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Plexr/Plasma Treatment

Plexr is a treatment for tightening skin without surgery – for example, to lift the upper eyelids without the cutting involved in a standard blepharoplasty (lid lift – in Greek, blepharon is ‘eyelid’ and plassein means ‘to shape’). Plexr uses ‘plasma’ energy to burn away tiny patches of skin along the creases of the excess skin (in this example, the skin below the browbone), thus abruptly shrinking the skin back up into a neater shape.

Plaxr - Plasma


£ 600 - 1000


30 minutes




Numbing cream


10 days

Find a Practitioner Near You

FAQ ABOUT Plexr/Plasma Treatment

What is Plexr?

Plexr is a treatment for tightening skin without surgery – for example, to lift the upper eyelids without the cutting involved in a standard blepharoplasty (lid lift – in Greek, blepharon is ‘eyelid’ and plassein means ‘to shape’). Plexr uses ‘plasma’ energy to burn away tiny patches of skin along the creases of the excess skin (in this example, the skin below the browbone), thus abruptly shrinking the skin back up into a neater shape. (End of today’s Greek lesson: ‘plasma’ also comes from plassein, ‘to shape’.)

What is plasma energy?

You may be wondering what plasma energy is. We are all familiar with solids, liquids, and gases; plasma is one step beyond this, a different state of matter. The Plexr machine ionises gases in the air to create a small electrical spark similar to a tiny lightning bolt, which vaporises a minute patch of the skin. When you watch this treatment being performed, the tip of the wireless, pen-like device is a small metal prong that appears to be zapping the skin with these miniature lightning bolts.

What does Plexr do?

Plexr tightens the skin by burning small patches of it. Each zap from the prong of the Plexr device leaves a small burn mark and causes an instant tightening of the skin. The practitioner uses the device to create a pattern of these little marks along a crease of excess skin, which is what gives the instant shrinking effect.

If you’re thinking this sounds quite a hardcore option, you’re right. Those burn marks make the treatment area puff up for a few days as scabs grow over them; then after a week or so, the scabs fall off, leaving fragile new skin beneath, which needs to be well protected from UV light.

Does Plexr work?

Yes. Plexr is an effective treatment for tightening skin, albeit one I still find scary (so, no, I haven’t tried it). It also has other uses; see the next section for details.

Plexr works on a range of different skin types, but it is not recommended for use on darker skin, because the more melanin there is in your skin, the higher the risk of pigmentation problems occurring. Either hypopigmentation (too little pigmentation, producing light spots) or hyperpigmentation (too much pigmentation, producing dark spots) can occur.

Where can you use Plexr?

Most clinics that offer Plexr treatment use the device to treat the upper and lower eyelids and crow’s feet. But Plexr can also be used for other types of skin concerns, including the following:

  • Improving acne scarring
  • Removing tattoos
  • Reducing skin imperfections (such as sun spots, warts, and pigmentation)
  • Making scars and stretch marks less conspicuous
  • Lifting the face and neck

What’s the difference between Plexr and plasma treatment?

Plexr is one of the best known brands of device used for ‘plasma’ treatment. Other ‘plasma machine’ devices include the Plasma IQ device and the Plasmage device.

Where can I get Plexr?

You can use the Find a Practitioner tool on this website to find a practitioner who offers Plexr treatment.

The Plexr device can only be used by trained medical specialists; even so, if you’re thinking about getting Plexr treatment, look for a practitioner who has as much experience as possible with the technique. In skilled hands, Plexr can deliver impressive results; but because the device works by burning your skin, you run the risk of scarring if the practitioner doesn’t get the treatment exactly right. Also, because you will usually need more than one treatment, you are submitting delicate skin – eg on the upper eyelids – to repeated trauma of burning. (Am I keen on this treatment? No, because I feel it is more risky than most.)

How much does Plexr cost?

The cost depends on the area you’re having treated. Here are example prices:

  • Upper eyelids or lower eyelids or crow’s feet: £650
  • Upper eyelids and lower eyelids: £895
  • Upper eyelids, lower eyelids, and crow’s feet: £995
  • Facelift: £600
  • Individual small areas: £150

How long does Plexr take?

How long Plexr takes depends on the area you’re having treated, but here’s an example: Treating the area around both eyes takes around 30 minutes. Before the actual treatment, you will need to have anaesthetic cream applied and wait around 30 minutes for it to take effect.

Most clinics recommend a course of three treatments at six-week intervals to get the best long-term effect.

How long does Plexr last?

The effects of Plexr treatment typically last several years.

Are there any side effects to Plexr?

Apart from the swelling, scabbing and crusting that is part of the healing process that the treatment provokes? Because Plexr basically burns the skin, there is the potential for scarring with each of those tiny lightning-bolt marks; and because three rounds of treatment are advised for the maximum result, that’s potentially a lot of scarring.

What is it like to have Plexr?

Plexr treatment generally goes like this:

  • You meet your practitioner and decide on a treatment plan. Because Plexr is a hardcore treatment, it’s vital you have a proper, honest discussion with your practitioner about whether they really think it is the best option for you. If you have a lot of loose skin on your eyelids, a surgical blepharoplasty will give a more precise and predictable result, and the healing time is shorter – though of course this involves surgery, anaesthesia and more expense.
  • On the day of the appointment, you first have anaesthetic cream applied to the treatment area, and wait around 30 minutes for the cream to take effect. You then put on protective goggles to shield your eyes.
  • The practitioner runs the Plexr device over the treatment area, carefully zapping the skin to create superficial burn-like injuries. You may feel a hot pin-pricking sensation from the device, or the anaesthetic cream may block it out completely. An assistant may use a fan to cool your skin as the practitioner works.
  • After the treatment, the area will be red, and over the next day or two it will develop tiny pin-prick scabs where the device was fired. These scabs will gradually fall off after several days or a week.
  • With the scabs still on, the treatment area is likely to look painful, though it may not hurt at all. You may be able to cover up the scabs with concealer, but it may simply fall into the cracks between them and make them look worse.
  • After the scabs have all fallen off, the treated area may be red at first, but this will gradually fade. The skin of the treated area will be smoother than it was before treatment.
  • To get the best long-term results from your treatment, you should follow the aftercare regime recommended by your practitioner. In particular, you will need to minimise sun exposure.


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Alice answers your question. Want to ask Alice a question? Pop it in here and check back in a few days for the answer.

Hi Alice, I have hooded eyes and under-eye wrinkles. I recently had my first dose of toxin on the crow's feet area, which I've been impressed with, but I don't think this can be done close to the eyes, so what could I try to help under the eyes? Any…

Procedures that give good results for those small wrinkles under the eye include laser and radiofrequency microneedling. Laser can also be used on hooded eyelids, as can types of plasma treatment such as Plexr. These don't give as full or definite a result as a surgical eyelift but they can certainly make a difference. For skincare, take a look at some of my favourite eye creams.…

Hi, I'm wondering what you think of plasma fibroblast for the eyelids?

All those non-surgical plasma treatments for hooded eyes really scare me (all those tiny burns! All that potential damage!) but my doctor and surgeon pals who use it say it is a great tool – and in their hands, really experienced, expert hands, I am sure that it is. I would not want it done by anyone who wasn't a highly qualified aesthetic practitioner.

Hi Alice, what is your opinion on Plexr for upper lids?

Plexr rather alarms me (all those tiny burns! All that potential for damage!) but my doctor and surgeon pals who use it say it is a great tool – and in their hands, the right hands, I am sure that it is. Find someone who knows the treatment well and does it a lot and you'll be fine.

I have sebaceous hyperplasia and need either laser or plasma pen treatment. Where should I go for this please?

I'd look for a practitioner who does a serious amount of laser – search for laser practitioners on our practitioner finder (I'm not a fan of plasma pen treatment) and have a consultation about how the practitioner would propose to treat you. I've got a whole bunch of these sebaceous hyperplasia growths myself and am not fond of them. The laser treatment I had with the Sciton Halo has helped reduce some of them a good deal but more keep springing up so from experience I'd say you may need more than one round of treatment to ablate them.…

Hi Alice. I’m considering fibroblast skin tightening treatments, any advice ?

Hi, I really wouldn't. 'Fibroblast' is not a particular machine or treatment, it's the name given to a range of treatments using a device called a  'plasma pen' which makes a series of small controlled burns on the skin in order to tighten, say, the eyelids or crepey cheeks. It's a treatment that you usually find in salons rather than medical skin clinics. Each burn shocks the collagen in the skin into contracting, and sets off the wound-healing process which generates new fresh collagen and elastin in the skin. (The cells within the skin that generate new collagen are called fibroblasts, hence the name of the treatment.) If you've…

Hi Alice. What do you think of the Fibroblast Plasma Skin Tightening system? My friend is having it done and she's really excited...

  Avoid. These devices work by creating hundreds of tiny burns which may tighten skin but may also create many tiny scars on the skin, especially as the treatment usually needs multiple sessions. Unless you are in the hands of a qualified and experienced tweakment professional who is using a well-known brand of plasma device eg Plexr or Neogen. What worries me is that most 'fibroblast plasma' treatments are not from well-known, reputable brands and are offered by people who shouldn't be using this sort of equipment in the first place. Like I say, if the treatment is being offered by a great…

I chicken out of eye surgery for now, can you suggest anything else I can do for eye lids other than surgery?

Hi, there are a few treatments you could try to tighten the skin on the eyelids and around the eye area. None of these will give as quick, clean or definitive a result as eyelid surgery (blepharoplasty) but they could help. Ping, a radiofrequency skin-tightening protocol put together by Dr Sach Mohan, which is specifically designed for non-surgical skin tightening around the eye Laser skin tightening, with a fractional laser - practitioners including Dr Maryam Zamani can offer this with the Sciton laser, other practitioners will have their own favourites. You do need to wear intra-ocular shields for this procedure, which are like…


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