We are delighted to be shortlisted with Triteq for the IET's Innovation Awards


Fourth State Medicine (4SM) offers an innovative new technology that builds on decades of research at the cutting edge of space technology. Together with world renowned surgical partners and leaders in their fields, we are developing technology that will bring space age technology to the medical sector.

The first product from Fourth State Medicine. 

Plasma is the fourth state of matter (solid, liquid, gas, plasma). Think of the sun, lightning or the Northern Lights and you can see plasma in action. Not all plasma treatments are the same, and no-one in the market knows this more than 4SM, having spent their professional lives developing advanced plasma systems. This gives 4SM a unique perspective and the capability to select the best form of plasma to give the practitioner unrivalled control and provide the best possible results for patients.


  • Quick and efficient treatment.
  • No charring of the skin
  • Energy delivery is skin tone independent.
  • High repeatability and consistent energy delivery
  • Provides for minimally invasive and resurfacing capabilities.
  • Non-slip foot switch or integrated hand piece activation switch
  • Simple setup and user friendly touch screen interface
  • No harmful reflections and treatment room requirements


  • Removal of rytids fine lines and wrinkles
  • Perioral and periocular treatments 
  • Smoothing of acne scars
  • Regeneration of epidermis, elastin and collagen


  • Three easy to use consumable elements
  • Treatment cores last 10 patients - fit at the start of your patient list and use for the rest of the day
  • Conveniently sized gas cartridges are easy to install and recyclable
  • Low cost and hygienic patient interface spacers click into place and rotate into convenient positions
  • No shelf life or special storage requirements.
  • Specially formulated after-care creams minimise recovery times and follow-visits