PRP and Microneedling in Aesthetic Medicine are two increasingly popular off-label modalities intended to harness the body’s self-rejuvenation and repair abilities
The number of nonsurgical facial enhancements has skyrocketed in the past 10 years. As a consequence of patient demand, many physicians, nurses, and physician assistants have begun to treat such patients. PRP and Microneedling in Aesthetic Medicine is a guide and quick reference for the many professionals and paraprofessionals who have become facial injectors. It is not, however, a training manual for the naive injector. We highly discourage the novice injector from using this book as a primer on injections. In our opinion, nothing can replace training that is offered by courses and by one-on-one preceptorships.
PRP and Microneedling in Aesthetic Medicine was designed to augment the knowledge of a beginner injector and to train the experienced injector in how to perform “finesse” injections. The face can be shaped and minor irregularities and asymmetries improved by performing the techniques we describe. In addition, we hope to help the injector “look through” the skin to the underlying anatomy. This will help to identify both the targets of injection and the important structures to avoid. The authors are aware that there is certainly more than one way to treat a certain anatomic region. It was our aim, by having authors from two very different locales (East Coast and West Coast), and different practices, that the “best” injection technique would be described by comparing our techniques of injection. In cases where our techniques markedly differed, alternate techniques are presented.
The products described in the book are all U.S. Food and Drug Administration (FDA)-approved fillers and neurotoxins; however, most of the techniques described are considered “off-label” uses of the products. The doses of products described serve as a general guide for injection. Although the utmost care was taken in ensuring the accuracy of the dosing listed, we urge the injector to use his or her best judgment or experience in the unlikely event that a misprint suggests an inappropriate dose. The comments we make about specific products are often our opinion derived from clinical observation. Others may have different observations clinically, and we respect these variations in clinical practices and results.
We realize that this PRP and Microneedling in Aesthetic Medicine will be utilized by injectors with different skill levels. In an attempt to promote safe utilization of these products, we have devised a rating scale for each technique. Each injection technique is evaluated in terms of difficulty for the trainer, risks involved in performing the injection, and patient satisfaction with the results. Appendix A lists the chapters by degree of difficulty, as a cross-reference for injectors who would like to safely advance to more challenging injection techniques.