EFFECTIVENESS OF PLATELETS RICH PLASMA IN SKIN REJUVENATION: A SYSTEMATIC REVIEW

Authors

  • Mehmet Mustafa Beşirikli Author

Abstract

A possible noninvasive method for facial rejuvenation is platelet-rich plasma (PRP). The purpose of this systematic literature review is to evaluate the type and standard of published studies assessing PRP's safety and efficacy in facial rejuvenation. A systematic review was conducted using four different databases and grey literature to collect relevant articles through a systematic search, using PRISMA guidelines. Studies on the effectiveness of PRP in facial rejuvenation were included in this review. Risk bias assessment was done using the Newcastle-Ottawa scale. Studies that met predefined criteria regarding patients, interventions, outcomes, comparator, and study design methodology were eligible for inclusion. Despite variations in research design and outcome measures, many of which were subjective, improved results were found in eleven of the twelve studies that were found, including three randomized split-face trials. To consolidate the encouraging findings of the studies found in this systematic review, more randomized controlled trials and associated systematic reviews are necessary. Level I evidence-based medicine studies are also needed to confirm the effectiveness of PRP injections in facial rejuvenation.

References

Abuaf, O. K., Yildiz, H., Baloglu, H., Bilgili, M. E., Simsek, H. A., & Dogan, B. (2016). Histologic evidence of new collagen formulation using platelet rich plasma in skin rejuvenation: a prospective controlled clinical study. Annals of dermatology, 28(6), 718.

Alam, M., Hughart, R., Champlain, A., Geisler, A., Paghdal, K., Whiting, D., . . . West, D. P. (2018). Effect of platelet-rich plasma injection for rejuvenation of photoaged facial skin: a randomized clinical trial. JAMA dermatology, 154(12), 1447-1452.

Andia, I., Rubio-Azpeitia, E., Martin, J., & Abate, M. (2015). Current concepts and translational uses of platelet rich plasma biotechnology. Biotechnology, 1-32.

Araki, J., Jona, M., Eto, H., Aoi, N., Kato, H., Suga, H., . . . Yoshimura, K. (2012). Optimized preparation method of platelet-concentrated plasma and noncoagulating platelet-derived factor concentrates: maximization of platelet concentration and removal of fibrinogen. Tissue Engineering Part C: Methods, 18(3), 176-185.

Arora, G., & Arora, S. (2021). Platelet‐rich plasma—Where do we stand today? A critical narrative review and analysis. Dermatologic therapy, 34(1), e14343.

Atiyeh, B., Oneisi, A., & Ghieh, F. (2021). Platelet-rich plasma facial rejuvenation: myth or reality? Aesthetic Plastic Surgery, 45(6), 2928-2938.

Banihashemi, M., Zabolinejad, N., Salehi, M., Alamdari, Z. H., & Nakhaizadeh, S. (2021). Platelet-rich plasma use for facial rejuvenation: a clinical trial and review of current literature. Acta Bio Medica: Atenei Parmensis, 92(2).

Cameli, N., Mariano, M., Cordone, I., Abril, E., Masi, S., & Foddai, M. L. (2017). Autologous pure platelet-rich plasma dermal injections for facial skin rejuvenation: clinical, instrumental, and flow cytometry assessment. Dermatologic Surgery, 43(6), 826-835.

Carle, M. V., Roe, R., Novack, R., & Boyer, D. S. (2014). Cosmetic facial fillers and severe vision loss. JAMA ophthalmology, 132(5), 637-639.

Collins, T., Alexander, D., & Barkatali, B. (2021). Platelet-rich plasma: a narrative review. EFORT open reviews, 6(4), 225-235.

Danesh-Meyer, H. V., Savino, P. J., & Sergott, R. C. (2001). Ocular and cerebral ischemia following facial injection of autologous fat. Archives of Ophthalmology, 119(5), 777-778.

Díaz‐Ley, B., Cuevast, J., Alonso‐Castro, L., Calvo, M., Ríos‐Buceta, L., Orive, G., . . . Jaén, P. (2015). Benefits of plasma rich in growth factors (PRGF) in skin photodamage: clinical response and histological assessment. Dermatologic therapy, 28(4), 258-263.

Dolder, J. V. D., Mooren, R., Vloon, A. P., Stoelinga, P. J., & Jansen, J. A. (2006). Platelet-rich plasma: quantification of growth factor levels and the effect on growth and differentiation of rat bone marrow cells. Tissue engineering, 12(11), 3067-3073.

Elnehrawy, N. Y., Ibrahim, Z. A., Eltoukhy, A. M., & Nagy, H. M. (2017). Assessment of the efficacy and safety of single platelet‐rich plasma injection on different types and grades of facial wrinkles. Journal of cosmetic dermatology, 16(1), 103-111.

Everts, P. A., Pinto, P. C., & Girão, L. (2019). Autologous pure platelet‐rich plasma injections for facial skin rejuvenation: biometric instrumental evaluations and patient‐reported outcomes to support antiaging effects. Journal of cosmetic dermatology, 18(4), 985-995.

Gawdat, H. I., Tawdy, A. M., Hegazy, R. A., Zakaria, M. M., & Allam, R. S. (2017). Autologous platelet‐rich plasma versus readymade growth factors in skin rejuvenation: a split face study. Journal of cosmetic dermatology, 16(2), 258-264.

Hersant, B., SidAhmed-Mezi, M., Aboud, C., Niddam, J., Levy, S., Mernier, T., . . . Meningaud, J.-P. (2021). Synergistic effects of autologous platelet-rich plasma and hyaluronic acid injections on facial skin rejuvenation. Aesthetic Surgery Journal, 41(7), NP854-NP865.

Hom, D. B., Linzie, B. M., & Huang, T. C. (2007). The healing effects of autologous platelet gel on acute human skin wounds. Archives of facial plastic surgery, 9(3), 174-183.

Jo, C. H., Roh, Y. H., Kim, J. E., Shin, S., & Yoon, K. S. (2013). Optimizing platelet-rich plasma gel formation by varying time and gravitational forces during centrifugation. Journal of Oral Implantology, 39(5), 525-532.

Kalyam, K., Kavoussi, S. C., Ehrlich, M., Teng, C. C., Chadha, N., Khodadadeh, S., & Liu, J. (2017). Irreversible blindness following periocular autologous platelet-rich plasma skin rejuvenation treatment. Ophthalmic Plastic & Reconstructive Surgery, 33(3S), S12-S16.

Kang, B. K., Shin, M. K., Lee, J. H., & Kim, N. I. (2014). Effects of platelet-rich plasma on wrinkles and skin tone in Asian lower eyelid skin: preliminary results from a prospective, randomised, split-face trial. European Journal of Dermatology, 24(1), 100-101.

Lazzeri, D., Agostini, T., Figus, M., Nardi, M., Pantaloni, M., & Lazzeri, S. (2012). Blindness following cosmetic injections of the face. Plastic and Reconstructive Surgery, 129(4), 995-1012.

Macaulay, I. C., Carr, P., Gusnanto, A., Ouwehand, W. H., Fitzgerald, D., & Watkins, N. A. (2005). Platelet genomics and proteomics in human health and disease. The Journal of clinical investigation, 115(12), 3370-3377.

Magruder, M. L., Caughey, S., Gordon, A. M., Capotosto BS, S., & Rodeo, S. A. (2024). Trends in utilization, demographics, and costs of platelet-rich plasma injections: a ten-year nationwide investigation. The Physician and Sportsmedicine, 52(1), 89-97.

Mazzucco, L., Balbo, V., Cattana, E., & Borzini, P. (2008). Platelet‐rich plasma and platelet gel preparation using Plateltex®. Vox sanguinis, 94(3), 202-208.

Mehryan, P., Zartab, H., Rajabi, A., Pazhoohi, N., & Firooz, A. (2014). Assessment of efficacy of platelet‐rich plasma (PRP) on infraorbital dark circles and crow's feet wrinkles. Journal of cosmetic dermatology, 13(1), 72-78.

Montero, E. C., Santos, M. F., & Fernández, R. S. (2015). Platelet-rich plasma: applications in dermatology. Actas Dermo-Sifiliográficas (English Edition), 106(2), 104-111.

Pensato, R., Al-Amer, R., & La Padula, S. (2024). Platelet Preparations for Use in Facial Rejuvenation and Wound Healing: A Critical Review of Current Literature. Aesthetic Plastic Surgery, 48(1), 33-34.

Redaelli, A. (2010). Face and neck revitalization with Platelet-rich plasma (PRP): clinical outcome in a series of 23 consecutively treated patients.(ORIGINAL ARTICLES)(Clinical report). J Drugs Dermatol, 9(5), 466-472.

Robine, J.-M., Jagger, C., Crimmins, E. M., Saito, Y., & Van Oyen, H. (2020). Trends in health expectancies. International handbook of health expectancies, 19-34.

Sclafani, A. P. (2010). Platelet‐rich fibrin matrix for improvement of deep nasolabial folds. Journal of cosmetic dermatology, 9(1), 66-71.

Sclafani, A. P. (2011). Safety, efficacy, and utility of platelet-rich fibrin matrix in facial plastic surgery. Archives of facial plastic surgery, 13(4), 247-251.

Senzel, L., Gnatenko, D. V., & Bahou, W. F. (2009). The platelet proteome. Current opinion in hematology, 16(5), 329-333.

Sevilla, G. P., Dhurat, R. S., Shetty, G., Kadam, P. P., & Totey, S. M. (2015). Safety and efficacy of growth factor concentrate in the treatment of nasolabial fold correction: Split face pilot study. Indian Journal of Dermatology, 60(5), 520.

Takkouche, B., & Norman, G. (2011). PRISMA statement. Epidemiology, 22(1), 128.

Tierney, E. P., & Hanke, W. C. (2009). Recent trends in cosmetic and surgical procedure volumes in dermatologic surgery. Dermatologic Surgery, 35(9), 1324-1333.

Wahlström, O., Linder, C., Kalén, A., & Magnusson, P. (2007). Variation of pH in lysed platelet concentrates influence proliferation and alkaline phosphatase activity in human osteoblast-like cells. Platelets, 18(2), 113-118.

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Published

2026-02-14