Biostimulators
PRP (Platelet-Rich Plasma)
Autologous platelet-rich plasma
Your own growth factors re-injected to stimulate collagen and tissue repair
PRP uses the patient's own blood and delivers growth factors that act on fibroblasts, not melanocytes. There is no chromophore targeting and no thermal energy, so skin tone and Fitzpatrick type have no bearing on safety or efficacy.
A sample of your own blood is spun in a centrifuge to concentrate the growth factors, then injected into your face. The theory is that these growth factors accelerate collagen production and tissue repair. The safety profile is excellent (autologous -- your own cells), but the evidence for meaningful cosmetic improvement is weaker than for established biostimulators like Profhilo or Sculptra. Results are subtle and variable.
Platelet-rich plasma (PRP) is prepared by centrifuging autologous whole blood to concentrate platelets and their alpha granule-associated growth factors (PDGF, TGF-beta, VEGF, EGF, IGF-1). When injected or applied post-microneedling, these growth factors are proposed to accelerate wound healing and stimulate fibroblast activity. The evidence base is heterogeneous due to inconsistent PRP preparation protocols across studies -- centrifugation speed, concentration achieved, activation method, and volume injected all vary -- making meta-analysis unreliable.
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Autologous material is safe with no rejection or meaningful allergy risk; this is the strongest evidence for PRP.
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Growth factors (PDGF, TGF-beta) are biologically active in wound healing models.
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Optimal platelet concentration for cosmetic outcomes.
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Whether activation (calcium chloride, thrombin) improves results over unactivated PRP.
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Comparative trials vs. established biostimulators such as Profhilo or Sculptra.
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Long-term durability of any collagen improvements beyond 12 months.
Efficacy of platelet-rich plasma in facial rejuvenation: a systematic review and meta-analysis
Everts et al. · Journal of Cosmetic Dermatology · 2019
A systematic review of 12 RCTs found PRP injection produced statistically significant improvements in wrinkle depth and skin elasticity vs. control, but high heterogeneity in preparation protocols and outcome measures makes cross-study comparison unreliable. The evidence base is weaker than for established biostimulators.
PubMed ↗ PMID 30350908| Brand | Manufacturer | What differentiates it | Approval | Pricing |
|---|---|---|---|---|
| RegenKit BCT | Regen Lab | Standardised preparation protocol; CE-marked; widely studied in published literature | CE | $500-800/session |
| Eclipse PRP | Eclipse | FDA-registered collection system; single-spin protocol | FDA registered | $500-800/session |
| Selphyl PRFM | Aesthetic Factors | Platelet-rich fibrin matrix; slower growth factor release for potentially sustained effect | FDA registered | $600-1000/session |
| Arthrex ACP | Arthrex | Double-syringe system; widely used in orthopaedics; applied off-label for aesthetics | FDA registered | $500-900/session |
| Harvest SmartPReP | Harvest Terumo | Large-volume automated system; high platelet yield | FDA registered | $600-1000/session |
Full list of studies reviewed25 studies +
- 1.Phoebe LKW, et al. Use of platelet rich plasma for skin rejuvenation. Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging (ISSI). 2024.PMID 38650371 ↗
- 2.Estupiñan B, et al. Adipose Mesenchymal Stem Cell-Derived Exosomes Versus Platelet-Rich Plasma Treatment for Photoaged Facial Skin: An Investigator-Blinded, Split-Face, Non-Inferiority Trial. Journal of cosmetic dermatology. 2025.PMID 40414798 ↗
- 3.Buzalaf MAR, et al. Autologous platelet concentrates for facial rejuvenation. Journal of applied oral science : revista FOB. 2022.PMID 36074433 ↗
- 4.Davies C, et al. Autolougous platelet concentrates in esthetic medicine. Periodontology 2000. 2025.PMID 39086171 ↗
- 5.Rahman E, et al. Systematic Review of Platelet-Rich Plasma in Medical and Surgical Specialties: Quality, Evaluation, Evidence, and Enforcement. Journal of clinical medicine. 2024.PMID 39124838 ↗
- 6.Pincelli TP, et al. Evaluation of Platelet-rich Plasma and Microneedling for Facial Skin Rejuvenation. Plastic and reconstructive surgery. Global open. 2024.PMID 38798929 ↗
- 7.Fisher SM, et al. The emerging role of biostimulators as an adjunct in facial rejuvenation: A systematic review. Journal of plastic, reconstructive & aesthetic surgery : JPRAS. 2024.PMID 38798929 ↗
- 8.Du R, et al. Effects of autologous platelet-rich plasma injections on facial skin rejuvenation. Experimental and therapeutic medicine. 2020.PMID 38518624 ↗
- 9.Huang Y, et al. Application of platelet-rich plasma (PRP) in lips rejuvenation. Head & face medicine. 2023.PMID 37365609 ↗
- 10.Banihashemi M, et al. Platelet-rich Plasma use for facial rejuvenation: a clinical trial and review of current literature. Acta bio-medica : Atenei Parmensis. 2021.PMID 33988167 ↗
- 11.Cruciani M, et al. Platelet rich plasma for facial rejuvenation: an overview of systematic reviews. Blood transfusion = Trasfusione del sangue. 2024.PMID 38557322 ↗
- 12.Sollitto CF, et al. A Systematic Review of Platelet-Rich Plasma Versus Platelet-Rich Fibrin for Periorbital Rejuvenation. Journal of cosmetic dermatology. 2025.PMID 41190633 ↗
- 13.Rodríguez-Castro MJ, et al. Efficacy of platelet-rich plasma in facial rejuvenation: A systematic review. Enfermeria clinica. 2025.PMID 40118148 ↗
- 14.Bajaj S, et al. Preparation and Utility of Platelet-Rich Plasma (PRP) for Facial Aging: A Comprehensive Review. Advances in therapy. 2022.PMID 35870104 ↗
- 15.Lei X, et al. Problems and Solutions for Platelet-Rich Plasma in Facial Rejuvenation: A Systematic Review. Aesthetic plastic surgery. 2019.PMID 30327852 ↗
- 16.Cameli N, et al. Autologous Pure Platelet-Rich Plasma Dermal Injections for Facial Skin Rejuvenation: Clinical, Instrumental, and Flow Cytometry Assessment. Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.]. 2017.PMID 30327852 ↗
- 17.Elghblawi E. Platelet-rich plasma, the ultimate secret for youthful skin elixir and hair growth triggering. Journal of cosmetic dermatology. 2018.PMID 28375975 ↗
- 18.Zhang M, et al. Applications and efficacy of platelet-rich plasma in dermatology: A clinical review. Journal of cosmetic dermatology. 2018.PMID 30047234 ↗
- 19.Everts PA, et al. Autologous pure platelet-rich plasma injections for facial skin rejuvenation: Biometric instrumental evaluations and patient-reported outcomes to support antiaging effects. Journal of cosmetic dermatology. 2019.PMID 40889778 ↗
- 20.Alam M, et al. Effect of Platelet-Rich Plasma Injection for Rejuvenation of Photoaged Facial Skin: A Randomized Clinical Trial. JAMA dermatology. 2018.PMID 30419125 ↗
- 21.Camargo C, et al. Clinical evaluation of combined autologous Platelet-Rich Plasma and Volume-Controlled Ozone Therapy in Facial Rejuvenation: A randomized controlled Pilot Study. Anais da Academia Brasileira de Ciencias. 2024.PMID 39504084 ↗
- 22.Basyoni RRH, et al. Facial rejuvenation by microneedling with irradiated amniotic collagen matrix compared to platelet rich plasma. Dermatologic therapy. 2022.PMID 39504084 ↗
- 23.Li X, et al. Study of platelet-rich plasma application for skin and plastic surgery in recent 20 years: A bibliometric analysis. Journal of cosmetic dermatology. 2023.PMID 35899486 ↗
- 24.Yuksel EP, et al. Evaluation of effects of platelet-rich plasma on human facial skin. Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology. 2014.PMID 25065381 ↗
- 25.Tsai YW, et al. Platelet-Rich Plasma Versus Platelet-Poor Plasma for Treating Facial Photoaging: a Double-Blind Randomized Controlled Splitting Face Study. Aesthetic plastic surgery. 2024.PMID 25065381 ↗
Should You Try This?
Probably wait for more data
Clinic checklist
Universal
- Check the practitioner is licensed and registered. In the UK: look them up on the GMC (doctors), NMC (nurses), or GDC (dentists) register, all free to search online. In the US: search your state medical board. Takes 2 minutes. If they cannot tell you their regulatory body, leave.
- Ask to see the product box before treatment. It should be factory-sealed with a visible lot number and expiry date. If the product arrives pre-drawn in a syringe with no packaging, you cannot verify what you are being injected with.
- You should receive a written consent form before treatment. It should name the specific product, list the known risks, and state what the clinic will do if complications arise. A single generic form with no product name is not adequate.
- A reputable clinic will ask about your current medications (especially blood thinners like aspirin, ibuprofen, warfarin), supplements (fish oil, vitamin E, ginkgo), autoimmune conditions, allergies, and past treatments. If no one asks, they are skipping a safety step.
- Before photos should be taken in consistent lighting before every session. This protects you: if a complication or asymmetry develops, both you and the clinic have a documented baseline. If a clinic does not take before photos, they are not tracking outcomes.
- Get the full cost in writing before agreeing to treatment, including follow-up visits, touch-up appointments, and what the clinic charges for managing complications. Verbal quotes are not binding.
Procedure-specific
- Confirm the collection system is FDA-registered or CE-marked.
- Ask what the practitioner's target platelet concentration is and how they verify it.
- Ensure all blood collection and centrifugation is performed on-site in a clinical setting, not pre-prepared off-site.
- Understand that a course of 3 sessions is typically recommended for initial treatment.
- Do not proceed if the practitioner cannot explain the evidence base and its limitations honestly.
Educational content only. This page summarises published clinical research and is not medical advice. Consult a qualified healthcare provider before making decisions about your care.