 investigation of presumptive hiv transmission associated with receipt of platelet rich plasma microneedling facials at a spa among former spa clients new mexico 2018 2023 during summer 2018 an investigation by the new mexico department of health identified multiple hiv infections among persons with no known hiv risk factors who received platelet rich plasma with microneedling vampire facials at an unlicensed new mexico spa revealing likely hiv transmission associated with these cosmetic injection services 