Microneedling with PRP
Microneedling with PRP and the Vampire Facial in Roseville, CA
Microneedling enhanced with your body’s own healing factors, for skin that looks smoother, firmer and more radiant. A physician-led approach to a treatment that works with your skin’s natural renewal.
Medically reviewed by Inderpreet Sanghera, MD on
The Vampire Facial
What is microneedling with PRP?
Microneedling with PRP, often called the “Vampire Facial,” combines two regenerative steps. Precise micro-injuries stimulate your skin’s natural healing response, while concentrated growth factors from your own blood are delivered right where your skin needs them.
The process starts with medical-grade microneedling, which creates controlled micro-channels in the skin. These tiny pathways trigger your body’s wound-healing response and promote collagen and elastin production. We then apply your own platelet-rich plasma (PRP), concentrated from a small blood sample and rich in growth factors, so it can penetrate through those channels to support healing and build on the results.
At Lotus MD, we see skin health as a reflection of your overall wellness. This treatment fits that philosophy: it uses your body’s own healing ability alongside advanced medical technique, so results look natural.
Unlike superficial treatments that give a temporary improvement, microneedling with PRP works on the skin’s structure, rebuilding its foundation as new collagen forms.
Candidacy
Who is microneedling with PRP for?
Ideal candidates include adults seeking natural skin rejuvenation without harsh chemicals or invasive procedures, including people with fine lines, loss of firmness, uneven texture or tone, acne scarring or enlarged pores. You may be a good candidate if you:
- Notice your skin has lost its smoothness and glow
- Prefer treatments that enhance your skin’s natural renewal
- Have mild to moderate skin concerns that don’t need aggressive treatment
- Want a treatment with minimal downtime
- Want your skincare products to absorb better
- Value safe, proven treatments with natural-looking results
Conditions we address
- Fine lines and superficial wrinkles
- Uneven skin texture and rough patches
- Large or prominent pores
- Mild acne scarring and post-inflammatory marks
- Sun damage and age spots
- Overall dullness and lack of radiance
- Stretch marks on the body
- Thinning hair, with scalp microneedling
Candidacy is always confirmed at your consultation. If a different treatment fits your goal better, we will tell you.
Why add PRP
What PRP adds to microneedling
Microneedling on its own stimulates collagen. Adding PRP brings the growth factors in your own blood to the same micro-channels, which is why it suits more significant skin concerns or anyone who wants the most comprehensive approach to rejuvenation.
- Supports healing and enhances results
- More visible improvements in texture and tone
- Longer-lasting effects from concentrated growth factors
- Natural enhancement using your body’s own healing properties
Regenerative add-on
Microneedling with PRP and exosomes
PRP awakens your skin’s natural healing, and an exosome serum is designed to build on it, pairing your own growth factors with the newest regenerative aesthetics for fuller rejuvenation.
Working together
PRP and exosomes are combined to support your skin’s repair at the same time.
Calmer recovery
Designed to minimize redness, swelling and downtime after treatment.
Collagen support
Supports firmer, smoother skin with deeper repair.
Skin quality
Helps fade acne scars, refine pores and even out texture.
Whether exosomes suit your skin is decided at your consultation. Exosomes can also be added to microneedling on its own. Learn more about exosomes.
How it works
The science behind the results
Microneedling creates controlled micro-injuries that trigger three phases of healing.
Inflammatory phase
Blood flow increases and the healing process begins.
Proliferative phase
New collagen and elastin fibers form.
Remodeling phase
Skin becomes firmer, smoother and more resilient.
PRP adds concentrated growth factors, including platelet-derived growth factor (PDGF), transforming growth factor (TGF), vascular endothelial growth factor (VEGF) and epidermal growth factor (EGF).
The appointment
What to expect
Your treatment day takes 90 to 120 minutes in all.
Consultation, 45 minutes
A skin analysis, a review of your medical history and skincare routine, your goals and expectations, the process and timeline, and a personalized plan with preparation instructions.
Preparation, 30 minutes
A blood draw similar to routine lab work, PRP processed in a centrifuge, then skin cleansing and photos.
Treatment, 45 to 60 minutes
Topical numbing cream for comfort, precise microneedling with a medical-grade device, your fresh PRP applied right away with a gentle massage, then healing serums and a protective barrier.
Recovery
Microneedling PRP recovery and timeline
Most patients get the best results from a series of 3 to 4 treatments spaced 4 to 6 weeks apart. Depending on your skin concerns and goals, maintenance treatments every 6 to 12 months may be recommended to preserve your results.
| When | What you’ll notice |
|---|---|
| Day 1 | Skin looks red and slightly swollen, like a sunburn |
| Days 2 to 3 | Redness fades; skin may feel tight and begin to flake |
| Days 4 to 7 | Skin keeps healing; makeup can usually go on after 48 hours |
| Weeks 2 to 4 | First improvement in texture and tone |
| Months 2 to 3 | Noticeable improvement in firmness and radiance |
| Months 3 to 6 | Best results as collagen remodeling continues |
Results
Before and after
Results develop gradually, with the best results appearing over 3 to 6 months as new collagen forms.
Before and after microneedling with PRP. Individual results vary. 
Before and after microneedling with PRP. Individual results vary.
Founder and Medical Director
Dr. Inderpreet Sanghera
- MD, licensed physician
- Board certified, ABFM
- Certified, CPSO
- Certified aesthetic injector
- XERF Master Certified 2026
- Nearly two decades in medicine
Dr. Sanghera is a licensed medical doctor (MD), board certified by the American Board of Family Medicine and certified by the College of Physicians and Surgeons of Ontario. She is a certified aesthetic injector trained in Botox, Dysport and Xeomin, is XERF Master Certified (2026), and spent much of her career caring for veterans at the VA. She founded Lotus MD to bring evidence-based medicine and an artist’s eye to aesthetic care.
About Dr. SangheraQuestions
Microneedling with PRP questions, answered
Still unsure? Book a consultation and ask us in person.
How does this differ from a regular facial?
Unlike spa facials that work on the surface, microneedling with PRP creates controlled micro-injuries that trigger real skin regeneration. We use medical-grade equipment and your own growth factors to rebuild skin over time, not just improve how it looks for a few days.
Is the treatment painful?
We use topical numbing cream for your comfort. Most patients describe the sensation as mild to moderate, similar to light sandpaper moving across the skin. Any discomfort is brief and well tolerated.
Why is it called a “Vampire Facial”?
The nickname comes from the use of your own blood to make PRP. We prefer to focus on the regenerative medicine behind the treatment rather than the nickname.
When will I see results?
Your skin may have a glow right away from increased circulation, but the real results develop gradually. Most patients notice improvements in texture within 2 to 4 weeks, with the best results appearing over 3 to 6 months as new collagen forms.
Are there any side effects?
Because PRP comes from your own blood, allergic reactions are rare. Common temporary effects include redness, mild swelling and light flaking as your skin heals. These typically resolve within 3 to 7 days.
How long do results last?
Results can last 12 to 18 months or longer, depending on your age, skin condition and lifestyle. The collagen and elastin improvements are long-lasting, though natural aging continues.
Can I combine this with other treatments?
Yes. Microneedling with PRP complements many other treatments, and we often recommend it as part of a skin health plan that may include medical-grade skincare or treatments such as Botox and skin rejuvenation.
What should I avoid before treatment?
Avoid blood-thinning medications, excessive sun exposure and retinoids for several days before treatment. Ask before stopping any prescribed medication. We give you detailed pre-treatment instructions at your consultation.
Is there any downtime?
Most patients return to work within 1 to 2 days. Avoid strenuous exercise, saunas and direct sun for the first few days while your skin heals.
Keep exploring
Other treatment categories
- Botox and Skin Rejuvenation
- Concierge Medicine
- Exosomes
- Filler and Facial Balancing
- Hormonal and Metabolic Optimization
- Medical Weight Loss
- Microneedling
- PRP Hair Restoration
Read: Combining Botox with Microneedling or PRP Read: How to Prepare for Your PRP Microneedling Session Read: How Often Should You Get Microneedling? Read: What Is Microneedling and How Does It Work? Read: What Is Botox and How Does It Work? Read: Microneedling with PRP in Roseville, CA
Your next step
Ready to reveal your skin’s natural radiance?
Your consultation includes a skin analysis, personalized recommendations, a clear timeline and what to expect, a discussion of cost for your plan, and a post-treatment skincare routine.
Sacramento: 4250 H Street, Suite #2 · Granite Bay: 4067 Cavitt Stallman Road