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Affiliate Advertising Section
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Laser Hair Removal Problem
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Side
Effects and Complications: Erythema and edema are relatively common
following Laser Hair Removal, especially with the shorter wavelength lasers used
at high fluences, and usually resolve withing minutes to hours. Longer
wavelength lasers may produce edema around individual hair follicles resembling
"goose bumps". Superficial blistering may occur, especially in patients with
darker or tanned skin, and these patients in particular may experience transient
pigmentary changes such as lightening or darkening of the skin, which may last
weeks or occasionally months. The risk of infection is extremely low, as is the
risk of scarring, but may occur if there is blistering which is subsequently
contaminated or irritated.
Especially with the shorter wavelength devices such as the Ruby laser, pigmented
lesions and freckles may be lightened or lost altogether, and rarely fever
blister outbreaks may occur, especially when the perioral or bikini areas are
treated.
Efficacy of Laser Hair Removal: The "permanence" of Laser Hair Removal is often
called into question. In practice, no laser destroys all of the hair follicles.
Some follicles are destroyed, others are miniaturized into vellus hairs, and
some are shocked into prolonged dormancy. Multiple treatments are needed for
best results, and the best interval for treatment is when new hair regrowth is
observed, usually 6 to 12 weeks after the first treatment, and 3 to 6 months
after the second treatment. In most cases there will be visible improvement
within a week after the first treatment. Repeat treatments can be performed at
suitable intervals.
It's possible that with a sufficient number of treatments, true "permanent hair
removal" can be ultimately achieved, but not for every single hair present in a
given area. As an example, only 30% of hair follicles on the back are in anagen
(active growth) at a given time-70% of the hair follicles are in telogen
(dormant), even though they may contain visible hairs. Assuming a single laser
treatment permanently eliminates every actively growing follicle (the actual
figure may be closer to half), 70% of the hair follicles originally present may
eventually sprout visible hair. After 3 months (the average length of dormancy
on the back), 30% of the remaing follicles will enter anagen, and if a second
laser treatment eliminates every actively growing follicle (30% of the 70%
remaining after the first treatment), then only an additional 21% of the
original hair follicles will be destroyed, leaving 49% of the original hair
follicles able to regrow visible hair. A third treatment will leave 34% of the
orginal follicles, a fourth 24%, and so on. In actual practice, some of the
follicles are shocked into prolonged dormancy, or converted to vellus hairs, so
the visible effect is greater than suggested by the percentages. Experience to
date with laser hair reduction suggests that the hair reduction achieved is
"permanent".
There may be some difference in each lasers' relative effect on the hair
follicle. Current studies indicate that longer laser pulses, and possibly longer
wavelengths may be more effective at eliminating the follicle, while shorter
pulses and possible shorter wavelenghts are more likely to miniaturize it. In
either case, there is a long term reduction in the amount of visible hair
When used properly, all of the devices discussed above are safe and effective
for laser hair reduction. The response to treatment is based on the
patient's hair color and skin type. Light skinned, dark haired patients will
have a more noticeable, longer-lasting response than patients with blond or red
hair or patients with darker skin, and will require fewer treatments for
permanent hair reduction. Multiple treatments will be necessary for
long-lasting visible hair reduction, and miniaturization of some hair follicles
contributes to the visible appearance of hair removal. True "permanent" hair
removal may be possible with repeated treatments over time.
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[ Laser
Hair Removal Procedure ]
[ Laser
Equipment and Accessory Packages ] |
'LASER BEAMED'
Imagine
a hair-removal treatment that doesn't involve regular battles with razors,
hot wax, or lotions that smell like a chemical plant. Laser hair removal may
sound like something out of star wars but, believe me, its the greatest
beauty breakthrough since the invention of the blow-dryer.
I was initially skeptical
when I set off to investigate this futuristic sounding miracle.
Anyone who passed O level
physics will be pleased to hear that the laser works with low energy. Those
who failed the exam should content themselves with the knowledge that it's
gentler than other laser treatments and suitable for all skin colors.
How does laser hair removal work?
Lasers have been used for many years for a
variety of medical cosmetic procedures including treatment of facial and leg
veins, age spots and smoothing fine lines on the face. The laser energy is
transformed into heat, which can disable the follicle leaving the
surrounding skin unchanged.
Why is laser preferred for hair removal?
Traditional hair removal techniques, such as
shaving, plucking and waxing, provide only temporary relief. Until now, the
only long-lasting hair removal solution has been by electrolysis - which can
be time-consuming and is usually limited to small areas, because each hair
is treated individually. Laser hair removal is non-invasive, and safely
removes unwanted body hair without damaging the delicate pores and
structures of the skin. Facial and bikini areas are usually completed in
under 45 minutes; legs and larger areas can take longer.
What
does the treatment include?
Depending on the amount of hair and area
treated, the procedure varies from patient to patient. Generally, the
treatment will include: Safety eyewear to protect the patient's eyes
during the procedure from the laser light. A small handpiece will be used to
deliver the laser light. Most experience little discomfort at the treatment
site. The sensation and the degree of discomfort varies with each person. In
some cases, topical anesthesia is an option. Your laser specialist will
discuss this before laser treatment. Depending on the size or number of
areas treated, the time will vary in length from minutes to hours. Patients
can return to work or resume their normal activities immediately following
treatment. The area may become slightly red and may last from a few minutes
to several days depending on the area and skin sensitivity.
What precautions should be taken before and after treatment?
If you are tan or have a darker skin
type, a bleaching cream should be started 4-6 weeks before treatment for our
melanin absorption lasers.
How many treatments will I need?
Hair grows in cycles. The laser is only
effective on hair in its actively growing cycle. At any one time there will
only be certain hairs in that growing phase. This means that consistent
treatments at appropriate intervals are absolutely necessary for the best
possible results. The number of treatments required depends upon your skin,
hair coloring, coarseness of the hair and density per treated area. Everyone
will require at least 2-3 treatments as the process is only effective on
hairs during their growing cycle. Additional treatment will be necessary to
treat other follicles when they re-enter the growth phase and produce new
growth.
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Power,
Wavelength and Tissue Penetration
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The
most efficient wavelength required to achieve results by laser is in
the 670 to 890 nm (nanometer) range. This particular frequency allows for the
greatest tissue penetration without loss of photon intensity through the
dermis(2). This range is also highly selective (as well as reactive)
with follicle melanin
and carbon dye.
The amount of
power required for this range to reach the papilla
matrix varies with the
depth of the follicle pore. There are generally 3 types of hair growth:
terminal (deep), secondary (medium) and vellus (shallow). Terminal hairs
usually extend 7-8 mm into the dermis and require around 10 Joules per CM2 of
photon intensity at the surface of the skin to create adequate thermolysis in
the papilla matrix to destroy the tissue(3). Secondary hairs grow to
about 5-6 mm in depth and require ≈5 JCM2. The lightest hairs need
roughly 2 JCM2. These vellus hairs are most common on upper lips of adult women
and normally respond very well laser epilation.
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Faster Than Regular Electrolysis
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The
advent of this new technology has created enormous excitement in the field of
epilation cosmetology, and with good reason. Laser hair removal is simply the fastest
way to remove unwanted hair currently available. It is very easy and highly
effective. The laser can completely clear the leg hair growth on an average
woman in under one hour. The same area would require more than 40 hours
of needle electrolysis.
Discussion
In this study the laser treatments given
every six weeks yielded better long-term clinical results than the treatments
given every two weeks. Previous studies [1-5] have demonstrated good to
excellent results for treatment intervals between four and eight weeks. An
earlier study done by the investigators [6] demonstrated excellent long-term
hair reduction using three-week treatment intervals. Mathematical modeling
showed that better laser penetration was achievable at the hair bulb and bulge
in the absence of terminal hair shafts extending to the skin surface. It was
recognized that the success of a hair removal treatment at a shortened treatment
interval was dependent on the regeneration of melanized target structures for
the follow-up treatments [6]
The poor long-term results seen with the
shortened treatment interval would suggest that the laser treatment given only
two weeks following the initial treatment did not yet have an adequate target to
absorb the laser's energy. It is hypothesized that the hair bulb has not yet
regenerated at two weeks and hence the laser treatment was ineffective. The
six-week interval allowed adequate time for the hair bulb and follicle to
regenerate therefore providing an adequate target for the laser and hence, a
more effective long-term result.
Conclusions
The treatment intervals chosen for laser hair removal strongly affect
the efficacy of long-term results. This study demonstrates better efficacy at
the six-week treatment interval compared with the two-week treatment interval.
References
1. Bjerring P, Cramers M, Egekvist H, Christiansen K, Troilius A. Hair
reduction using a new intense pulsed light irradiator and a normal mode ruby
laser. J Cutan Laser Ther 2000; 2: 63-71.
2. Kauvar AN. Treatment of pseudofolliculitis with a pulsed infrared laser. Arch
Dermatol 2000; 136:1343-6.
3. Eremia S, Li C, Newman N. Laser hair removal with alexandrite versus diode
laser using four treatment sessions: 1-year results. Dermatol Surg 2001; 27:
925-9.
4. Gorgu M, Aslan G, Akoz T, Erdogan B. Comparison of alexandrite laser and
electrolysis for hair removal. Dermatol Surg 2000; 26:37-41.
5. Bencini PL, Luci A, Galimberti M, Ferranti G. Long-term epilation with
long-pulsed neodimium:YAG laser. Dermatol Surg 1999; 25:175-8.
6. Lloyd JR, Mirkov M. Long-term evaluation of the long-pulsed alexandrite laser
for the removal of bikini hair at shortened treatment intervals. Dermatol Surg
2000; 26:633-7
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Patient # |
hair counts |
6 week
clearance |
| 2
females, 3 males |
pre |
post |
percent |
| 1 |
274 |
9 |
97% |
| 2 |
331 |
63 |
81% |
| 3 |
327 |
19 |
94% |
| 4 |
187 |
2 |
99% |
| 5 |
411 |
54 |
87% |
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median |
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91.6% |
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