Contraindications

Red – Cannot treat or must proceed with extreme caution

Orange – Exercise caution in treating

Green – Can Treat

 

Alopecia- This is an auto immune disease resulting in hair loss. Sufferers may also be more sensitive to treatment but there should be no problem treating these clients

 

Anaemia – Anaemia is a condition characterised by a deficiency of the haemoglobin content of red corpuscles. These clients will bleed more profusely and will take longer to heal

 

Anaesthetics – Usually a reaction would be due to the base of preparation that the anaesthetic is found in, such as the cream or gel. Patch testing several different types of anaesthetic would determine whether this is the case if the client is allergic to the “Caine” used in anaesthetics then the treatment can go ahead only if the client is happy to proceed without the use of anaesthetic. A cold compress or a freezing or cooling unit, such as the ‘cool spot’, could be used instead

 

Asthma – Asthma is characterised by inflammation of the air passages resulting in the temporary narrowing of the airways and making it difficult to breathe. Asthma often requires the use of an inhaler to ease breathing. Regular use of an inhaler will cause thinning of the skin and increased vascularity. These clients bleed more easily and sometime bruise. Their skin is often more sensitive, and they will take longer to heal.

 

Birth marks and Port wine marks – These cannot and must not ever be treated with a plasma pen.

 

Blepharoplasty (Surgical) – Excess fat and skin are surgically removed from the upper and lower eyelid. If a patient has had a blepharoplasty (and our technique is often referred to as non-surgical blepharoplasty), you must wait for 3 months before doing treatment around the patients eyes )or longer if there is still pronounced redness in the area)

 

Botox – It is recommended to wait as least 21 days after the Botox is injected before commencing with the treatment. It is preferable to perform your plasma pen treatment prior to any Botox being administered or when Botox I just about due for a top up as this allows you to see your clients skin when it is naturally positioned.

 

Breast Feeding – You must never ever treat anybody who is breastfeeding (nor Must you ever encourage to cease breastfeeding for an elective treatment).

 

Brow/Forehead/Facelift Procedure – You should allow 3 months before treating anyone who has had a surgical brow/forehead/facelift procedure.

 

Bruise/Bleed easily –This could indicate an underlying health problem. You can treat them, but you should, diplomatically let your client know that they have indeed bruised easily and may take longer to heal. If bruising occurs it should pass within 4 to 7 days.

 

Cancer – Cancer arises from the abnormal and uncontrollable division of cells that then invades and destroys the surrounding tissue. If your client is undergoing radiotherapy or chemotherapy them, they must leave it 5 weeks either side of treatment it then be treated with the plasma pen. They should then check with their oncologist to find out when their blood count is most suitable for them to receive treatment, If the cancer is terminal, you may proceed with all your client’s requests with a doctors written consent.

 

Cataracts – Cataracts are cloudy areas in the lens inside the eye. It causes visual impairment. Proceed written consent if treating that area.

 

Contact lenses – Contact lenses must categorically be removed before any treatment close to the eye. You should advise your client to then not use contact lenses for up to 72 hours post procedure. We cannot begin to stress the importance of ensuring contact lenses are removed pre-treatment.

 

Corneal Abrasion – This is usually caused by trauma to the surface for the eye and highly unlikely ever to be caused during a plasm pen treatment. If, however, post procedure your client complains of unbearable stinging and blurred vision you must advise them to go to a doctor or hospital. Small abrasions may require treatment. Larger abrasions are typically treated for a few days with topical antibiotic to prevent infection.

 

Diabetics – Diabetics have a tendency to both bleed and bruise easily, depending on the severity of their diabetes. They may find it more uncomfortable then usual and the healing process may be lengthier. Treat with caution brittle diabetics and those that are insulin dependant because of the prolonged bleeding and bruising. You may also need to wait longer between treatments.

 

Dry Eye – This condition is where the tear duct does not function, and drops are needed to be given to keep the eye lubricated. During a treatment, you must use more eye lubricant and use saline solution to keep rinsing throughout the treatment to keep the client comfortable.

 

Epilepsy – is a chronic nervous disorder characterised by fits in which the patient suffers muscular spams and may lose consciousness. If a client has not had it for 2 years, you may proceed, with caution and you should insist your client brings someone with them to their appointment. Ensure that you have clearly spelt out the possibility of the procedure triggering a fit and make sure that if they decide to go ahead that you have a signed consent form.

 

Eye laser Surgery – Used to correct or improve vision. If is recommended to wait 8-12 weeks post-surgery unless written medical consent is given.

 

Glaucoma – Clients may feel slightly more discomfort during an eyeliner procedure due to added pressure

 

Haemophilia – Is a genetic disorder causing lack of clotting in the blood. Clients who have haemophilia do not necessarily bleed more intensely but can bleed for longer than those without. You cannot treat these clients as you will not be insured.

 

Hay Fever – If the client’s eyes are red, watering, puffy of the skin is inflamed and red, wait unit these symptoms have passed when doing an eye procedure. Consider things like making an afternoon appointment as the pollen counts can be slightly lower at this time of day.

 

Hepatitis – This literally means liver inflammation. It is a disorder/disease in which viruses or other mechanisms produce inflammation in liver cells, resulting in their injury or destruction. In most cases, this inflammation process is triggered when the immune system fights off infections caused by viruses. Hepatitis varies in severity, ranging from self-limited condition with total recovery to life threating or log-term illness. There are many types of hepatitis, but it is only Hepatitis C which should entirely prevent you from treating clients as you would not be insured. Hepatitis C is a blood borne disease and can survive 30 days in dried blood. This is one of the reasons why is is imperative to disinfect your room and to properly clean down between each procedure. With all types of Hepatitis, you should wear 2 sets of gloves (double gloves) and proceed. Plasma pen strongly advised to have a Hepatitis B Injection.

 

HIV/AIDS – It is the technician choice whether to proceed with treatment for a client with HIV/AIDS. You must obtain written consent from a doctor and significant extra care should clearly be taken to avoid cross infection. You must also check your insurance status.

 

Herpes Simplex – is a viral infection commonly referred to as a cold sore or fever blister – usually around the mouth. Of a client has ever had a cold sore they are more likely to have an outbreak after plasma pen treatment in that area. We suggest they ask their doctor for Zovirax Tablets an to take them 5 days before treatment and 5 days after treatment. Inform your client that none of this offer a guarantee that they will not have an outbreak.

 

Hyper – Pigmentation- This is a over-production of melanin which has permanently damaged the surface of the skin. It is more commonly seen in afro-Caribbean, Mediterranean, Asian and Latin skin types. It presents as darker patches of skin. You must not treat anyone with hyper-pigmentation or anyone over skin type 3.

 

Injectable fillers – It is recommended to wait 21 days after the filler has been administered before doing any treatments. It is also common for lips with a large amount of filler or fat in them to have slower or comprised healing. In some cases, these lips can become infected more easily during the healing process after working close to the lip.

 

Kidney and/or Liver Disease – Written consent from a doctor is required if your client has kidney liver disease.

 

Latex – Ensure you use non-latex, powder free gloves in this scenario (or just in general)

 

Lupus – Lupus is an auto immune disease where the body immune system becomes hyperactive and attacks normal, healthy tissue. This results in symptoms such as inflammation, swelling and damage to joints, skin and internal organs. You are strongly advised not to treat these clients and you must certainly check your insurance status before you do.

 

Mitral Valve prolapse – The mitral valve into the heart occasionally malfunction and usually people take prophylactic antibiotics to prevent an infection. If a client needs to take these antibiotics when that visit their dentist then they will need to do the same prior to any plasma pen treatment.

 

Pregnancy – although the is no medical evidence whatsoever that links problems in pregnancy to plasma pen treatment, you must consider that if your client were to experience any kind of unrelated reaction, if they were to experience  panic or feel in any way traumatised before, during or after the treatment then ask yourself how would you feel if this affected their baby? On top of these important ethical considerations, you are also at risk and vulnerable in regard to insurance claim being made against you. We absolutely insist that you wait until after the baby is born and also that the client is no longer nursing before giving any plasma pen treatment.

 

Retinal Detachment – is where the retina peels away from the underlying support tissue, Initial detachment may be localised but without rapid surgical treatment the entire retina may detach, leading a vision loss and blindness. Written consent form from an ophthalmic surgeon are required before treating these clients in that area.

 

Sexually transmitted disease – If reveals buy the client then is the choice of the technician whether to proceed. Extra care must be taken to avoid infection.

 

Skin disorders (E.g. Psoriasis, Eczema, dermatitis) – All skin disorders can make the skin exceedingly dry and treatment more uncomfortable because skin Is usually thinner and more sensitive. If the condition appears in the direct area requiring treatment, then you should not treat the client)

 

Scar Hypertrophic – This type of scar is raised instead of being flat and does not grow. They remining within the perimeter of the original wound and flatten over time. When new, they are often purple/pink becoming more pink/white as they mature. They must not be treated with plasma pen.

 

Scar Keloid – This occurs when scar tissue grows excessively and exceeds beyond the boundaries of the original injury to invade normal tissue. They look like thick, shiny, dense, red, elevated ropes in the skin and may be extremely tender to touch. Clients who develop keloid scars from major trauma may not necessarily develop keloid scar from plasma pen treatment, but the procedure should still not be carried out. A patch test will be nigh on useless. If your client is unsure if they suffer from keloid scars, then ask them about previous histories form any minor injury to give you some indication of the likelihood of a keloid occurring. This type of scarring is most common in black skin which must not be treated either with plasma pen.

 

Scar Atrophic – These are indented or depressed and look like valleys or holes in the skin. You may treat these areas if more than 6 months old.

 

Shingles – Is an immune system virus which is part of the herpes family. Leave a 6-month gap between the end of the virus and plasma pen procedure

 

Styles/conjunctivitis or frequent Eye infections – If a client suffers regularly from these, you should make sure that the eye has had at least 6 weeks to heal. Ensure that they have had the appropriate treatment and are aware a plasma pen treatment may cause the condition to reoccur if having the eye area treated. If in doubt, as for written consent from the doctor.

Thyroid Problems – Clients with an underactive thyroid usually find that they may experience a slightly longer healing time after treatment, but it should otherwise present no problem.

 

Trichotillomania – This is a condition where a person feels compelled to pull out their hair. It may be on their head of other places such as brows and lashes. These clients will be prone to picking during their healing procedure which will increase their risk of infection, raise the risk of hyperpigmentation and ultimately compromise their results. You must discuss this thoroughly with your client.

 

Visual Impairment – You should advise at consultation stage that the client must bring an advocate to their appointment who can give consent on their behalf and who can sign the necessary forms.

 

Vitiligo – Appears as white patches on the skin and is an auto immune disease, causing stress to the body. It is highly likely that the trauma of having an area treated will then act as a trigger for an outbreak in other areas of body or face. This precludes any plasma pen treatment ever being performed and you will certainly not ne insured.