Plasma Pen Treatment Risks: Scarring and Hypopigmentation Explained
Key Takeaways
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Plasma pen treatments are non-surgical procedures that safely and effectively rejuvenate the skin. If not done properly, they have a potential risk for scarring and hypopigmentation.
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Always consult with a qualified practitioner in the United States for consultation. Being completely honest about your health history will help avoid complications and establish realistic expectations.
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Skin type and Fitzpatrick classification impact your risk level for adverse effects like scarring or light spots, making personalized treatment plans important.
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Adhere to strict plasma pen aftercare to ensure all newly healing skin is properly cared for! Choose gentle cleansers, moisturizers, and daily sunscreen with SPF 30 or higher to minimize pigment fluctuations.
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Monitor for signs of infection or delayed healing. Call your provider right away if you experience excessive redness, pain, or drainage!
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Never assume that your provider is properly credentialed. Check out their portfolio and make sure you’re doing your research to get safe and reliable plasma pen results in your area!
The risk of scarring or hypopigmentation from plasma pen procedures is significant. This is a huge problem in the United States, where these treatments are spread like wildfire for skin tightening and wrinkle reduction. Hypopigmentation happens when the skin doesn’t heal completely.
Hypopigmentation occurs when lighter areas form once the skin has fully healed. Other variables such as the patient’s skin type, adherence to aftercare and provider experience can increase or decrease these risks. Additionally, individuals with darker skin tones living in cities such as Los Angeles or Miami could be at an increased risk for hypopigmentation.
Understanding these dangers allows consumers to make an informed risk versus reward analysis prior to scheduling a plasma pen treatment. The following sections explain why these side effects occur and how to reduce the likelihood.
What Is Plasma Pen Therapy?
Plasma pen therapy is a popular non-invasive cosmetic treatment. It uses plasma energy to improve the skin’s overall look and feel. What makes this approach unique is that it requires no incisions, sutures, or extended downtime.
Instead, it relies on a unique device that emits precise plasma arcs. These arcs form micro-traumas to the skin’s epidermis. During the healing process, the skin begins to produce more collagen and elastin. It’s this healing that causes the skin to appear tighter and more even.
What concerns can be treated with the plasma pen? Many people have turned to plasma pen therapy treatment for droopy eyelids, fine lines, acne scars, and even loose skin around the jawline or neck. Most people appreciate that results appear faster than with previous procedures. Usually, the procedure is completed in 30-60 minutes, depending on the treatment area.
The Science: Tiny Plasma Arcs
The innovative device releases tiny plasma arcs that make contact with the skin without actually touching it. These arcs create micro-wounds, all surface. This process essentially instructs the skin to begin repairing itself.
It’s critical that these arcs are delivered with precision. The professional performing the procedure needs to be highly skilled and experienced. If it’s not performed correctly, it can result in uneven results or adverse reactions such as scarring.
Popular Target Zones
Typically, plasma pen therapy is applied around the eyes, mouth, and forehead. The other two most common areas are the neck and hands. The procedure is capable of smoothing out deep-set wrinkles, lifting and tightening skin, and reducing pigmentation.
Each area will respond differently, with some requiring multiple sessions to achieve ideal results.
The Appeal: Why It’s Trending
Here’s why plasma pen treatments are becoming so popular. Patients enjoy the convenience of avoiding invasive surgery and extensive downtime. Social media and celebrity endorsements have contributed to its current popularity.
The minimal recovery time and permanent outcomes, usually for as long as two years, are key attractions.
Your Skin’s Healing Journey
After a plasma pen treatment, your skin’s healing journey begins and it’s nothing short of miraculous. This process progresses through five main stages. Immediately following treatment, your skin begins to work its magic in response to the microscopic wounds created by the pen.
Swelling and a sunburn-like sensation are both normal in the first few days. For many Angelenos and others who live in climates like it, the healing phase only needs to involve about three days of social downtime. So, throughout this journey, the skin may not appear at its optimal state.
The scabs will appear and typically slough off between 7 to 14 days. The healing process can extend up to 12 weeks. Just how long professionals suggest you wait before making any final conclusions.
The Natural Repair Process
Your body wastes no time calling in reinforcements — fibroblasts, the cells that propel healing, moving in to produce new collagen. Collagen is crucial for skin repair and plays a role in minimizing the risk of scarring or hypopigmentation.
This is where patience comes into play. Most patients see more radiant, even skin tone in as little as one treatment! True changes are only evident after months, as skin cells are replaced and scars mature and fade.
What Affects Healing Speed
People compare their healing journeys to others, but healing isn’t a one-size-fits-all endeavor. Age, skin type, and yes, even lifestyle factors including diet and hydration all play a role in how quickly skin heals.
People with dry or mature skin types can sometimes take longer to heal compared to oily or youthful skin types. Drinking plenty of water and consuming a diet high in vitamin C and vitamin E aid in the support and process.
If you had any pre-existing skin condition such as eczema, it can make the journey longer or more complicated.
When Healing Hits a Snag
Individuals might notice slower wound healing, increased erythema, or even infection. Being on the lookout for these concerns allows you to identify problems sooner rather than later.
Prompt treatment and proper post-treatment can prevent more serious issues from developing.
Plasma Pen: Scarring & Pigment Risks
Plasma pen treatments take advantage of precise microbursts of plasma energy. They can resurface skin, tighten sagging areas, and help you fight fine lines or acne-related blemishes. Although the results can be stunning, there are very serious risks, particularly with scarring and pigment alteration. Regardless, it is important to consider these risks with objectivity and clarity before proceeding.
Anyone who is contemplating this treatment should have a clear understanding of the potential risks involved. Knowing what can go wrong and why informed consent is important is key.
1. Defining Post-Treatment Scars
Scarring is arguably the most severe risk associated with plasma pen treatments. Following a treatment, the body’s immune response goes to work on the micro-injuries caused by the pen. When wounds do not properly heal, they can form permanent scars.
Scars may be hypertrophic, presenting as thick, raised, tortuous, and frequently pink/red. These scars develop when there’s an overproduction of collagen while the skin is healing. Atrophic scars are the opposite, creating a pit or depressed region where tissue has been removed. Both types can be very conspicuous, particularly on the face.
Proper post-treatment care is essential in preventing potential post-treatment scarring. The skin develops darkly pigmented, crusty scabs immediately after treatment, which typically take a week to slough off. Picking at them or scratching the treatment area significantly raises the risk of developing post-treatment scars.
Don’t pick at scabs until they come off naturally. To minimize the risk, continue to keep the skin clean and follow aftercare instructions from your provider to ensure skin heals evenly.
2. Understanding Hypopigmentation (Light Spots)
Hypopigmentation is when you lose color in certain areas of skin. After a plasma pen session, many clients see tiny, paler patches at points of treatment. These white spots develop in cases where the plasma device has damaged the melanin-producing cells.
Melanin is the pigment that gives color to our skin. As light spots are contrasted against the darker skin tone, these spots will be highly visible and stark. Understand that they can take months to dissipate, if ever.
Sun protection is key during recovery. Exposure to direct sunlight will only accentuate these light areas and prolong the healing time. Always protect treated areas with an SPF 30 broad-spectrum sunscreen. Avoid strong sun exposure for a minimum of 12 weeks to avoid further complications!
3. Skin Type Matters: Risk Factors
Not every skin type will have the same response to a plasma pen treatment. The Fitzpatrick skin type scale can assist providers in determining patients that are at an increased risk. Darker skin types (IV-VI) are at much higher risk of scarring.
They are more likely to develop pigment changes, including hypopigmentation as well as hyperpigmentation (darker spots). Even those with lighter skin (types I-III) are not without risks, but they may experience symptoms such as increased redness and sensitivity.
Given the risk involved, personalizing the approach depending on the skin type is a no-brainer. Prior to treatment, a careful skin evaluation will allow practitioners to determine the appropriate settings and techniques, reducing risk of adverse events.
Patients with a history of skin problems are likely to require more caution and a separate approach.
4. Device Settings: Too Much Power?
The more power applied, the greater risk of burns and scarring. Other risk factors include treating thin skin like eyelids, which may be more likely to cause dyspigmentation. Deeper wounds take longer to heal and are more likely to leave a mark—all risks with high settings.
This is why adjusting device settings specific to each individual and each area of skin they’re treating is key to keeping the procedure safe. Only the most experienced practitioners will understand how to calibrate the proper levels and recognize when a setting is elevated too far.
Inexperienced hands or inadequate training behind the tool can permanently scar or discolor.
5. Technician Skill: A Crucial Element
Clearly, skill and experience are much more important factors when it comes to plasma pen treatment success. A more experienced practitioner should be able to identify skin type, select appropriate device settings, and apply the pen with precision to avoid any issues.
The better the technique, the more effective it is at healing with minimal scarring and pigment changes. Continuing education and training is key.
Top technicians are the first ones to research new tools and safety practices. If you or someone you know is thinking about having a plasma pen treatment, go with a provider who has proven experience. Their established expertise will reduce the chance of any scarring or pigment issues.
6. Infection: A Preventable Risk
Infection is the last major complication worth discussing. Once the skin barrier is compromised, bacteria can enter if the area is not properly cared for. Signs of infection are redness, swelling, increased warmth, pus, or a foul odor coming from the treated area.
Employing sterile tools and being mindful to work in a clean environment can greatly reduce the chances of infection. Aftercare matters too—washing hands before touching the area, using recommended ointments, and avoiding makeup or harsh products until the skin heals.
Emergency intervention at the first signs of infection can save you from scarring and other catastrophes.
7. Lingering Redness or Discomfort
Redness, swelling, and a sunburn-like sensation are normal and expected plasma pen side effects. Your skin will likely be tight and dry for over a week. Furthermore, many users have reported seeing a grid of tiny dots at the sites where the pen made contact with their skin.
While most of these symptoms resolve in a few days to a week, complete healing may take as long as 12 weeks. Discomfort is best managed with gentle, hydrating creams and the avoidance of harsh chemicals to promote faster recovery.
Overwhelmingly, most clients require about one week of social downtime. In addition, the first few days include a lot of visible scabbing, peeling, and swelling that creates an incredibly rough appearance.
8. The Sun’s Impact on Healing
Side effects are aggravated by UV, particularly with the skin compromised and in the process of healing. UV rays will undoubtedly slow down your skin’s natural repair process on top of increasing the chances of irregular pigment, including dark or hypopigmented spots.
Those living in very sunny areas, like Los Angeles, need to take extra precautions. To achieve the best results, apply a broad-spectrum sunscreen daily.
In addition, use hats and avoid direct sun exposure for a minimum of 12 weeks following your procedure. Sun beds and saunas should be avoided during this period. Taking care of the skin before and after treatment will give you the best possible results and minimizes the risk of permanent scarring.
Smart Steps Before Treatment
Whether horizontal, vertical, or crow’s feet, plasma pen treatments can make a real difference in smoothing these age lines and increasing skin’s texture. They pose significant risks, including permanent scarring or hypopigmentation. Taking smart steps before the treatment minimizes these risks and paves the way for a successful outcome.
Beginning with a good plan and clear discussions with your provider goes a long way.

The Essential Consultation Chat
A thorough consultation can make all the difference. Moving forward, your consultation will set the tone for everything that follows. It’s imperative to discuss your skin type, your daily routine, and what you are concerned about.
Discuss all your skin concerns including eczema, acne, or even previous reactions to treatments. Both sides must be transparent—patients must convey their fears and hopes, and providers must communicate what is achievable.
This is a good time to discuss exposing your skin to the sun, previous cosmetic procedures, and any new products you may have been using recently.
Honesty About Your Health History
Honesty about your health history is important. Telling your full health story is crucial as certain medical conditions may impact the safety or effectiveness of plasma pen treatments. Autoimmune diseases and past non-healing are just a couple of important examples.
Be honest about previous treatments with fillers, Botox, or laser work. Be honest about your current medication regimen. This is crucial for Roaccutane or isotretinoin, since they need a 12-month period before you are eligible to undergo plasma pen therapy.
Prepping Your Skin Properly
Proper preparation allows your skin optimal healing conditions and minimizes the potential for complications. Do not tan in any way, artificial or natural, and stay out of the sun for at least two to four weeks prior to treatment.
Apply SPF 50 every day, even more critical for darker skin tones, and avoid daily facial acids or facial peels for a minimum of two weeks. Maintain a clean skin environment. Avoid irritating treatments such as scrubs and chemical exfoliants.
Drink 2-3 liters of water daily. Taking slow-release Vitamin C and Arnica is another way to reduce swelling.
Setting Realistic Outcome Goals
Setting realistic outcome goals is essential. It can take a few months for full plasma pen results to develop, and improvements occur gradually. Know what to expect—not all scars or pigmentation will disappear.
Be realistic and inquire about expected timeframes for progress.
Aftercare: Nurturing Your New Skin
Plasma pen treatments can help your skin hit the reset button! It’s what you do after that makes all the difference to your results. Proper aftercare reduces the chances of scarring or hypopigmentation occurring.
It further helps promote even healing, a necessity for those in sun-rich climates such as Los Angeles to avoid post-inflammatory hyperpigmentation. These instructions go a long way towards ensuring that skin heals tough and flat.
What to Expect Immediately Post-Pen
Right after a plasma pen session, skin often looks red and feels warm or tight—some say it stings like a sunburn. Mild swelling and small brown scabs are to be expected.
Sensations of tingling and mild pain should resolve within a few days. These are good signs that your body is working to heal, and new skin is growing just below the surface.
Your Healing Care Toolkit
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Gentle, non-soap cleanser
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Hydrating, fragrance-free moisturizer
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Broad-spectrum SPF 30+
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Soft, clean washcloth
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Healing ointment (as advised by your practitioner)
Avoid anything too strong or abrasive on your new skin. Anything with acids or heavy fragrance should be avoided for a week minimum.
Ointments and heavy creams, not gels, are useful for treating persistent redness and itchiness. The treated skin will need to remain dry for 24-48 hours.
Avoid hot water on your face for at least a week. Do not wear makeup for seven to 10 days.
Sunscreen: Your Skin’s Best Friend
Daily sunscreen is essential. It protects against pigment changes and scarring with broad-spectrum SPF 30 or higher.
Apply liberally to all treated areas and reapply every two hours if outdoors. This is especially important in sunny climates.
Spotting Trouble Early On
Look out for increasing pain, swelling, or purulent drainage or if redness seems to be progressing. If scabs stay longer than 10 days or skin turns pale or very dark, those can be early signs of trouble.
When to Contact Your Practitioner
Contact your practitioner when you notice one of these issues. Quick action prevents little issues from escalating into bigger ones.
Finding a Skilled Practitioner
It’s important to choose a qualified provider for plasma pen treatments. It greatly reduces the chance of scarring or hypopigmentation. Only a skilled practitioner would be able to operate the device. They’re skilled in tailoring the treatment to your specific skin type and needs.
City patients in Los Angeles and other large cities are fortunate to have many choices. Like everything else in life, not all providers are equally skilled or safe. Thorough research and in-person conversations are necessary to establish expectations and cultivate trust.
Check Qualifications and Training
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State license for skin procedures
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Certification in plasma pen therapy
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Specialized training in cosmetic dermatology or aesthetics
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Proof of ongoing education or workshops
Nationally recognized, verified credentials indicate a provider’s commitment to and accomplishment of high standards. Certifications in plasma therapy indicate a clear understanding of the technology and safety protocols.
The best practitioners have a finger on the pulse of new tools and best practices to provide the safest, most modern care.
Inquire About Specific Experience
To start, ask how many plasma pen procedures they’ve completed and how regularly. A provider experienced with multiple cases will be more likely to identify risk factors sooner. This encompasses a variety of Fitzpatrick skin types as well as history of previous cosmetic procedures such as fillers or blepharoplasty.
Practical experience is what builds skill and confidence.
Review Their Portfolio Carefully
Reviewing their photo portfolio is a great way to temper hopes and expectations. A rich portfolio indicates the provider has successfully managed cases similar to yours.
Beyond that, it allows you to get a feel for their overall aesthetic and capabilities.
Trust Your Instincts During Consultation
Once you’re in consultation, pay attention to how the practitioner communicates about risks and healing process/aftercare. You should not feel shy to ask questions and have those questions answered clearly.
Warm connection and honest communication can make all the difference when it comes to a seamless process.
My Take: Is It Worth The Risk?
Plasma pen treatments deliver the promise of smoother, tighter skin with fewer wrinkles. She added that any cosmetic procedure must be closely examined – weighing all of the benefits and the potential risks. The allure of the quick fix is a powerful one.
Scarring or hypopigmentation are very real hazards if the procedure is done improperly! Reports have even detailed severe burns, infections, and nerve damage. Others find life-changing effects after only 3 or 4 sessions, each separated by months. Some never fully recover or live with lingering side effects.
It ultimately comes down to your health, your skin, and the expertise of the operator performing the work.
Not a One-Size-Fits-All Solution
Not everybody is an ideal candidate for plasma pen procedures. We would advise avoiding this trend considering skin tone, age, medical history, and past skin issues. For instance, patients with darker skin tones may be at increased risk for adverse outcomes such as hyperpigmentation or scarring.
A truly great practitioner will examine your skin and ask about your medical history before ever agreeing to treat you. Simply put, that means a plan tailored specifically for you—not merely a cookie-cutter boilerplate.
Balancing The Hype and Reality
While ads can depict immediate, perfect outcomes, the reality is much more gradual and imperfect. Since plasma pens create precise and controlled microtrauma to stimulate collagen, the intense healing process takes time, sometimes necessitating a week of social downtime.
In fact, you can expect to enjoy the benefits for a whole 12 months! New collagen can last 5 years or more, but nothing is ever assured. If that sounds like you, just do your homework before you commit.
My Bottom Line: Prioritize Safety Always
My Bottom Line: Always put safety above all. Ensure you receive an honest consult, informed consent, and thorough post-op aftercare. After agencies and health experts have cautioned against the health risks, ensure you go to a licensed and experienced clinic.
Considering Alternatives If High-Risk
If the risk seems like too much, inquire about lower risk treatments—perhaps chemical peels or laser resurfacings. Always discuss all options with your provider.
Conclusion
While plasma pen treatments may address various skin concerns, adverse effects such as scarring or hypopigmentation remain a risk. Plenty of people in L.A. Walk away with that freshly peeled glow. At the same time, some people wrestle with prolonged healing or pigmentation that fails to clear promptly. Results vary based on your skin, your aftercare, and the technician performing your treatment. Not all clinics exercise the same level of skill or care. Individuals with Fitzpatrick skin types IV to VI were at risk for developing hypopigmented patches. Having a local expert that knows how to use these new tools to work with all skin tones is the game changer! Want to learn more or have other questions? Talk to a qualified local expert today. Inquire about their training, look at before-and-afters, and familiarize yourself with the potential risks. Your skin deserves better than hype—get the facts.
Frequently Asked Questions
What are the chances of scarring after a plasma pen treatment?
Though uncommon, scarring can occur—most likely due to a failure to adhere to aftercare instructions or a lack of experience on the practitioner’s part. Selecting an experienced provider in Los Angeles significantly reduces this risk.
Can plasma pen treatments cause hypopigmentation?
Can plasma pen treatments cause hypopigmentation? Yes, there is a risk of hypopigmentation (light spots), particularly in individuals with olive to dark skin types. Be sure to always check with a local provider who has experience with varied skin types.
How long does it take for skin to heal after a plasma pen session?
Our patients in Los Angeles typically experience initial healing in 7–10 days. In most cases, full results and proper tone blending will take a few weeks.
Who is most at risk for pigment changes after plasma pen therapy?
Patients with Fitzpatrick skin types IV-VI or those with previous skin discoloration history are at increased risk. A qualified specialist will be able to determine your individual risk prior to treatment.
How can I reduce the risk of scarring or pigment changes after plasma pen treatment?
Follow each aftercare step, keep the treated areas out of the sun, and never pick at new skin as it forms. Follow a mild skincare regimen recommended by your provider.
Are these risks permanent?
Though scarring may be permanent, the majority of pigmentary alterations are transient, either resolving over time or with appropriate intervention. The solution is early intervention by an experienced dermatologist in Los Angeles.
How do I find a qualified plasma pen practitioner in Los Angeles?
Q4 — How do I find a qualified plasma pen practitioner in Los Angeles?