News – December 28, 2020 – Platelet platelet (PRP) treatment, which involves injecting a small amount of the patient’s own blood to release a number of growth factors from platelets, is growing popular. The American Society of Plastic Surgery has monitored the methodology since 2015 and reported a 25 percent increase in PRP cosmic use in the past four years.
That increase in popularity could get back to celebrities realizing the cosmic benefits of the approach. But with so much information coming from so many different sources about the different treatment practices, it is difficult to understand the extent of the benefits and limitations.
“Remedies using PRP show great promise for leveraging the body’s own natural tissue repair processes to help our patients achieve better shape and function,” said Edward Chamata, MD , from Baylor College of Medicine, Houston, lead author of a review and update on the science behind PRP and its role in plastic surgery. The review is published in the January issue of Plastic and Reconstructive® Surgery, the official medical journal of the American Society of Plastic Surgery (ASPS).
Platelet plate has many features that make it very attractive for use in plastic surgery: it is easy and inexpensive to produce using the patient’s own cells, with very little risk or adverse effect. However, especially for cosmic procedures, treatment can be time consuming and may require several sessions.
Platelets are blood cells that play a vital role in bleeding. When thin damage occurs, plates rupture to the area, initiating a series of events to stop bleeding and begin the wound healing process. Blankets have been shown to release more than 30 growth factors and other biologically active proteins, with effects including the formation of new blood vessels and tissue growth.
This “cocktail” of natural growth factors seems to explain the wide range of therapeutic benefits reported by PRP. Platelet-filled plasma is prepared by various centrifugation methods, spinning a small sample of the patient’s blood into individual components. The red blood cells are removed, leaving the liquid part of blood (plasma) with a high density of pests, sometimes with leukocytes (white blood cells).
Originally used for the treatment of skin diseases and for the promotion of bone grafting, PRP has found a number of uses in a number of surgical specialties – including plastic surgery. In the U.S. alone, plastic surgeons performed more than 130,000 such minimally invasive cosmic procedures in 2019. Dr. Chamata and colleagues reviewed the evidence on promising PRP claims in four key areas:
Skin Rejuvenation – Historically, PRP has been introduced under the skin to improve skin texture, color and reduce wrinkle depth; however, recently there has been a great deal of interest in the “facial vampire” known as nonsurgical microneedling and then the routine use of PRP. Current evidence suggests that microneedling can increase collagen production, skin tightening and regeneration. Microneedling in conjunction with PRP has also emerged for the treatment of atrophic acne scars and skin pigmentation disorders.
Hair regrowth – Used alone or in combination with hair transplants, and effective for both men and women, PRP increases proliferation levels of human dermal papillary cells that regulate hair follicle growth. According to the study, by combining growth factors as well as interactions between dermal papilla cells and primary stem cells, the activation of the fertile stage of the hair cycle begins, leading to the formation and maintenance of hair follicle.
PRP with laser treatment – PRP combing techniques with laser resurfacing have shown good results in facial rejuvenation and for the treatment of acne scars. In addition to promoting healing, the growth factors that PRP provides may help reduce redness and inflammation caused by laser treatments.
PRP with fat grafting – Fat grafting is another augmentation technique in plastic surgery, moving the patient’s own fat cells for a wide range of cosmic and reconstructive procedures. Some studies have reported remarkable improvements in skin shape and size with PRP, compared to fat grafting alone.
“PRP has emerged as one of the best non-surgical treatments for a range of cosmic procedures – although some claims may go beyond the available evidence,” adds Dr Chamata. . “Plastic surgeons are at the forefront of identifying promising practices for PRP – including developing routine procedures and building a body of evidence for positive patient outcomes.”
Click here to read “Full Plasma: The Role of Evolution in Plastic Surgery.”
DOI: 10.1097 / PRS.0000000000007509
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Plastic and Reconstructive® Surgery published in Lippincott folder by Wolters Kluwer.
About Plastic surgery and reconstruction
For over 70 years, Plastic and Reconstructive® Surgery (http://www.prsjournal.com/) has been a regular mainstay reference for all specialists who use plastic surgery techniques or work in conjunction with a plastic surgeon. Official Journal of the American Society of Plastic Surgery, Plastic and Reconstructive® Surgery provides subscribers with up-to-date reports on the latest techniques and follow-up work for all areas of plastic and reconstructive surgery, including breast reconstruction, experimental examinations, maxillofacial reconstruction, hand and microsurgery , burnout repair and cosmic surgery, as well as news on medical-legal issues.
About ASPS
The American Society of Plastic Surgeons is the largest group of board-certified plastic surgeons in the world. Representing more than 7,000 physician members, the association is recognized as a leading authority and source of information on cosmic and reconstructive plastic surgery. ASPS accounts for more than 94 percent of all board-certified plastic surgeries in the United States. Founded in 1931, the association represents physicians certified by the American Board of Plastic Surgery or the Royal College of Physicians and Surgeons of Canada.
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