Title: Micro Needling and Injecting Platelet Rich Plasma to Enhance Collagen Synthesis and Skin Tightening

The technique of medical micro needling has been shown to increase the remolding of the skin by creating thousands of microscopic channels in the skin, to increase the formation of new tissue by activating the body’s healing cascade. This author theorized, that micro needling platelet rich plasma (PRP) into the dermis would intensify the natural wound cascade because of the high concentration of the patients own growth factors. A method of collagen enhancement therapy utilizing a micro-needling roller to infuse PRP and other formulas into the skin, in combination with a Meso lift (non-surgical lift) of the neck and face to tighten and tone skin, is presented. Results reveal this method to be an effective alternative of collagen enhancement therapy (CET). Introduction The earliest form of micro needling, acupuncture, can trace its roots to the Chinese centuries ago. Nappage, a French skin rejuvenation technique used the past fifty years, is another form of micro needling where micro incisions are made into the skin placing a drop of vitamins, minerals and anti-oxidants to replace depleted cellular levels. In the 1990’s (Orentreich, 1995) (1) advocated the “subcision” with a needle to treat wrinkles near the lip lines. In 1997, (Comrade, et al.) (2) reported that hypochromic facial scars were tattooed with a skin color pigment and 1 to 2 years later, even after the pigment was gone, it was replaced by actual melanin and the scars were improved in texture, appearance and color. After observing this, scars were tattooed without pigment with the idea that breaking down the scar collagen in this manner would cause realignment and stimulate melanogenesis.