Microneedling combined with platelet-rich plasma — collagen remodeling for skin renewal, tone, and texture. Personally performed by Dr. Carolyn Indianos, MD.
Microneedling alone creates controlled micro-injuries that trigger your skin’s wound-healing cascade — new collagen, elastin, and epidermal cell turnover. Adding PRP (platelet-rich plasma) supercharges that response: the growth factors in your own blood platelets accelerate healing, deepen the collagen response, and enhance results.
Popularly called the “Vampire Facial,” microneedling with PRP at Bespoke Aesthetics is a medical procedure performed by Dr. Carolyn Indianos, MD — not a spa treatment. Your blood is drawn, processed in a sterile centrifuge to isolate platelets, then applied during and after microneedling so growth factors penetrate through the channels created by the device.
Acne scarring — one of the strongest indications. Multiple sessions reduce ice-pick, boxcar, and rolling scars by 30–60%.
Hyperpigmentation and melasma — PRP growth factors regulate melanocyte activity. Effective for post-inflammatory hyperpigmentation and stubborn pigment.
Fine lines and crepey skin — collagen induction tightens the dermis and reduces fine lines, especially around the eyes, mouth, and neck.
Texture and pore size — refined skin texture and visibly smaller pores.
Stretch marks — effective on early stretch marks (still red/purple) and even mature ones with multiple sessions.
Hair restoration — microneedling + PRP on the scalp stimulates dormant follicles. Effective for early-stage androgenetic alopecia.
Step 1: Consultation. Dr. Indianos reviews your skin, history, medications, and goals. Microneedling has specific contraindications (active infection, active acne in the treatment area, certain medications) that must be screened.
Step 2: PRP draw. A standard blood draw (1–2 vials) is processed in a sterile centrifuge to separate platelet-rich plasma from red and white blood cells.
Step 3: Topical numbing. 30 minutes of topical anesthetic for comfort.
Step 4: Microneedling. Medical-grade device (not the “derma roller” sold at drugstores) creates precise, controlled micro-channels at depths matched to your skin and treatment goal (typically 0.5–2.5mm depending on area).
Step 5: PRP application. Your processed PRP is applied during and after microneedling. The microchannels allow growth factors to penetrate where they would otherwise sit on the skin surface.
Step 6: Recovery. Skin is pink to red for 24–48 hours, like a mild sunburn. Mild flaking days 3–5. Full recovery in 5–7 days.
Most indications require 3–6 sessions spaced 4–6 weeks apart for optimal results. Acne scarring may need 6–8 sessions. Maintenance is typically 1–2 sessions per year after the initial series.
Results compound. You’ll see initial improvement after 1 session (skin feels smoother, looks brighter) but the deeper collagen remodeling takes 3–6 months and continues for up to a year after your last session.
Microneedling is being offered by everyone from medspas to dermatologists to estheticians. The differences that matter:
Common questions about treatment, protocols, and Bespoke’s clinical approach.
BEGIN YOUR JOURNEY
Book your consultation with Dr. Indianos. Medical-grade device, sterile PRP processing, personalized treatment depth.
Dr. Carolyn Indianos, MD • Fellowship-Trained in Regenerative & Aesthetic Medicine • Gainesville, FL
Where We Serve
Bespoke serves Gainesville, Haile Plantation, Tioga, Jonesville, Newberry, Alachua, High Springs, Archer, Hawthorne, Fort White, Trenton, Williston, and Ocala — physician-led care delivered at our Gainesville clinic or via Bespoke Concierge in-home service.