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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 hand piece 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.

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.

How many treatments will I need? Hair grows in cycles. The laser is only effective on hair in its active 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.

Power, Wavelength and Tissue Penetration: 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 50 Joules per cm2 of total 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 roughly 35 Jcm2. The lightest ‘vellis’ hairs need about 15 Jcm2 and are most common on upper lips of adult women and normally respond very well laser epilation.

Laser hair removal is the best decision you could possibly make to improve your self confidence! epila Are there any side effects to the treatment?

Faster Than Regular Electrolysis: 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 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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