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IntrodUCtion to



This course is designed for experienced fibroblast plasma technicians who are already experienced in performing fibroblast procedures. In this course you will learn how to perform fibroblasting using the thicker metal tip to treat areas of the forehead, under eyes and eyelids. The thick tip allows the technician to move quickly and cover more space with each blast. Another advantage to using the thick tip is that these tips can be properly sterilized for reuse.

Before we begin, let's recap what fibroblast plasma procedures offer clients and patients…

Plasma Skin Tightening is a non-surgical cosmetic enhancement designed to shrink the skin using a sterile, disposable probe. In this course and procedure, we will be using a thick tip which can be reused after proper sterilization. 

Fibroblasts are the collagen producing cells in the skin. Fibroblast treatment is performed with a device called a plasma pen, which is used to produce plasma waves. The waves are directed through tiny light spots along the wrinkle lines. The tip of the pen never touches the skin (and the needle like attachment is a sterile, disposable, one-time use product). 

The pen is held above the skin and a tiny plasma arc connects the tip of the device to the surface of the skin. Using plasma waves, the old collagen is removed by sublimation (evaporation), and fibroblasts are stimulated to produce new collagen. The targeted skin contracts and is essentially eliminated without any cutting, which results in the tightening and shrinking of the targeted skin. 

This advanced procedure helps to revive natural levels of collagen, hyaluronic acid and fibronectin needed for fresh youthful skin. A series of tiny brown spots are strategically placed to attain the desired result and the skin around the dot tightens instantly, pulling the cells closer together. 

Thick Tip

What sets the thick tips apart from the typical tips used in fibroblasting is the type of needle used. With the Scalpa plasma pens we typically use the disposable, acupuncture  needles. The acupuncture needles, for the purpose of plasma lifts, are not meant to touch the skin as they arc right before skin contact. However, thick tips do both; they arc without skin contact and they cauterize tissue when making direct contact with the skin.

In one of Scalpa’s advanced fibroblast mini courses we teach mole and skin tag removal using the thick tip where you directly touch the skin using spray or dot method to cauterize the lesion. In this course we test the thick tip on the forehead using both skin contact technique and arcing right before skin contact. I find that treating non-lesion tissue actually removes a thin layer of skin which is NOT what we want to do when skin tightening larger areas. In this course I teach you to perform fibroblast procedures using thick tip WITHOUT direct skin contact. I find that this technique stays in line with plasma and fibroblast science, and this is the technique I recommend to all of you. It will be your decision when to use this technique v.s. the acupuncture needle technique. Personally in my practice, I use both techniques based on skin type and texture. I  appreciate how the thick tip arcs very quickly and easily! If you accidentally touch the skin on occasion do not fear as this will not affect your results. Also note that you will see some practitioners perform thick tip fibroblast procedures where they actually perform the entire procedure touching the skin. I want to remind you this is cauterization, and in my professional opinion this is a completely different type of procedure best used to remove unwanted lesions.

Because those of you taking this course are already certified in fibroblasting, we are now ready to move forward to the actual video module. Don't forget to check out our other advanced fibroblast courses. One of my favorites is plasma pattern making. Patterns are so important when it comes to amazing fibroblast results!

Purchasing The Tip

The thick tip is made of stainless steel. Again these tips are designed to be sterilized. One of my favorite features of these tips is that the carbon dust can be easily removed unlike acupuncture needles. Simply wipe off carbon after every few blasts. 

Here is a link to purchase extra tips.

Sterilization is extremely important for these needles. After sterilization you'll want to store your needle tips in a sterile pouch just as you would with all your reusable instruments. For proper sterilization techniques please consider this course through AAI/ Aesthetics Accreditation International: Sterilization and Disinfection Training

Health & Safety guidelines


It is recommended that when working on any paying patron that you be fully insured for the procedures you are performing. Please check with your state for all important information pertaining to licensing and insurance. Scalpa Academy is an International Company training both licensed and non-licensed individuals, anywhere from home use to nurses. Because of the large variance in the students we educate, and the fact that laws and governing boards vary from country to country, state to state, and city to city, it is the sole responsibility of the student to research their governing boards and laws within their state and country if you are planning to perform any of the procedures we offer as a business. 

Precaution & Protocols

We at the Scalpa Training Academy encourage all students to take extra precaution when performing any procedure where bloodborne pathogens and infection may be present. 

In the United States, the government agency responsible for worker safety is the Occupational Safety and Health Administration otherwise known as OSHA. 

We highly recommend to all students to complete a Bloodborne Pathogen Training Course to meet and satisfy the training requirement under the federal OSHA Bloodborne Pathogens standard which prescribes safeguards to protect workers against the health hazards from exposure to blood and other potentially infectious materials and to reduce their risk from this exposure. Example health hazards include but are not limited to Hepatitis B, Hepatitis C, HIV, Malaria, Brucellosis, Syphilis, West Nile Virus, etc. 

Scalpa also suggests becoming certified in Infection Control and Prevention. One of the most common places for infections to occur is healthcare systems and they are also very prevalent within many aesthetic facilities. Infections can live in the area, on materials, in your business, on your self and workers, and on the client, it is important to know how to control and prevent such infections from spreading. 

Scalpa recommends you receive Blood Borne Pathogen & Infection Control Course Certification offered by Aesthetics Accreditation International. These courses are often required by medical boards to peform this procedure. Click the link below for more information. 


Use discount code SCALPA30 at checkout for 30% OFF!

**BBP certification is valid for 1 year and MUST be renewed to be valid.

**Infection Control and Prevention certification is valid for 2 years and MUST be renewed to be valid. 

Any procedure where there is the possibility to blood exposure and/or infection, you want to take every precaution available to you for both the client and your own safety. 

Who Needs to Comply with OSHA Bloodborne Pathogens? Anyone who could be "reasonably anticipated" to exposure to blood or OPIM (other potentially infectious materials) as a result of performing their job duties need to comply with OSHA Bloodborne Pathogens. 

This includes: 

 Healthcare Workers 

• Emergency Responders 

• School and Day Care Staff 

 Cleaning and Janitorial Staff 

 Tattoo and Permanent Makeup Artists 

 Cosmetologists & Aestheticians 

Scalpa Academy also encourages professional interaction with clients from the beginning to the end of their interaction with you as a practitioner. This includes but is not limited to:

• Proper Consultation 

• Intake Forms 

• Client/Patient Files 

• Procedure Table Set Up 

• Patient/Client Follow Up 

Other Suggested Courses For Health & Safety:

Take extra measures in your practice by learning proper health and safety precautions that may be necessary within your practice. Aesthetics Accreditation International offers a variety of medical courses to keep both you and your client safe.  *These are not a requirement but a mere suggestion. 


Scalpa requires a passing score of 80% and must be passed before receiving a certification. You are welcome to use the course and your notes for help. You can take this test as much as needed to pass. Your results will be emailed to you upon submission. 



Disclaimer of Medical and Legal Liability: Scalpa training courses are intended to provide the general knowledge to perform procedures but is not intended to be a substitute for medical advice, diagnosis or treatment. Reliance on the information in this training course for procedural purposes is to be used at your own risk. If you have questions or concerns, contact a medical professional prior to treatment. Scalpa is not held responsible or liable for risks involved with this procedure. 


Scalpa strongly advises each member or student to research their local legislation. It is your sole responsibility to check and clarify all rules and regulations pertaining to your country, state, city and county if you are planning on performing our training program procedures as a professional. Because Scalpa is offered worldwide, we cannot guarantee this information. Please check with your local health department, governing boards and FDA regulations regarding performance of any Scalpa course procedure. Scalpa is not held responsible or liable for legal encounters regarding licensing, regulations, or other legal aspects pertaining to procedural operation.