Premier Aesthetics is currently offering Platelet rich plasma/fibrin (PRP & PRF) therapy. PRP has been used for close to 30 years although it is only recently become an emerging technology used across many specialties including dentistry, orthopedics, plastic surgery, urology, gynecology, cardiac surgeons and other specialties.  PRP is obtained from drawing the patient’s own blood and spinning it down in a centrifuge to concentrate the platelets above what would be normal.

Platelets, are an important reservoir of growth factors in the body and play an important role in many processes such as coagulation, immune response, making new blood vessels, and healing damaged tissues.  PRP also contains a few circulating stem cells although it’s not a major source for stem cells in the body.  When PRP is injected into the body it activates platelets which released several healing factors.  Most of these are types of growth factors such as platelet derived growth factor, vascular endothelial growth factor, transforming growth factor and several others.  These growth factors can be used to heal wounds such as chronic skin ulcers and for healing injured tissues and joints.  PRP & PRF is also used in anesthetics for improving volume and wrinkle used as a 100% natural filler and even added to traditional filler like Restylane for a softer longer lasting, stimulatory result. 

Platelet Rich Plasma is a safe treatment and is desirable from the standpoint that it is from the patient’s own body. PRP is more suitable than cortisone, which doesn’t really lead to any healing in and of itself and can lead to additional injury and delayed healing.

The body must at last heal itself. PRP is a method to deliver the high concentration of the healing materials the injured area requires to heal itself.


Collagen Induction Therapy (CIT), is known as medical skin needling or micro-needling, is a minimally-invasive skin rejuvenation treatment designed to improve the appearance of fine lines and wrinkles as well as scars on the face and body. The treatment uses tiny needles or micro-needles in a medical-grade device that is moved over the skin to create tiny, evenly-spaced puncture wounds on the skin. This process stimulates the body’s natural collagen production by generating a wound healing response.

Microneedling is minimally invasive, requiring no downtime. It’s considered safe for most people who are in overall good health. The procedure isn’t safe for people who use certain acne medications or for women who are pregnant. You’ll experience minor redness and irritation for a few days after the procedure.  Add PRF to increase results and healing. 

Patient should be free of any of these pre-existing conditions:

  • Cancer or Metastatic disease: the blood of patients with cancer, especially hematopoietic or of bone, might be infected with the cancer cells, so PRP is not advised. Same goes for any other metastatic diseases.

  • An active local infection: if there’s an existing infection in the area to be treated, you must treat and heal the infections first before applying PRP therapy. Except for some bacterial infections which PRP’s anti-microbial properties can control.

  • Pregnant or are breastfeeding: the risk of infection (even though minor) means it’s not advised for expecting or new moms.

  • A low platelet count (thrombocytopenia): patients with platelet count less than 105/ul is not advisable since the low platelet count makes it ineffective anyway.

  • Anemia or low HGB count: patients with less than 10 g/dl of hemoglobin should not be allowed to undergo PRP as their blood may be weak.

  • Platelet dysfunction syndrome: patients with any of the five types of platelet function disorders are not recommended. It may aggravate their symptoms.

  • Antiplatelet therapy: those who are undergoing antiplatelet therapy for arterial circulation may not see any results due to lack of platelets.

  • Active Smoking Habit: smoking increases blood pressure and is said to lower platelets (not always), and so the effect of treatment may be low enough to not warrant it.

  • Alcohol Overuse: we know consuming too much alcohol can diminish body’s capacity to release stem cells so alcohol intake should be controlled or avoided before and during Platelet-Rich Plasma treatments.

  • Allergic to cows: bovine thrombin is typically the standard for initiating clotting of PRP and is derived from cows. So if the patients are allergic to cow’s products, alternatives need to be arranged.

  • Septicemia or blood infection: if the blood is infected by harmful bacteria, its effects may be amplified by doing PRP.

  • Local toxicity to Bupivacaine HCL or Lidocaine: if the patient has an allergic reaction or local toxicity to these, it could trigger an adverse reaction.

  • Corticosteroid injection and NSAIDS: patients must refrain from taking any form of corticosteroid injections for up to ONE month prior to PRP therapy. As for NSAIDS like Nurofen, Voltaren or Mobic, that period is 7-10 days.

  • Recent fever or illness: if the patient just recovered from a serious illness or fever, it may be advised to wait up to 60 days before having PRP treatment.