Plasma Upper Eyelid Healing Process Case Study

Plasma eyelid tightening is an effective treatment which produces results and like most effective aesthetic treatments, the area will "get worse before it gets better".

Andreas before swelling after publish

The leftmost picture depicts the upper eyelid before any plasma upper eyelid tightening treatment was carried out. The middle picture is a detail of the right eyelid the day after one of the plasma upper eyelid tightening treatments. The rightmost picture is an after picture several months after the last plasma eyelid tightening treatment. As seen here, despite the dramatic immediate after effects of the voltaic plasma eyelid tightening no signs of the procedure are left.

Plasma eyelid tightening is an effective treatment which produces results and like most effective aesthetic treatments, the area will "get worse before it gets better".

In this page we will focus on one of the most important issues in Plasma Upper Eyelid tightening, the healing process and its progression. Surprisingly, this is not a talked about subject anywhere, therefore we decided to focus on this issue because this has been the cause of concern for several clients who underwent this type of aesthetic procedure and were not correctly informed about these reactions to Plasma Upper Eyelid tightening.

before after swelling publishing

In the middle of this picture there is yet is another example of dramatic swelling which occurs the day after plasma upper eyelid tightening. Inevitably the swelling subsides on its own accord without the use of any medicine or medical attention.

The swelling following upper eyelid tightening had been the major cause of concern for those clients who underwent the treatment and it has also been the source of speculation about Plasma Upper Eyelid Tightening treatments in general. As we will see this is a completely normal reaction to this type of aesthetic treatment which has to be expected in all cases.

We have grouped this information openly available, so that-any one who performs these types of treatments or undergoes plasma eyelid lift can have a point of reference. In this way not only who performs the treatments for the first time and also those who undergo them are made aware in detail of what to expect.

As we will see, the symptoms during the healing process can be dramatic, however they are all transient and they do not require medical attention. They will al subside on their own accord within a few days after the treatment.

Please note that we will only focus here on the short-term healing process, the long-term healing progression is not covered here.

The healing process after plasma upper eyelid tightening is rather similar to that of localised plasma skin tightening on other areas of the face and body. Some degree of minor swelling and discomfort are experienced after plasma localised skin tightening treatments in general, however these are not generally a cause of concern or alarm. The healing after localised plasma skin tightening on most parts of the body involves:

  • Minor Swelling
  • Minor Burning sensation,
  • Slight Discomfort
  • Scabbing.

After plasma upper eyelid tightening the symptoms are similar but magnified and dramatic. This is due to the intrinsic sensitivity of the upper eyelid, which is notoriously more delicate than the other parts of the skin. The upper eyelids are more delicate and sensitive than the order parts of the body.

Minor swelling experienced the day following lower eyelid tightening. This is only minor compared to the swelling experienced after upper eyelid tightening.

After plasma  upper eyelid tightening using voltaic plasma, swelling is much more dramatic that the one experienced after localised plasma skin tightening, the burning sensation is more accentuated discomfort and burning sensation are more intense and sometimes more difficult to cope with. etc. In particular not only the swelling is more dramatic but, while in localised plasma skin tightening, where is the swelling is only minor and confined to the treated area, in upper eyelid tightening the swelling can also spreads to the lower eyelids.

In other words everything that happens during the healing process after plasma localised skin tightening on most parts of the face and body also occurs after upper eyelid tightening but most symptoms are more dramatic.

In Plasma Upper Eyelid Tightening the area "gets worse before it gets better". Because of this, one of the main issue is the normal dramatic reactions which occur following the treatment, especially the swelling of the upper eyelids. However swelling is a natural reaction to the burn induced by the voltaic arc and it is not only to be expected but it is exactly what is needed in order to achieve the upper eyelid tightening sought by the clients.

Also, some of the aesthetic practitioners new to this type of procedures, can sometimes be caught by surprise by these reactions during the healing period.

The confusion about the healing process after plasma upper eyelid tightening is primarily due to the fact that there has not been sufficient structured information exploring in detail the healing process, this has caused unnecessary anxiety to some people undergoing treatment.

before swelling after publish

In the middle we can see how the severe swelling can make it difficult to open the eyes fully. This occurs only the morning following the plasma treatment. This is a normal  reaction to be expected after this type of aesthetic treatment.

The normal healing process of Plasma Upper Eyelid tightening involves:

  1. Major swelling of the upper eyelid the day following the treatment (lasting 24 to 48 hours). The swelling of the lower eyelids (eye-bags) can occur even if the lower eyelids have not undergone any treatment (lasting up to 72 hours).
  2. Intense burning sensation (lasting 12 to 24 hours).
  3. Discomfort (lasting 24 to 48 hours).
  4. Pain (lasting 12 to 24 hours).

The sometimes dramatic upper eyelid swelling and discomfort experienced after plasma eyelid lift had been cause of worry (and even distress at times) to those people undergoing plasma upper eyelid lift but were not well informed about the immediate effects of procedure. Although they may appear dramatic, pain, discomfort and swelling after plasma upper eyelid tightening should not be cause for concern.

As we will see these symptoms are all normal effects which are transient and to be expected in all cases. None of the above effects can be completely avoided because they are caused by the very nature of the plasma aesthetic treatment itself (i.e. an intentional controlled skin burn). However they can be somewhat attenuated by using certain products and lowering the overall intensity of the treatment.

The information reported  about the pain experienced is based on the feedback received by the people who underwent these types of aesthetic treatments over the years (several hundreds).

As we know the pain is caused by the burn inflicted during the treatment, therefore this is a normal reaction to this type of aesthetic procedure. Pain lasts up to 24 hours in most cases. The second day following the treatment is mostly pain-free and the pain is replaced by a feeling of slight discomfort first and itchy sensation after.

pain versus time after plasma upper eyelid treatments

The pain after plasma upper eyelid lift is very subjective,however this representative sketch provides an idea of the way pain is experienced.

While discomfort is experienced by everyone undergoing plasma upper eyelid lift in different ways, on the other hand the pain experienced after the treatment is dependent on the particular individual sensitivity to pain. Sometimes pain is not reported at all. In fact there had been several cases where the individuals never reported pain as such, just discomfort.

The level of pain experienced (by people who are particularly sensitive to pain) also goes hand in hand with the level of swelling. Generally, the more the swelling the more the pain experienced.


The upper eyelid swelling can make it difficult to fully open the eyes the morning following the treatment. The pain experienced and swelling go hand in hand. When the swelling is at its peak this is also when the pain experienced is at its highest. As the swelling subsides the pain and discomfort subside too. The pain and discomfort are replaced by an itchy sensation when the scabs start to develop.


In general the level of pain experienced is dependent on:

  • the sensitivity of the particular individual to pain,
  • the intensity of the voltaic plasma treatment. The lower the intensity of the treatment the less pain experienced during the day following the treatment.  The higher the overall intensity of the treatment the more the pain felt after,
  • the use of soothing products immediately after the treatment and during the healing process, including the use of ice packing.

Please note that the use of drugs for pain relief is possible, however seldom necessary and not as effective as the use of the appropriate topical soothing products.

Three cases will be presented here and as we will notice the patten in the skin recovery is similar, the upper eyelids swell in very similar ways. The degree of predictability of the swelling is relatively high. Also the swelling subsides in similar ways making its development a very predictable phenomenon. Furthermore, it can also be reliably predicted when the swelling is supposed to subside completely.

In the cases presented:

  • No ice packing or any soothing products were used.
  • The treatment intensity applied was also particularly high.
  • The healing occurred without the help of any medication or drugs.

upper eyelid swelling sketch

Although three representative cases are presented here with photographic evidence, over 300 cases were also examined and they reported the same or very similar healing patterns. Given the high number of the cases examined these are deemed sufficient to bring forward reliable conclusions about the issue of swelling after plasma upper eyelid tightening. There could be some minor statistical deviations, however these are not considered to be very significant given the large number of cases observed and feedback reported to date.

This is the swelling  which occurs the day following the treatment. As seen in the pictures below the degree of swelling is very similar in all three cases.

Day 1 publishing1

The day following the treatment is when the swelling is at its highest. The peak occurs first thing in the morning and it subsides throughout the day.

The second day after the treatment, the swelling have subsided either completely or almost completely. Because the swelling subsided, everyone is able to open their eyes without major issues. All the three subjects presented were able to open their eyes fully on the second day right from the morning. Sometimes the swelling on the second day spreads in the lower eyelid. By the second day the pain is gone in all cases and replaced by a slight discomfort.

day 2 publishing

The second day following the treatment, the swelling on the upper eyelid has either subsided completely or almost completely.  Every body who underwent the treatment could open their eyes fully or almost fully.

On the third day all swelling subsided completely. The residual swelling of the lower eyelid has either subsided or almost subsided.  In all cases the eyes can be fully opened. No more discomfort is reported and it is replaced by an itchy sensation instead. The scabs have fully formed.

day 3 publishing

On the third day, the scabs have fully formed and the discomfort is replaced by an itchy sensation.

The scabs have fully formed and they start to fall off on their own accord. No more discomfort is felt and the  itchy sensation has intensified.

day 4 publishing

The fourth day the scabs start to fall off the itchy sensation intensified. In some cases like the one on the right, the scabs fall off immediately depending on the skin type and how the treatment is performed.

Almost all scabs have fallen off. This is when it is possible to start applying make up and sun screen. In most cases this marks the end of what it is commonly referred as "Downtime".

Day 5 publishing

The fifth day the scabs should have almost fallen off on their own accord. No discomfort only an itchy sensation.

The area looks slightly irritated but returned to almost normal and the long-term recovery takes place. At this point most people will we unable to tell the area undergone any aesthetic treatment.

Day 6 publishing

The sixth day all scabs are normally fallen off. No signs of the treatment are normally noticeable. Only on some rare cases some residual scabs are still to fall off as shown on the leftmost picture.

At the time of the treatment, the individual on the left was 66, 44 in the middle and 34 years of age on the right respectively. The pictures show how the healing appears to occur faster on the youngest subject and slower on the older ones. No sufficient cases have been examined in order to bring forward a conclusive opinion on the matter of speed of healing relative to the age of the individual.

Eyebag swelling is another reaction to be expected after the plasma upper eyelid lift. This has also been a cause of concern for clients who had undergone these types of treatments but were not aware of this type of short-term reaction.

Lower eyelids swelling after plasma upper eyelid tightening

At a certain point during the healing process, although the lower eyelids had not undergone any treatment at all, they often swell too. It is interesting that the lower eyelids (or eyebags) swell even if no treatment has been performed to the area. This is because the upper and lower eyelids are interconnected, therefore the fluid produced, after the controlled burn on the upper eyelids tends to travel to the eyebags. The way the lower eyelid swelling can occur varies from person to person and sometimes it may even not occur at all, especially in case of low/medium intensity treatment coupled with the use of the appropriate soothing products. However,  this reaction has to be expected in any case.

Second day following plasma upper eyelid tightening high intensity treatment. The upper eyelid swelling has almost completely subsided but the swelling appeared on the lower eyelids (eyebags instead). The fluid transferred to the eyebags.

The swelling of the lower eyelid can occur either the day after the treatment coupled with the swelling of the upper eyelid but it often occurs the second day after the treatment. The lower eyelid swelling is caused by the fluid on the upper eyelids transferred to the eyebags during the second night after the treatment. As we know in any case the fluid will be naturally absorbed by the body and will leave no trace. In conclusion, the swelling of the lower eyelids is transient and will subside completely on its own accord without the use of any treatment of any type or medication.

The following table goes through the healing progression after plasma upper eyelid lift in detail.  The table has been built based on our experience and feedback received after treating hundreds of  people using plasma devices for aesthetic purposes. Please note that any individual reaction could differ to a certain extent from what described therein based on:

  • technique used,
  • overall treatment intensity,
  • individual reaction to the treatment.

However as a rule of thumb, if the swelling has not subsided completely by the fourth day after the treatment and the scabs have not formed yet, contact your aesthetic practitioner.

How it Looks How it Feels Recommended Treatment Optional treatment Time Lapse
Only slight swelling. However increasing towards the night An intense burning sensation will hit as soon as the effect of the topical numbing product has subsided. Pain or discomfort will increase towards the night Avoid dusty environments and all contact with dirty linen. Rinse with cold water. Wash using delicate neutral soap only if the area had been in contact with dust or unclean clothing. Apply ice packs and/or the appropriate soothing product recommended by your aesthetic practitioner. One hour after the treatment up to the first night.
The swelling has increased Pain and Discomfort have intensified Before going to sleep wash the area neutral soap; Use only cold water; Dry by patting very gently with a clean towel. Make sure you do not apply any product not recommended by your Aesthetic Therapist. Make sure you only use fresh and clean bedding. Apply ice packing and/or reapply the soothing product before going to sleep. Before going to sleep. The first night after the treatment.
Swelling intensifies during the night Very high intensity treatments may cause difficulty sleeping only the first night before the treatment. This may not be the case for medium/low intensity treatments associated with the use of suitable soothing products Make sure you only use fresh and clean bedding   Not applicable First Night After the Plasma Eyelid Lift Treatment.
Swelling is now at its peak. Swelling cannot get worse it will only get better. Sometimes in case of high intensity treatments without the use of soothing products or ice packing it may be hard to open your eyes first thing in the morning. Pain and Discomfort is still almost at its highest but slightly less than the previous night Rinse with clean running water and wash with mild neutral soap Apply the soothing product recommended by your aesthetic therapist and ice packing First morning after the treatment.
Swelling slowly decreases throughout the day. By night-time you will be able to open your eyes (in case you had trouble opening them in the morning). Pain and discomfort decreases slowly throughout the day. In case of high intensity treatments you should be able to carry out all your normal activities (provided that they do not increase the chances of contracting any infection) however you do not at your best due to the swelling. Wash with mild neutral soap only if the area had been in dusty environment or in contact with dirty clothing Apply the soothing product recommended by your beauty practitioner Throughout the Day following the Plasma Eyelid tightening treatment; Afternoon/Night.
Swelling will subside further throughout the night You will be able to have a good night sleep and the pain or discomfort will be usually gone by the morning Rinse and wash with mild soap before going to sleep apply the soothing product before going to sleep for the last time; no more need for ice packing During the second night following the treatment.
Swelling should have almost completely subsided.  You may find that your eyebags have swollen instead. The scabs should start to form where the treatment was carried out; there maybe minor traces of swelling on the upper eyelids; you will be able to open your eyes as normal. The discomfort should have gone completely and being replaced by an itchy sensation instead Keep the area clean and avoid the use of any make-up Not Applicable Second day following the treatment.
Swelling has subsided completely on the upper eyelids. You will be able to open your eyes fully as normal. Some minor swelling may still present on the lower eyelids (Eyebags). The scabs should have fully formed and they should start falling off on their own accord No more discomfort should be felt; this is replaced by an itchy sensation avoid sun exposure and do not wear any make up Not Applicable Third day following the treatment.
Scabs have started falling on their own. If previously swollen the eyebags should he returned to normal Itching sensation at its peak. Do not pick the scabs and avoid the use of all make-up Not applicable Fourth Day following the treatment.
Scabs should have fallen all off on their own accord. It is hard for most people to tell people you have undergone any treatment. However the area is still red and subject to further change over the coming weeks. Itching sensation should start to subside. You usually find the area tender for a few weeks after the treatment. This is normal. You should not repeat the treatment before all tenderness is has subsided. When you apply creams you may feel the area still stinging. This is also normal.  You can start using make up and you must use total sun screen before being exposed in the sun. Avoid exposing yourself to the sun as much as possible. You can apply Petroleum Jelly (e.g. Vaseline) if you feel the are being too dry Fifth day onwards.

Pain, discomfort, swelling of both upper and lower eyelids are all normal reactions to plasma upper eyelid tightening. Generally, they are all to be expected, however they all subside on their own accord without the help of any medical treatment or medication of any type.

In all cases examined, swelling pain and discomfort peaked throughout the night after the treatment and the  following morning. The day following the treatment is also the most challenging as this is when the pain, discomfort and swelling peak.

Swelling of the lower eyelid was observed in some occasions the day following the treatment, especially when the treatment was carried out at high intensity and/or no soothing product or ice packing were applied to the area to soothe it. When the swelling of the eye-bags occurred, it was most often observed the two days after the treatment. Mostly, the swelling of the lower eyelid started to subside the third day after the treatment. In all cases the lower eyelid swelling subsided by the fourth day.

In most cases the scabs were fully formed on the third day after the treatment. However it has to be noted that scabs do not always form during the healing process.

In most cases the area returns to normal  within 5 days (when all scabs have also fallen off by then). This usually marks the end of what most people perceive as "downtime". In all cases examined pain, discomfort swelling subsided without the help of any particular remedy or medication and the area eventually returned to normal.

No medical treatment was carried out in all cases (i.e. no medical consultation or use of any drugs or ointments of any type) and the area healed on its own.

Please bear in mind that most of the undesired reactions are due to poor after-care during the healing period.

Pictures and videos of the respective procedures.

Here we present the pictures used for this study. You can also watch the procedures where the video was available too.

Leftmost Subject Healing Process.

Here you will see the full healing progress over the period of  10 days. The subject was 66 years of age in 2015 at the time of the upper eyelid tightening  procedure shown in the video. Only one eyelid was treated to show the difference between the eyelid treated and the one not treated. You will notice the difference in the after picture between the left and the right eyelid.

Healing process over 10 days

Centre Subject Healing Process.

The video below shows the plasma upper and lower eyelid tightening procedure. The pictures will show you the healing progression of  over a period of 8 days after Eyelid tightening. The individual was 44 years of age at the time of the procedure.

Healing progression over 8 Days

Right most subject Healing Process.

These pictures show the healing progression after a medium intensity plasma eyelid tightening treatment using the spray mode. The individual was 35 years of age at the time of the specific treatment.

Andreas Healing progression