FAQ: Clients

FREQUENTLY ASKED QUESTIONS
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Here are some of Plasma Pen's frequently asked questions from clients interested in treatment

In nature there are four states of matter – solids, liquids, gases and plasma. Matter only becomes plasma when enough energy is delivered to split the atoms into electrons and the output of this is a ‘plasma cloud’ of charged particles which consist of free radicals, positively charged ions and negatively charged electrons and molecules.

Our device creates an electrical discharge between two electrodes which are separated by an ‘insulating dielectric barrier’.  As the charge collects on the surface of our dielectric barrier, it discharges as a flash of plasma within millionths of a second. An intelligent combination of the design of our device and its continuous direct energy source ionises the nitrogen and oxygen in the air to create a plasma gas which is then both sustained and continuous in line with the unique fingertip control and on-demand nature of our Plasma Pen device. Although we are creating collisions between molecules and causing the emission of energetic photons; the energy required to do this is actually minimal so our device is (and only needs to be) low-voltage. The plasma we create with our device transfers to the skin with absolute precision and does not harm any of the surrounding tissue.

The first and most immediate effect is delivered to the outer layer of the epidermis where we create external micro-trauma which helps immediately contract and tighten the skin. The next major effect is that the plasma simultaneously penetrates down into the fibroblasts which are contained deeper within the dermis below and, in doing so, we stimulate accelerated fibroblast division and migration, as well as encouraging neovascularisation – the natural formation of new blood vessels and the release of growth factors. These growth factors include fibroblast growth factors, platelet-derived endothelial growth factors and cytokines. Cytokines are small proteins that are very important in cell signalling and which affect the behaviour of cells around them. They help modulate our immune response, they regulate cell maturation (aging) and quarterback the growth of new cells. They are particularly important in directing our bodies response to the inflammation trauma that we cause because they stimulate both cell repair and new cell reproduction.

The inflammatory response which occurs during the healing process that we promote also activates what are known as “M2 Macrophages”.  Macrophages are white blood cells which engulf and digest cellular debris, foreign substances, microbes, cancer cells, and indeed anything else without proteins that are good for healthy cells. M2 macrophages decrease the inflammation we cause and encourage tissue regeneration and repair. We also stimulate the migration of basal keratinocytes up to the surface of the skin. Wounds to the skin are repaired, in part, by the migration of keratinocytes from the basal layer of the skin which then fill-in the gaps created by the micro-wounds we create. Within the healed epidermis they are, in turn, replaced by keratinocytes that originate from the epidermis.

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.

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).

So grab a piece of paper, keep score as you go along and get your client to answer all of the following questions honestly (you should keep this as a record and this questionnaire is available from us a free branded document from us for all our technicians):

PART ONE: GENETIC DISPOSITION

(1) What is your eye color?

Light blue, light gray or light green = 0
Blue, gray or green = 1
Hazel or light brown = 2
Dark brown = 3
Brownish black = 4

(2) What is your natural hair colour?

Red or light blonde = 0
Blonde = 1
Dark blonde or light brown = 2
Dark brown = 3
Black = 4

(3) What is your natural skin colour (i.e. before sun exposure)?

Ivory white = 0
Fair or pale = 1
Fair to beige, with golden undertone = 2
Olive or light brown = 3
Dark brown or black = 4

(4) How many freckles do you have on unexposed areas of your skin?

Many = 0
Several = 1
A few = 2
Very few = 3
None = 4

Total score for genetic disposition: _______

PART TWO: SUN EXPOSURE

(1) How does your skin/face respond to the sun?

Always burns, blisters and peels = 0
Often burns, blisters and peels = 1
Burns moderately = 2
Burns rarely, if at all = 3
Never burns = 4

(2) Does your skin tan?

Never – I always burn = 0
Seldom = 1
Sometimes = 2
Often = 3
Always = 4

(3) How deeply do you tan?

Not at all or very little = 0
Lightly = 1
Moderately = 2
Deeply = 3
My skin is naturally dark = 4

(4) How sensitive is your face to the sun?

Very sensitive = 0
Sensitive = 1
Normal = 2
Resistant = 3
Very resistant/Never had a problem = 4

Total score for reaction to sun exposure: _______

PART THREE: TANNING HABITS

(1) When did you last expose your body to sun / tanning cream / tanning injections / sunbeds?

More than 3 months ago = 0
2-3 months ago = 1
1-2 months ago = 2
Less than a month ago = 3
Less than 2 weeks ago = 4

(2) Did you expose the area you wish to be treated by Plasma Pen with to the sun?

No/Never = 0
Hardly = 1
Sometimes = 2
Often = 3
Always = 4

Total score for Tanning Habits: _______

TOTAL SCORE FOR PART ONE, PART TWO AND PART THREE:  _________

Now correlate the above score to the following to determine their skin type:

Type I: 0 to 6 points (light, pale white)
Always burns easily, never tans.

Type II: 7 to 12 points (white, fair)
Always burns easily, tans minimally.

Type III: 13 to 18 points (medium white to olive)
Burns moderately, tans gradually.

Type IV: 19 to 24 points (olive, moderate brown)
Burns minimally, tans well.

Type V: 25 to 30 points (brown, dark brown)
Burns rarely, tans profusely.

Type VI: 31+ points (very dark brown to black, black)
Never burns, deep pigmentation.

You can see an image here which is a good visual guide.

Remember, you may only treat skin types I, II and III with Plasma Pen.

Our branded Louise Walsh International Silver Colloidal Gel with Aloe Vera is an over the counter product that does not require a prescription. It is a transparent jelly that stays on the skin much longer than it would in liquid form. It is odourless, it does not stain and it is a powerful and natural anti-bacterial/anti-viral product where the two main active ingredients (colloidal silver and aloe vera) work in tandem to soothe inflamed skin and then heal it fast. This is why we now recommend it as part of the patient aftercare regime over dry healing.

Aloe vera is known for its ability to regenerate cells, increase oxygen flow and stimulate fibroblasts which aid the production of collagen. It is a natural moisturiser and is a soothing and calming gel that promotes skin healing. This element of our ingredients is very important as the aloe vera leaf used contains over 75 nutrients, 20 minerals, 12 vitamins, 18 amino acids and around 200 active enzymes all of which provide tremendous benefits – most importantly the ability to speed up the recovery of skin wounds and underpin the stimulation of cellular growth and rejuvenation. The aloe vera in our colloidal gel also has a powerful antioxidant effect.

Colloidal silver is basically nano-sized particles of pure silver which are suspended in highly purified water. Silver ions possess antibacterial, antifungal and antiviral properties and they help stimulate cell regeneration, promote healing and gently fight bacterial, viral and fungal conditions without any side effects.

In our form, the gel is applied as a topical agent and is not to be ingested.

Once applied and left to quickly dry then our Louise Walsh International Silver Colloidal Gel leaves a protective coating that’s designed to act as a barrier against infection. It helps speed up skin healing and these two primary active substances offer amazing skin protection benefits including tissue healing, anti-inflammatory properties, sun-protection, improved skin metabolism, increased moisture retention and also disinfectant properties.

Our product is supplied in special airless pump tubes so as to prevent any cross-contamination and oxygenation.

Technicians and clients can contact us here to order our Colloidal Silver Gel with Aloe Vera here until our web shop goes live.

Yes. We run regular Training Courses and Taster Sessions right across the UK and beyond and we are always looking for models. All models receive half price treatment.

If you navigate to Training | Become A Model on this website you will be able to find out more information and book in with us at a location near you.

We are just about to launch a full search facility on this website to help you search and see more information on our fully trained, qualified and approved Plasma Pen Elite Technician’s located in your area.

In the meantime please just reach out to us directly and we will be happy to recommend a fabulous technician in your local area:

Phone: +44 (0)1704 579 800
Email: training@plasmapenuk.com
Web: www.plasmapenuk.com
Facebook: facebook.com/LouiseWalshPlasmaPen
Twitter: twitter.com/PlasmaPen
LinkedIn: linkedin.com/in/LouiseWalshOfficial

Address: Global HQ & Flagship Training Academy, 42-46 Station Road, Ainsdale, Southport PR8 3HW

Plasma Pen delivers exceptionally long lasting results. From all observations, clinical trials and real world experience then about three years is normal. Once the skin is tightened then that 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 aging 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.

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.

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.

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.