PRP — Platelet-Rich Plasma

PRP (platelet-rich plasma) is a treatment that uses the patient's own blood. After a blood draw similar to routine tests, the blood is centrifuged to separate the plasma with a higher concentration of platelets. This is then administered into the skin.

Platelets contain growth factors involved in the body's natural tissue repair processes. The aim of the treatment is to stimulate skin regeneration, for a brighter appearance, a more even texture and better skin quality. Because the patient's own plasma is used, the risk of allergic reactions is very low. At Detalii Med in Baia Mare, the treatment is carried out by Dr Greta Jurj, specialist in dermatology and venereology, working in aesthetic dermatology.

PRP may be recommended for adults who want:

• to revitalise tired, dull or dehydrated skin;
• to soften fine lines, including around the eyes;
• to improve skin texture and the appearance of some superficial scars;
• a maintenance treatment for skin quality on the face, neck or décolletage.

In certain situations, PRP may also be considered for the scalp, in some forms of hair loss, after a dermatological assessment of the cause. The treatment is not recommended in blood or platelet disorders, active infections, during pregnancy and breastfeeding, during cancer treatment or with certain medicines that affect blood clotting. The doctor assesses these at the consultation.

PRP can improve the brightness, hydration and texture of the skin and soften fine lines. Results are usually gradual and subtle, and their extent varies from person to person.

The treatment does not add volume, does not correct deep wrinkles or lax skin, and does not replace fillers, botulinum toxin or surgery. Pigmentation is not the main target of PRP either. The response to treatment cannot be predicted precisely, and the scientific evidence varies from one indication to another, which is why the doctor discusses realistic expectations openly.

The consultation begins with a discussion of what the patient would like to improve, followed by an examination of the skin. The doctor asks about known conditions, current medicines, especially those affecting blood clotting, allergies and previous aesthetic treatments. For scalp PRP, the doctor first looks for the cause of the hair loss and may recommend tests.

The doctor then explains how the treatment works, how many sessions may be needed and what side effects may occur. The patient signs the informed consent form before the first session.

A session usually lasts 45–60 minutes and involves several steps:

• drawing a small amount of blood from a vein;
• centrifuging the blood to obtain platelet-rich plasma;
• cleansing and disinfecting the skin;
• administering the plasma through superficial micro-injections or through microneedling, a technique using tiny needles that create fine channels in the skin.

A course of three sessions about four to six weeks apart is usually recommended, followed by maintenance sessions. The exact plan depends on the indication.

For comfort, an anaesthetic cream is usually applied to the treatment area about 20–30 minutes beforehand. The blood draw is done as for a routine test. The sensation during treatment is generally one of light pricks or pressure, well tolerated by most patients.

After the session, the skin may be red and slightly swollen, and small bruises may appear at the injection points. These effects usually settle within one to three days. Most patients return to their activities the same day or the next.

Usual recommendations:

• no make-up and no harsh skincare products for the first 24 hours;
• avoid saunas, swimming pools and strenuous exercise for one to two days;
• use daily sun protection throughout the course of treatment.

PRP is generally well tolerated, and the risk of allergy is very low because the patient's own plasma is used. Common side effects are mild and temporary: redness, swelling, bruising, local tenderness or slight soreness where the blood was taken.

Less often, there may be infection, a flare-up of cold sores in people prone to them, or more persistent swelling. Following sterile technique and aftercare advice reduces these risks. The patient should contact the doctor if they notice increasing pain, local warmth or discharge.

The skin may look brighter a few days after a session, but the regenerative effects develop gradually. Improvements in texture and skin quality usually become more visible a few weeks after the initial course is completed.

Results generally last for several months, and how long depends on age, skin condition, sun exposure and lifestyle. To maintain them, the doctor may recommend maintenance sessions, usually once or twice a year.

PRP is a treatment that uses the body's own resources to revitalise the skin, with gradual effects and a short recovery period. Results vary from patient to patient and do not replace volume or lifting treatments. At Detalii Med in Baia Mare, Dr Greta Jurj decides at the consultation whether PRP is suitable and how it can fit into a skincare plan.