April 12, 2023

Microneedling with PRF for Aesthetic Nurses

Moxie Team

Microneedling with PRF is a cosmetic procedure that is continuing to gain popularity with aesthetic clients.

Whether you're completely new to microneedling or looking to specialize in microneedling with PRF, we've got you covered. Let’s talk about the in’s and out’s, pros and cons of the procedure, and how you can roll it out in your cosmetic service offering.

Check out our Introduction to Microneedling in Your Medspa 101.

Microneedling with PRF: The Basics 

Microneedling with PRF is a cutting-edge cosmetic procedure that combines the benefits of microneedling and Platelet-Rich Fibrin (PRF). If you're wondering what makes this treatment so special, let's take a closer look at the science behind it.

Understanding the Science Behind Microneedling with PRF

Microneedling with PRF works by creating tiny microchannels in the skin using a device with fine needles. These microchannels trigger the body's natural healing response, prompting the production of collagen and elastin. The introduction of Platelet-Rich Fibrin (PRF), obtained from your own blood, enhances the rejuvenation process even further.

But what exactly is Platelet-Rich Fibrin (PRF)? Well, it is a concentrated form of platelets and fibrin that is derived from your own blood. Platelets are rich in growth factors and cytokines, which play a crucial role in tissue regeneration and collagen formation. When combined with microneedling, the PRF amplifies the benefits, leading to smoother, firmer, and more youthful-looking skin.

When the microneedling device is gently rolled over the skin, the fine needles create controlled micro-injuries. These micro-injuries stimulate the body's natural healing process, triggering the release of growth factors and cytokines from the platelets in the PRF. These micro-injuries stimulate the body's natural healing response, promoting collagen and elastin production. This helps to improve the overall texture and tone of the skin, reducing the appearance of fine lines, wrinkles, and acne scars.

Pros and Cons of Microneedling with PRF

Platelet-Rich Fibrin (PRF) combined with microneedling is a powerful aesthetic treatment that offers a multitude of benefits for skin rejuvenation and healing. 

Here are the key benefits:

  • Enhanced Skin Regeneration: PRF is rich in growth factors, which significantly enhances the skin's natural healing process. When used with microneedling, it accelerates cell turnover, leading to fresher, younger-looking skin.
  • Improved Skin Texture and Tone: This combination treatment effectively reduces fine lines, wrinkles, and scars, resulting in smoother and more even-toned skin. It addresses various skin concerns, including acne scars and age-related texture changes.
  • Increased Collagen Production: Microneedling stimulates collagen production, and the addition of PRF enhances this effect. Increased collagen leads to firmer, more elastic skin, reducing signs of aging.
  • Natural Treatment: Since PRF is derived from the patient's own blood, there is a lower risk of allergic reactions or adverse effects, making it a safe and natural approach to skin rejuvenation.
  • Versatility: The treatment is suitable for all skin types and can be used on various parts of the body, including the face, neck, décolletage, and hands.
  • Minimal Downtime: Compared to more invasive cosmetic procedures, PRF with microneedling requires minimal recovery time, allowing patients to return to their daily activities more quickly.

Here are the key downsides: 

  • Risk of Bruising and Swelling: As with any procedure involving needle penetration, there's a chance of bruising and swelling at the treatment site, which can last a few days.
  • Temporary Redness and Irritation: Patients may experience redness, irritation, or sensitivity following the treatment, similar to a mild sunburn, though these effects typically subside within a few days.
  • Infection Risk: Any procedure that breaks the skin carries a risk of infection. While rare, it's crucial to follow post-treatment care instructions carefully to minimize this risk.
  • Not Suitable for all Cosmetic Clients: Individuals with certain skin conditions, active acne, or those on specific medications may not be suitable candidates for this treatment.
  • Temporary Results: While the results can be significant, they are not permanent. Maintenance treatments are required to sustain the benefits over time, and some clients may seek more long-term results.

Overall, PRF with microneedling offers a natural, proven approach for achieving healthier, younger-looking skin by harnessing the body's natural healing capabilities.

What You Need at Your Medspa for Microneedling with PRF 

Incorporating Platelet-Rich Fibrin (PRF) with microneedling into your cosmetic nursing practice presents an innovative and highly sought-after treatment option for clients seeking skin rejuvenation. 

When considering microneedling with PRF for your cosmetic nursing business, it's important to understand the time commitment involved. Depending on the size of the treatment area, a session typically lasts approximately 60-90 minutes.

The actual microneedling portion of the treatment usually takes around 30 minutes. This includes the application of a topical numbing cream, which ensures your comfort throughout the process. The PRF application and any additional steps, such as post-treatment skincare, are typically performed afterward.

Here are the steps for offering PRF Microneedling at your medspa: 

1. Acquire the Necessary Equipment

  • Microneedling Device: Invest in a high-quality microneedling device that allows for adjustable needle depths to cater to various skin concerns and depths for optimal results.
  • Centrifuge and PRF Kits: Purchase a reliable centrifuge designed for PRF processing along with sterile PRF kits for blood collection and preparation.

2. Undergo Specialized Training

  • Ensure you and your staff are well-trained in both microneedling techniques and PRF preparation. Comprehensive training courses that offer certification can enhance skills, ensuring treatments are performed safely and effectively.

3. Develop Treatment Protocols

  • Create detailed treatment protocols that include consultation procedures, skin assessment, treatment customization based on individual skin concerns, and post-treatment care recommendations.

4. Emphasize Safety and Hygiene

  • Maintain the highest standards of hygiene and safety. This includes using sterile equipment, proper disposal of needles, and ensuring a clean environment to minimize infection risks.

5. Educate Your Clients

  • Provide thorough consultations to educate clients on the benefits, process, expected outcomes, and post-treatment care of microneedling with PRF. Transparent communication about potential side effects and the importance of follow-up sessions for optimal results is crucial.

6. Offer Customized Treatment Plans

  • Assess each client's skin condition and goals to offer personalized treatment plans. This might include determining the number of sessions required, combining PRF with microneedling for targeted concerns, and suggesting complementary treatments or skincare products.
Check out our 2023 list of top cosmetic procedures, including Kybella, Chemical Peels, Dermaplaning and more.

The “Right” Patients for Microneedling with PRF

Preparing for a microneedling with PRF treatment is an essential step towards achieving optimal results. In a consultation before the treatment, discuss the patient skincare goals, and ensure they are suitable candidates for the treatment.

Ideal Candidate Characteristics:

Aims for Skin Texture and Tone Improvement:

  • Target clients seeking enhancement in fine lines, wrinkles, scars (e.g., acne scars), and overall skin texture and tone. Microneedling with PRF is effective for skin rejuvenation.

Desires Natural Rejuvenation Methods:

  • Focus on individuals preferring natural, less invasive cosmetic solutions. Utilizing PRF, derived from the patient's own blood, appeals to this demographic.

Has Realistic Outcome Expectations:

  • Ensure clients understand the procedure, anticipated outcomes, and the potential need for multiple sessions to achieve their goals. Discuss the temporary nature of improvements and maintenance requirements.

In General Good Health:

  • Screen for overall health to exclude active skin infections, untreated skin cancer, or conditions that might impair healing or raise complication risks.

Not Pregnant or Breastfeeding:

  • Confirm that clients are neither pregnant nor breastfeeding, as the effects of PRF treatments on these groups remain undetermined.

Free from Certain Blood Disorders:

  • Verify that clients do not have blood disorders affecting clotting or the quality of PRF, to ensure treatment safety and effectiveness.

Compliant with Pre and Post-Treatment Care:

  • Ideal candidates are willing to follow specific care instructions before and after the procedure to maximize results and minimize complication risks.

Pre and Post-Treatment for PRF Clients

As a dedicated cosmetic nurse, it's imperative to ensure that our clients are fully informed and prepared for their microneedling with Platelet-Rich Fibrin (PRF) treatment.. Pre-treatment instructions are designed to prepare the skin for the procedure, reducing the risk of adverse reactions and maximizing treatment benefits. Post-treatment care is crucial for maintaining the integrity of the treated areas, supporting skin recovery, and extending the longevity of the results.

Pre-PRF Microneedling

Skin Preparation:

  • Advise clients to adhere to pre-treatment instructions, which might include avoiding specific skincare products or treatments that could affect treatment outcomes.


  • Encourage clients to stay well-hydrated prior to their appointment to support optimal skin health and facilitate healing.

Sun Protection:

  • Instruct clients to protect their skin from excessive sun exposure both before and after the treatment. This helps minimize potential side effects and optimizes the treatment results.

Post-PRF Microneedling

Immediate Aftercare:

  • Avoid Touching the Treated Area: Instruct clients to keep their hands away from the treated skin to prevent infection. The skin will be sensitive and more susceptible to bacteria immediately after treatment.
  • Minimize Sun Exposure: Advise clients to avoid direct sun exposure for at least one week post-treatment. When going outdoors, wearing a broad-spectrum sunscreen with an SPF of 30 or higher is essential to protect the skin and maintain treatment results.
  • Stay Hydrated: Encourage clients to drink plenty of water to support the skin's healing process.

First 24-48 Hours:

  • Gentle Skin Care: Recommend using a gentle cleanser and applying products recommended by the skincare provider, such as hyaluronic acid or a gentle, fragrance-free moisturizer, to keep the skin hydrated without causing irritation.
  • Avoid Makeup: Advise clients to avoid applying makeup for at least 24 hours to prevent clogging the microchannels created by microneedling.

First Week:

  • Avoid Exfoliants and Harsh Products: Instruct clients to avoid using exfoliating agents, retinoids, or products containing alpha hydroxy acids (AHAs), beta hydroxy acids (BHAs), or other potentially irritating ingredients until the skin has fully healed.
  • No Strenuous Exercise: Recommend avoiding heavy workouts, saunas, or any activity that may lead to excessive sweating for 24 to 48 hours post-treatment to prevent irritation and ensure optimal healing.
  • Sun Protection: Continue to stress the importance of sun protection. Clients should apply a broad-spectrum sunscreen daily and consider wearing a hat or protective clothing if spending time outside.

Long-term Care:

  • Hydration and Nourishment: Encourage ongoing skin hydration with appropriate moisturizers and the use of gentle, nourishing products that support skin health.
  • Regular Follow-up Treatments: Discuss the potential need for follow-up sessions for best results, typically spaced 4-6 weeks apart, depending on the individual's skin condition and goals.

Monitoring and Follow-Up:

  • Watch for Adverse Reactions: Advise clients to monitor their skin for any signs of adverse reactions, such as excessive redness, swelling, or signs of infection, and to contact the medspa if any concerns arise.
  • Schedule a Follow-Up Appointment: Recommend scheduling a follow-up appointment to assess the skin's healing process and plan any future treatments.

While never what we want, not all clients can be satisfied all of the time. Check out our post, “How to Handle Unhappy Aesthetic Clients and Elevate Your Medspa Business”.

Offering PRF microneedling at a medspa provides a unique and natural approach to skin rejuvenation, leveraging the body's own healing mechanisms to improve skin texture, reduce signs of aging, and enhance overall skin health. As a cosmetic nurse, it allows you to deliver a highly sought-after, minimally invasive treatment that can be customized to meet the diverse needs of clients, ensuring high satisfaction and expanding the range of services your medspa offers.

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