Plasma pen marks, what can I do to get rid of them?

Question

I had plasma pen 2 mos ago on my inner elbow for loose akin, and i still have marks!? Any suggestions for treatment to get rid of?

Steven F. Weiner, MD · Answer

I can't really counsel you on this without pictures. I they are scars, they need retin a, microneedling, laser. If it is PIH, it needs retin a, hydroquinone, chemical peels, and perhaps laser. I am very skeptical of the plasma pen and concerned about scarring with this. It is being used as a cheap ablative laser but its ablative component is very large leaving scars.

Davin Lim, MBBS, FACD - Account Suspended · Answer

I have to agree with Dr Weiner- I see a huge amount of idiosyncratic scarring secondary to Plasma- uncontrolled energy, mostly eyelids but occasionally extra facial scarring. Your best avenue is to see a plastics or dermatologist in person for a real time evaluation. Many treatment options available. For now the basic rules of scarring applies- time, sunscreen and sun protection is the foundation, silicone and silicone based dressings/ pressure tape can help. Specialist can utilise lasers and energy devices to help you. Microneedling has come a long way over the past few years and can help skin via several methods. Firstly it releases cytokines and growth factors in the epidermis and dermis- the top and bottom layers of your skin. This in turn remodels scars and the dermal layer of the skin. Additionally needles can break up scars themselves. This leads to new collagen formation, and in practice can provide limited skin rejuvenation.

Microneedling is both user dependent and method driven. Simple needles can be used, growth factors can be added after the procedure, including PRP, or controlled heating during the procedure. This controlled heating is delivered via RF, and is called RF microneedling. RF can then be delivered via insulated or insulated needles. Even the energy level, depths, density, pulse duration and so many other variables can be controlled. This together with the added benefits of growth factor infusion makes this one of the most complex procedures in procedural dermatology. I use everything from Dermapen, though to newer generation insulated and non-insulated devices including INFINI micro-needling radiofrequency, Intensif and others. Newer generation devices can provide an added advantage in some, but not all patients. In my practice, I combine microneedling with many different forms of energy devices, depending on the expectations of the patient. Tailored microneedling combination will always give the best results.

Like most procedures, its 80% skill level of the specialist and 20% dependent on the brand of the energy device- microneedling system. All the best, Dr Davin Lim. Brisbane. Australia. Realself Advisory Board Member

Plasma pen marks, what can I do to get rid of them?

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