Archive for April 11th, 2008

What is Laser Hair Removal?

How laser hair removal work?
Laser hair removal is the use of laser energy to produce permanent hair reduction. This is accomplished by producing heat in the hair, which is transferred to the hair follicle.

What is a laser, really?
First of all, what is a laser? A laser is a device that produces light of a single color or wavelength. In dermatology, these lasers produce pulses of high-energy light that is taken up by the desired target. In the case of hair removal, the target is the melanin pigment contained within the hair shaft.

A delicate balance
The tricky part of laser hair removal is targeting the hair shaft without damaging the melanin pigment in the surface of the skin. Thus the laser light has to be on long enough to heat the hair, but not too long to allow that heat to spread to the surrounding skin causing damage. In addition, the darker a patient’s skin, the more difficult it is to avoid injuring the surface of the skin while treating the hair. For this reason, there are three main types of hair removal lasers that are used today, and depending on the thickness of the hair and the color of the skin, one laser may provide benefits as compared to another.

When Performing Laser Hair Removal, Experience Matters
In addition to lasers, intense pulsed light sources are also used for hair removal. These light sources do not emit a single color or wavelength of light, but emit light containing many colors. It may be more difficult to predict the outcome and avoid complications when using light sources that contain many wavelengths of light. However, the results with any device depend upon the experience of the practitioner.

How many treatments?
Normally, a series of six are administered at four to eight week intervals depending upon the location of the hair. Following the initial series of treatments, subsequent treatments are administered, usually at longer and longer intervals. Some number of maintenance of treatments may be needed to keep all the hair away in a given area. After a single treatment, the hair in a given area is usually reduced in amount and thickness.

By: Dr. Eric F. Bernstein
Clinical Associate Professor, University of Pennsylvania School of Medicine
President, Yale School of Medicine, 1986
Medical Director, Mainline Cosmetic Laser Center

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Does the hair grow back?

A Series of Treatments Needed
Laser hair removal is accomplished in a series of sessions generally done monthly or every other month. The average number of sessions to achieve over 80 percent permanent hair reduction in 80-90 percent of good candidates is approximately 5 to 7 sessions.

In between these monthly sessions some of the hair will regrow as hairs cycle. Hairs that may have been dormant during your previous laser hair removal session may now be in the growth phase. This is where the need for multiple treatment sessions arises. Multiple sessions ensures that all the hairs are subjected to the treatment. These hairs may be shaved by the patient between sessions if desired.

Some Maintenance Sessions may be Required
Many patients find that maintenance sessions done once or twice a year are ideal for keeping hair at bay after completing the initial treatment protocol.

By: Dr. Melanie Grossman
Clinical Instructor, Dermatology, Columbia Presbyterian Medical Center
Researcher, Laser and Photodynamic Therapies
Author and International Lecturer

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