hair follicles using a series of small injections spaced approximately 1 cm apart across the thinning area. The growth factors then:

  • Reactivate dormant follicles — wake up follicles in the resting (telogen) phase
  • Extend the growth phase — keep follicles in the active anagen phase longer
  • Increase follicle size — thicken miniaturized (thinning) hairs
  • Improve blood supply — VEGF creates new blood vessels around follicles
  • Reduce inflammation — anti-inflammatory growth factors protect follicles

PRP Hair Restoration Results

Metric Typical Improvement Timeline
Hair count increase 30-40% more hairs per cm² After 3-4 sessions
Hair thickness Up to 46% thicker individual hairs 3-6 months
Shedding reduction Noticeable within 1-2 months After first session
New growth visible "Baby hairs" appear at hairline and crown 3-4 months
Duration of results 6-12 months per session cycle Maintenance every 4-6 months
Best Candidates for PRP Hair Treatment: PRP works best for patients with early to moderate hair thinning — not complete baldness. It stimulates existing dormant follicles but cannot create new ones. Patients with thinning hair (Norwood 2-4 for men, Ludwig 1-2 for women) see the best results. It can be combined with finasteride, minoxidil, or hair transplant surgery for enhanced outcomes.

PRP Hair Treatment Protocol

Phase Sessions Frequency Purpose
Initial Treatment 3-4 sessions Every 4 weeks Activate dormant follicles, establish growth
Maintenance 1 session Every 4-6 months Sustain results and prevent regression
Booster 1-2 sessions As needed Address new areas of thinning or seasonal shedding

PRP Under Eyes for Dark Circles

PRP under-eye treatment is an increasingly popular alternative to dermal fillers for treating dark circles, hollowing, and crepey skin in the delicate periorbital area. Because PRP uses your own blood, it avoids the risk of Tyndall effect (bluish tint) that can occur with hyaluronic acid fillers in this thin-skinned area.

How PRP Treats Under-Eye Concerns

Concern How PRP Helps Expected Results
Dark circles (volume loss) Thickens thin skin, reducing visibility of blood vessels beneath 50-70% improvement after 2-3 sessions
Hollow tear troughs Stimulates collagen and tissue volume over time Gradual volume restoration over 3-6 months
Crepey/thin skin Builds collagen density and skin thickness Smoother, firmer under-eye skin
Fine lines (crow's feet) Collagen remodeling softens dynamic and static lines Progressive improvement with each session
PRP vs Fillers Under Eyes: PRP is a better choice for patients with very thin skin where fillers could look lumpy or cause Tyndall effect. However, PRP does not provide immediate volume like fillers do — results develop gradually over weeks to months. For deep tear troughs, some providers combine a small amount of filler with PRP for both instant and long-term improvement. PRF Gel is another option that provides mild immediate volume with regenerative benefits.

All PRP & PRF Treatment Areas

PRP and PRF can be used across the face, scalp, and body for a variety of regenerative purposes:

Full Face Rejuvenation

Injected across the face to improve overall skin quality, texture, and radiance

Most Popular

Scalp / Hair Restoration

Injected into thinning areas to stimulate hair follicles and increase hair density

High Demand

Under-Eye / Tear Trough

Treats dark circles, hollowing, and crepey skin in the delicate periorbital area

Trending

Neck & Décolletage

Addresses crepey skin, horizontal lines, and sun damage on the neck and chest

Hands

Rejuvenates aging hands by improving skin quality and reducing visible veins/tendons

Acne Scars

Combined with microneedling to remodel scar tissue and fill pitted scars

High Efficacy

Nasolabial Folds

PRF Gel can be injected to naturally fill smile lines with regenerative benefits

Lips

PRF Gel provides subtle, natural lip enhancement with a regenerative approach

New Application

Joints & Tendons

Orthopedic PRP for knee osteoarthritis, tennis elbow, and tendon injuries (medical)

Medical Use

Results Timeline: What to Expect

PRP and PRF results develop gradually as your body produces new collagen and regenerates tissue. Here's a realistic timeline:

Day 1-3: Immediate Post-Treatment

Mild swelling, redness, and possible bruising at injection sites. For vampire facial: sunburn-like redness and skin tightness. This is the normal inflammatory response that triggers healing.

Week 1-2: Initial Healing

Swelling resolves, bruising fades. You may notice a temporary "glow" from the initial inflammatory response and increased blood flow. Skin may feel slightly tighter.

Week 3-4: Collagen Begins

Growth factors have activated fibroblasts. New collagen synthesis begins. Hair patients may notice reduced shedding. Subtle skin texture improvements emerge.

Month 2-3: Visible Improvement

Noticeable improvement in skin texture, tone, and firmness. Hair patients see "baby hairs" emerging. Dark circles under eyes begin to lighten as skin thickens. This is typically when patients schedule their second session.

Month 3-6: Peak Collagen Production

Maximum collagen remodeling occurs. Skin is visibly smoother, firmer, and more radiant. Hair density and thickness measurably increase. After completing 3-4 sessions, most patients see their best results in this window.

Month 6-18: Sustained Results

Results continue to improve for several months after the last session and typically last 12-18 months for facial treatments, 6-12 months for hair. Maintenance sessions recommended every 6-12 months to sustain improvements.

Cost of PRP & PRF Treatments

PRP and PRF treatment costs vary by treatment area, geographic location, and whether PRP or PRF is used. PRF treatments typically cost 15-30% more than PRP due to the specialized processing technique.

Cost by Treatment Area

Treatment Area PRP Cost/Session PRF Cost/Session Sessions Needed Total Investment
Vampire Facial (PRP + Microneedling) $400-$800 $500-$1,000 3 sessions $1,200-$3,000
Full Face Rejuvenation (Injections) $600-$1,000 $700-$1,200 3 sessions $1,800-$3,600
Hair Restoration $800-$1,200 $1,000-$1,500 3-4 sessions $2,400-$6,000
Under-Eye Treatment $600-$900 $700-$1,100 2-3 sessions $1,200-$3,300
Neck & Décolletage $500-$900 $600-$1,100 3 sessions $1,500-$3,300
Hands $400-$700 $500-$900 2-3 sessions $800-$2,700
Acne Scar Treatment $500-$900 $600-$1,100 3-4 sessions $1,500-$4,400
Not Covered by Insurance: PRP and PRF aesthetic treatments are considered elective cosmetic procedures and are not covered by health insurance. However, PRP for orthopedic conditions (joint pain, tendon injuries) may have partial coverage depending on your plan. Many providers offer payment plans or financing through CareCredit or Cherry.

PRP vs Other Treatments: Cost Comparison

Treatment Cost Per Session Sessions/Year Annual Cost Duration
PRP Facial $600-$1,000 3 initial + 1 maintenance $2,400-$4,000 (year 1) 12-18 months
Botox $300-$600 3-4 $900-$2,400 3-4 months
Dermal Fillers $600-$1,200 1-2 $600-$2,400 6-18 months
Microneedling (alone) $200-$400 3-6 $600-$2,400 Ongoing
Laser Resurfacing $1,000-$3,000 1-2 $1,000-$6,000 1-3 years
Exosomes $800-$2,000 2-3 $1,600-$6,000 12-18 months

Are You a Good Candidate?

Because PRP uses your own blood, it is one of the safest aesthetic treatments available — but it is not right for everyone. Your platelet count and overall health affect how effective the treatment will be.

Ideal Candidates

  • Early signs of aging (fine lines, skin laxity)
  • Early to moderate hair thinning
  • Dark circles from thin skin/volume loss
  • Acne scarring (pitted or rolling)
  • Generally healthy with normal platelet count
  • Non-smoker or willing to quit before treatment
  • Realistic expectations about gradual results
  • Committed to completing full treatment series
  • Seeking natural, non-synthetic treatment options

Not Recommended For

  • Blood disorders (thrombocytopenia, platelet dysfunction)
  • Active cancer, especially blood cancers (leukemia, lymphoma)
  • Currently on blood thinners (warfarin, heparin)
  • Active skin infections in the treatment area
  • Chronic liver disease (affects platelet production)
  • Active smokers (significantly reduces healing response)
  • Pregnant or breastfeeding
  • Autoimmune conditions (lupus, rheumatoid arthritis)
  • Complete baldness (no follicles to stimulate)
Medication Warning: Stop taking NSAIDs (ibuprofen, aspirin, naproxen) at least 5-7 days before PRP treatment. NSAIDs inhibit platelet function and can significantly reduce PRP effectiveness. Also avoid fish oil, vitamin E, and other blood-thinning supplements. Your provider will give you a complete list of medications to avoid.

Side Effects & Safety

PRP has an excellent safety profile because it uses your own blood — there is no risk of allergic reaction, rejection, or disease transmission. The most common side effects are related to the injection process itself, not the PRP.

Common Side Effects

Side Effect Frequency Duration Management
Mild swelling Very common (80%+) 1-3 days Cold compress, sleep elevated
Redness at injection site Very common (80%+) 1-3 days Resolves on its own
Bruising Common (40-60%) 5-10 days Arnica cream, avoid blood thinners pre-treatment
Tenderness/soreness Common (50%+) 1-3 days Acetaminophen (NOT ibuprofen)
Mild headache (scalp PRP) Occasional (20-30%) 1-2 days Acetaminophen, hydration
Temporary hair shedding Occasional (15-20%) 2-4 weeks Normal "shock shedding" — hair regrows stronger

Rare Side Effects

Side Effect Frequency Notes
Infection Very rare (<1%) Risk is from injection technique, not PRP itself — proper sterile protocol prevents this
Nerve injury Extremely rare Temporary numbness or tingling if a nerve is nicked during injection
Tissue damage Extremely rare Only with intravascular injection — proper injection technique prevents this
No improvement Uncommon (5-10%) May occur in patients with low platelet counts or poor healing capacity
PRP Safety Advantage: Unlike dermal fillers (which carry risk of vascular occlusion) or Botox (which can cause muscle weakness), PRP has no risk of vascular compromise and cannot migrate to unintended areas. It is one of the safest injectable treatments available. If you don't achieve the desired results, PRP simply gets absorbed by your body — there's nothing to dissolve or reverse.

Aftercare & Recovery

Proper aftercare helps maximize PRP results. The key principle is: don't interfere with the inflammatory healing response that PRP intentionally triggers. This means avoiding anti-inflammatory medications and treatments that could suppress the healing cascade.

DO

  • Keep the treated area clean and dry for 6-8 hours
  • Use gentle, fragrance-free skincare for 48 hours
  • Apply sunscreen SPF 30+ (mineral-based preferred)
  • Stay well hydrated (water helps healing)
  • Sleep elevated the first night (reduces swelling)
  • Use acetaminophen (Tylenol) for any discomfort
  • Eat a protein-rich diet to support tissue repair
  • Use cold compresses if swelling is bothersome
  • Resume gentle activities after 24 hours

DON'T

  • Take NSAIDs (ibuprofen, aspirin, Advil, Aleve) for 1 week
  • Apply makeup for 12-24 hours after facial treatment
  • Wash hair for 24 hours after scalp PRP
  • Exercise strenuously for 24-48 hours
  • Expose treatment area to direct sun for 48 hours
  • Use retinol, AHAs, BHAs, or vitamin C for 3-5 days
  • Drink alcohol for 24-48 hours
  • Swim, sauna, or hot tub for 48-72 hours
  • Get other facial treatments for 2 weeks
Critical: No Anti-Inflammatories! The most important aftercare rule is to avoid all anti-inflammatory medications (NSAIDs) for at least 1 week after PRP. PRP works by triggering a controlled inflammatory response — taking anti-inflammatories directly counteracts this mechanism and can significantly reduce your results. Use acetaminophen (Tylenol) instead if you need pain relief.

Frequently Asked Questions

What is PRP treatment?
PRP (Platelet-Rich Plasma) is a regenerative treatment that uses your own blood. A small sample is drawn, spun in a centrifuge to concentrate the platelets (which contain growth factors), and then injected or applied to the treatment area. The concentrated platelets release growth factors that stimulate collagen production, tissue repair, and cellular regeneration.
What is the difference between PRP and PRF?
PRF (Platelet-Rich Fibrin) is the next generation of PRP. The key difference is in processing: PRP uses anticoagulant tubes and high-speed centrifugation, while PRF uses no additives and slower centrifugation. This creates a fibrin matrix in PRF that releases growth factors slowly over 10-14 days (vs. a few hours for PRP), providing longer-lasting stimulation. PRF also contains white blood cells and stem cells that PRP filters out.
How much does PRP treatment cost?
PRP treatment typically costs $400-$1,000 per session depending on the treatment area and provider. PRF treatments are slightly higher at $500-$1,500 per session. Facial rejuvenation averages $600-$1,000, hair restoration $800-$1,500, under-eye treatments $600-$900, and PRP microneedling $400-$800. Most patients need 3-4 sessions spaced 4-6 weeks apart.
Does the vampire facial hurt?
The vampire facial involves both microneedling and PRP application, so some discomfort is expected. However, a topical numbing cream is applied 30-45 minutes before treatment, which significantly reduces pain. Most patients rate it 3-4 out of 10 on the pain scale. The blood draw is a standard venipuncture (like a routine blood test), and the microneedling feels like light prickling with the numbing cream.
How long do PRP results last?
PRP results typically last 12-18 months for facial rejuvenation and 6-12 months for hair restoration, though this varies by treatment area. PRF results tend to last slightly longer due to the sustained growth factor release. For optimal results, maintenance sessions are recommended every 6-12 months for facial treatments and every 4-6 months for hair loss. Results are cumulative, meaning each session builds on previous improvements.
Can PRP help with hair loss?
Yes, PRP is an FDA-cleared treatment for androgenetic alopecia (pattern hair loss). Studies show PRP can increase hair count by 30-40% and hair thickness by up to 46% after a series of treatments. It works best for early to moderate hair thinning rather than complete baldness, as it stimulates existing dormant follicles rather than creating new ones. A typical protocol involves 3-4 monthly sessions followed by maintenance every 4-6 months.
Is PRP under eyes safe for dark circles?
Yes, PRP under the eyes is considered very safe because it uses your own blood, eliminating the risk of allergic reactions or rejection. It is particularly effective for dark circles caused by thin skin and volume loss (not hyperpigmentation). The treatment thickens the delicate under-eye skin and stimulates collagen, reducing the translucent appearance that makes blood vessels visible. Most patients see improvement after 2-3 sessions spaced 4-6 weeks apart.
What is the downtime after PRP treatment?
PRP injection downtime is minimal — typically 24-48 hours of mild swelling and redness at injection sites. PRP microneedling (vampire facial) has more visible downtime of 3-5 days with redness, mild swelling, and skin flaking similar to a sunburn. PRP for hair restoration has virtually no downtime. You can return to work the same day for injections, or within 1-2 days for microneedling. Avoid sun exposure, makeup, and strenuous exercise for 24-48 hours after treatment.
Who is not a good candidate for PRP?
PRP is not recommended for people with blood disorders (thrombocytopenia, platelet dysfunction), active infections or skin conditions in the treatment area, cancer (especially blood cancers), those on blood-thinning medications (warfarin, heparin), chronic liver disease, active smokers (reduced healing response), or pregnant/breastfeeding women. Low platelet counts reduce PRP effectiveness since there are fewer platelets to concentrate.
How many PRP sessions do I need?
Most treatment protocols require 3-4 initial sessions spaced 4-6 weeks apart, followed by maintenance sessions. For facial rejuvenation, 3 sessions with annual maintenance is typical. For hair restoration, 3-4 monthly sessions with maintenance every 4-6 months. For under-eye treatment, 2-3 sessions with maintenance every 6-12 months. Results are cumulative — each session builds on previous improvements as collagen production increases over time.

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