Fine needles create controlled micro-injuries that trigger collagen and elastin. Used for fine lines, acne scarring, large pores and uneven texture, and safe for all skin types.
Microneedling
Microneedling
Microneedling is a treatment that uses tiny needles to create small, controlled micro-injuries in the skin. This encourages your skin to naturally produce collagen, helping improve fine lines, acne scars, uneven texture, enlarged pores, and skin tone. The result is smoother, firmer, healthier-looking skin. Our aesthetic nurse injectors perform it in Fresno, California, with or without platelet-rich plasma.
Book a consultationThe needles do the same work either way. What goes in behind them is the choice.
Both treatments begin the same: a device passed over the skin, opening microscopic channels that set off collagen and elastin. Standard microneedling stops there. Adding platelet-rich plasma from your own blood puts growth factors into those channels while they are open, and that same plasma can be placed in the tear trough.
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The same treatment with platelet-rich plasma drawn from your own blood, driven through the channels the needles open. PRP can also be placed in the tear trough to soften dark circles.
Microneedling with PRP
Your Med Spa Experience at
Mafi Plastic Surgery
The first visit is an assessment and a conversation: what you see in the mirror, what you have already tried, and what you want your skin to do. Microneedling is safe for all skin types, so the question is usually less about whether it suits you and more about what you are treating. Our two aesthetic nurse injectors perform microneedling here, with or without PRP, and one of them is the person who examines you.
Each treatment is customized to your skin and your goals. Microneedling on its own is used for fine lines, wrinkles, acne scars, large pores and uneven texture. PRP is added when a stronger response is the aim: it is particularly effective for acne scars, sun damage and other signs of aging, and it can be injected into the tear trough to work on dark circles under the eye.
Redness and mild swelling are normal for a day or two. The change you came for arrives later, as texture and tone improve over several weeks with collagen production, so the result is judged at a follow-up rather than in the mirror on your way out. The channels also help serums and skin care absorb, which is why what you use at home is planned as part of the treatment, not left to chance.
Microneedling sits inside a fuller med spa: injectables, medical-grade facials and peels, and physician-selected skin care from ZO Skin Health and Alastin. Seeing the same team each visit means your plan can be adjusted against what your skin actually did, instead of restarted from scratch. And if the conversation ever turns surgical, Dr. Parham Mafi practices under the same roof.
Meet Jessica
Aesthetic Nurse Practitioner
Jessica has been a nurse since 2017 and became a Nurse Practitioner in 2023. Her nursing experience includes the Emergency Department, Pediatric Intensive Care Unit, Post-Anesthesia Care Unit, and aesthetics. She continues to expand her knowledge through ongoing training and educational seminars.
Jessica is passionate about helping patients achieve safe, natural-looking results. She takes the time to educate each patient about the aging process, perform a thorough aesthetic assessment, and create a treatment plan based on their individual features and goals. Her goal is to make every patient feel comfortable, informed, and confident in their treatment.
Meet Justine
Aesthetic Nurse Practitioner
Justine is a newly graduated Nurse Practitioner who has been a dedicated Registered Nurse since 2017. Her nursing experience includes Emergency, Forensics, Corrections, and Aesthetics, with aesthetics being a long-standing passion. Continuing her career as a Nurse Practitioner in aesthetics was a natural next step, and she is passionate about providing high-quality, personalized care.
Injectables, especially lip filler, are among Justine’s favorite treatments to perform. She focuses on creating soft, natural-looking results that enhance each patient’s unique features. She is committed to providing exceptional care and creating a comfortable, supportive experience where every patient feels heard, empowered, and confident in their own skin.
Common questions about microneedling
There is no single price. What you pay depends on whether PRP is part of the treatment and on what your skin needs, so you are quoted after your injector has looked at you. Mafi Plastic Surgery works with CareCredit, Cherry and PatientFi, so the cost can be spread over monthly payments, and our team is happy to help you apply.
Still curious?Ask us directly →
What does microneedling cost, and can I pay over time?
There is no single price. What you pay depends on whether PRP is part of the treatment and on what your skin needs, so you are quoted after your injector has looked at you. Mafi Plastic Surgery works with CareCredit, Cherry and PatientFi, so the cost can be spread over monthly payments, and our team is happy to help you apply.
Still curious?Ask us directly →
Start With
Your Skin
Book a consultation at Mafi Plastic Surgery in Fresno and your aesthetic nurse injector will talk through which version of microneedling your skin calls for.
Prefer to talk? Call (559) 890-6500.
Medically reviewed by Parham Mafi, M.D., F.A.C.S., board-certified plastic surgeon at Mafi Plastic Surgery. This page is for education and is not a substitute for a personalized medical consultation.
Last medically reviewed August 2026Updated