Part of the vampire facial (PRP microneedling) guide · 2 articles

Vampire Facial Before and After: PRP Microneedling Results

Clinic galleries make the vampire facial's before-and-afters look dramatic; the research behind PRP and microneedling before and after describes something slower. PRP microneedling — the "vampire facial" — pairs skin needling with platelet-rich plasma from your own blood, and the American Academy of Dermatology calls PRP for skin rejuvenation "still an unproven treatment." Where results do come, full effects appear within a few weeks to months, and results can last as long as 18 months. Here is the evidence, concern by concern.

3 or moreTreatments behind resultsthe AAD, on how many treatments most patients who get results have had
Can fade 50% to 70%Acne scars in studiesmicroneedling with PRP, 3 to 5 treatments every 2 to 4 weeks (AAD)
A few weeks to monthsFull effectsAAD, if you get results; they can last as long as 18 months
Not approvedThe PRP step at FDAthe FDA: devices are not approved to deliver PRP into the skin

Key takeaways

  • The AAD calls PRP for skin rejuvenation "still an unproven treatment."
  • Acne scars are the better-supported use: 3 to 5 treatments every 2 to 4 weeks in the AAD's description.
  • No study we found isolates what a single PRP microneedling session delivers.
  • The FDA says microneedling devices are not approved to deliver PRP into the skin.
  • The biggest PRP risk is how blood is handled, so sterility and a new cartridge each session matter.

What does one vampire facial session show before and after?

The session itself is short.

The provider draws a small amount of blood — about 2 to 4 tablespoons, in the American Academy of Dermatology's (AAD) description — spins it in a centrifuge to separate the platelet-rich plasma, spreads that plasma over the face, and uses microneedling to help it absorb; the whole procedure takes about 45 minutes to an hour.

Our vampire facial guide covers the process, the cost and the risks in detail.

2 to 4 tbspBlood drawn from the armAAD
45 min to 1 hrLength of the procedureAAD

In the first days after, the AAD describes PRP's other effects as a bit of pain, bruising and swelling afterwards, tending to go away within a few days; the FDA's common-reaction list for microneedling devices adds dryness, tightness, redness, itching, peeling, bruising and bleeding among them.

We found no day-by-day recovery timeline measured for the PRP step specifically, so ask the med spa what its own patients experience.

On results, no study we found isolates what a single PRP microneedling visit delivers — the plans in the sources are series, and the AAD says dermatologists do not yet know the best number of sessions, spacing, dose or equipment for PRP.

The only controlled trial of a single PRP treatment in our sources is indirect evidence here: in a 2018 JAMA Dermatology split-face trial, 19 participants were analyzed after PRP was injected into one cheek and saline into the other, and dermatologist-rated photoaging scores showed no significant difference between the sides.

Participants themselves rated texture and wrinkles as more improved on the PRP side at 6 months — a self-rating of an injected, not microneedled, treatment.

19Participants analyzed in the 2018 split-face PRP trialJAMA Dermatology; no significant difference in dermatologist-rated photoaging scores
Why this page shows studies, not a photo gallery

One photograph shows one person's skin, at one moment, under clinic lighting, with no control side. The AAD calls PRP for skin rejuvenation an unproven treatment, so a gallery cannot settle what controlled evidence has not. The numbers on this page are the baseline to hold a gallery against.

Before and after by concern: scars, texture and under eyes

Acne scars are the better-supported use in the research.

The AAD says microneedling with PRP for acne scars typically takes 3 to 5 treatments, performed every 2 to 4 weeks, and that studies found this plan can fade acne scars by 50% to 70%.

Even this is a group finding from studies, not a prediction for a particular scar.

General skin rejuvenation — the texture and fine-line improvement "vampire facial" marketing points at — rests on a different file.

The AAD calls PRP for skin rejuvenation an unproven treatment, and in its description most patients who get results have had 3 or more treatments, with full effects appearing within a few weeks to months and results that can last as long as 18 months.

The 2018 split-face trial's only positive signal was the participants' own texture and wrinkle ratings at 6 months; the dermatologist raters saw no significant difference.

Under the eyes, the honest answer is that measured evidence for this combination does not exist in our sources.

The FDA's authorized uses for microneedling devices are improving the appearance of facial acne scars, facial wrinkles and abdominal scars in patients aged 22 or older — the under-eye area is not on that list — and the FDA says the devices are not approved for delivering blood products such as PRP into the skin at all.

We found no study measuring PRP microneedling results under the eyes.

If a gallery shows dramatic under-eye change, ask the clinic what measured evidence stands behind it.

What the sources say, by concern

ConcernPlan in the sourcesEvidence
Acne scars3 to 5 treatments, every 2 to 4 weeks (AAD)Studies found the plan can fade acne scars by 50% to 70%
Skin rejuvenationMost who get results have had 3 or more treatments (AAD)The AAD calls it an unproven treatment
Under eyesNone foundNo study found; not an FDA-authorized microneedling use

When do results peak, and how long do they last?

None of our sources marks a peak day.

The AAD's timeline for PRP: for the people who get results, full effects appear within a few weeks to months, and results can last as long as 18 months — a range the same organization attaches to a treatment it calls unproven, not an outcome promise.

The trial's positive reading — the participants' own texture and wrinkle ratings — came at its 6-month check, so the PRP question is a slow one in the data that exist.

The microneedling half runs on the same slow clock.

In the AAD's microneedling guidance — written for the device, not the PRP add-on — results appear gradually, full results usually take several months, results fade as collagen is lost, and a yearly maintenance session may be recommended.

One mix-up to avoid: the "vampire facelift" is a different procedure — PRP injected together with hyaluronic acid filler rather than needled across the skin.

Cleveland Clinic says the facelift shows plumping from the filler right away, smoothing from the PRP after about two weeks, and final results it frames as lasting about 12 to 18 months.

Those are a filler procedure's numbers; beyond the AAD's "as long as 18 months," we found no sourced month count for the microneedled facial.

Cleveland Clinic adds that researchers have not yet done extensive studies of PRP for facial rejuvenation.

Vampire facial (PRP microneedling)

  • PRP spread over the face and microneedled in
  • Full effects within a few weeks to months (AAD)
  • Results can last as long as 18 months (AAD)

Vampire facelift (PRP + filler)

  • PRP injected together with hyaluronic acid filler
  • Plumping from the filler right away; smoothing from PRP after about two weeks

For the device without the blood — what plain microneedling shows after one, three and six sessions — our microneedling before-and-after guide collects that evidence separately.

Find vampire facial providers near you

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On this treatment, the results questions and the provider questions meet at sterility.

The AAD says the biggest PRP risk comes from how blood is handled: it must be kept sterile to avoid infection, and the facility should use transfusion-center-style checks so that you receive only your own blood.

The FDA adds that re-using a microneedle cartridge is unsafe even if it has been cleaned, and tells patients to ask whether a new cartridge is used for each patient and each session.

  • A new needle cartridge for each patient and each session — the FDA calls re-use unsafe even if cleaned
  • Blood kept sterile, with transfusion-center-style checks that the plasma reapplied to your face is yours alone
  • Infection-control practices and client record-keeping at the facility — CDC says these can help prevent transmission
  • Who performs the treatment, with what license and under whose supervision — verified with your state board, not taken from the menu
  • The plan in writing: how many sessions, how far apart, and the price of the full plan

Put those questions to each spa near you, and compare whole plans rather than single prices — our how to choose a med spa checklist walks the full vetting, and our med spa laws guide covers who may perform treatments like this and how to check where you live.

Nothing on this page tells you whether a vampire facial suits your own skin; that decision belongs to you and a licensed provider who has examined it.

The documented HIV cluster — why the facility matters

In April 2024, CDC reported the first documented HIV transmission associated with cosmetic injection services — a cluster tied to PRP "vampire facial" services at an unlicensed New Mexico spa. CDC judged three of five people likely infected at the spa; inspectors found blood tubes in a food refrigerator, no autoclave and reused disposable tips. CDC's take-home: infection-control practices and client record-keeping at spas offering cosmetic injection services can help prevent transmission.

Frequently asked questions

What does one vampire facial session show before and after?

No study we found isolates a single PRP microneedling session, and the published plans are series: the AAD says most patients who get results have had 3 or more treatments, and its acne-scar plan runs 3 to 5 treatments.

The only controlled trial of a single PRP treatment in our sources — 19 people, injected rather than microneedled — found no significant dermatologist-rated difference from saline, though participants rated the PRP side more improved at 6 months.

How long do vampire facial results last?

The AAD's range: results can last as long as 18 months for the people who get results, with full effects appearing within a few weeks to months — figures the AAD attaches to a treatment it calls unproven.

Do not borrow the vampire facelift's numbers: that procedure adds hyaluronic acid filler, and Cleveland Clinic puts its results at about 12 to 18 months — numbers that belong to the facelift, not to the microneedled facial.

Is a vampire facial FDA-approved?

No. The FDA states microneedling devices are not approved for delivering cosmetics, topical medications, vitamin solutions, drugs, or blood products such as platelet-rich plasma into the skin, and the AAD calls PRP for skin rejuvenation an unproven treatment.

The microneedling device itself is authorized for improving the appearance of facial acne scars, facial wrinkles and abdominal scars in patients aged 22 or older — the PRP step is the part with no approval behind it.

Why doesn't this page show before-and-after photos?

Because one photograph is one person's result, at one moment, with no control side — and the AAD calls PRP for skin rejuvenation an unproven treatment, so a gallery cannot settle what the controlled studies have not.

The numbers on this page (the 50% to 70% fading studies found the acne-scar plan can deliver, the 3 or more treatments behind the results the AAD describes) describe groups, not any one face.

Ask any clinic you are considering how it substantiates the photos it shows.

Sources

Every number on this page comes from one of these sources and was checked against it.

  1. Microneedling Devices · U.S. Food and Drug Administration
  2. cdc.gov · CDC
  3. Vampire Facelift (Platelet-Rich Plasma Facelift) · Cleveland Clinic
  4. Is platelet-rich plasma the secret to younger-looking skin? · American Academy of Dermatology
  5. Effect of Platelet-Rich Plasma Injection for Rejuvenation of Photoaged Facial Skin: A Randomized Clinical Trial · Alam et al., JAMA Dermatol, 2018
  6. Microneedling can fade scars, uneven skin tone, and more · American Academy of Dermatology

Medical disclaimer. MedSpaStandard is for education only and is not medical advice. Talk to a licensed provider about your own health, and check any provider's license with your state board.