Plasma Fibroblast - Skin Tightening
Plasma Fibroblast Skin Tightening is a minimally invasive procedure that produces exceptional tightening of the skin and regeneration of collagen without surgery.
Similar to microneedling, derma pen, and fractional lasers, creating a controlled micro-trauma triggers the skin’s fibroblasts to repair the wound, which creates a reduction in wrinkles and other surface irregularities.
It's important to stress that no matter how tempting, picking at the scabs will interfere with their body's fine-tuned healing response. The micro-dot scabs will fall away on their own in approximately 3-7 days. During this time period, the area should be kept sterile and free of makeup. Makeup is easily cross-contaminated and should be avoided for 7 days following treatment. An aftercare cream or antiseptic ointment will help ensure the area heals properly.
Prices for different areas (one area per treatment is recommended)
Upper Eyelid Lift: $300
Under Eyes: $300
Crows Feet: $250
Eye Area Combo: $725
Lip wrinkles (smoker's lines):
Upper lip: 200
Lower lip: 200
Nasolabial folds: $250
Lip area combo including nasolabial fold: $600
Around Ears: $250
Skin Tags: $30 first session up to 3 skin tags, extra $10 each
Elbow Lift: $600
Maintenance treatments under 3 months receive 20% off
HOW MANY SESSIONS ARE NEEDED FOR OPTIMAL RESULTS?
Additional treatment after 8 weeks may be needed to enhance results. Certain lifestyle factors such as frequent exposure to the sun or tanning beds, heavy alcohol consumption, and smoking will temper results by increasing the look of aging in skin. Current skin laxity and how the individual responds to treatment will vary.
Appointments must be spaced out by a minimum of 8-12 weeks.
Sensitive areas such as around the eye or upper lip will have pronounced swelling and inflammation. You can expect the carbon crusts or scabs to heal and fall off anywhere from 5 to 12 days after the session. The area will continue to improve in appearance over the following 2 months.
A lidocaine numbing solution will be applied to the treated area prior to starting the treatment.
• Use SPF 30 and above for 2 weeks prior
• Avoid aggressive skincare treatments
• Avoid alcohol 3 days prior to the session
• Stop using physical and chemical exfoliants
• Avoid the use of tanning beds before treatment
• Discuss potential side effects with a physician
• Cold sores can develop from injury to the skin
• Client must sign liability waivers and consent forms
• Ensure you understand the risks of treatment
POST TREATMENT CARE
It is very important that you must not pick at scabs or scrub them!
This can lead to infection, scarring and hyperpigmentation. Weeping at the treatment site is simply liquid plasma oozing from the scab area and is a natural wound healing response. The oozing will subside on its own and the crusts will flake off after a few days. Natural moisturizers or hyaluronic acid are great choices for keeping the skin hydrated. Hyaluronic acid can attract 1,000 times its weight in water, making it an excellent hydrator. Moisture is the key to proper healing and enhanced outcomes.
To reduce redness and swelling, ice packs can be applied to the area. A red LED light immediately following treatment will improve healing and decrease swelling. Hydrating masks can be used after 7 days if no harsh ingredients or exfoliants are present in the formulation. In rare cases where a client does not heed aftercare instructions, swelling can persist for more than three days. If treated near the eye area this can even interfere with vision. Anti-inflammatory medications like ibuprofen or antihistamines may be helpful for swelling, but they should consult with their doctor first.
Alcohol-based face wash, facial brushes, scrubs, or exfoliating face washes should be discontinued until the scabs have fallen off. Clean the area with water and a gentle pH-balanced cleanser twice a day. Harsh cleansers will hinder healing in the area by further irritating delicate skin. Also, be sure to stay away from salt or chlorine pools and hot tubs for a week following your treatment.
For 12-24 Hours After Treatment
• Do not wear makeup
• Do not apply scented lotion
For 24-48 Hours After Treatment
• No sauna
• No tanning beds
• No sun exposure
• No Botox
• No collagen injections
• No dermal fillers
For 1 Week After Treatment
• No pools or hot tubs
• Do not use anti-aging creams
• Do not use AHA’s, glycolic acid or Vitamin A derivatives
• Do not use alcohol based cleansers, scrubs or other exfoliating face washes
Throughout the Course of Treatment
• SPF 30 and above to be worn daily
• Exposure to the sun should be avoided
• Hyaluronic acid should be used regularly
• Wash hands for 20 seconds before touching the treatment area
DISQUALIFICATIONS FOR PLASMA FIBROBLAST SKIN TIGHTENING
• Current or history of malignant melanoma cancer, or recurrent non-melanoma skin cancer or precancerous lesions
• Any active infection
• Diseases such as herpes simplex, systemic lupus, erythematous, or porphyria
• Use of photosensitive medication, and/or herbs that may cause sensitivity to such as tetracycline or St. John’s Wart
• Immunosuppressive diseases including AIDS and HIV or use of immunosuppressive medications
• Diabetes unless under control
• History of bleeding problems or use of anticoagulants
• History of keloid and hypertrophic scarring
• A history of heart disease (angina, heart pacemaker, taking anticoagulant drugs)
• Use of oral or topical Accutane, Retin A or other vitamin A derivatives
• Surgery in the past 6 months
• Alcohol or drug abuse
• Breastfeeding or pregnancy
• Deep bruising
• High or low blood pressure
• Immediately after pregnancy
• Liver disease and/or any medication that affects the liver function
• Metal implants, plates or pins
• Open wounds, ulcers, sores or cuts on the treatment area
• On regular prescription medication - requires doctor approval
• Poor circulation (blood and lymph)
• Recent scarring to treatment area
• Skin disorders
• Thyroid disease or other hormonal disorders
• Under 18 years of age
If your allergies are giving you red, watery eyes or irritated skin, it may be best to postpone the procedure until the inflammation dies down.
Anemia is a deficiency of red blood cells. It can be caused by a variety of factors, the most common being a lack of the nutrient iron. Clients that are anemic may bleed more heavily and experience longer healing times.
Specify if you are allergic to any anesthetic
Clients with asthma may use inhalers and other medications that result in thinner skin tissue and increased vascularity. Because of this, they may not only bruise more easily but experience heavier bleeding. These clients may take longer to heal from the plasma pen procedure.
BIRTH MARKS AND PORT WINE STAINS:
Birth marks and port wine stains should be avoided. A port wine stain (nevus flammeus) is characterized by malformed blood vessels. The risk of excessive bleeding might increase if such tissues were treated with a plasma pen. These lesions should only be handled by a laser specialist.
A blepharoplasty is a form of cosmetic surgery that removes excess skin to tighten the eyelid. This procedure can be done if 3 months have passed from the date of the blepharoplasty surgery. The area must be sufficiently healed before a plasma pen can be used on the eyelid area. Since this procedure when used around the eyelids is referred to as a nonsurgical blepharoplasty, waiting to perform the procedure will prevent over-tightening of the upper eyelid area.
It is recommended to wait 3 weeks from receiving a Botox injection before having this type of treatment. It is preferable to get this type of treatment prior to a Botox injection.
BREASTFEEDING AND PREGNANCY:
The Plasma Fibroblast Skin Tightening treatment cannot be performed on pregnant or breastfeeding mothers.
BROW, FOREHEAD, OR SURGICAL FACELIFT:
Allow 3 months after a brow, forehead, or surgical facelift to determine suitability for plasma pen treatment.
BRUISING OR BLEEDING EASILY:
Bruising or bleeding easily may indicate an underlying health problem. Those who are prone to bruise or bleed easily may take longer to heal from this treatment.
Cancer patients actively being treated with radiotherapy, chemotherapy or other modalities must wait 5 weeks after their last session to be able to receive this procedure. A cancer patient with too low of a blood count would not be a good candidate for this procedure. Terminally ill patients that want to receive Plasma Fibroblast Skin Tightening can do so with written consent from their physician.
Cataracts are cloudy areas on the eye lens that may affect a person's vision. If a client is receiving treatment in the eye area and they have cataracts, it is advisable to have consent from their physician before providing the service.
Contact lenses must be removed before any treatment close to the eye, and must not be used for up to 72 hours post-procedure. We cannot begin to stress the importance of ensuring contact lenses are removed pre-treatment.
Diabetics heal much slower than completely healthy individuals and may also bleed more. For this reason, it may be best to allow more space between treatments to allow for proper healing.
Clients with dry eyes can receive this procedure, but steps should be taken to provide them with the greatest possible comfort. Using moisturizing eye drops and making sure the yes stay closed to keep carbon smoke from irritating the delicate tissues of the eye are helpful techniques to help alleviate discomfort.
Epilepsy is a serious condition that can be triggered by a variety of situations. If it has been two years since your last seizure and someone accompanying you to the appointment then the treatment can proceed.
EYE LASER SURGERY (LASIK):
Any client that has had eye laser surgery should wait a minimum of 8-12 weeks before receiving this service.
Hemophilia is contraindicated for Plasma Fibroblast Skin Tightening. Due to the fact that hemophiliac patients have issues with their blood clotting properly, this procedure would not be safe.
Herpes Simplex is a viral infection commonly referred to as a cold sore or fever blister – usually around the mouth. If you have ever had a cold sore, you are more likely to have an outbreak after Plasma Pen treatment in that area. We suggest that you ask your physician for antiviral treatment, such as acyclovir, at least five days before treatment and five days after treatment.
HIV / AIDS / HEPATITIS:
Plasma Fibroblast Skin Tightening is not safe for individuals with serious immune disorders such as HIV, AIDS and hepatitis.
Hyperpigmentation is when excess melanin pigment is deposit on areas of the skin. It is usually seen as an inflammation response in those with more pigmented skin, such as individuals of Mediterranean, Asian, Latin and African heritage. Unfortunately, Plasma Pen is contraindicated in those with a Fitzpatrick skin type of V or VI. Darker skin types have a tendency to scar pink or white (hypopigmentation), or with a darkened area at the site of treatment (hyperpigmentation).
INJECTIONS / FILLERS:
It is advisable to wait 3 weeks after receiving filler to perform the Plasma Fibroblast Skin Tightening treatment. When performing the lip flip service or other treatment near lips that have received injections, the level of healing may be compromised. Advise the client that healing may take longer in these areas and that there is a greater risk of infection when working close to the lip.
KIDNEY OR LIVER DISEASE:
We recommend that your client receive written consent from their doctor if they have kidney or liver disease.
Lupus is a serious contraindication for plasma pen treatment. Due to the inflammation and swelling associated with lupus, the Plasma Pen treatment cannot be safely performed.
MITRAL VALVE PROLAPSE:
If your client suffers from mitral valve prolapse and requires antibiotics when they receive dental work, they should take this same precaution prior to their Plasma Fibroblast Skin Tightening treatment.
Due to possible infections and risk to fetal health practitioners should not provide this service to any female that is pregnant or thinks they may be pregnant.
If you suffer from retinal detachment or other eye conditions, it is best to obtain written consent from your
eye doctor prior to treatment in the eye area.
SKIN DISORDERS (E.G. PSORIASIS, ECZEMA, DERMATITIS):
Any type of skin disorder will make your client experience more irritation and dryness. The entire treatment process will be more uncomfortable since skin is likely to be thinner and already inflamed. It is best to avoid treating areas with eczema, psoriasis, dermatitis or any other similar skin conditions with a plasma pen.
SCARS (HYPERTROPHIC, KELOID):
Hypertrophic scars are a result of a collagen imbalance at the site of a cut, piercing or other trauma to the skin. These raised scars contain excess collagen. Keloids are a type of hypertrophic scar that is more severe, growing outside of the original wound site. The plasma pen would not be an appropriate therapy in treating these types of scars.
If you have had shingles, you should wait for a minimum of 6 months after a shingles episode before undergoing this treatment. It is not known what triggers a shingles outbreak, so the client should be aware of the potential risks in receiving any treatment on their skin.
STIES OR CONJUNCTIVITIS:
If a client has eye conditions such as sties or conjunctivitis a waiting period of 6 weeks from their last treatment for the condition should be observed before receiving this skin tightening treatment. Treating the eye area with plasma pen may cause the condition to flare up. It may be advisable to receive written consent from their physician prior to service.
Thyroid imbalances will create a longer healing time for some individuals, but the treatment can still be performed.
Trichotillomania is a compulsive urge to pull at the hair and skin. If a client is susceptible to picking at the skin they could increase their chances of infection or hyperpigmentation in the treated area, in which case this treatment may not be right for them.
Vitiligo is characterized by a lack of melanin pigment in patches of skin. Because this condition can spread, using the plasma pen on clients with vitiligo would not be appropriate.
SPECIAL REMINDERS FOR TREATING CANCER PATIENTS
Cancer patients and survivors often turn to those in the field of medical aesthetics for a boost in the way they look and feel. Plasma Fibroblast Skin tightening is useful in rejuvenating areas of lost skin tissue that may have occurred during the course of their sickness. Radiation treatments leave the immune system weakened, so there is a risk of infection and healing will be much slower. However, the plasma pen can be used on cancer patients, provided they follow pre-treatment and aftercare instructions to the letter. Once they have the "okay" from their physician that it is safe for them to receive minimally invasive cosmetic treatments, there is generally no problem in treating these clients.
BLOOD THINNING MEDICATIONS:
Blood Thinning Supplements and Medications
• Cayenne peppers
• Vitamin E
• Dong quai
• Cassia cinnamon
• Ginkgo biloba
• Grape seed extract
How do blood thinners impact fibroblast treatment?
There are two main concerns with blood thinning substances. First, bruising is more common in individuals with thinner blood. Second, thinner blood may affect plasma coagulation which could affect healing and lead to less pleasing results.
Without proper plasma coagulation, the carbon dots will not crust and scab over as effectively and may bleed out. If you find that a client is bleeding more than usual, they may have consumed a natural or medicinal blood-thinning substance. Send out your pre-treatment instructions well before the appointment so that the client can avoid blood-thinning substances. Some clients have prescribed blood thinners for specific medical conditions, so you will need to proceed with caution in determining whether to perform this procedure on them.
Many people are surprised to learn that alcohol thins the blood. Your pre-treatment instructions should include information telling them to refrain from alcoholic beverages for 3 days prior to the treatment. Avoiding caffeine the day of treatment and for 24 hours before treatment will enhance healing capability. Caffeine is a vasoconstrictor that will affect blood pressure and interfere with plasma coagulation during the plasma pen procedure.
Can you perform this procedure on someone who is taking blood thinners?
Blood thinning medications or supplements will not rule out this procedure, but can increase the time needed to heal. If a client takes blood thinners, make sure they are aware of the increased downtime and extra healing period needed for optimal results from this treatment. If possible, discontinue blood thinning medications or supplements 3 days prior if their doctor indicates it is safe to do so. There are many other minimally invasive treatments that may be able to address the cosmetic issues of the client without the added concern of bleeding. You and your client will need to assess each situation and whether you feel it would be safe to move forward with the procedure.
African Americans, Hispanics, Latinos, Asians, Native Americans, Pacific Islanders, and individuals of Middle Eastern descent are more likely to have issues with hyperpigmentation and hypopigmentation. Hypopigmentation is a condition where the skin loses pigment in response to trauma. Hyperpigmentation is an increase in melanin output due to skin injury or inflammation. Clients in Fitzpatrick skin types III and up are at risk for this response. This procedure is not recommended for Fitzpatrick skin types V and VI because of a tendency to scar white or pink in these skin types