Introduction
Microneedling with PRP has become increasingly popular in recent years, praised for its rejuvenating effects on the skin. However, the increasing demand has also resulted in more unlicensed providers offering these treatments. Understanding the risks associated with receiving microneedling with PRP from an unlicensed provider is crucial for anyone considering this procedure.
Understanding Microneedle with PRP
Microneedling with PRP (Platelet Rich Plasma) involves using a device with fine, sterile needles that create thousands of tiny, controlled micro-channels on the skin’s surface that brings about an intense collagen producing environment. Your Nurse Practitioner then gently massages PRP into these channels that improves the efficacy of the microneedling alone. The small channels produced by the micro-needles create a pathway to the deep layers of your skin. In addition to the collagen production, the procedure reduces fine lines, and improves overall skin texture. The benefits are significant when performed by a trained professional. As efficacious as this procedure is, it can be very dangerous when provided by an unlicensed person.
Importance of Licensed Providers and Facilities
Using a licensed provider in a licensed facility is essential to ensure the safety and effectiveness of microneedling with PRP. Licensed providers have undergone rigorous training and adhere to strict sterility and regulatory standards. They are required to complete specific nursing and medical training programs, which cover anatomy, sterile techniques, injection methods, and emergency procedures. These qualifications significantly reduce the likelihood of complications during the procedure.
Regulatory bodies, such as the California Board of Nursing and the California Medical Board, establish safety standards that licensed providers must follow. Facility licensing bodies also enforce the standardized use of sterile equipment, proper handling of blood products, and adherence to hygiene protocols. Compliance with these standards protects patients from infections and health risks while holding providers, whether Nurse Practitioners, Physician Assistants (PAs), or physicians, accountable for their care processes.
When you opt for microneedling with PRP from an unlicensed provider, you expose yourself to numerous risks. These risks stem from a lack of proper training, inadequate knowledge of medical protocols, and potentially unsanitary practices. Health risks include infections, allergic reactions, and improper administration of the treatment. Infections can occur if the equipment is not sterile or if hygiene protocols are not followed. Allergic reactions and complications may arise from incorrect handling of the PRP or the reuse of equipment. It is important to note that the highest safety standards dictate never reusing needles or blood collection tubes.
The quality of the results can also be significantly compromised when the procedure is performed by someone without proper credentials. Patients may experience uneven skin texture, prolonged bruising, or minimal improvement in their skin condition, ultimately leading to dissatisfaction and the need for corrective treatments.
Recent Case of Unlicensed Person Causing HIV Infections
A recent case was the topic of an article in Medscape Nurses, May 2nd edition of Medical News:
“At least three clients of an unlicensed spa in New Mexico contracted HIV after receiving microneedling with PRP, according to an investigation by the US Centers for Disease Control and Prevention (CDC).
The investigation, spanning 5 years with parts of it still ongoing, has resulted in the closure of the spa and is raising questions about public safety in cosmetic clinics.
Though transmission of HIV by unsterile injection practices is a known risk, this is the first time it has been linked to cosmetic injection services, said Anna Stadelman-Behar, PhD, MPH, an epidemiologist at the CDC’s Epidemic Intelligence Service.”
Several individuals were infected with HIV and had no known risk factors, which initially led to the investigation. According to the article, investigators discovered several troubling lapses in basic medical and sterility processes:
- On a kitchen counter, a centrifuge, a heating dry bath, and a rack of unlabeled tubes containing blood.
- In a refrigerator, unlabeled tubes of blood and medical injectables, including Botox and lidocaine, stored along with food.
- Unwrapped syringes in drawers, on counters, and discarded in regular trash cans.
- No autoclave for steam sterilization on the premises.
- Only surface cleaning for procedure equipment with chloride disinfecting spray and benzalkonium chloride disinfecting wipes after each client visit.
- Disposable electric desiccator tips, meant to be used once, cleaned only by alcohol immersion to be reused.
The spa’s owner operated without appropriate licenses at multiple locations and did not have an appointment scheduling system that stored client contact information.
Checking Certifications
Look for certifications from recognized boards or organizations. Providers should display their certifications prominently in their office or be able to provide proof upon request. A lack of verifiable credentials or reluctance to discuss their training and experience should raise concerns. The National Provider Database also maintains information about providers and any complaints they may be facing. Be cautious of providers who offer significantly lower prices than others or operate in non-medical settings. A provider offering microneedling with PRP should be able to confidently describe the procedure, along with its risks and benefits.
Conclusion
Although microneedling with PRP can provide significant skin benefits, it is crucial to ensure that a licensed and qualified provider performs the procedure. The risks associated with unlicensed providers outweigh the potential benefits. Always verify the credentials of your provider and prioritize your health and safety.
FAQs
What are the common side effects of microneedling with PRP?
Common side effects include redness, swelling, and bruising at the treatment site, which usually resolve within a few days.
How can I ensure that my provider is licensed?
To ensure your provider is licensed, check for certifications from recognized medical boards and ask to see their credentials. Additionally, research their background and read reviews from previous clients.
What should I do if I experience complications after microneedling with PRP?
If you experience severe pain, signs of infection, or other unusual symptoms, contact your provider immediately. Seek medical attention if necessary.
Is microneedling with PRP safe for all skin types?
While generally safe, it is crucial to consult with a qualified provider to determine if this treatment is suitable for your specific skin type and condition.
How long do the results of microneedling with PRP last?
The results typically last between six months to a year, depending on individual skin conditions and follow-up care.
