VoltaicPlasma – Areton LTD The most common mistakes using plasma?

The most common mistakes using plasma?

Mistakes using plasma devices are rare, however, it is worth discussing the most common ones, so if you know them you will be able to recognize them and avoid them altogether. Generally taking proper online training for each type of treatment is sufficient to have all the necessary knowledge in order to perform these aesthetic treatments correctly.

Mistakes using plasma devices are rare, however, it is worth discussing the most common ones, so if you know them you will be able to recognize them and avoid them altogether.  Generally taking proper online training for each type of treatment is sufficient to have all the necessary knowledge in order to perform these aesthetic treatments correctly. Generally, the best way to avoid making mistakes using plasma devices is to:

→ Take appropriate training from manufacturers. The easiest way to avoid mistakes using plasma is studying the training manual and the instruction manual of the respective device you have. If you are taking our online training, perform all the appropriate exercises suggested there and pass our online tests, this will provide you with the basic knowledge required in order to start performing aesthetic treatments using plasma correctly.  This may sound quite obvious however most mistakes have been made by those who failed to read the manuals and study the training material regarding the relevant procedure before carrying them out. So far no mistakes have been reported by those who have undergone our online training assessment. Please bear in mind that there are a lot of free information on our online training platform regarding each individual procedure. therefore it is worth taking your time and revise all the relevant information before carrying out any treatment you are not familiar with.

→ Patch test. Patch testing an area is very important to prove that the area will not have an adverse reaction to the specific treatment.

→ Practice on the "test meat" before stat carrying out any aesthetic treatments.

→ Start always using very low-intensity treatments in general and gradually increasing the intensity of the treatment as you see it fit.

→ Informing your clients well (using the appropriate informed consent forms) before going ahead with the treatment is also very important and can avoid surprises later.


Points 1 to 4 sound like a lot of work, however, please bear in mind that, the most added value is provided by you, the aesthetic practitioner. Taking the time to learn all the knowledge about relevant treatments you will be performing and perfecting your skills is very important. Additionally, plasma is one of the few technologies in aesthetics which has a vast array of intended uses from localized skin tightening, benign skin lesion removal, tattoo removal etc.  The initial work of learning has to be done only once, however later, all the knowledge you require will stay with you and will constantly add value to your customers.

Therefore the best way to avoid mistakes, in general, is to have the knowledge in order to use your plasma device for each specific type of aesthetic treatment. At the beginning it may be challenging, however, it will become second nature over time.

Remember that voltaic arcing or (plasma) devices are ablators (destroy soft tissues) at any given power level, even the lowest. After all, you can also use them to remove any type of benign mole. Therefore, the possibility of removing more of the stratum corneum (epidermis) always exists. This is possible if you use the plasma device and you insist for too long on the same area despite the power level used. Of course, the lower the power level the more you will have to insist on any given area to cause the removal of the dermal layer, conversely the higher the power setting the less it will take to cause the same degree of dermal damage. This, in turn, can cause scars and other adverse reactions.
Normally the technique used for localized skin tightening using voltaic plasma is the spot mode or spot operation. This is because the spot mode is far easier to teach and learn that the spray operation.  For this reason, spray operation mistakes are extremely rare using plasma for localized skin tightening.

The best way to avoid mistakes using the spray operation in skin tightening is to only use the spot operation until you have plenty of experience in localized skin tightening using the spot operation. (which is far easier to learn).

This is also a rare type of mistake in the use of plasma devices for aesthetic uses, however, the rare instances had been due to the lack of training of the users. After the users received correct training the issue was resolved in all instances.

The common mistakes are:

  1. applying the voltaic plasma spots for too long.  Please note that applying the arc for too long can happen at any given power level.
  2. placing the voltaic spots too close to each other while applying them for too long.

eyelid tightening4

Plasma eyelid tightening treatment using the spot mode.

This type of mistake is easily avoidable by not only using our online training but also using low-intensity treatments when you first start using any voltaic plasma devices. As a rule of thumb when first carrying out these types of treatments it is always better to start using moderation and apply the lowest possible intensity treatment this means that you are learning how to use the device correctly and then you can progressively increase the treatments intensity little by little as you start seeing the results and getting the feedback from your clients. If you want to learn the correct techniques and avoid this type of mistake please Click Here to access this free information.

Always remember that it can take a while to master all the skills required to use plasma devices for aesthetic applications but this time investment is ultimately worthwhile.

Aesthetic practitioners, driven by the desire to achieve the bold results advertised as blepharoplasty sometimes attempt to use plasma devices at very high intensity. Please bear in mind that sometimes achieving the same results as a blepharoplasty is not physically possible (plasma is heavily advertised as nonsurgical blepharoplasty by some manufacturers). Performing high-intensity treatments is not a mistake "per se", however, the likelihood of potential adverse reactions increases as the intensity of the treatments is increased.


Major swelling after upper eyelid tightening. The individual experienced pain for the first hours after the treatment. Major swelling and pain can be major caused of discontent amongst customers.

High-intensity treatments can lead to customer's discontent mainly due to the sometimes severe swelling and pain following the treatment.  Therefore it is always advisable to carry out only low medium intensity treatments.

In order to learn how to perform plasma eyelid tightening treatments correctly, we have published a dedicated webpage helping you learn and distinguish the difference between low/medium and high-intensity treatments and start performing these treatments correctly. This will help you avoid this type of mistake.

Expectations of Number of treatments required.

Please bear in mind that in general tattoos require several treatments to be faded to an acceptable level. Not all tattoos can be removed guaranteeing seamless results despite the device (including lasers) or technique used. Therefore, one of the mistakes made in tattoo removal in general, is managing expectations. Normally, people expect seamless results in only a few sessions, however the reality is that several sessions may be required to achieve an acceptable fading of the tattoo. For example, laser tattoo removal generally requires over 10 sessions in order to achieve the desired results for most types of tattoos.

For more information about the number of sessions required for achieving acceptable results using lasers please click here.

Expectations of seamless results.

This is one of the most common mistakes in managing expectations, people come to you expecting the tattoo to be removed seamlessly (leaving neither trace nor mark). Unfortunately, in most cases, this is not possible despite the device used, including the most expensive tattoo removal lasers claiming seamless removal results in one session.  These expectations are due to the type of advertising carried out by cosmetic clinics. and certain manufacturers Please note that on occasion, tattoo removal can lead to seamless results, however seamless results in tattoo removal is more the exception than the rule.


The aftercare after tattoo removal procedures is very important like it was after having it done in the first place, this is because the lack of proper information about the aftercare after plasma treatments for tattoo removal can lead to infections simply due to poor aftercare. Infections in turn, increase the likelihood or developing scarring and other adverse reactions.

tattoo removal inflamatory infection

Infection after a tattoo removal procedure which eventually led to scarring.

All these mistakes can be avoided by using the correct consent forms and handing over a good aftercare protocol to the client.


Generally, the results of mole removal using plasma are very good and in the vast majority of cases, it is possible to achieve seamless results (it is not possible to locate the place where the mole was previously located). It is very clear that there are many factors which contribute to the final results of plasma benign skin lesion removal and the way the procedure is carried out is only one of them. This does not mean that seamless results are not possible, however, it is not possible to guarantee the skin lesion removal is going to lead to seamless results without leaving some sort of permanent mark or skin texture change. This is true despite the device and method used in order to remove the benign skin lesion.

This is because some people may be more prone to developing keloids, scarring, different skin texture etc. If you advertise and clearly promise seamless or "scar-free" results, should a skin texture change occur then you may find customer dissatisfaction? In our experience, people will undergo all sort of benign skin lesion removal even if you clearly state that the results are likely to be seamless but no guarantee can be put in place. In the unlikely case of the results not to be completely seamless, generally, people will be far happier with a slight mark or skin texture change than their previous mole or skin lesion.

aftercareThis is another common mistake which is easily avoidable. It is it is highly advisable to hand over an aftercare leaflet tot he client for the type of treatment carried out. This can be done in many ways including electronically using emails etc. Not handing over clear instructions on the appropriate aftercare could cause some issues because sometimes, unsure of the aftercare, people use the incorrect products and this has sometimes led to permanent adverse reactions including scarring following inflammatory infections.

Remember that verbally explaining the aftercare is not sufficient in a commercial environment as there may be misinterpretations or misunderstandings, hence always have pre-printed leaflets to hand over to your client. You can also opt to have automated emails sent to every customer which includes the aftercare instructions. In any case, handing clear instructions in writing is the best practice in a commercial context.

Plasma treatments consist in inflicting a controlled skin burn in case of skin tightening. In case of benign skin lesions removal, the treatment consists in "burning the lesion away", therefore the inherent nature of the treatment has potential adverse reactions which are unavoidable. This is true despite the device used and the claims made by different manufacturers asserting their devices to be "100% safe".  Additionally, the huge role to the outcome is played by the after-care, therefore it is essential that the appropriate consent forms are put in place prior to performing the treatments.

OMD0910_A09_Fig01Generally, these plasma aesthetic treatments use the heat propagation caused the superficial burn in order to induce the skin tightening. Although advertised as completely 100% safe by some manufacturers, they fail to disclose the some of the intrinsic potential adverse reactions to the treatments using these types of devices in general.  These treatments, due to their inherent nature, cause a burn and depending on how the burn has been inflicted or the individual skin reaction a number of adverse effects r reactions can occur. Although rare, there is no way to guarantee 100 % no adverse reactions will occur. What happens is that most manufacturers fail intentionally to disclose all the adverse reactions which occur with their devices.   The lack of information elsewhere about these adverse reactions does not mean they do not occur. The likelihood of adverse reactions to occur can be minimized in several ways but never completely avoided despite the type of device used and cannot be eliminated by design.

Additionally, there are some immediate not pleasant reactions to some of the plasma aesthetic treatments which are inherent to them and unavoidable, and they should all be included in the informed consent form. To help the users of plasma devices for aesthetic purposes we have published the best consent forms for these types of procedures.


before after swelling publishing

As an example of the adverse reactions which occur after these treatments are the swelling, discomfort and sometimes pain after plasma eyelid tightening. It is important to warn the clients of these important reactions to the treatment. Because of failing to inform them sometimes cause unnecessary worries and discontent.

Too many times peoples' expectations of plasma treatments are overstated by claims of upper eyelid tightening to be allegedly the same as a blepharoplasty. This is a way to advertise the plasma eyelid tightening treatment which contributes to justify the high prices charged for these types of devices and the plasma eyelid tightening procedure. We have worked with all sorts of plasma devices for eyelid tightening, unfortunately, this has not proved to be the substitute for surgery. Unfortunately, as 2017, the miracle machine has not been invented yet which can accomplish the same results as surgery without using a scalpel.

In our view, this type of advertising is to be avoided altogether. In the vast majority of cases, plasma eyelid lifts are not procedures which can replace the results of surgical procedures, and in some cases should not be suggested as an alternative to surgery.

imagesClaims of achieving Blepharoplasty results using plasma or voltaic arcing for upper eyelid tightening,  in most cases, these are simply not realistic. What is to be expected after plasma upper eyelid tightening is a minor improvement of the appearance of saggy upper eyelids. In this website, we only show real results and the real before and after including how the treatments were carried out.

It is not advisable to promote unrealistic results because it has been proven already that promoting less bold and more realistic outcomes will lead to the clients to be more satisfied in the long run.

Andreas left eyelid tightening for publication

Real long-term skin tightening after two medium intensity plasma treatments.

This mistake can be easily avoided by making more realistic advertising. If you have any of our devices you can simply use the advertising videos on our channel which show how the treatments were carried out and the real results without any embellishment.

This is yet another example of advertising which should be avoided. This is because carbonization (also referred as sublimation for advertising purposes) does not cause the skin to shorten. It is not currently physically possible to shorten the skin or shrinking it permanently by burning it superficially using any laser or plasma (voltaic arcing) devices.  Those advertising carbonizations as skin shortening bring forward the temporary skin shrinkage caused by the deep dehydration of the skin immediately after the carbonization.


Please note that this is not a permanent result as the skin will change dramatically over the course of the days following the treatment with swelling and order normal reactions. The skin will re-hydrate on its own accord. The real results of plasma eyelid lift are not skin shortening or shrinkage, but localized skin tightening which then leads to a minor improvement in the appearance of sagging or loose skin.

Example of plasma skin tightening for wrinkle attenuation done wrong.

This is an example of plasma skin tightening applied in the wrong way. The purpose of the treatment was to reduce the appearance of the vertical expression lines between the eyes. We do not know what technique was used. It is supposed that the spray operation may have been used inside the lines themselves. This is a deduction from the picture only, this cannot be for sure as there is no video footage of the procedure.

Picture of the subject soon after the procedure.

It is thought that the aesthetic practitioner applied the arc inside the wrinkles themselves. This caused a significant accentuation of the vertical lines, the exact the opposite of the very purpose of the procedure.

Picture of the subject after the area heeled. The atrophic vertical lines (deep scars) are very clear. The lines have been accentuated instead of being reduced.

In order to avoid these types of mistakes, a simple reading of the main principles of plasma devices would have avoided this mistake. It has been repeated throughout this website and the different training material that in order to apply plasma skin tightening in order to improve the appearance of fine lines the preferred technique is the spot operation and the spots have to be applied on the border of the lines and never inside the lines themselves.