What is Hailey Bieber’s ‘vampire facial’ and why does she prefer it over Botox?

Hailey Bieber has built an entire beauty identity around looking fresh, dewy and untouched, which is why assumptions about secret Botox and fillers follow her everywhere. But instead of sidestepping the conversation, she recently used Owen Thiele’s In Your Dreams podcast (Oct 24 episode) to explain exactly what she does and why she has chosen a very specific path: regenerative treatments over muscle-freezing injectables.

The cornerstone of that choice is the so-called “vampire facial,” a platelet-based procedure she says gives her the results she wants without changing how her face moves. In a beauty industry obsessed with fast fixes, her approach shows how “natural” now often involves science, just not the kind that stops expression.

What the ‘vampire facial’ actually is

Bieber was upfront about the one treatment she swears by: platelet-rich plasma (PRP) with microneedling.

As she explained, “It’s when they take your blood from your arm and they spin it. I love doing PRP with microneedling. I’ve talked about that a lot.”PRP works by extracting the plasma portion of your own blood, rich in platelets and growth factors, and applying it after microneedling. Study published in Skin Research and Technology also showed improvements in texture, fine lines and overall skin quality.Bieber has also tried platelet-rich fibrin (PRF), a thicker, slower-release version of PRP.

She told the podcast, “They take your blood, but it’s called EZ Gel… they heat it and then they cool it, and it kind of makes your blood a gel consistency. And then you inject it.” She’s used PRF under her eyes and around her smile lines because, as she noted, she can “trust” something that comes entirely from her own body.

Why she’s waiting on botox — except for TMJ

Botox comes up constantly in conversations around Bieber’s face, but she pushed back clearly.“I don’t have any Botox except for in my jaw for TMJ, but I have no Botox in my face.

I made a commitment to myself that I wasn’t going to do any Botox until I was in my 30s. When I get there, I’ll see if I even want to do it.”TMJ, temporomandibular joint disorder, can cause jaw tension and headaches. Botox for TMJ is still an off-label treatment in the US, not FDA-approved. But for cosmetic purposes, she prefers to wait. She even cited her mother, Kennya Baldwin: “My mom does nothing to her skin, and she looks insane.”Her reasoning is consistent: she wants treatments that support her skin rather than freeze it, and she isn’t interested in starting Botox before she feels necessary.Beyond PRP and PRF, Bieber said she is “really diligent” with skincare, using Rhode alongside derm-favoured brands like Avène, BeautyStat, EltaMD, Cosrx and Naturium. She also does “light little laser treatments” a few times a year — options dermatologists often pair with platelet-based procedures to amplify collagen production.