What
kind of results can you expect from
Laser and IPL Epilation?
Most technicians can expect up to a 90% success rate from treatment. This
means 9 of 10 hairs will be destroyed after treatment (1-5 applications). The few hair follicles which do not
respond to the first treatments will almost certainly be destroyed from
additional applications.
There are many procedures available
for the removal of unwanted hair, none of which can compete with the speed
and effectiveness of QCW Diode Laser or IPL Epilation.
Are there any side effects to the
treatment?
No, the procedure is very safe. Most
clients will report an overall improvement in the texture, feel and
condition of their skin. This is primarily due to the
discontinuation of the chronic irritation (dermatitis) caused by the
constant shaving and plucking that normally accompanies the condition of
unwanted hair.
Why should you buy a Laser Epilation System?
If you suffer from unwanted hair growth and want a
no-nonsense, easy and fast answer, this is your solution. If you are a professional (or
planning to enter the industry of epilation cosmetology) the
QCW Diode Systems have everything needed for success in business.
Empirical Evidence/Clinical Study
Introduction
This study reports treatment using the semiconductor diode laser system, a
high power, long pulsed diode with a wavelength of 808nm for laser hair
reduction.
Laser hair reduction operates on the principles of selective
photothermolysis. This process combines the selective absorption of light
energy by the melanin in the hair follicle with suitable fluences and
pulse durations to allow selective injury to the hair follicle while
sparing skin(1).
The major 'absorber' of radiation in the skin between 300 and 1200nm is
melanin(2), which is found primarily in the epidermis, hair shaft, and
hair follicle. This study was conducted using the 808nm wavelength diode
laser for its increased tissue penetration, optimized melanin absorption
and safety for treating a wide range of hair diameters/colors and skin
types.
The 808nm wavelength
penetrates deeply to reach the germinative cells of the hair bulb and the
bulge in even the deepest follicles. The 808nm
wavelength appears to be the correct balance, offering safety on darker
skin types while providing enough absorption to effectively treat finer
and/or lighter hairs.
To achieve selectivity, the laser energy is applied in a pulse duration
that approximately equals the thermal relaxation time of the hair shaft,
but exceeds the thermal relaxation time of the epidermal melanin. This
causes injury to the hair shaft resulting in growth delay and reduction,
but allows the heat to dissipate away from the epidermis without causing
injury. The semiconductor diode laser system
can deliver short pulses or pulse durations up to
100msec. The thermal relaxation time for the hair follicle is dependent
upon its diameter; thus longer pulse durations are theoretically best
suited for medium to coarse hairs(3) while finer hairs may require
shorter pulses.
Clinical studies have shown that aggressive skin cooling allows the use of
higher fluences and results in a greater margin of safety for all and
especially for darker skin types(4). Contact with the patient's
skin after each laser pulse provides a thermal quenching effect and
additional epidermal protection.
Methods and Variations of Laser
Application
This prospective study looked at hair reduction in 36 healthy subjects (33
women and 3 men) between the ages of 28 and 78 years old. All subjects had
tried various hair removal methods in the past without satisfactory
results. These methods included shaving, tweezing/plucking, waxing,
electrolysis, prescription medications and other hair laser machines.
Eligible subjects had black or brown hair, Fitzpatrick skin type I - IV
and lacked exclusion criteria. The exclusion criteria included active
herpes infection, history of accutane use in the last 12 months, keloid or
hypertrophic scarring, photosensivity disorders, severe lentiginous
photoaging, compromised skin integrity or HIV infection.
Once the initial screening was completed, the subjects were educated on
the potential risks and side effects of laser hair reduction and pre-and
post-treatment care. Informed consent was then obtained. Subjects were
instructed not to use any other method of hair removal, except shaving or
trimming if needed, during the study period. Subjects were asked to return
for four sessions, four to eight weeks apart.
Prior to each treatment session, a photograph and hair count was performed
on a section marked in a 1cm x 1cm or larger square. The treatment area
was cleansed with alcohol and trimmed of any excessively long hairs.
All patients were treated with the semiconductor diode laser system at 808nm
wavelength setting. The energy density (J/cm2) and pulse duration (msec)
were adjusted according to the subject's Fitzpatrick skin type
classification, hair count/hair reduction and skin response. The system is
capable of cooling from -2 to 5 degrees Celsius, pulse durations up to
100msec, fluences up to 50J/cm2 and repetition rate up to 4Hz. The area
was treated with sufficient energy to elicit follicular edema and erythema
within 2 - 5 minutes after laser irradiation. The settings were adjusted
with each subsequent treatment if adequate reduction was not evident in
the hair count or verbalized by the subject. Topical steroids (class III - V)
were applied to the treatment area immediately after each session, with
samples provided if needed. Prior to each session, the area was evaluated
for skin/hair response and potential complications.
Treatment Efficacy and Overall Results
Eighteen subjects completed three treatment sessions, eight subjects
completed two treatment sessions and ten subjects completed only one
treatment session. Only one subject had 2 different sites treated (i.e.
neck and upper lip). The remaining subjects had only one treatment site,
although two hair count measurements were obtained (i.e. both right and
left side of the chin or right and left axilla, etc). The average hair
reduction of all sites was 41% after the first treatment, 55% after the
second treatment and 68% after the third treatment. Hair reduction varied
by both treatment site (axilla, face, legs, back, neck, arms, abdomen, and
bikini) and number of treatment sessions (1-3). Hair reduction continued
to improve with each subsequent treatment. The chin treatment sites
appeared to show consistently higher hair reduction measurements than
other areas of the face and overall.
References
1. Anderson RR, Parish JA. Selective photothermolysis: precise
microsurgery by selective absorption of pulsed radiation. Science 1983;
220: 524-527.
2 Anderson RR, Parkish JA. The optics of human skin. J. Invest. Dermatol
1981;77:13-9.
3. Adrian RM, Tanghetti E. Clinical evaluation of a high energy long-pulse
ruby laser for the treatment of unwanted body hair. Lasers Med Surg 1997;
supp 9:36.
4. Grossman MC, Dierickx CC, Farinelli WA, Flotte TJ, Anderson RR. Damage
to hair follicles by normal-mode ruby laser pulses. J AM Acad Dermatol
1996;35:889.
5. Battle EF. Study of very long-pulsed (100 ms) high powered diode laser
for hair reduction on all skin types. Coherent Medical, Santa Clara, CA
2000.
6. Handrick, C., Alster, T. Comparison of long pulsed diode and long
pulsed alexandrite lasers for hair removal; A long-term clinical and
histologic study Derm Surgery, 2001;27:622-626.
7. Anderson, RR., Laser-tissue interactions. In: Goldman MP, Fitzpatrick
RE, editors. Cutaneous laser surgery: the art and science of selective
photothermolysis. St. Louis (MO): Mosby-Year Book Inc; 1994. p. 1-18.