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Advanced Plasma Soft Surgery · Plexr Plus · Ann Arbor, Michigan

Your Skin. Without  the Surgery.

You deserve skin that matches how you feel inside, and results that don't require surgery, downtime, or compromise to get there.
Advanced Plasma Soft Surgery at Arbour Longevity uses Plexr Plus, FDA-Cleared technology that generates plasma from atmospheric nitrogen, sublimates targeted skin tissue with surgical precision, and triggers genuine collagen regeneration. No blade. No stitches. No thermal damage to surrounding tissue. From zero-downtime glass skin to non-surgical eyelid correction, neck lifting, and body remodeling.

90%

Eyelid Laxity Improvement · Published Study

710

Patient Real-World Clinical Cohort

I–VI

All Fitzpatrick Skin Types · Year-Round

40+

Peer-Reviewed Publications

Plasma (Plexr) soft-surgery treatment at Arbour Longevity

Before You Read Anything Else

Is This Right For You?

You're in the right place if

Your skin feels older than you do, and you want real results, not just maintenance.
People keep asking if you're tired. You're not tired. You just look it, and you're ready to change that.
You've been told you're not a laser candidate because of your skin tone or the season.
Eyelid surgery has been on your mind for years, but the recovery, the scar, and the anesthesia have stopped you.
You want something meaningful, not a facial, not filler, but you're not ready for surgery.
You've lost significant weight and your skin hasn't kept up.
You had plasma somewhere else and weren't impressed. Technique matters as much as the device.

Not sure where to start?

Want luminous, tighter skin with zero recovery?
GlassLIFT: no numbing, no downtime, visible next morning.
Want significant skin quality improvement?
CAT Resurfacing: 3–5 days downtime, all skin tones, all seasons.
Want neck, face, or body correction without surgery?
Plexrplasty: soft surgery approach with no incisions, no sutures.
Want your eyes to look different, without surgery?
Non-surgical blepharoplasty: series of 3 sessions, no blade, published results.
On a GLP-1 program and want to address the skin?
Post-Weight Loss Skin Renewal: stretch marks, tightening, body remodeling.
Not sure if plasma is right for your concern? That's exactly what the consultation is for. Your clinician will tell you honestly: whether plasma is the right tool, which protocol fits your anatomy, and what to realistically expect. No obligation beyond the conversation. If plasma isn't right for you, you'll leave knowing exactly why.
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What is Plasma Soft Surgery

Matter. Energy. Precision. Regeneration.

Matter exists in four states: solid, liquid, gas, and plasma. The sun is plasma. Lightning is plasma. Plexr Plus creates plasma from atmospheric nitrogen and applies that arc to targeted skin tissue with sub-millimeter precision.

At the point of contact, targeted tissue undergoes sublimation, converting directly from solid to gas, without cutting, without burning deeper layers, and without thermal spread to surrounding structures. The precision is surgical. The recovery is not.

What follows is equally important: the treated zone initiates a genuine collagen remodeling response. Collagen type III, confirmed by published histological analysis, begins forming within weeks. The surface result is immediate. The biological result compounds over months.

  • FDA-Cleared Device
  • 40+ Clinical Studies
  • CE Certified · 60+ Countries

The Clinical Difference

Plasma sublimates targeted tissue, removing it cleanly. Laser burns it, leaving thermal residue behind.

CO₂ laser operates by heating water molecules inside tissue, vaporizing it and leaving a column of thermally damaged tissue the body must resolve before regeneration can begin. Plexr removes. Lasers burn. The regenerative response to each is fundamentally different: clean collagen synthesis versus scar tissue management.

Published Physics

300×

More Ablation Volume Than CO₂ Laser Per Shot

Published mathematics confirm plasma achieves 300× more ablation volume per shot than CO₂ laser. One Plexr session achieves what requires many CO₂ sessions, with less risk, less thermal damage, and a cleaner biological response.

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Universal Safety: The Colorblind Advantage

Safe for Every Skin. Every Season. Every Age.

Every laser in aesthetics has a fundamental limitation: it targets chromophores. CO₂ targets water. IPL targets melanin. This means darker skin tones absorb more energy in epidermal melanocytes, creating real risk of post-inflammatory hyperpigmentation. Patients with Fitzpatrick IV–VI have historically been excluded.

Plexr plasma energy does not rely on chromophore absorption. It delivers consistent, calibrated energy to any skin tone with identical precision. Fitzpatrick I and Fitzpatrick VI receive the same treatment, the same protocol, the same safety profile.

Patients who have been told they are not candidates for resurfacing because of skin tone, recent sun exposure, or the season, are typically excellent plasma candidates. Arbour Longevity does not turn away patients on these grounds.

I–II

Fair · Light

III–IV

Medium · Olive

V–VI

Brown · Deep

All Fitzpatrick types treated with identical protocol, identical precision, identical safety profile.
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The Treatment Spectrum

Three Depths. One Device. Every Concern.

Plexr Plus calibrates across three energy depths, each with a distinct clinical application and recovery profile. Your clinician determines the appropriate depth at consultation based on anatomy, goals, and skin type.

Nano-Ablative · No Downtime

Plexr Shower

Micro plasma bolts to the epithelial surface. Immediate tissue contraction and luminosity. No numbing required. Return to normal activity immediately. The foundation of Arbour Longevity's GlassLIFT and Rockstar Treatment protocols.

GlassLIFT · Rockstar Treatment · Red Carpet Boost · Active Acne · Biostimulation

Semi-Ablative · 3–5 Day Recovery

CAT Resurfacing

Controlled fractional plasma creates precise micro-injuries across the treated zone, stimulating deep collagen synthesis. The only resurfacing protocol safe for all Fitzpatrick types without seasonal restrictions. Significant quality improvement in 2–3 sessions.

CAT Resurfacing Full Face · CAT Bleph · Décolleté · Neck · Hands · RootRevive™ Hair Protocol · Acne Scars

Ablative · 7–14 Day Recovery

Plexrplasty

Deep ablative plasma for significant tissue removal and correction. Addresses structural skin concerns, including excess eyelid skin, neck laxity, stretch marks, lesions, and scars, with outcomes that rival surgical results. No blade. No sutures. No general anesthesia.

Non-Surgical Blepharoplasty · Neck Lift · Face Lift · Stretch Marks · Non-Surgical Labiaplasty · Keloid · Lesion Removal

The Arbour Longevity Difference: What No Other Plasma Provider Can Offer

When Plasma Meets Hormonal Optimization

Gandhi Bhattarai is board-certified in Family Practice, Psychiatric-Mental Health Nursing, and Anti-Aging & Regenerative Medicine. No other plasma provider in SE Michigan practices at this intersection. The clinical consequence is significant.

How hormones amplify plasma outcomes

Estrogen directly stimulates fibroblast activity, the cells responsible for collagen production. A patient with optimized estrogen heals faster, regenerates more collagen per session, and holds results significantly longer than a patient who is hormonally depleted.
Testosterone supports dermal thickness and tissue integrity. Patients with suboptimal testosterone often experience thinner skin with slower wound healing, affecting both the quality and longevity of plasma outcomes.
Thyroid function governs the rate of cellular turnover and regeneration. Untreated hypothyroidism meaningfully slows the healing and collagen remodeling process that plasma initiates.
GLP-1 / GIP weight loss patients who achieve rapid body composition change arrive at plasma in a biologically distinct state, skin that is undergoing structural change and is highly responsive to targeted remodeling intervention.

What this means in clinical practice

At Arbour Longevity, every plasma patient is assessed in the context of their hormonal status. Gandhi doesn't just treat the skin. She treats the whole person whose skin she is treating.
Patients whose hormonal environment is optimized before or alongside their plasma series achieve better collagen response, faster healing, and results that last longer between sessions.
Patients with active metabolic concerns, including thyroid dysfunction, perimenopause, andropause, are identified and offered a coordinated clinical approach that addresses both the hormonal foundation and the skin concern simultaneously.
"A clinician who only treats the skin is missing half the conversation. The skin is downstream of everything else." Gandhi Bhattarai, FNP-BC, PMHNP-BC, Anti-Aging
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The Full Treatment Menu

20+ Clinical Applications. One Device.

Each treatment is assessed and designed at consultation. No treatment is performed without a clinician's assessment of candidacy, anatomy, and realistic expected outcomes.

Zero Downtime · Plexr Shower

Flagship Membership Treatment

GlassLIFT

Plexr Shower + ACT O'FEEL + Bio Botox

You'll wake up the next morning and your skin will look like it slept ten hours and drank eight glasses of water. Then we can explain the science. ERA protocol: nano-ablative plasma, cell-signaling actives, Bio Botox in one session. Cumulative improvement over 8 weeks. Results up to 1 year.

No numbing. No downtime. Glass skin by morning.
$1,100 per session
Sessions: 3–6/year · All skin types · Year-round

Executive Protocol

Rockstar Treatment

Nano-Ablative · Plexr Shower

The treatment for when you have an event tomorrow and you need to look like you didn't. No recovery window. No evidence of anything. Just better. High-performing professionals, executives, and public-facing patients who need to look refreshed without missing a beat.

Zero downtime. Zero evidence. Book on a Wednesday, look remarkable by Thursday.
$750 per session
Sessions: Recurring 8–12 weeks · No numbing

Express Protocol

Red Carpet Boost

Nano-Ablative · 30 Minutes

The same-day luminosity protocol. Designed for an occasion, a significant event, a milestone, a moment where you need your skin to perform. 30 minutes. No numbing. Immediate glow effect. Can be done the morning of the event.

Luminosity in 30 minutes. Same-day event ready.
Sessions: As needed · No recovery

Dermatological Application

Active Acne Treatment

Nano-Ablative · All Skin Types

The only treatment that addresses active acne, from cystic breakouts to surface congestion, and existing acne scarring simultaneously in a single session. Active acne: 1 session. Acne scar revision: series of 2–3 sessions. No seasonal restrictions. All skin tones.

Active breakouts and existing scars. Same session.
Sessions: 1 (active acne) · 2–3 (scar revision)
3–5 Day Recovery · CAT Resurfacing

Fractional Resurfacing · All Skin Types

CAT Resurfacing

Semi-Ablative · Topical Numbing

The resurfacing treatment that works on every skin tone. Semi-Ablative plasma creates controlled micro-injuries, stimulating deep collagen synthesis and significant skin renewal. No chromophore targeting. No melanin absorption risk. Patients who have been turned away from laser resurfacing are typically excellent CAT candidates. Series of 2–3 sessions.

The resurfacing treatment that doesn't exclude anyone.
Sessions: 2–3 · Fitzpatrick I–VI · Year-round

Periorbital Protocol

CAT Bleph

Semi-Ablative · Topical Numbing

Preventive periorbital lifting and firming for younger patients and those not ready for surgical blepharoplasty. Addresses crow's feet, fine periorbital lines, and early laxity. The early intervention approach: starting correction before it becomes correction.

For those who aren't ready for surgery, and shouldn't have to wait.
Sessions: 2–3 · Ages 30s–50s

Scalp & Hair Protocol

RootRevive™ Protocol

Semi-Ablative + ACT O'XOME + ACT O'REVERSE

Healthier hair starts below the surface. RootRevive™ combines CAT Resurfacing plasma with ACT O'XOME exosome-inspired actives and ACT O'REVERSE, opening micro-channels in the scalp and delivering potent bio-signaling ingredients to follicular depth. Scalp microenvironment restoration. Follicle reawakening. From the root up.

Not a hair treatment. A scalp regeneration protocol.
Sessions: Series of 3 · Pairs with PRP scalp
7–14 Day Recovery · Plexrplasty Soft Surgery

Most In-Demand · Published Evidence

Non-Surgical Blepharoplasty

Ablative · Series of 3 Sessions

"People keep asking if I'm tired. I'm not tired. I just look tired." If that sentence landed, this treatment is for you. Excess eyelid skin precisely removed by plasma sublimation. The published protocols that achieved 90% improvement used 3 sessions at one-month intervals. Upper, Lower, 360°, or CAT Bleph.

Your eyes. Without the surgery, the scar, or the weeks of recovery.
Sessions: Series of 3 · Upper · Lower · 360°

Most Requested · Most Underserved

Neck Lift & Face Lift

Semi + Ablative · Topical Numbing

The one area almost every patient mentions, and the one most other providers say is too difficult without surgery. Platysmal bands, submental laxity, horizontal lines, and neck texture. A series of 2–3 sessions. No scalpel. No sutures. No limitation by skin type or age.

The neck. Finally addressed without surgery.
Sessions: 2–3 · Neck · Midface · Full Face

Post-Weight Loss Program

Stretch Marks + Tummy Lift

Ablative · Topical Numbing

You did the work. You lost the weight. Your skin deserves to reflect that, not remind you of where you've been. Stretch marks at any stage. Simultaneous skin tightening. Directly integrated with Arbour Longevity's GLP-1 weight loss program as a natural clinical continuation.

The skin after the weight loss deserves attention too.
Sessions: 2–3 · Any stage striae · GLP-1 integration

Soft Tissue Correction

Nose Contouring

Ablative · Topical Numbing

Non-surgical rhinoplasty alternative. Tip refinement, nostril correction, rhinophyma treatment. Plasma achieves soft tissue correction without filler, without surgery, and without the risks of permanent structural change. Series of 2–3 sessions.

Non-surgical nose refinement. Reversible in approach, precise in execution.
Sessions: 2–3 · Non-surgical rhinoplasty

Perioral Correction

Smoker's Lines

Ablative · Topical Numbing

Perioral barcode lines, the lines above the upper lip that lipstick bleeds into. One of the most noticeable signs of facial aging and one of the most resistant to other treatments. Plexr addresses these with precision. Also corrects filler migration and restores the lip border. Series of 2–3 sessions.

The lines that age the face more than wrinkles do.
Sessions: 2–3 · Perioral · Lip border restoration

Sexual Wellness Program

Non-Surgical Labiaplasty

Ablative · Topical Numbing

Discomfort, self-consciousness, or wanting to feel like yourself again, addressed clinically, confidentially, without surgery. Scar-free, stitch-free. Full external anatomy: labia minora, labia majora, clitoral hood, perineum. Part of Arbour Longevity's comprehensive Sexual Wellness program. 4–7 days downtime. Series of 2–3 sessions.

The outcome of labiaplasty. Without the surgery.
Sessions: 2–3 · Full external anatomy · No sutures

Décolleté & Hand Rejuvenation

Semi-Ablative · Topical Numbing · 2–3 sessions · Texture, laxity, pigmentation

Mole & Skin Tag Removal

Ablative · Scar-free · All body areas · 1 session · Suture-free

Keloid & Scar Revision

Ablative · Published pilot study · Keloid thickness 2.20 · 0.54mm (p=0.000) · 2–4 sessions

Tattoo Removal

Non-laser · All ink colors · All skin tones · No chromophore limitation · 1–3 sessions

Questions Patients Ask

Answered Clinically, Honestly.

What is Plasma Soft Surgery and how is it different from laser?
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Plasma Soft Surgery uses Plexr Plus to generate plasma from atmospheric nitrogen, applied to skin where it sublimates targeted tissue, converting it precisely from solid to gas. Lasers vaporize tissue by heating water molecules, leaving a column of thermally damaged tissue the body must resolve before regeneration begins. Plexr removes. Lasers burn. The clinical difference is meaningful: plasma produces a cleaner regenerative response, works on all skin tones without chromophore targeting, and can be performed year-round without sun exposure restrictions. Plexr Plus is FDA-Cleared and supported by 40+ peer-reviewed publications.

I have darker skin. Am I a candidate?
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Yes, and this is one of plasma's most significant clinical advantages. Plexr energy is colorblind. It does not rely on chromophore absorption and does not preferentially target melanin. Published studies confirm consistent safety profiles across Fitzpatrick types I through VI. Patients who have been told they are "not candidates" for laser resurfacing because of their skin tone are typically excellent plasma candidates. Arbour Longevity treats all Fitzpatrick types with the same protocol, the same settings, and the same expected safety profile. There are no seasonal restrictions.

Why do I need a series of 3 sessions? Can I just do one?
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One session initiates the collagen remodeling cascade. The second session reignites it, deepening tissue contraction and stimulating a second wave of collagen synthesis. The third consolidates and completes the result. The published clinical studies that produced 90% improvement in eyelid laxity and confirmed collagen type III remodeling both used exactly 3 sessions at one-month intervals. A single session will produce visible results, but it produces a fraction of what a complete series achieves. Your clinician discusses the right protocol at consultation, and in some cases, two sessions may be appropriate for your specific anatomy. But the standard program that matches the published evidence is three sessions, spaced 4–6 weeks apart.

Is non-surgical blepharoplasty as effective as surgery?
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For mild to moderate dermatochalasis and excess eyelid skin, published evidence shows significant clinical improvement: 90% of patients in blinded clinical assessment demonstrated meaningful improvement. For significant ptosis, advanced laxity, or herniated orbital fat, surgical blepharoplasty typically achieves greater correction. Arbour Longevity's clinician assesses your specific anatomy at consultation and gives you an honest picture of what plasma can achieve for your eyes, and when surgical referral is the more appropriate recommendation. This honesty is a clinical value, not a disclaimer.

What is the downtime for each treatment?
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GlassLIFT and Rockstar Treatment: essentially zero. Mild redness resolves within hours. Most patients go directly from the session to other activities. CAT Resurfacing: 3–5 days of social downtime, skin appears red and slightly textured, then resolves. Non-surgical blepharoplasty: 7–10 days for carbon crusts to resolve. Neck lift and deeper Plexrplasty: 7–14 days. All downtime is discussed in detail at consultation so you can plan appropriately. There are no surprises at Arbour Longevity.

What's different about plasma at Arbour Longevity  versus other providers?
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Several things. First: the device. Arbour Longevity uses Plexr Plus, an FDA-Cleared clinical device with 40+ peer-reviewed publications. Many providers offering "plasma" use unregulated consumer plasma pens with no clinical validation and inconsistent energy output. Second: the clinician. Gandhi Bhattarai (FNP-BC, PMHNP-BC, Anti-Aging) assesses plasma outcomes in the context of hormonal status, metabolic health, and whole-body function. No other plasma provider in SE Michigan practices at this intersection. Third: the protocol. The ERA framework, the ACT O'FEEL cell-signaling actives, and the GlassLIFT membership program are proprietary to the Arbour Longevity clinical approach. The device is one component of the outcome. The clinical context and protocol design are the others.

Patient Experiences

In Their Own Words.

★★★★★

"Six months of GlassLIFT sessions. No downtime. No one knew I was doing anything. Everyone kept telling me I looked well-rested. My skin has genuinely never been better."

GlassLIFT Patient · Ann Arbor · Membership Program

★★★★★

"People had been asking if I was tired for years. I wasn't tired. After three plasma sessions for my eyelids, no surgery, no scars, they stopped asking. My eyes just look open again."

Non-Surgical Blepharoplasty · Series of 3 Sessions

★★★★★

"Every clinic told me they couldn't treat my skin tone safely. Arbour Longevity was the first place that explained why plasma is different, and then proved it. Zero hyperpigmentation. Better results than I hoped."

CAT Resurfacing Patient · Fitzpatrick V · Ann Arbor
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Clinical Results

Before & After Gallery

Patient results shared with explicit written consent. Results shown are from completed treatment series. Individual outcomes vary based on anatomy, skin condition, and treatment plan, all discussed at consultation.

Before

After

Before

After

Advanced Plasma Soft Surgery · Ann Arbor

The Conversation Costs Nothing.

Not sure if plasma is right for your concern? That's exactly what the consultation is for. Your clinician will assess your specific anatomy, understand your goals, and tell you honestly, whether plasma is the right tool, which protocol fits your situation, and what to realistically expect. If plasma isn't right for you, you'll leave knowing exactly why, and with a clear sense of what is.
No pressure. No commitment. Just a clinical conversation.

Thursday-Monday, 10am-7pm. Closed Tuesday and Wednesday. · By Appointment Only · 2217 Packard St #15, Ann Arbor, MI 48104