This patient in her 40’s wanted to improve her overall facial appearance. She had micro needling with PRP( Platelet Rich Plasma) for resurfacing of the facial skin and botox for her forehead. The combo procedure of PRP and micro needling brightened her skin color, smoothed the skin texture, and even lifted and tightened her skin to reduce the nasolabial fold and marionette lines.

Botox in the frown line smoothed the forehead and lifted the eyebrows slightly. Together these procedures moved the clock backward for her about 10 years. The effect has been maintained even after almost one year. She now needs small touch ups to keep up. I recommended some filler for the under eye area this time.