Yes, the skin will emerge pink or red following microneedling. Adding PRP to microneedling will leave the skin with pinpoint bleeding. The redness will subside in the first 24 hours after microneedling, and by day two, the skin may look flushed or slightly pink, which will continue to fade in the next few days. It may also feel somewhat tight or dry and flaked off during the first few days after microneedling.   Keep in mind that the more aggressive the microneedling treatment and the more healing the skin endures, the more redness ensues.