Cold Atmospheric Plasma (CAP) Facials for Acne and More

A Revolutionary Treatment for AcneAcne is a common skin condition that affects millions of people worldwide, causing frustration and self-esteem issues. While traditional treatments have their place, a groundbreaking technology called Cold Atmospheric Plasma (CAP) is revolutionizing the way we approach acne care. In this blog post, we will explore the science behind CAP facials, why they work so effectively for acne, what the treatment feels like, and essential post-care tips.

The Science Behind Cold Atmospheric Plasma

Cold Atmospheric Plasma is a state-of-the-art technology that utilizes ionized gas to rejuvenate the skin's appearance. Unlike traditional ablative treatments that involve heat or lasers, CAP delivers energy to the skin's surface without causing discomfort or damage. This gentle yet powerful energy stimulates collagen production, promotes cellular turnover, and improves overall skin texture.

How CAP Works

The process of creating cold plasma involves transforming the air between the device's tip and the patient's skin into a highly charged gas containing unbound ions and free electrons. This plasma is highly beneficial to the skin, offering a range of therapeutic effects. When applied to the skin, CAP generates reactive oxygen species (ROS) and reactive nitrogen species (RNS), which play crucial roles in skin rejuvenation and acne treatment. These reactive species can:

1. Destroy acne-causing bacteria
2. Reduce inflammation
3. Stimulate collagen and elastin production
4. Improve skin cell turnover
5. Enhance blood circulation in the treated area

Why CAP Facials Work for Acne

Cold Atmospheric Plasma facials are particularly effective for treating acne due to several key mechanisms:

1. Antibacterial Properties

CAP has potent antibacterial effects, which are crucial in combating acne. In a breakthrough experiment, a mere 2-minute treatment of cold atmospheric plasma was seen to decrease 40% of the bacterial load in plasma-treated wounds, regardless of the species of bacteria. This ability to destroy acne-causing bacteria, such as P. acne, is one of the primary reasons CAP is so effective in treating and preventing acne breakouts.

2. Anti-inflammatory Effects

Acne is often accompanied by inflammation, which can lead to redness, swelling, and discomfort. CAP has been shown to have significant anti-inflammatory properties, helping to soothe irritated skin and reduce the visible signs of acne. This anti-inflammatory effect can also help prevent post-inflammatory hyperpigmentation (PIH), a common concern for acne sufferers.

3. Regulation of Sebum Production

Excess sebum production is a key factor in the development of acne. CAP treatments have been shown to help balance sebum production, reducing oiliness and preventing pore blockages that can lead to acne formation.

4. Stimulation of Skin Regeneration

CAP promotes the regeneration of fibroblasts in the dermis layer, stimulating the production of collagen, elastin, and hyaluronic acid6. This not only helps improve overall skin texture but also aids in the healing of acne scars and the prevention of new scar formation.

5. Enhanced Skincare Product Absorption

One of the unique benefits of CAP treatment is its ability to increase the skin's absorption of vital skincare ingredients. This means that any acne-fighting products applied after the treatment are likely to be more effective, enhancing the overall results of your skincare routine.

What a CAP Facial Feels Like

For those considering a CAP facial for acne, it's natural to wonder about the experience. Here's what you can expect during a typical treatment:

1. Preparation: The treatment begins with thoroughly cleansing the skin to remove any dirt, oil, or makeup.
2. Gentle Exfoliation: Some practitioners may use a gentle enzymatic peel to unblock pores and prepare the skin for the CAP treatment.
3. CAP Application: A specialized handheld device is used to deliver controlled bursts of CAP energy to the skin's surface. The treatment is non-invasive and generally painless.
4. Sensation: Most patients report feeling a mild tingling sensation during the procedure. Some describe it as a cool breeze moving across their skin and it smells like the great outdoors (like the atmosphere).
5. Duration: A CAP facial session usually lasts between 15 minutes, depending on the areas being treated and the severity of the acne.
6. Post-Treatment Care: After the CAP application, topical moisturizers and sunscreen can be applied. We typically recommend that patients allow the skin to breathe and apply make-up the next day.  

It is important to note that, unlike many other types of acne treatments, CAP is not harsh or aggressive. Your skin will be much less sensitive, red, or sore afterward compared to more invasive procedures.

Post-Care Tips for CAP Facials

To maximize the benefits of your CAP facial and ensure the best possible results, follow these post-care tips:

1. Avoid Irritants: For the first 12-24 hours after treatment, avoid using harsh skincare products such as retinols, AHAs, or exfoliants.
2. Skip Makeup: It's best to avoid wearing makeup for at least 12 hours post-treatment to allow your skin to breathe and fully absorb the benefits of the CAP therapy.
3. Sun Protection: Always apply a high-factor sunscreen after the treatment and in the days following. Your skin may be more sensitive to UV rays, so sun protection is crucial.
4. Avoid Heat: Stay away from high temperatures such as saunas, sunbeds, and steam rooms for at least 24 hours after the treatment.
5. Hydration: Keep your skin well-hydrated by drinking plenty of water and using a gentle, non-comedogenic moisturizer.
6. Gentle Cleansing: Use a mild, non-irritating cleanser for the first few days after treatment.
7. Follow-Up Treatments: For optimal results, a series of treatments may be recommended. Typically, a course of 6 to 8 treatments, spaced  every other week is advised.

Expected Results and Timeline

Many patients start to see improvements in their skin immediately after their first CAP treatment, with skin looking clearer and feeling more refreshed. However, for optimal results, a series of treatments is usually recommended. The timeline for seeing significant improvements can vary depending on the severity of your acne and how your skin responds to the treatment. Some patients may notice a reduction in acne and improved skin texture within a few weeks, while others may require several months of consistent treatments to achieve their desired results. It is important to note that while the results of CAP facials can be long-lasting, maintenance treatments may be recommended to keep your skin looking its best. Your skincare professional can help you determine the best treatment schedule for your specific needs.

Safety and Side Effects

One of the major advantages of CAP facials is their safety profile. The treatment is non-invasive and generally well-tolerated by most skin types. Studies have shown that CAP application for less than 2 minutes on skin cells is not associated with increased cell toxicity or apoptosis. However, as with any skincare treatment, some patients may experience mild side effects, which typically subside within a few days. These can include:

1. Temporary redness or flushing of the skin
2. Mild tingling or warmth in the treated area
3. Slight dryness or flaking as the skin renews itself

In rare cases (although we have never seen this occur), some patients may develop small scabs that typically heal within 5-7 days. It is essential to follow your practitioner's aftercare instructions carefully to minimize any potential side effects and optimize your results.

Conclusion

Cold Atmospheric Plasma Facials represent a significant advancement in acne treatment. By harnessing the power of ionized gas, this innovative therapy offers a multi-faceted approach to combating acne, addressing not only the symptoms but also the underlying causes of this common skin condition.

The non-invasive nature of CAP facials, combined with their effectiveness in killing acne-causing bacteria, reducing inflammation, regulating sebum production, and stimulating skin regeneration, makes them an attractive option for those struggling with persistent acne. As with any skincare treatment, consistency is key. While you may see improvements after a single session, a series of treatments is typically recommended for optimal results. Always consult with a qualified skincare professional to determine if CAP facials are right for your specific skin concerns and to develop a personalized treatment plan. By incorporating CAP facials into your acne-fighting regimen, you're not just treating existing breakouts – you're investing in the long-term health and appearance of your skin. With its ability to rejuvenate skin at a cellular level, CAP technology is truly revolutionizing the field of acne treatment, offering hope to those who have struggled with this persistent skin condition.

References:

References

1. Heinlin, J., Isbary, G., Stolz, W., Morfill, G., Landthaler, M., Shimizu, T., Steffes, B., Nosenko, T., Zimmermann, J., & Karrer, S. (2011). Plasma applications in medicine with a special focus on dermatology. Journal of the European Academy of Dermatology and Venereology, 25(1), 1-11.
2. Isbary, G., Heinlin, J., Shimizu, T., Zimmermann, J. L., Morfill, G., Schmidt, H. U., Monetti, R., Steffes, B., Bunk, W., Li, Y., Klaempfl, T., Karrer, S., Landthaler, M., & Stolz, W. (2012). Successful and safe use of 2 min cold atmospheric argon plasma in chronic wounds: results of a randomized controlled trial. British Journal of Dermatology, 167(2), 404-410.
3. Fridman, G., Friedman, G., Gutsol, A., Shekhter, A. B., Vasilets, V. N., & Fridman, A. (2008). Applied plasma medicine. Plasma Processes and Polymers, 5(6), 503-533.
4. Choi, J. H., Song, Y. S., Song, K., Lee, H. J., Hong, J. W., & Kim, G. C. (2017). Skin renewal activity of non-thermal plasma through the activation of β-catenin in keratinocytes. Scientific Reports, 7(1), 6146.
5. Kalghatgi, S., Kelly, C. M., Cerchar, E., Torabi, B., Alekseev, O., Fridman, A., Friedman, G., & Azizkhan-Clifford, J. (2011). Effects of non-thermal plasma on mammalian cells. PloS One, 6(1), e16270.
6. Laroussi, M., Lu, X., & Keidar, M. (2017). Perspective: The physics, diagnostics, and applications of atmospheric pressure low temperature plasma sources used in plasma medicine. Journal of Applied Physics, 122(2), 020901.
7. Wende, K., Bekeschus, S., Schmidt, A., Jablonowski, L., Weltmann, K. D., & von Woedtke, T. (2016). Risk assessment of a cold argon plasma jet in respect to its mutagenicity. Mutation Research/Genetic Toxicology and Environmental Mutagenesis, 798, 48-54.
8. Arndt, S., Unger, P., Wacker, E., Shimizu, T., Heinlin, J., Li, Y. F., Thomas, H. M., Morfill, G. E., Zimmermann, J. L., Bosserhoff, A. K., & Karrer, S. (2013). Cold atmospheric plasma (CAP) changes gene expression of key molecules of the wound healing machinery and improves wound healing in vitro and in vivo. PloS One, 8(11), e79325.
9. Isbary, G., Shimizu, T., Li, Y. F., Stolz, W., Thomas, H. M., Morfill, G. E., & Zimmermann, J. L. (2013). Cold atmospheric plasma devices for medical issues. Expert Review of Medical Devices, 10(3), 367-377.
10. Privat-Maldonado, A., Schmidt, A., Lin, A., Weltmann, K. D., Wende, K., Bogaerts, A., & Bekeschus, S. (2019). ROS from physical plasmas: redox chemistry for biomedical therapy. Oxidative Medicine and Cellular Longevity, 2019, 9062098.