Microneedling is a minimally invasive resurfacing procedure that uses medical grade, sterile, fine titanium needles to create microchannels in the skin. This produces a burst of growth factors being released in the skin. As a result, new collagen and elastin are produced improving the texture and firmness of the skin. Multiple treatments are needed for best results. It is recommended that a series of microneedling sessions be done, approximately every 6 weeks. The number of treatments needed for improvement varies, depending on one's skin type, the body area, and degree of correction desired. Most patients find the MicroPen treatment to be very tolerable as a topical anesthetic cream is applied prior to treatment. The skin typically appears mildly to moderately red for two to four days after the procedure, with some dryness and flaking. Swelling and bruising are less common but are also possible. Make-up may be applied. Microneedling can be combined with platelet-rich plasma (PRP) infusions to boost results and healing. Platelets play a pivotal role in tissue healing. Platelets release a multitude of growth factors such as platelet-derived growth factors AA, AB, BB, transforming growth factors Beta 1 and 2, vascular endothelial growth factor, insulin-like growth factor, basic-fibroblast growth factor, epidermal growth factor, and platelet factor-4. These signaling proteins are responsible for initiating cellular production of collagen, hyaluronic acid, fibronectin, proteoglycans, and blood vessels in the skin. These factors are responsible for repair and regeneration of our skin. PRP is a concentrated preparation of platelets prepared from your blood. A blood sample is collected into a special tube and spun in a centrifuge. This separates the platelets from the rest of the blood cells. The platelets are activated to release the growth factors and the activated PRP is then applied during the microneedling procedure.