Plasma Pen Skin Tightening (True Plasma Fibroblast) Contraindications, Pre & Post Care
Updated: 6 days ago

True Plasma Fibroblast Treatment
Plasma Pen Skin Tightening, sometimes known as True Plasma Fibroblast, is an advanced skin treatment that uses a controlled plasma arc to create tiny, precise points of superficial thermal injury across the treatment area.
This controlled treatment response is designed to stimulate the skin's natural repair and remodelling processes and can be used to improve the appearance of skin laxity, fine lines and wrinkles.
Unlike our PlasmaChanneling and Cold Plasma treatments, True Plasma Fibroblast is an ablative treatment with visible downtime. Tiny carbon crusts form over the treated points and must be allowed to heal naturally.
Before Your Treatment
A consultation and patch test are required at least two weeks before your treatment.
To help prepare your skin:
Use a broad-spectrum SPF 30–50 daily and protect the treatment area from excessive sun exposure.
Avoid sunbathing, sunbeds, tanning injections and fake tan for at least 2–4 weeks before treatment.
Avoid retinoids, tretinoin, strong exfoliating acids and other potentially irritating active skincare for approximately two weeks before treatment.
Avoid laser, chemical peels, microneedling and other advanced treatments on the area before your Plasma Pen appointment.
Tell us if you've recently had dermal fillers, skin boosters, anti-wrinkle injections or other injectable treatments in the area.
Don't attend with sunburnt, inflamed, damaged or significantly irritated skin.
Tell us about all medication, supplements and herbal remedies you take.
Let us know if you have a history of cold sores when treating around the mouth.
Tell us if you have previously developed keloid or abnormal scars or significant pigmentation following an injury or skin treatment.
Let us know if your health, medication or skin has changed since your consultation.
Please arrive with the treatment area clean and free from makeup, moisturiser and skincare products where possible.
If we are treating around the eyes, we recommend wearing glasses rather than contact lenses to your appointment in case you experience swelling afterwards.
Is Plasma Pen Suitable for Everyone?
Because Plasma Pen intentionally creates a controlled injury to the skin, careful client selection is particularly important.
Please tell your practitioner if you:
are pregnant or breastfeeding
are currently unwell or have an active infection
have an active cold sore, skin infection, open wound or significant inflammation in the treatment area
have diabetes or another condition that may affect normal healing
have a weakened immune system or take immunosuppressive medication
have a history of keloid or abnormal scarring
have a history of significant post-inflammatory hyperpigmentation or hypopigmentation
have vitiligo or another condition affecting skin pigmentation
have a bleeding or clotting disorder
take anticoagulant or antiplatelet medication
have a pacemaker or other relevant implanted medical device
are taking or have recently taken isotretinoin
have recently had surgery or another advanced procedure in the treatment area
are undergoing cancer treatment or have a significant current medical condition.
not recommened for darker skin types
Having a medical condition doesn't automatically mean you cannot have treatment. Depending on your circumstances, we may recommend postponing treatment, adapting your treatment plan, seeking medical advice or choosing an alternative treatment.
Do not stop prescribed medication for Plasma Pen treatment unless the healthcare professional who prescribed it has advised you to do so.
Cold Sores
Plasma treatment around the mouth may trigger a recurrence of the herpes simplex virus in people who are prone to cold sores.
Please tell us during your consultation if you have a history of cold sores, even if you don't currently have one.
If you have an active cold sore, your treatment will need to be postponed until it has completely resolved.
If appropriate, we may recommend discussing preventative antiviral medication with your GP or pharmacist before treatment.
Important: Skin Colour & Pigmentation Changes
Plasma Pen treatment can cause temporary or permanent changes in skin colour.
Post-inflammatory hyperpigmentation (PIH) is where the healing response causes the treated skin to become darker than the surrounding skin.
PIH can occur in any skin type but is more common and may be more noticeable or persistent in darker skin tones and in people who are already prone to pigmentation following inflammation or injury.
Less commonly, hypopigmentation can occur, where the treated skin becomes lighter than the surrounding skin.
Pigmentation changes can take several months to settle — occasionally six months or longer. In some cases, a difference in skin colour may be long-lasting or permanent.
For this reason, we carefully assess your skin type, pigmentation history and treatment area before recommending Plasma Pen. In some cases, we may recommend an alternative treatment if we feel the risk of pigmentation changes is too high.
What Does Plasma Pen Treatment Feel Like?
A topical anaesthetic may be used before treatment to make the procedure more comfortable.
During treatment you may experience:
warmth
stinging
a hot or prickling sensation
tenderness or sensitivity.
Some areas are naturally more sensitive than others, particularly the delicate skin around the eyes.
What to Expect Afterwards
Immediately after treatment, the skin will normally appear red and feel warm, tender or sensitive.
A pattern of tiny dark carbon crusts will develop over the plasma points. These are an expected part of the healing process.
Swelling is also normal and can become more noticeable during the first few days.
Treatment Around the Eyes
Swelling can be considerably more noticeable when treating the upper or lower eye area.
You may find that swelling is greater the morning after treatment and can last for several days. Your existing protocol advises clients that swelling commonly lasts around 2–4 days, although individual healing varies. Pasted markdown
Plan your appointment around work, social occasions and important events because True Plasma Fibroblast is not a no-downtime treatment.
Your Aftercare
The First 24 Hours
During the first 24 hours:
Keep the treatment area clean.
Avoid touching the area unnecessarily.
Make sure anything that comes into contact with the treated skin — including your hands, pillowcase and towels — is clean.
Do not rub, scratch or pick the treated area.
Avoid makeup over the treated skin unless you have specifically been provided with an appropriate post-plasma product.
Use your prescribed post-treatment products according to the instructions given by your practitioner.
A mild sunburn-like feeling can occur during the first 12–48 hours and should gradually settle.
If the area weeps slightly, follow the cleansing and O2Revive MD instructions provided by your practitioner.
While the Carbon Crusts Are Healing
As the plasma points heal, they will become darker and form tiny dry crusts.
These commonly begin to naturally flake away during the following week. Your current protocol advises approximately 5–8 days, although healing times vary between clients and treatment areas. Pasted markdown
Do Not Pick the Crusts Allow every crust to fall away naturally. Picking, scratching, rubbing or deliberately removing them before the skin underneath has healed can increase the risk of infection, scarring and pigmentation changes.
While the crusts remain:
Keep the area clean.
Don't scrub or exfoliate the skin.
Avoid retinoids, acids, scrubs and other active skincare.
Avoid fragranced or irritating products.
Don't shave directly over the crusts.
Avoid facial massage and other treatments over the area.
Avoid swimming, saunas and steam rooms.
Avoid excessive heat.
Avoid strenuous exercise for the first 48 hours and longer if sweating irritates the area.
Avoid rubbing or friction from clothing where a body area has been treated.
Washing & Showering
Be particularly gentle when washing the treated area.
Don't scrub the skin with a flannel, cleansing brush or exfoliating cloth.
Use tepid rather than very hot water and avoid standing with the treated area directly under a powerful hot shower during the early healing period.
Take care not to allow shampoo, shower gel or other potentially irritating products to run over the treated skin.
After cleansing, gently pat rather than rub the skin dry.
Makeup
Do not apply your normal makeup directly over open or crusted skin.
Regular makeup can be resumed once all the carbon crusts have naturally fallen away and the skin surface has healed.
If you have purchased our specialist LUXE Plasma After Care Concealer, this has separate instructions and can be used as advised by your practitioner.
Once the Crusts Have Fallen Away
Once the crusts naturally shed, the new skin underneath may initially appear:
pink or red
lighter than your normal skin colour
darker than your normal skin colour.
This does not necessarily represent the final result.
Pinkness can remain visible for several weeks, and changes in pigmentation can take considerably longer to settle.
Continue to treat the new skin gently and don't immediately restart all of your strong active skincare.
Sun Protection Is Essential
Protecting the treated area from UV exposure is particularly important following Plasma Pen treatment.
Once the skin has healed sufficiently to apply sunscreen, use a broad-spectrum SPF 30–50 every day on exposed areas.
Avoid deliberate tanning and sunbeds.
Continue careful sun protection for at least 3–4 months following treatment and preferably as part of your normal daily skincare routine. Your existing aftercare already specifies this extended period of sun protection. Pasted markdown
Good sun protection is particularly important while any pinkness or pigmentation is still settling.
Your Plasma Pen Aftercare Kit
Proper aftercare is an important part of supporting your skin while it heals.
We offer a Sunshine Botanicals Complete Aftercare Kit – £70, containing products selected specifically for post-plasma skin. Pasted markdown
First 24 Hours
O2Revive MD Oxygen SprayUse as instructed to keep the treated skin comfortable during the initial healing period.
From 24 Hours
Cleanse & Calm CleanserGently cleanse the treatment area morning and evening. Pat the skin dry rather than rubbing.
O2Revive MD Oxygen SprayApply following cleansing and throughout the day according to the instructions given to you.
Once the Carbon Crusts Have Fully Formed
Continue with:
1. Cleanse & Calm CleanserA gentle cleanser for healing and sensitive skin.
2. O2Revive MD Oxygen SprayUsed as part of your post-treatment routine.
Then introduce:
3. Radical Recovery GelA soothing gel used to help keep recovering skin comfortable.
4. Rapid Repair BalmA protective balm used as part of the later healing stage.
Once the Crusts Have Naturally Fallen Away
5. Total Eclipse BB CreamProvides mineral sun protection together with light coverage for newly healed skin.
Continue careful sun protection while the colour of your skin settles.
LUXE Plasma After Care Concealer – £26
For clients who would like additional coverage during recovery, we also offer the LUXE Plasma After Care Concealer.
This specialist product is designed for use following plasma treatment and should only be introduced according to the instructions given by your practitioner.
Do not substitute ordinary makeup while the skin remains crusted.
Alternative Aftercare Products
If you prefer to use your own products rather than our complete aftercare kit, they should be gentle, fragrance-free and suitable for sensitive or recovering skin.
Suitable options may include:
Gentle Cleanser
La Roche-Posay Toleriane Dermo-Cleanser
Leaf & Lab Sensitive Cleansing Wash
Soothing/Barrier Support
La Roche-Posay Cicaplast Baume B5
Silver Active Magic Gel, where appropriate
Sun Protection
A well-tolerated broad-spectrum SPF 30–50 once the skin has healed sufficiently for sunscreen.
Avoid retinoids, exfoliating acids, strong vitamin C products, scrubs and other potentially irritating active skincare during the initial healing period.
Exercise, Swimming & Saunas
Avoid strenuous exercise for at least the first 48 hours and longer if heat or sweating is irritating the treated skin.
Avoid swimming, saunas and steam rooms until all crusts have fallen away and the skin has completely healed.
Your existing protocol uses two weeks for swimming and sauna activities; that remains a sensible conservative timeframe where healing is complete. Pasted markdown
When Can I Have Another Plasma Pen Treatment?
We recommend waiting at least 12 weeks before considering another Plasma Pen treatment on the same area.
This gives the skin adequate time to heal and allows the result of your first treatment to develop before deciding whether further treatment is appropriate. Pasted markdown
Further treatment should only be performed once the skin has completely healed and returned towards its normal condition and colour.
When Will I See My Result?
Don't judge your result while the area is swollen, crusted, pink or newly healed.
Your skin will continue to change following the initial healing period, and the longer-term remodelling response develops gradually.
It can take around 8–12 weeks before the result can be properly assessed, which is another reason we don't recommend repeating treatment too quickly. Your current protocol already uses this timeframe. Pasted markdown
When Should I Contact Eco Skin Clinic?
Redness, swelling, tenderness and carbon crusting are expected following Plasma Pen treatment.
Please contact us if you experience:
redness that is spreading or becoming significantly worse
increasing rather than improving pain
increasing heat or tenderness
pus, discharge or other signs of infection
significant blistering
persistent bleeding
crusts being accidentally removed with damage to the skin underneath
significant or unexpected pigmentation changes
skin that isn't healing as expected
any other reaction that concerns you.
Seek appropriate medical attention for severe or rapidly worsening symptoms.
Important: Plasma Pen Is Different from PlasmaChanneling & Cold Plasma
True Plasma Fibroblast is an ablative treatment that creates visible plasma points and carbon crusts as part of the healing process.
Our PlasmaChanneling and Cold Plasma treatments use different plasma techniques and have significantly less downtime.
Your practitioner can advise you which type of plasma treatment is most appropriate for your skin and treatment goals.




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