Beauty by Design

MicroDermal Needling and Platelet Rich Plasma Las Vegas

Platelet Rich Plasma creates the “Ageless Lift”
Dr. Robert Troell - Las Vegas, NV
Las Vegas, NV & Corona Del Mar, CA
Cosmetic and Facial Plastic Surgeon

What is Platelet Rich Plasma and MicroDermal Needling?(*)

The outcome of the MicroDermal Needling Facial procedures smooths out facial wrinkles, stimulates collagen production, thickens one’s skin, improves the skin’s blood supply (microcirculation) and rejuvenate your complexion.

It combines the facial enhancements created by dermal fillers along with growth factors and stem cells derived from your own blood. The dermal filler options include those of hyaluronic acid based fillers such as, Juvederm, Perlane and Restylane, or a dermal filler made from microsomes called Artefill.

Juvederm XC

Is the MicroDermal Needling or PRP right for me?

As we begin to age, we experience a number of changes in our appearance:
Sun damage, smoking and the aging process alters the consistency and appearance of the skin creating:

  • Fine and course wrinkles
  • Decrease skin elasticity
  • Pigmentation asymmetries
  • Thinning of the dermis
  • Skin lesions
  • Surgical scars and acne scarring
  • Loss of connective tissue strength causing drooping or ptosis

Volume loss of the face

  1. Tear trough below the bony rim of the eye
  2. Groove from the inner lower eyelid to the area below the cheek bone (nasojugal groove)
  3. Temporal fossa
  4. Below cheek bone (submalar area)
  5. Upper and lower lips

Instead of the use of dermal fillers for the volume replacement, Dr. Troell can harvest your own fat and transfer the fat to the areas of volume loss for a permanent volume improvement.

Before-and-After Vampire FaceLift

The MicroDermal Needling or PRP is an ideal treatment for you, if you want to:

  • Improve the look, texture and color of your skin
  • Smooth fine lines and wrinkles
  • Provide growth of your own collagen
  • Improve skin clarity and tone
  • Regain smoother, younger looking skin

How does the MicroDermal Needling or PRP work?

Dr Troell improved the classic description of the MicroDermal Needling or PRP procedure by removing the skin barrier to absorption of the PRP. Adding microdermabrasion and dermal needling using the MicroPen enables better absorption of the platelet rich plasma that is applied topically (Facial) or through intradermal injection (Facelift).

Many patients can perform the procedure with topical anesthesia for thirty minutes if the dermal needling is being performed or only with the anesthetic in the dermal filler if the dermal needling is not added to the procedure. Some prefer the addition of sensory nerve blocks, each one injecting one millimeter (1/5 tsp) of local anesthetic into each sensory nerve of the face (trigeminal nerve). Also, some patients prefer to relax with oral sedation with Ativan (lorazepam), similar to valium, and a narcotic analgesic, hydrocodone (norco, vicodin, lortab). These are rarely needed. The discomfort from the MicroDermal Needling procedure is minimal with no patients needing pain medications after the procedure.

After the patients face is cleaned, the patient in a relaxed state lying in a comfortable examination reclining bed, and the local anesthetic completed, the first step of the MicroDermal Needling is carried out.

The facial volume loss or deficiency may be temporarily improved by the addition of a dermal filler. The dermal filler options include those of hyaluronic acid based fillers such as, Juvederm, Perlane and Restylane.

The epidermal superficial skin, superficial and deep dermis (papillary and follicular) and underlying subdermal mantle fat layer complete the skin structure lying over the animating facial muscles. Juvaderm is placed into the deep dermis and Radiesse is placed under the dermis in the superficial mantle fat layer.

Injecting these substances with a specialized blunt cannula, DermaSculpt or Magic Needle, instead of the needle that comes with the dermal filler lowers the risk of errant injection, makes the plan of injection more homogeneous and lowers bruising.

Alternatively, fat transfer alone or augmented with your own stem cells and regenerative cells may be chosen to provide a permanent volume enhancement of the facial volume deficiencies.


The process of accessing your stem and progenitor cells begins with a small area of fat removal (liposuction) using ultrasound (VASERlipo) under oral sedation and local anesthesia. The fat cells are harvested with a 85% fat cell survival rate and an 87% stem cell survival rate with this method.

Once these cells are harvested, they are processed in a revolutionary closed centrifuge system, known as the LipoKit or Adivive system. The Adivive fat processing unit has yielded the most pure and compact fat and stem cell cellular components.

The syringe containing your fat and stem cells, separated by free oils and excess blood and wetting solution fluid, is then processed in the Maxstem/Celltibator to concentrate the stem and progenitor cells. This stem cell processing unit increases the stem cell concentration from 2-5% in the fat layer to nearly 100% pure stem and progenitor cells.

PRP cells

These stem cells have been shown in a Stanford University study to keep their capabilities to become any cell of your body, however, they probably become blood vessels (endothelial cells and perivascular cells) and adipocytes (fat cells).

During the MicroDermal Needling, Dr. Troell will create your own Platelet-Rich Plasma (PRP), which is a form of blood plasma that has been enriched with platelets and growth factors. Platelets are tiny cell fragments that stop bleeding and bruising and contain growth factors and natural substances that encourage cellular growth. They provide you with the building blocks for healing when you sustain a burn or cut.

The PRP is acquired by placing a small cannula in your arm vein, drawing out four teaspoons of blood into two special test tubes. The test tubes are spun in a centrifuge, separating the platelets and growth factors from red blood cells by the most efficient patented resin available.

The special patented polymer to concentrate the platelets and growth factors is the best on the market.

The PRP, along with the facial filler, Juvederm, is then injected back into the face. This method of combining Juvederm and PRP dramatically enhances the effects of the treatment because the platelets contain important growth factors that ignite tissue regeneration, improve the blood supply or microcirculatiion and stimulate collagen production.

What is a MicroDermal Needling procedure like?

The MicroDermal Needling is a minimally invasive procedure, similar to the procedure of administering a dermal filler treatment. The procedure begins with drawing a vial of blood from the patient. The provider places the blood in a centrifuge and spins the blood at a very rapid rate to separate the platelets from the other components of the blood. The platelets are then activated by Calcium, producing your very own Platelet-Rich Plasma (PRP).

After administering the dermal filler, Dr Troell uses the smallest needle (30 g) to ease the PRP under your skin to fill the soft tissue of the dermis. A “Global Facial Injection Technique” can be employed that reaches all the facial areas. This process adds volume, diminishes the appearance of wrinkles and the appearance of the nasolabial folds, improves the skin’s appearance and stimulates the production of collagen, with minimal downtime.

What are the benefits of the MicroDermal Needling?

By combining either dermal fillers, like Juvederm, or your own fat and stem cells with Platelet Rich Plasma (PRP), the effects of the treatment are noticeably enhanced. Not only does the PRP cause an increase in volume, PRP contains at least 8 growth factors that will, over a period of time, continually work as a rejuvenating agent.

By activating these growth factors:

  • The color of your skin improves and looks younger, because of the new blood vessel formation.
  • New collagen formation in the dermis lifts the face back to a more youthful shape.
  • A new dermis begins to be built; making the epidermis (the outer most layers of your skin) appear smoother.

Table 4

From Mazzucco, L., V. Balbo, et al. (2009). “Not every PRP-gel is born equal. Evaluation of growth factor availability for tissues through four PRP-gel preparations: Fibrinet, RegenPRP-Kit, Plateltex and one manual procedure.” Vox Sang 97(2): 110-118.

How much does this procedure cost?

This procedure has been featured on “Dr. Oz” and “The Doctors” and is now available at Beauty by Design, The Center of Excellence for Facial Plastic and Reconstruction Surgery and Estrella Aesthetics & Surgical Arts. The price of this incredible treatment ranges from $950 for the facial and the facelift is $1250, which has the PRP injected into the dermis or skin. The cost of the dermal filler is extra.

Contact The Office Of Dr. Robert J Troell

For more information, or to schedule your complimentary consultation for the Platelet Rich Plasma and MicroDermal Needling, contact the office of Dr. Robert J Troell, MD, FACS today!

Please feel free to call our offices in Las Vegas, Nevada (702) 242-6488 and Corona Del Mar, California (949) 220-0532.


(*) © 2015 Dr. Troell – Beauty by Design | All Rights Reserved

Photographs of people used on the following pages are before and after photos of patients who have undergone surgical and non-surgical cosmetic procedures described herein and that provide a reasonable indication of typical results of the advertised procedure. Results may vary and this may not be typical of every user. In the event that this Website uses the image of a non-patient model, we will make reasonably attempts to state that the photo used is of a non-patient model.


Beauty By Design – Las Vegas

7975 West Sahara Avenue Suite 104 & 103
Las Vegas, NV 89117
United States (US)
Phone: (702) 242-6488

Monday8:30 AM - 4:30PM
Tuesday8:30AM - 4:30PM
Wednesday8:30AM - 4:30PM
Thursday8:30AM - 4:30PM
Friday8:30AM - 4:30PM
Saturday8:30AM - 1:30PM

Beauty By Design – Corona Del Mar

2801 East Coast Highway Suite E
Corona Del Mar, CA 92625
United States (US)
Phone: (949) 220-0532

Monday8:30 AM - 4:30PM
Tuesday8:30AM - 4:30PM
Wednesday8:30AM - 4:30PM
Thursday8:30AM - 4:30PM
Friday8:30AM - 4:30PM
Saturday8:30AM - 1:30PM
Facial Plastic Surgery American College of Surgeons American academy of cosmetic surgery American society of liposuction surgery American academy of otolaryngology head and neck surgery

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Monthly Special September 2019