Frequently Asked Question

I’m On Anticoagulants & My Technician Says I Can’t Have Treatment. Why?


Anticoagulants are medicines that help prevent blood clots. They’re usually given to people at a high risk of getting clots so as to reduce their chances of developing serious conditions such as strokes and heart attacks. Anticoagulant drugs (Warfarin for example but also Ivaroxaban/Xarelto, Dabigatran/Pradaxa, Apixaban/Eliquis, Edoxaban/Lixiana and others) are a major contraindication for us and your technicians insurer and people using them are NOT to be treated with Plasma Pen because they thin the blood (or rather they interrupt the process involved in the formation of blood clots so while they’re sometimes called “blood-thinning” medicines, they don’t actually make the blood thinner). Anyway, the healing of surgical and traumatic wounds – like the micro-traumas we cause with Plasma Pen – specifically and intentionally involves the clotting process, inflammation, cell proliferation and tissue remodelling. Anti-coagulants can slow and delay this healing process. Delayed healing of traumatic wounds can cause persistent bleeding, increased wound seepage and, in some cases, failed wound closure. Delayed wound healing can also lead to infection among other undesirable things. The principal drugs which can slow wound healing are cytotoxic antineoplastic and immunosuppressive agents, corticosteroids, nonsteroidal anti-inflammatory drugs (NSAIDs) and anticoagulants. If in your consultation these drugs and contraindications come up then you cannot be treated with Plasma Pen and this is absolutely for your own benefit.




What Skin Types Can Safely Be Treated With Plasma Pen?


On the Fitzpatrick Skin Type Scale (The Fitzpatrick Skin Type is a skin classification system developed in 1975 by Thomas Fitzpatrick, MD, of Harvard Medical School), only skin types I, II and III can safely be treated with Plasma Pen. Anything higher and you are risking hyperpigmentation or hypopigmentation. Some providers claim to be able to treat any skin type. This is generally untrue or at the very least misleading and is usually only because they are perhaps selling medical grade devices to cosmetic surgeons (who are then able to self-prescribe and fix any damage that they do) and/or because the treatments they are performing are merely “spray” rejuvenation only (i.e. they are not targeting the dermis and are only working on the epidermis). The fact is that people with darker skins have melanocytes capable of making large amounts of melanin. When dark/black skin is injured (i.e. through the micro-trauma we create with Plasma Pen), these melanocytes can hyperpigment or hypopigment. This is because a combination of the inflammatory response and ultraviolet causes the inflammation to disrupt the basal cell layer. Melanin pigment is then released but subsequently it can become trapped by macrophages in the papillary layer. Once the wound healing has completed and the junction repaired then the melanin pigment granules can be caught within the dermal layer with no way of escape and this can cause pigmentation issues. We will come onto how to determine skin types below but if someone is a borderline III/IV skin type then there are possibly some things you can do (such as the client using tyrosinase inhibitors in advance – you can see a good article on those here). A client who has perhaps spent time in the sun recently may perhaps present as darker than their true skin type really is so, in these instances, you should at least delay their procedure and encourage them to stay out of the sun in the meantime so that their skin returns to a treatable type in the area you are performing treatment. However, like any important contraindication, if there is any doubt about a treatment then you should not treat and if there is clear Indian or African ancestry then the chances are probably high that you will not be able to treat safely. In terms of how to determine skin types then, firstly, you should buy an electronic skin type sensor from us. These are available for just £35+VAT and you can message us here to buy one. These should be used on the area being treated (after any make-up has been removed). This should give you an immediate and strong guide to their Skin Type. We strongly recommend that all Plasma Pen Elite Technicians complete the following questionnaire with their clients in conjunction with their electronic skin sensor so as to accurately determine their skin tone. We use an enhanced questionnaire format that also accounts for recent sun exposure so our quiz measures three key components (i) their genetic disposition, (ii) their reaction to sun exposure and also (iii) their recent tanning habits. Skin Types range from the very fair (Type I) to the very dark (Type VI).




How long do Plasma Pen results Last?


Plasma Pen delivers exceptionally long lasting results. From all observations, clinical trials and real world experience, about three years is normal. Once the skin is tightened then it is actually permanent. However, your skin will still continue to age and this will happen at different rates based on genetics, lifestyle choices and free radicals so although we suggest treatment results will lasts for around 3 years, some clients will experience longer lasting results than others. Remember too that in addition to rejuvenation, we are actually helping repair the scaffolding of the skin with our fibroblasting to mitigate the ageing process. If, for example, we treat your smokers’ lines and you then continue to smoke then results may possibly not be as long lasting compared to if you had stopped. If we make your eyelid hoods or bags disappear then that is also a permanent effect although, of course, they could potentially grow back in years to come.




Is Plasma Pen treatment painful?


We don’t think so and especially not with our #1 device. For many, Plasma Pen is virtually a pain-free treatment and is often described as merely tingly. We see many clients fall asleep during their procedure. However, the treatment may be moderately uncomfortable depending on you and where you are being treated. Eyelid procedures (where the skin is at its thinnest) can be more painful for some people but our device, plasma delivery and super-fine probes allow our technicians to work very quickly and efficiently and this minimises potential discomfort for you by design. Your technician will numb the area before treatment and sometimes during too depending on the products they use and the regulations in this area. For treatments on large areas, technicians will typically “numb as they go” so that the numbing effects don’t wear off while they are still working. It’s all relative too – think how painful something like cosmetic surgery can be after a procedure when your anaesthetic wears off.




What aftercare is involved?


Aftercare following a Plasma Pen treatment is very straightforward and mostly common sense. If you are paying for an incredible treatment like this and investing in your beauty and you then willfully ignore the strict instructions your technician will fully brief you on – perhaps by choosing to go on a sunbed the next day – you will clearly imperil the outcome and may not achieve optimal results. We train our Technicians in exceptional detail in this area and we keep them fully up to speed on all of the latest best practice. We arm them with all the tools they need to devolve this information to you. Please refer to the Aftercare page of this website for more detailed information on what we recommend.




What will my Plasma Pen pre-treatment consultation involve?


Your technician will complete a detailed consultation with you, sometimes on the day of your treatment and sometimes before depending on your mutual preference and availability. They will complete detailed paperwork with you (such as consent forms) and will take before and after photographs since those are legally required for their insurance. A typical consultation includes: Full details of your skin type and history Contraindications and relevant medical history Your lifestyle (e.g. are you a smoker, do you use sunbeds, do you use fillers, have you had any recent cosmetic surgery) Identifying what your expectations are, whether they are realistic and why you actually want treatment Answering any questions you have Explaining the treatment, the aftercare regime you will need to follow, the downtime, the likely recovery period and any other relevant information Explaining the number and frequency of treatments you may require, if more than one The cost and payment You can see some of the most popular treatments our Elite Technicians perform here.




How many treatments will I need?


Often only one but it will depend on your personal expectations, the area being treated, your age, the condition and type of your skin and many other factors. We implacably believe that you simply will not get better or faster results alongside less downtime and faster recovery than you will enjoy with an official Plasma Pen by Louise Walsh International procedure from one of our expert technicians. Each and every client is different and your treatment plan will always be bespoke. In our experience, some clients may require 2 or more treatments to achieve optimal results, especially for some procedures and skin conditions where the results will be cumulative by design. Many clients are, as we say, absolutely delighted with the results that our technicians and advanced plasma technology are able to deliver after just one treatment. Just take a look at the Before & After page on this website – most of the results displayed are from single Plasma Pen treatment sessions. Remember too that although your treated area may look completely healed from the outside very quickly and that our results are often utterly dramatic from day one; it takes several weeks and sometimes months for the cells living within your epidermal junction to fully do the job that we have told them to do in traumatising your skin with Plasma Pen. We advise all our technicians, for most treatments, not to treat anyone for a minimum of 8 weeks after their first treatment because before that point, we are unlikely to be able to see and fully appreciate all the results that the first treatment actually achieved. Often, at that point, they will tell you that you simply don’t need another treatment on that area because you have indeed achieved optimal results/effects!




How long dows a Plasma Pen treatment take?


Our treatment is probably the fastest out there thanks to our spectacular plasma delivery, the incredible ergonomic and lightweight design of our Plasma Pen, the tiniest probes and the best technician training and support that is available anywhere from any provider. There are a superfluity of treatments available (see our Treatments page) but, to give you some examples, it should require about 30 to 40 minutes to treat your upper or lower eye areas. Procedures like a full neck treatment or a full forehead lift will be longer and prior to any treatment you will have the area numbed. Depending on the numbing and pre-treatment products used, the length of your pre-treatment consultation, the forms you will need to complete, the individual technician and then the aftercare advice provided to you after your treatment, this will of course extend the overall time you will spend with your technician. Depending on the particular treatment, your objectives and you as an individual, your technician may recommend more than one session.




Can Plasma Pen treat all skin types?


No – not with full Plasma Pen treatment anyway (for rejuvenation only skin treatment – where the skin is not fully broken and the fibroblasts are not targeted – we can actually treat any skin type). For full Plasma Pen treatment we only treat skin types 1 to 3 on the Fitzpatrick scale. Your technician will be able to determine precisely what skin type you are and will likely use one of our professional Skin Type Sensors. Treating anyone with darker skin than this with full treatment is putting clients at risk of pigmentation. The reason for this is that people with darker skins have melanocytes capable of making large amounts of melanin. When black skin is injured, for example, the melanocytes will usually either hyperpigment or hypopigment. Dark skinned people have a greater risk of forming keloid and hypertrophic scars too. As will be discussed in your consultation, certain skin types heal at different rates. For example, oily skinned clients may take longer to heal. Our technicians give a great deal of consideration to clients who are contraindicated and/or who may have sensitivities. This will be discussed with you prior to any treatment and you should be completely honest and transparent in your responses. Clients with compromised immune systems may also take longer to heal and may not always achieve the results they expect due to their lymphatic system not working properly. Without a fully functioning lymphatic system, the cells responsible for the 4 phases of our procedures healing process (coagulation, inflammation, cell regeneration and tissue maturation) cannot always fully do their job properly and the rejuvenation, lifting and tightening of the skin may thus not then give the same level of results that are usually common with our Plasma Pen treatment. If you have any doubts or concerns, please contact us with your questions and we will do our best to give you the information you need.




What is the best non-surgical treatment for wrinkles?


Plasma Pen soft surgery is widely regarded as one of the very best non-surgical treatments for wrinkles. Using a gaseous arc of ionized plasma gas that is created by the Plasma Pen device, the plasma energy transfers rapidly to the skins outer (epidermal) layer to heat and disrupt the deeper dermal structure via thermal conduction. This creates a dual zone of micro-trauma comprising of superficial micro-damage to the epidermis and inner thermal modification within the dermis (especially to the fibroblasts which is why it is often referred to as Plasma Pen fibroblasting). There is a wide range of medi-aesthetic treatments and cosmeceutical solutions available for the softening, reduction and/or elimination of wrinkles. Some of the state-of-the-art, non surgical treatments for wrinkles from Plasma Pen include: Mesotherapy Laser treatment Dermabrasion RF (Radio-frequency) skin tightening Fibroblasting helps deliver immediate lift and tightening of loose skin, significantly combats photo-ageing and eliminates most superficial wrinkles (rhytids). It then stimulates extensive dermal remodelling over the next 3 months which includes new collagen synthesis, the production of elastin and increased cross-linking between collagen and elastin. Collectively, this helps strengthen, plump, inflate and lift the skins structure above to reduce, soften and even entirely eliminate wrinkles. It also encourages the binding of hyaluronic acid with water to help fill, inflate and plump wrinkles in the treatment area. The dermis becomes stronger and more flexible and this all underpins the partial-to-complete elimination of medium-depth wrinkles alongside a marked improvement and softening of deep wrinkles. Plasma Pen also helps activate and release important proteins in the dermis which regulate cell maturation and encourages extensive tissue re-generation and repair. All these positive changes underpin future tissue stability and helps prevent and slow down many of the negative effects of ageing that actually cause wrinkles in the first place.




How can I tighten my jawline naturally?


Soft-surgery significantly shrinks and tightens sagging skin Proven, natural-looking results for jaw augmentation Dermal filler injections directly into the jawline for a natural look A melting agent applied to the neck and chin helps diminish fats One of the best and most proven ways of non-surgically tightening and augmenting a jawline is with a Plasma Pen soft-surgery procedure that significantly shrinks and tightens drooping and saggy skin and pulls the skin directly into the jawline, neck and ear so to provide more definition and to smooth the contours of the mandible. The application of neurotoxins to the masseter muscles, the injection of dermal fillers directly to the jawline, the use of surgical threads, radiofrequency and a melting agent known as Kybella (deoxycholic acid) that is applied to neck and chin fat are also very popular options.