Plexr is an innovative medical device that was developed in Italy as an alternative to surgery. It
uses the ionisation of the gases in the air to form plasma, which creates a small electrical arc that
treats problem areas – without spreading unwanted heat to the surrounding skin, called “soft
surgery”. This creates fine grey-brown scales, so-called “carbon dust”, which disappear a few days
after each session.
It is carried out under topical anesthesia (no needles) and can be used for numerous aesthetic
concerns, treating loose facial skin, scarring, and to perform blepharoplasty and brow lifts. This
technique has been used Italy & Greece for many years.
Treatment consists of multiple shots spaced closely together and the upper, lower or both eyelids
can be treated. The procedure normally takes less than 30 minutes to perform and results are seen
instantly although the best appearance is seen after 3 weeks. The number of sessions depend on
the need of the patient but satisfactory results are achieved with only one session.
Dr. Saif is a leader in the procedure in Jordan and the middle east, he has done more than 1000
procedures so far and he has been doing workshops to train his colleagues from all over the world.
How does the treatment work?
PLEXR causes sublimation which is the process of turning a solid straight into a gas so results are
instant and there is no heat transferred to surrounding tissues to cause damage to normal skin.
PLEXR uses plasma so there is no electric current which can cause problems for some patients
and the treatments result in tissue retraction and tightening which gives even better results.
Is it safe and does it hurt?
Local anaesthetic cream is applied for 30 minutes prior to non-surgical blepharoplasty to minimise
any discomfort and the procedure is then virtually painless. For other areas, local anaesthetic
cream or injections may be used to provide numbness. The treatment may feel hot in places and
there may be a tingling or burning sensation afterwards.
PLEXR plasma technology has been used worldwide for several years with no significant adverse
Are there any side effects?
Following PLEXR treatment, tiny dark brown/black spots may appear or there may be an
appearance more typical of a burn. Swelling is common and often lasts several days and can be
quite significant around the eyes. The area will often be red and warm immediately after the
procedure and can be quite tender for a few days. Patients may experience a tingling or burning
Crusting or a scab can develop and it is important to keep this clean, dry and protected.
Sometimes the area can be sloughy. It is mandatory that the patient doesn't rub the crusts and to
keep it protected with a good sunblock to prevent darkening of the area that may take months to
disappear by itself.
Immediately after treatment, there may be a burning sensation. This will usually resolve during the
remainder of the day although if it is particularly uncomfortable or persists for a longer period, then
an anti-inflammatory medication such as ibuprofen can be taken.
Following treatment, it is normal to have some swelling. This can be significant around the eyes
and can last for several days and may lead to interference with vision in the initial period.
Cold compresses may be applied to reduce the swelling.
If the swelling is more severe, an anti-inflammatory medication and/or anti-histamine may help
alleviate the swelling.
Crusting will usually develop over the treated area, this will often initially be brown or black on the
surface of the skin and flake off over the following days. It may take over 2 weeks to completely
disappear. It is essential to not pick at this crusting as this may lead to infection or scarring or
Occasionally the treated area may become a little weepy, this is part of the normal healing process
and will improve with time. However, if it starts to become hot or red or if there is any pus present,
then please contact the clinic for advice as this may suggest an infection has developed.
It is essential to keep the treatment area clean, dry and protected with a broad spectrum
sunscreen. Do not use alcohol based cleansers.
Do not apply a plaster or an occlusive dressing over the area.