Before You Read Anything Else
You're in the right place if —
Not sure where to start?
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.
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.
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 does not turn away patients on these grounds.
Fair · Light
Medium · Olive
Brown · Deep
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
Micro plasma bolts to the epithelial surface. Immediate tissue contraction and luminosity. No numbing required. Return to normal activity immediately. The foundation of ARBOUR's GlassLIFT and Rockstar Treatment protocols.
Semi-Ablative · 3–5 Day Recovery
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.
Ablative · 7–14 Day Recovery
Deep ablative plasma for significant tissue removal and correction. Addresses structural skin concerns — excess eyelid skin, neck laxity, stretch marks, lesions, scars — with outcomes that rival surgical results. No blade. No sutures. No general anesthesia.
The ARBOUR Difference — What No Other Plasma Provider Can Offer
Gandhi Bhattarai is triple board-certified in Family Practice, Functional Medicine, and Psychiatric-Mental Health Nursing. No other plasma provider in SE Michigan practices at this intersection. The clinical consequence is significant.
How hormones amplify plasma outcomes
What this means in clinical practice
Each treatment is assessed and designed at consultation. No treatment is performed without a clinician's assessment of candidacy, anatomy, and realistic expected outcomes.
Flagship Membership Treatment
Plexr Shower + ACT O'FEEL + Biobotox
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, biobotox in one session. Cumulative improvement over 8 weeks. Results up to 1 year.
Executive Protocol
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.
Express Protocol
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.
Dermatological Application
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.
Fractional Resurfacing · All Skin Types
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.
Periorbital Protocol
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.
Scalp & Hair 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.
Most In-Demand · Published Evidence
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.
Most Requested · Most Underserved
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.
Post-Weight Loss Program
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's GLP-1 weight loss program as a natural clinical continuation.
Soft Tissue Correction
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.
Perioral Correction
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.
Sexual Wellness Program
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's comprehensive Sexual Wellness program. 4–7 days downtime. Series of 2–3 sessions.
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
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.
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 treats all Fitzpatrick types with the same protocol, the same settings, and the same expected safety profile. There are no seasonal restrictions.
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.
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'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.
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.
Several things. First — the device. ARBOUR 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 is triple board-certified (FNP-BC, PMHNP-BC, FM-BC), which means plasma outcomes are assessed 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 clinical approach. The device is one component of the outcome. The clinical context and protocol design are the others.
"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."
"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."
"Every clinic told me they couldn't treat my skin tone safely. ARBOUR was the first place that explained why plasma is different — and then proved it. Zero hyperpigmentation. Better results than I hoped."
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.
Thu 2–7pm · Fri–Sun 10am–7pm · By Appointment Only · 2217 Packard St #15, Ann Arbor MI 48104
GlassLIFT combines Plexr Shower nano-ablative plasma, ACT O'FEEL cell-signaling actives, and biobotox — delivered in one session with no numbing, no bleeding, and no disruption to your day. The ERA protocol — Exogenous-Ablative Regenerative Aesthetics — at its most refined.
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.
Available year-round. All skin types. Ann Arbor, MI. A cornerstone of ARBOUR's Gold and Longevity membership programs.
During
Mild warmth. No pain. No numbing. 30–45 minutes. ACT O'FEEL actives delivered through plasma-opened channels. Biobotox applied.
Next Morning
Immediate luminosity. Skin looks rested, tighter, clearer. The result most patients notice first and can't fully explain.
Week 2–4
Collagen synthesis builds. Lifting effect becomes more pronounced. Tone more even. People start noticing something — they just can't name it.
Week 6–8
Full GlassLIFT result visible. Most patients photograph their skin here and book the next session the same day.
Up to 1 Year
Results last up to 12 months from each session. 3–6 sessions annually. Each session builds on the last — cumulative improvement, not a plateau.
Where traditional energy-based devices use ablation as the endpoint, ERA uses it as the beginning. Plexr creates nano-channels in the epithelial layer. Those channels allow precision delivery of ACT O'FEEL cell-signaling actives to dermal depth — without needles. The plasma opens the skin barrier with surgical precision. The actives flood the resulting channels and initiate a targeted cellular repair response.
Fibroblasts → Firming · Lifting · Volume
Activates fibroblasts — the cells responsible for collagen and elastin production. Firming, lifting, wrinkle reduction, and volumizing effect. No pigmentation correction component. Ideal for patients who tan or prefer to maintain a sun-kissed complexion.
Fibroblasts + Melanocytes → Firming · Brightening
All benefits of ACT O'FIRM plus melanocyte activation — brightening, pigmentation correction, and antioxidant protection. For mature, fatigued, and environmentally stressed skin. The comprehensive rejuvenation formula.
Fibroblasts + Melanocytes + Keratinocytes + Dermal Papilla Cells
The most comprehensive cell-signaling formula. Anti-aging, healing support, and hair follicle support. Activates four cell populations simultaneously. Used in RootRevive™ scalp protocol and post-procedure recovery. The most advanced formula in the series.
Plexr Shower Treatments — Full Detail
Flagship Protocol · Membership Cornerstone
"I got a plasma treatment on my lunch break. My skin glowed for two months. I stopped wearing foundation."
GlassLIFT is ARBOUR's flagship no-downtime protocol — and the one patients describe as transformative without being able to say exactly why. The skin looks clearer. Tighter. More luminous. The light sits differently on it. What's happening beneath explains it: nano plasma bolts open micro-channels, ACT O'FEEL actives flood those channels and activate fibroblasts and melanocytes to dermal depth, biobotox relaxes expression lines at the surface. The result is immediate. It compounds over 8 weeks. It can last up to a year. A cornerstone of ARBOUR's Gold membership program.
Who benefits most: High-performing professionals who need zero downtime. Anyone who has plateaued with skincare. Membership patients building a maintenance protocol. Post-filler or post-Botox patients wanting complementary regenerative support.
Same Day
Mild redness. Return to normal activities. SPF 50 applied. No makeup
Day 2–3
Redness resolves. Luminosity visible. Normal skincare resumes.
Week 2–4
Collagen builds. Avoid aggressive exfoliants. SPF daily.
Week 6–8
Full result visible. Book next session. Progress photographed.
Executive Protocol · Event-Ready
"The treatment for when you have an event tomorrow and you need to look like you didn't."
Fast, comfortable, repeatable. No numbing required. No visible evidence of treatment. High-performing executives, speakers, and public-facing professionals return to this protocol every 8–12 weeks as a natural cadence that fits into any schedule. Most patients book their next appointment before leaving. Safe for all ethnicities, skin types, and ages.
Who benefits most: Anyone with an event, a meeting, or a milestone in the next 24 hours. Patients who want consistent looking-their-best without ever looking like they had something done.
Thu 2–7pm · Fri–Sun 10am–7pm · By Appointment Only
Plexrplasty addresses structural skin concerns — excess eyelid skin, neck laxity, stretch marks, lesions, body remodeling — with outcomes that rival surgical results. No blade contacts the tissue. No suture is placed. No general anesthesia is required. For every treatment in this section, a series of sessions produces meaningfully better outcomes than a single treatment. The second session reignites the collagen cascade the first initiated.
The Clinical Case for a Series of 3
What the published evidence actually shows. The two clinical studies that produced 90% improvement in eyelid laxity — Hassan et al. (J Dermatolog Treat, 2020) and Rossi et al. (Dermatol Surg, 2018) — both used 3 sessions at one-month intervals, with final assessment 3 months after the last session. That is the protocol the evidence is built on. A single 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.
Why this matters for your outcome. Patients who commit to the full series achieve meaningfully greater tissue contraction, better eyelid margin elevation, and longer-lasting results than those who stop after one session. Your clinician discusses the right series for your degree of laxity at consultation. There are cases where two sessions are appropriate — but the standard program that produces the outcomes shown in published research is three sessions, spaced 4–6 weeks apart. A clinician who tells you one session will achieve the same result is either treating very mild laxity — or not being fully honest with you about the protocol.
Most In-Demand · Globally Recognized · Published Evidence
"People keep asking if I'm tired. I'm not tired. I just look tired."
If that sentence landed — this treatment is for you. Upper eyelid surgery is one of the most performed aesthetic procedures globally. Its recovery — bruising for weeks, the social impossibility of explaining your appearance — stops a significant proportion of qualified patients from proceeding.
Non-surgical blepharoplasty with Plexr addresses the same anatomy through plasma sublimation. Excess eyelid skin is precisely removed. The skin contracts immediately. Results develop over the following month. No blade. No suture. No anesthesia beyond topical numbing cream.
Who benefits most: Anyone who has avoided eyelid surgery due to recovery concerns. Patients with mild to moderate dermatochalasis. Younger patients (30s–40s) doing preventive correction. Those for whom surgical anesthesia risk is a factor.
Published Clinical Evidence
Hassan et al. (J Dermatolog Treat, 2020): 90% of 40 patients showed significant eyelid laxity improvement (p<0.001) — 3 sessions, blinded assessment by dermatologists and ophthalmologists. Rossi et al. (Dermatol Surg, 2018): Collagen type III remodeling confirmed by reflectance confocal microscopy — 3 sessions. Karapantzou et al. (2022): n=60, histology confirmed basal membrane respected, collagen type III within 1 month — 2 sessions.
Day 1–3
Carbon crusts form. Mild swelling around eyes. Antiseptic care 3× daily. No makeup.
Day 5–7
Crusts begin resolving. Concealer permissible for social activity.
Week 2–4
Crusts resolved. Skin tightening visible. SPF 50 daily. Avoid sun.
Week 8–12
Full result developing. Second session scheduled 4–6 weeks post-first.
Most Requested · Most Underserved
"The one area almost every patient mentions — and the one most providers say is too difficult. It isn't. Not with plasma."
Nearly every patient who comes to ARBOUR for a facial rejuvenation consultation mentions the neck. Platysmal bands — the vertical cords that appear with age. Submental laxity beneath the chin. Horizontal neck lines. Surface texture. Plexr addresses all dimensions simultaneously.
A series of 2–3 sessions produces progressively better tissue contraction — the second session reignites the remodeling response initiated by the first. No scalpel. No sutures. No limitation by skin tone. Available year-round. Paganelli et al. (J Cosmet Dermatol, 2020) supports plasma combined with active ingredients for neck laxity — the clinical model informing ARBOUR's approach.
Post-Weight Loss · GLP-1 Integration
"You did the work. You lost the weight. Your skin deserves to reflect that — not remind you of where you've been."
Stretch marks represent a structural change in the dermis — the collagen and elastin architecture fractured under rapid expansion. Early red striae are active and respond more readily. Years-old white striae are established and require deeper intervention. Plexr treats both stages.
ARBOUR integrates this protocol directly into its Medical Weight Loss program. Patients on ARBOUR's GLP-1 and GIP protocols have access to stretch mark treatment and skin tightening as part of the same clinical journey. A series of 2–3 sessions produces the most complete remodeling response.
Sexual Wellness Program · Confidential
"Discomfort, self-consciousness, or simply wanting to feel like yourself again — addressed clinically, confidentially, without surgery."
Scar-free and stitch-free. The plasma arc treats the full external anatomy — labia minora, labia majora, clitoral hood, perineum — promoting tightening, brightening, lifting, and enhanced sexual wellness. Four to seven days of minimal downtime. Series of 2–3 sessions.
This treatment is part of ARBOUR's comprehensive Sexual Wellness program — assessed in the context of hormonal status, pelvic floor function, and overall sexual health. Not a standalone procedure. A clinical decision made in full context.
Regulatory Notice: Non-surgical labiaplasty with Plexr Plus is performed as an aesthetic procedure under ARBOUR's clinical oversight. Patient candidacy, anatomy, and realistic outcomes are assessed at consultation. All aesthetic applications are performed by credentialed clinical staff.
Lesion & Scar Revision
Published pilot trial (Delavar et al., J Lasers Med Sci, 2023): keloid mean thickness decreased from 2.20mm to 0.54mm (p=0.000) across a series of Plexr treatments. Significant improvement confirmed on the Vancouver Scar Scale. All scar types — keloid, hypertrophic, atrophic, surgical. Safe for all skin tones.
Scar-free, suture-free removal on all skin types. All body areas including face. Plasma sublimation removes the lesion precisely without affecting surrounding tissue. No stitches. No scarring. Healing within 7–10 days. One session for most benign lesions.
Thu 2–7pm · Fri–Sun 10am–7pm · By Appointment Only
Every claim ARBOUR makes about plasma is traceable to published, peer-reviewed clinical evidence. The following is the scientific foundation for how plasma works, why it works better than alternatives for specific applications, and what the clinical evidence actually shows — not what it implies.
Plexr Plus — Plasma Sublimation
Plasma energy converts targeted surface tissue directly from solid to gas — sublimation. No intermediate liquid phase. No thermal column left behind. The tissue is removed with precision and the surrounding structures are unaffected.
What follows: the treated zone initiates a clean collagen remodeling response — new collagen synthesis in the absence of thermal injury to resolve. The healing is structural repair, not scar tissue management.
CO₂ Laser — Thermal Vaporization
CO₂ laser targets water molecules inside tissue — heating them until the tissue vaporizes. This leaves a column of thermally damaged charcoal tissue beneath the treatment zone. The body must resolve this thermal injury before regeneration can begin.
The clinical consequence: recovery involves healing thermal damage, not just healing the ablation site. This is why CO₂ requires melanin-based precautions — and why it cannot be safely used on darker skin tones year-round.
More Ablation VolumePer Shot vs CO₂ Laser
The Published Mathematics
Candidacy — Who Plasma Is and Is Not Appropriate For
ARBOUR will always tell you honestly whether you are an appropriate candidate for plasma — including when you are not. The following is the complete candidacy picture.
Appropriate candidates include —
Contraindications and cautions —
Thu 2–7pm · Fri–Sun 10am–7pm · By Appointment Only
Regenerative medicine and aesthetic arts — where science meets the artistry of transformation. Ann Arbor, Michigan.
