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1. Pinanacle Journal Publication ISSN: 2360-9516 Tsioumas G. Sotiris, Georgiadis Nikolaos & Georgiadou Irini Accepted 17 December 2014 
Research Article Vol. 1 (5), 2014 Plexr: The Revolution In Blepharoplasty Tsioumas G. Sotiris¹*, Georgiadis Nikolaos² & Georgiadou Irini³ ¹Private Clinic, Diagnostic Clinic and Aesthetic Surgery Ophthalmology, Eye surgeon – Oculoplastic, President of Hellenic Society of Aesthetic Medicine and Non Invasive Surgery, Greece. ²Private Clinic, Professor of Ophthalmology Aristotle University of Thessaloniki, Greece. ³Private Clinic, Ph.D. of Aristotle University of Thessaloniki, Greece. Accepted 17 December 2014 
ABSTRACT This study was written after three years of implementation of the innovative technique Plexr, where it was found that Plexr is the latest technology for Blepharoplasty and Non Invasive Eye Lid Surgery. The study was performed in 1000 patients, of whom 800 were women and 200 men. Our results showed that the innovative method of Blepharoplasty with Plexr is not short on anything from the classical method of surgery. There is possibility in most patients who fear surgery and the side effects of it to use the method which causes no pain, incisions, surgical sutures and importantly, delivered 100% of the desired result. Keywords:Plexr, Non surgical blepharoplasty, sublimation, plasma (4th state of matter), no blood , eye lid surgery, eyelid ptosis, wrinkles. Introduction Plexr is a cordless micro-surgical hand operated device that transfers concentrated heat to the treated skin tissues. It uses the difference in voltage between the device and the patient's skin. The difference in voltage generates a small electrical arc, similar to a minute lighting. The small lighting causes the sublimation of the luids contained in supericial part of the skin, without unwanted heat transmission to the adjacent tissues. Additionally it acts on the supericial layer of the skin preserving the lower layers; this will reduce drastically any potential permanent skin damage that could be caused by the misuse of conventional lasers. Place of 'birth' of the medical device is Rome Via del Buer. 'Capture' invention of new energy form was at the State University ''Tor Vergata'' Rome, where a Professor with thirty years of experience on the electrosurgical and President of the Italian Society of Aesthetic Medicine and Non Invasive Surgery Giorgio Fippi borrowed the natural phenomenon of lightning mode and with the internationally renowned Engineer Giancarlo Millevolte implemented the idea effectively creating a plasma generator inside the machine (plasma = the fourth state of matter) which safely allows the patient who does not wish to have surgery and the doctor who wants to provide high quality service at low cost and equally and in many cases better results, to see 100% of the desired image. What is plasma? Plasma is one of the four fundamental states of matter, the others being solid, liquid, and gas. Plasma has properties unlike those of the other states. Plasma can be created by heating a gas or subjecting it to a strong electromagnetic ield applied with a laser or microwave generator. This decreases or increases the number of electrons, creating positive or negative charged particles called ions, and is accompanied by the dissociation of molecular bonds, if present. The presence of a non-negligible number of charge carriers makes plasma electrically conductive so that it responds strongly to electromagnetic ields. Like gas, plasma does not have a deinite shape or a deinite volume unless enclosed in a container. Unlike gas, under the inluence of a magnetic ield, it may form structures such as ilaments, beams and double layers. Plasma is the most abundant form of ordinary matter in the Universe, most of which is in the rareied intergalactic regions, particularly the intracluster medium, and in stars, including the Sun. A common form of plasmas on Earth is seen in neon signs. Much of the understanding of plasmas has come from the pursuit of controlled nuclear fusion and fusion power, for which plasma physics provides the scientiic basis. 
Corresponding Author:Tsioumas G. Sotiris¹* Private Clinic, Diagnostic Clinic and Aesthetic Surgery Ophthalmology, Eye surgeon – Oculoplastic, President of Hellenic Society of Aesthetic Medicine and Non Invasive Surgery, Greece.. Email address: s_tsioumas@hotmail.com
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2. Pinanacle Journal Publication ISSN: 2360-9516, Vol. 2 (1), 2015, Article ID pmms_171, 482-486, 2015.
3. Dal’Asta Coimbra, Daniel. Eletrocoagulação fracionada para o rejuvenescimento da região orbital inferior.Surgical & Cosmetic Dermatology, vol. 2, núm. 3, julio-septiembre, 2010, pp. 233-236
4. Emmert et AL. Plasmamedizin in der Dermatologie. Disponível em:<https://dermatologie.med.unirostock.de/fileadmin/Kliniken/duk/Plasma_in_der_Dermatologie.pdf> Acesso em 17 nov. 2017
5. de ANDRADE, Rodrigo Pacios. Física- Física Dos Gases Ionizados: Uma Proposta Para Introdução De Conceitos E Experimentos Para Estudo Do Quarto Estado Da Matéria - O Plasma No Ensino Médio. / UnB, Brasília, 2017. 122 P. Dissertação (Mestrado) – Universidade de Brasília. Instituto de Física. Programa de Pós-Graduação de Mestrado Profissional em Ensino de Física. 1. Educação em Ciências. 2. Ciências – Estudo e Ensino. 3.Física 4. Ensino de Ciências – Pesquisa – Universidade de Brasília.
6. RISCO DO USO DO ELETROCAUTÉRIO EM PACIENTES PORTADORES DE ADORNOS METÁLICOS Risk of the use of electrocautery in patient with metallic ornaments Cristina Toledo AFONSO, Alcino Lázaro da SILVA, Dreyfus Silva FABRINI, Carla Toledo AFONSO, Marcelo Giusti Werneck CÔRTES, Ludmila Leite SANT’ANNA. ABCD Arq Bras Cir Dig Artigo de Revisão 2010;23(3):183-186

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