PRP Microneedling Facial

Microneedling need not be painful at all with the use of prescription strength numbing cream as we use at Mountain Radiance. This can be used with an agent such as hyluron or with your body’s own growth factors – the most popular option, PRP. The results are amazing!


PRP Hair Restoration

Use of PRP to stimulate hair follicles and regrowth hair at the brow line and on the back of the head is an effective treatment beyond topical creams and treatments. It can be used as a supplement to Propecia to enhance hair regrowth.


Knee & Shoulder PRP Injections

PRP used to treat knee or shoulder pain with mild to moderate arthritis can be more effective and longer lasting than cortisone injection. The beneficial results have been scientifically proven. Dr. Zacher has had this treatment with fantastic results!


Cellular Therapy Treatments for Facial and Body Rejuvenation in Asheville, NC

Platelets are amazing components of blood, their most common service to the body is to help blood clot when you get a cut, but the next thing they do is begin healing tissue. Platelets have growth factors: Platelet Derived Growth Factor (PDGF) is the main one but there is also Transforming Growth Factor-Beta (TGFß) which is a family of growth factors.

Growth factors promote healing. It’s that simple.

At Mountain Radiance Medical Spa, we use the most advanced platelet concentrating system: Harvest Terumo BCT. Furthermore, Dr. Zacher is excellent at performing this process, he has been hired as an instructor to teach the harvest of platelet rich plasma (PRP) as well as the stem cell preparation from the patient’s own fat.

Dr. Zacher numbs the areas where blood is drawn (usually the arm) unlike, say blood collection agencies and also numbs the area being injected – because he cares about patient comfort.

The Harvest Terumo system concentrates platelets six times more than the next leading brand of equipment.

What are the benefits of Platelet Rich Plasma (PRP) Therapy

PRP treatment is revolutionary in it’s capacity to heal skin, bone and joints. It works by harnessing the healing power of your own cells. This is cellular therapy.

PRP and use of stem cells from fat is the ONLY SYSTEM that uses your own tissue to achieve the desired results.

PRP is fantastic to treat mild to moderate arthritis of the knee or shoulder, help encourage regrowth of hair follicles, and stimulate collagen and new skin growth when treating cosmetic concerns.

How does Platelet Rich Plasma (PRP) Therapy work?

Your own blood is drawn first. Either 30 ml or 60 ml kits are used. This is then “spun” in a special centrifuge which concentrates the platelets by more than 6 fold compared to the patient’s normal unconcentrated blood.

The resulting Platelet Rich Plasma has many uses, for our plan it will be used in a joint (knee, shoulder, tendon) or used to enhance the face or be used to help regrow hair.

The growth factors mentioned above not only help healing but also help encourage skin to actually regenerate skin.

Platelet Rich Plasma (PRP) Facial with Micro-Needling

This is a very effective treatment for fine lines and wrinkles and also for scars such as acne scars. The results are truly amazing and similar to the CO2 resurfacing results 

What are the benefits of Platelet Rich Plasma (PRP) Facial with Micro-Needling?

The results are permanent and the down-time is less than CO2 laser resurfacing, with similar results. 

Platelet Rich Plasma (PRP) Facial with Micro-Needling Before and After

PRP Face with microneedling

$ 1,500

1 hour Treatment

To add neck and chest $300

PRP single knee

$ 1,200

30 min Treatment

PRP For Hair Restoration

$ 1200

30 min Treatment

Each Treatment

Numbing medicine is used to treat the skin first. This eliminates pain with the microneedling process. It has been tolerated quite well.


Improvement can be seen within a month and continues to improve over time.


The beneficial results are permanent. The skin continues to age of course and sun continues to do it’s damage but the results from THAT treatment are permanent. The new collagen growth and tightened, brighter skin are amazing.


You will be red for about a day. Unlike CO2 laser, which will have 10 day recovery for aggressive treatment, with PRP microneedling, you will recover in approximately 48 hrs, and can apply makeup in approximately 24 hrs.


One to two days generally is the maximum.


This is an awesome technique. It is very helpful for aged skin recovering that youthful vigor for tone and texture.


Platelet Rich Plasma (PRP) Therapy for Hair Loss

Thinning hair is one of the most common cosmetic concerns for men and some women. PRP can have a fantastic result of increasing the number of active hair follicles and enhance hair growth. This works in the area of thinning hair but does not work where the scalp has lost all hair and the skin is shiny, otherwise, it can provide incredible regrowth and regeneration.

What are the Benefits of Platelet Rich Plasma (PRP) Therapy for Hair Loss?

For some people, hair regrowth can be significant with PRP microneedling. At Mountain Radiance we use local anesthetic to numb the scalp prior to treatment and then apply the PRP by injection and microneedling.

Patience is required – it can take at least 2 treatments and 9 months to start seeing results.

It’s important to understand this can stimulate follicle regeneration in locations where the hair is thinning but will not regrow where the scalp is “shiny” with no hair follicles.

Platelet Rich Plasma (PRP) Therapy for Hair Loss- Before and After

PRP Hair Restoration

$ 1,200

Per Treatment

We use numbing cream and a local anesthetic field block to achieve reduction in discomfort. If you google “does PRP for hair restoration hurt” you will find at least one patient who says, “Only go to a doctor who uses anesthesia!”

WE use anesthesia!

Patience is a virtue with this particular technique. The before and after images you are seeing above are 14 months and 2 – 3 treatments spaced approximately 2 – 3 months apart.


Approximately 5 years, although some clients choose to have periodic re-treatments in between.


There can be mild post procedure discomfort that may last several hours. The scalp is usually pain free the day after the procedure. You may shampoo the next morning.


You may return to work after the procedure, but most people take the rest of the day off.


If you have thinning hair – then YES!

This is equally effective for men and women. Dr. Zacher may recommend some lab work and may order some medication either or both topical or by mouth to help with the restoration.

Unfortunately if the scalp is completely bald then this technique won’t help it is effective for thinning hair, not areas where it is gone completely.

Knee & Shoulder Platelet Rich Plasma (PRP) Injections

For knee, shoulder and minor tendon repairs, PRP can be AMAZING and provide much better, long lasting effect than cortisone.

Dr. Zacher has, in his career as an interventional pain doctor, performed many thousands of cortisone injections for spine, knee, shoulder and while these do have utility in many cases – if anti-inflammatory treatment including oral medication, cortisone injections and conservative measures have failed, PRP and / or stem cell therapy may be the next big thing.

Dr. Zacher has had personal experience with PRP for mild to moderate knee pain and it has provided fantastic results compared to cortisone injection.

If you are considering surgery such as arthroscopy for knee pain, you should consider discussing your case with Dr. Zacher to see if PRP is right for you!

What are the benefits of Knee & Shoulder Platelet Rich Plasma (PRP) Injections?

PRP can provide longer lasting pain relief than cortisone injection, it is natural because it uses your body’s own healing power to repair the issues causing pain in the joint rather than laboratory prepared gels and cortisone. Cortisone can have a deleterious effect if used too often.

In Dr. Zacher’s experience, the pain relief from PRP has lasted over a year. PRP can be re-performed periodically and may be required but not as often as cortisone injection.

Not everybody needs re-treatment, sometimes the beneficial results are particularly long lasting. One scientific study found that PRP on average lasted 6 months, with some people experiencing relief that lasted over a year.

PRP single knee or shoulder

$ 1,200

Treating both knees or shoulders - $2,200

PRP Facial with microneedling

$ 1,500

This will include PRP processing, numbing medicine, facial treatment

PRP For Hair Restoration

$ 1200

Per Treatment

Dr. Zacher has performed tens of thousands of injection procedures as an interventional pain doctor. He is empathetic, understanding and gentle. He believes in using numbing medication whenever possible.

Generally there is mild discomfort just during the injection with these techniques. For instance, one person having PRP in both knees was asked, “Rate the pain of the injection on a 0 – 10 scale where 0 is no pain”, the patient replied that it was about a 2 / 10. And it did not hurt afterwards.

For facial PRP, we use numbing to draw the blood – that is painless (Unlike most blood collection agencies!) and then we apply numbing cream to the face so that the injection and microneedling do not hurt.

There is little or no discomfort following these procedures.

Amazingly the knee treatment can start feeling better the very next day in some instances. The knee pain continues to improve over time for up to 6 months.

Facial PRP will start to improve the tone and texture of the skin approximately 2 – 3 weeks following the procedure and continue improving for months.

Both of these procedures can be repeated at any time after 4 weeks if needed.

Beneficial effects of joint injection can last 6 – 12 months or longer.

Mild discomfort in the joint which was injected that can last a day or two. Otherwise nothing!


This is one of the huge benefits of PRP therapy – that it is your own growth factors, your own cells providing the benefit, not some laboratory preparation such as gels like Synvisc and similar.

There is little or no downtime and there is almost no risk of any kind of adverse reaction to the procedure.

If you have the following conditions, consider getting a complimentary consultation with Dr. Zacher:

  • Crepey skin on the face – wish the face to be rejuvenated and fresh again
  • Knee pain that you are considering surgery
  • Shoulder pain that you are considering surgery

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