The Intense Heat Of The Laser Damages The Hair Follicle

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At Mayo Clinic, we get the time to search for replies, listen as well as to provide you very good care. Now look. Whenever pulsating beam of light to work off unwanted hair, laser hair removal is a medic procedure that uses a laser an intense.

All along laser hair removal, a laser beam passes through the skin to an individual hair follicle. The laser intense heat damages the hair follicle, which inhibits future hair growth. Laser hair removal is most effective for individuals who have light skin and gloomy hair. I'm sure you heard about this. It doesn't guarantee permanent hair removal, even though laser hair removal successfuly slows hair growth. Consequently, it typically requires multiple laser hair removal treatments to provide an extended 'hair free' period. Periodic maintenance treatments will be needed as a result.

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Whenever pulsating beam of light to get rid of unwanted hair, laser hair removal is a medic procedure that uses a laser an intense. That's interesting.all along laser hair removal, a laser beam passes thru the skin to an individual hair follicle. Besides, the laser intense heat damages the hair follicle, which inhibits future hair growth. Laser hair removal is most effective for folks who have light skin and dim hair.

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It doesn't guarantee permanent hair removal, even if laser hair removal successfuly slows hair growth. It typically requires multiple laser hair removal treatments to provide an extended hairfree period. On top of that, periodic maintenance treatments will be needed also. Of course mayo Clinic is a 'not for profit' organization. This is the case. Proceeds from site advertising help support the mission. Needless to say, mayo Clinic does not endorse nonMayo products and outsourcing.

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So, medscape is attainable in five Language Editions -Choose your Edition here. The necessity for a rapid, noninvasive method for hair removal has led to different development light sources for hair removal. Those involve ruby, diode, alexandrite and Nd. Essentially, yAG lasers and intense pulsed light sources. The following devices target either an endogenous chromophore or an exogenous chromophore. This article discusses laser significant principles hair removal, examines the attributes of specific laser systems.

Considering the above said. Light can destroy hair follicles by thermal, mechanical, or photochemical mechanisms. Hair removal is attempted using every of this kind of three means. A well-known reality that is. Lasers and noncoherent light sources have these days been introduced to induce selective damage to hair follicles. The mechanisms by which that kind of systems induce selective damage to hair follicles are based on selective principles photothermolysis. This principle predicts that selective thermal damage of a pigmented target structure will consequence when sufficient fluence at a wavelength, preferentially absorbed with the help of the target, is delivered throughout a time equal to or less than the thermal relaxation target time.

In the visible to near infrared location, melanin is the usual chromophore for targeting hair follicles. Lasers or light sources that operate in the dark red or 'near infrared' wavelength location all can be found in an optical spectrum window in which selective absorption by melanin is mixed with deep penetration in the dermis. Deep or selective hair heating shaft, the hair follicle epithelium, and the heavily pigmented matrix is feasible in the 600to 1100nm location. Now pay attention please. Melanin in the epidermis presents a competing site for absorption. Selective epidermis cooling is shown to minimize epidermal injury. Consequently, cooling could be achieved by numerous a cooled, as well as ice or even means gel layer, a cooled glass chamber or sapphire window, a pulsed cryogen spray, or cooled airflow.

Let me tell you something. Laser pulse width appears to play a significant role, as supposed by the thermal transfer theory. Did you hear of something like this before? Thermal conduction from the 'melaninrich' shaft and matrix heats surrounding follicular structures. That said, the pulse duration must be shorter or equal to the thermal relaxation hair time follicle, in order to obtain spatial confinement of thermal damage. Basically, it's estimated to be approximately ten 100 milliseconds, relying on size, thermal relaxation of human terminal hair follicles has not been measured. Devices for hair removal have pulse durations in the millisecond domain location. In any event, the normal mode 694 nm ruby, normal mode 755 nm alexandrite, '800 nm' pulsed diode lasers, long pulsed Nd. YAG lasers.

Thermal conception damage time has these days been launched in the event of the hair the case follicle. Anyways, the melanin rich hair shaft and matrix cells occupy a relatively short volume. Superlongpulse heating appears to accept 'long term' hair removal. Nevertheless, photomechanical destruction of hair was attempted with highly quite short nanosecond pulses by Qswitched '1064 nm' Nd. Furthermore, lasers and with no carbon suspension, yAG with incredibly rapid chromophore heating occurs. It's a well this generates photoacoustic shock waves that cause focal photomechanical melanocytes disruption but not complete follicular disruption.

The 'Q switched' Nd. You should take it into account. YAG lasers are impossible to produce ongoing hair removal. Consistent with this behavior, permanent hair loss has not been reported in humans after Q switched laser treatments despite a lot of years of using Qswitched ruby and Nd. YAG lasers widely for tattoo removal. Photodynamic therapy is light use and a photosensitizer to produce therapeutic effects. Hair removal with topical aminolevulinic acid was reported in a pilot study. ALA to the skin. Of course, aLA is a precursor in porphyrin synthesis and is rapidly and selectively converted to protoporphyrin IX by cells derived from the epidermis and follicular epithelium.

Upon absorption of a photon, protoporphyrin IX efficiently crosses in an excited triplet which, generates, state or in turn singlet oxygen by collision with 'groundstate' oxygen. Singlet oxygen is a potent oxidizer that damages cell membranes and protein. This is a so called photodynamic reaction. As a output, aLA or one of the different drugs will probably prove useful for hair removal. In general, a method will potentially provide an effective means of treating nonpigmented hair.

Hair removal is a vague term that has lately been defined. As well, temporary hair reduction is defined as a delay in hair growth, which in general lasts 13" months, consistent with telogen induction. Matter of fact that permanent hair reduction refers to a notable reduction in terminal number hairs right after a given treatment, which is stable for a notice of time longer in compare to the complete growth cycle of hair follicles at the given torso site. Virtually, it has these days been supposed to add another 6 months to this posttreatment observation time. Complete hair loss refers to a lack of regrowing hairs. Complete hair loss might be either temporary or permanent. Laser treatment always produces complete but temporary hair loss for one three months, followed by partial but permanent hair loss. Histological observations show damage predominantly in hair follicles with while, pigmented shafts or big hair follicles with little, hypopigmented shafts don't demonstrate any morphological rethink.

However, immediately right after laser treatment, the hair shaft shows fragmentation with focal rupture in the follicular epithelium and thermal damage to the surrounding follicular epithelium. Thermal extent damage is dependent on the pulse width but retains confinement on the spatial follicle scale itself. Then, one fortnight later, most follicles are in telogen phase while anyone else are being replaced with the help of fibrosis and an outlandish corps giant cell reaction with phagocytosis of melanin. Oftentimes at one year, most follicles are replaced with the help of miniaturized hair follicles. You should take this seriously. Most of this kind of histological findings produce permanent clinical reduction in hair.

Topical anesthetic cream is mostly used on more sensitive areas, even if less sensitive areas can frequently be treated with no anesthesia. Lip and regional anesthesia with intralesional lidocaine can be required, when trconsuming the upper nearest. On top of this, of the original 5 'normalmode', 694 nm ruby lasers, solely two are still commercially reachable for hair removal. That kind of involve the RubyStar and the Sinon. The ruby lasers are better indicated in 'light skinned' societies with dim hair, due to big melanin absorption at 694 nm.

The RubyStar and the Sinon ruby laser are dualmode ruby lasers. They can operate in the conventional 'Q switched' mode for tattoos treatment and pigmented lesions and at in the normal mode for hair removal. An integrated cooling device consisting of a cooled contact hand piece for the RubyStar or coldair cooling for the Sinon precools the skin prior to laser pulse delivery. Grossman et al in the first place reported selective injury to hair follicles by a long pulse ruby laser. Sounds familiarright? Thirteen patients with fair skin and murky hair were treated once on the thighs or back at fluences of '20 60' J/cm2 with a spot size of 6 mm. Hair growth delay was induced for 'one 3' months in all subjects at all fluences. That's where it starts getting intriguing, right? At 'one to' two year go with up, four of 7 recalled patients had persistent hair loss, which was greatest in sites treated at the biggest fluence. Special studies with larger numbers of patients have confirmed that hair counts are cut by approximately 30 percent right after a single treatment with the ruby laser. It is hair counts are cut by approximately 60 percent right after 34" treatment sessions; multiple effects treatment sessions are additive.

Several long pulsed alexandrite lasers are being used for hair removal. Mostly, at this longer wavelength, renewable energy ratio deposited in the dermis to the epidermis is greater due to a greater depth of penetration. The risk for epidermal damage in persons with darker skin types is consequently cut. Yes, that's right! 5 unusual alexandrite lasers are accessible. Those involve Apogee, epitouch Alex, gentleLase, ultrawave 'IIIII'. The Apogee laser provides pulse durations between five and 40 milliseconds and fluences up to 50 J/cmA cooling handpiece enables a continuous flow of chilled air to the treatment field. Epitouch Alex has a rapid repetition rate and a scanner that can cover a 40 x 40mm2 field within 6 seconds. GentleLase uses a dynamic cooling device to protect the epidermis. Cryogen quantity delivered is proportional to the spurt duration; This dynamic cooling device uses quite short cryogen spurts, delivered on the skin surface through an electronically controlled solenoid valve. The liquid cryogen droplets strike the rather warm skin surface and carry out evaporation. Then once more, skin temperature is cut therefore of supplying heat for vaporization.

Even though, this cooling method enables for quick and selective epidermis cooling. Ultimately, the UltraWave 'IIIII' offers 755 convenient combination nm and 1064nm wavelengths in a single device and is well suited for removing unwanted hair in all skin types. The Epicare laser has a freezing air cooling option and a SmartScreen script package that assists in record, protocols and keeping expereince management. An incredibly 'highpowered' diode laser was approved with the help of the FDA for permanent hair reduction. Long lasting results suppose that the pulsed, 800 nm diode laser is quite effective for removal of dim, terminal hair. Permanent hair reduction is obtained in 89 percent of patients. Notice that this laser operates at 800 nm, has pulse widths of '5400' milliseconds, a 12 X '12 mm' spot, a '2Hz' repetition rate, a fluence of ten 60" J/cm2. Obviously, longer as the active cooling, the longer as well as wavelength pulse widths, darker skin types is treated more safely.

Several another 800 nm diode lasers are attainable. For example, nd. YAG laser is attainable for hair removal. With that said, it has a highly rather short pulse duration in the nanosecond range, a 4mm spot, a repetition rate of ten Hz.

Larger areas is covered effortlessly and operative time is notably shortened. The lofty repetition rate delivers the laser pulses pretty rapidly. The longer wavelength makes it useful for darker skin types. It appears to be ineffective for long hair removal, even if capable of inducing a growth delay. Remember, several longpulsed Nd. YAG lasers, which deliver pulses in the millisecond domain, are now reachable for laser hair removal treatment for all skin types. Now please pay attention. That kind of lasers comprise Lyra or Gemini, coolGlide, ultrawave, profile, vascuLight, smartEpiII and Acclaim, athos, dualis, varia, mydon, and GentleYAG.

The 'long pulsed' Nd. YAG lasers have deeply penetrating 1064nm wavelengths. The lowered melanin absorption at this wavelength necessitates the necessity for lofty fluences to adequately damage hair. The unsuccessful melanin absorption at this wavelength coupled with epidermal cooling makes the 'long pulsed' Nd. YAG a potentially safe laser treatment for darker skin types, up to VI. Now let me tell you something. Loads of information can be found easily online.yAG laser is oftentimes used for treatment of pseudofolliculitis barbae, a skin condition commonly seen in persons with darker skin types. Keep reading.further studies are required to study the combination effects and dual actions of concurrent multiple laser wavelength treatments.

Khoury et al evaluating the 'long pulse' alexandrite and long pulse Nd. YAG laser systems used individually and in combination for axillary hair removal concluded that no added aid was observed using the two lasers in combination compared with using the alexandrite laser alone. For several nonlaser, intense pulsed and in addition years light sources emitting noncoherent, multiwavelength light have in addition been used for hair removal. After placing appropriate filters on the light source, wavelengths ranging from 590 1200 nm is generated. With all that said. Cutoff' filters are used to eliminate shorter wavelengths so that solely the longer, more deeply penetrating wavelengths are emitted. Just think for a fraction of second. Pulse durations vary in the millisecond domain. Wavelengths wide choice, delay, pulse durations and intervals makes this device potentially effective for a wide range of skin types. The devices come with application that guides the operator in determining treatment parameters according to the patient's skin hair colour, hair and type coarseness.

You can find a lot more info about it on this web page.most of the newest emerging hair removal technologies are the lower price, short, pulsed light hair removal systems. These comprise the IPL Quantum HR, proLite, spaTouch photoepilation structure, photoLight, quadra Q4, spectraPulse. Now regarding the aforementioned reason. With wavelengths preferentially absorbed by great, this kind of systems were optimized for hair removal, melanin, long pulse widths and spot sizes. In the latter days, intense pulsed light systems were developed that are mixed with '1064nm' laser light. This kind of devices shall expect treatment of a wide spectrum of hair and skin tones.

Seriously. ElectroOptical Synergy technology uses the synergy between electrical and optical energies. Make sure you scratch a few comments about it below.the electrical pure energy causes heat to be focused on the hair follicle and the bulge place while the optical pure energy heats mainly the hair shaft. An uniform temperature distribution across the hair shaft and the follicle must be obtained to achieve effective hair removal, when combined. Based on this ELOS technology, syneron has developed a structure that combines radiofrequency pure energy with intense pulsed light and is equipped with cooling. The radiofrequency use pure energy would accept treatment of all skin types as this form of renewable energy is not absorbed with the help of epidermal melanin.

An exogenous chromophore is introduced in the hair follicle and irradiated with light of a wavelength that matches its absorption peak, but not targeting endogenous melanin. Ok, and now one of the most important parts. This eliminates competition troubles by epidermal melanin. The primary poser is finding a secure method for the chromophore to penetrate in all hair depths follicle. With a peak absorption in the near infrared spectrum portion, the 'so called' SoftLight technique uses a proprietary suspension of 10mm diameter carbon particles, in combination with a 'Qswitched' Nd. However, the rather short pulse laser duration used in the SoftLight technique limits follicular extent damage; The skin is irradiated with relatively lower energies.

It fails to produce longlasting hair removal, this technique successfully induces a delay in hair growth. When compared with laser treatment alone, no added support was noted with carbon suspension. Phosphatidylcholine based liposome solution which, meladine is a topical 'melanin encased' supposedly selectively deposits melanin immediately in the hair follicle whereas not staining surrounding skin. The proprietary liposome molecules are short enough to potentially penetrate the infundibulum.

The outcome must be temporarily melaninrich follicles, which should allow patients with lighter hair colours to aid from laser hair removal. Photodynamic therapy involves a photosensitizer use and light to produce therapeutic effects. Action mechanism is presumed to involve the generation of toxic reactive oxygen species, subsequent to the photochemical photosensitizer activation by light. 5ALA latter introduction as a topical photosensitizer has opened up quite a few potential therapeutic options. Selective protoporphyrin IX synthesis in pilosebaceous units is an one-of-a-kind feature of ALA over various different photosensitizers, and topical application circumvents the photosensitivity induced under the patronage of systemic agents.

In a tiny pilot study of 12 subjects, 'five ALA' was applied topically to 'hairbearing' skin. Test sites were irradiated three hours later with 630nm light from an argonpumped tunable dye laser. With the greatest loss occurring in areas that received light largest doses, at 6 months following a single treatment, a 'dose dependent' decrease in hair regrowth was observed. Photodynamic therapy should be an useful approach for hair removal. Photochemical destruction of all hair follicles, no matter what hair colour or growth cycle, could potentially be obtained, since photosensitizers tend to localize in the follicular epithelium. Longterm' facts and largescale studies are needed in order to determine the safety and 'longterm' efficacy of this modality.

The procedure for hair removal using devices all described above could be summarized as sticks with. Ice packs reduce postoperative pain and minimize swelling. Analgesics are not mostly required unless extensive areas are treated. Prophylactic courses of antibiotics or antivirals must be completed. Topical antibiotic ointment application twice every day is indicated in case epidermal injury has occurred. Potent topical steroid creams such as clobetasol or fluocinonide can be prescribed for one 2" months to reduce immediate swelling and erythema.

While scratching and such as field picking, avoid any trauma. Avoid sun exposure. Use sunscreen with a sun protection regulation of Makeup should be applied on the successive week unless blistering or crusting has developed. The damaged hair follicle is oftentimes shed in the course of the 1st month after treatment, shedding of hair casts should be seen. Patients probably should be reassured that this is not a sign of hair regrowth. Research has shown that laser hair removal requires a pigmented presence hair shaft. Retreatment is performed as as regrowth appears. The average time is 68" weeks, regrowth is based on the normal cycle, which varies by anatomic place. Special research regarding hair regrowth rates and hair cycles is currently being conducted.

Inherent risks exist with laserand light based hair removal, as with any medicinal procedure. In perfect and most experienced hands, occasional complications occur with laser treatments. All patients would provide verbal and written consent prior to treatment and they probably should be doable informed alternatives, helps as well as risks, whilst most typical complications are minor and quickly manageable. Fairly elementary risks with 'light and' laser based hair removal systems comprise skin discoloration, pain or folliculitis, infection, herpes virus reactivation, temporary, ingrown hairs, blistering, discomfort and likewise itching consequence, failure to achieve desired output, or worsening/increased symptoms. While bruising or even pigments, rare complications comprise permanent scars, permanent darkening of tattoo or permanent makeup headache, eye injury, blindness, persistent redness. In the event skin discoloration occurs, resolves and it's temporary quite soon to months.

Rare reports describe patients within nice treatment criteria who don't respond to any 'light based' hair removal modality. Laser hair removal is generaly not a painless procedure. Most patients experience some discomfort all along and immediately after treatment. Some patients experience no or minimal pain, specifically with repeat treatments. The associated discomfort may vary considerably based on the specific region laser type, density and thickness, individual pain tolerance or treated of hairs in a field. Typically, pain is greater in areas of dense, thick hair such as in men's beards. One can use one or a combination of modalities, neighboring as well as including topical anesthetics, oral analgesics, anxiolytics, and/or ice applications prior to performing the treatments. Ice packs and topical anesthetics creams like lidocaine, lidocaine and prilocaine, lidocaine and prilocaine.

Perifollicular erythema and edema are expected in all patients treated at the threshold fluence. The intensity and duration depend on hair color, fluence, hair density. The reaction may last from several mins to one 3 weeks. Epidermal damage occurs in case excessive fluence is used. It's likewise more general in patients with a tan.

Herpes simplex outbreaks are uncommon but may occur. In patients with a previous history science of herpes simplex and in the following receiving treatment to the perioral, pubic, perianal field, the risk, bikini place or even is increased. However, it may occur following epidermal damage; bacterial risk infection is immensely rather low.

Transient pigmentary rethinking is prevented in the event the ideal patient and treatment fluence are chosen. Dyspigmentation of skin is seen most oftentimes in patients with darker skin types or in patients with a last tan. Permanent pigmentary reviewing are unlikely except in gloomy skinned guys and gals.

Scarring is unlikely except in cases of overaggressive treatment or postoperative infection. Lightening of tattoos and loss of freckles or pigmented lesions is not uncommon. Caution must be undertaken to avoid treatment of inks in permanent makeup areas. Reports of adverse immediate reactions of pink iron oxide pigment to black with lasers is reported. Patients possibly should be aware of this kind of possibilities.

Paradoxical hypertrichosis was noted not uncommonly, especially in darker or 'olive tone' patients. The systems are designed for strong absorption by melanin and deep tissue penetration. They are capable of causing retinal injury. Good eye protection must be worn by the patient and operating personnel.

Treatment near or on an eye surface is not proposed. Safe eyebrow hair removal and shaping must be limited to the areas above and betwixt the eyebrows. Rare reports describe laser treatments below the eyebrows with metal use eye shields, while most laser surgeons concur that the field below the eyebrow is enormously risky and possibly should be avoided. Aside from periocular area, all another corps sites is safely treated. Darkening of cosmetic tattoos can occur with laser assisted hair removal consequently a laser reaction light with iron and titanium oxide pigment. Patients with cosmetic tattoos will avoid treatment of this kind of areas.

Contact cooling devices pose a little but real risk of infection. Betwixt patients, handpiece disinfection with a disinfectant is mandatory. Reports of mild cryogen burns or hyperpigmentation, especially with the dynamic cooling systems, have been reported. Caution is warranted to avoid excess cryogen use, quite on olive skin tone and darker skin types.

Clinically, this is rare, logic should assume that all patients with a history science of skin diseases prominent to show a Koebner phenomenon probably should be informed about this feasible adverse effect of treatment. Livedo urticaria, intense pruritus as well as reticularis are reported, and also a case of intense swelling and erythema. The following pathophysiology phenomena is not prominent. Management included topical corticosteroids, antihistamines or discontinuance of treatment. Several cases of induction of hair growth following laser hair removal in green female patients with darker skin types were reported. 2 exclusive phenomena were observed. All responses are clinically notable and should be separately desirable to special patients. Growth delay that provides small amount of months of hairless skin is far more secure. All laser systems are shown to temporarily reduce hair growth. It occurs for all hair tones and at any fluence. Hair loss in this kind of patients could be maintained with the help of treatment at approximately '1to' 3 fortnight intervals, blonde-. Or gray haired patients are unlikely to experience a permanent reduction.

Permanent effectiveness hair reduction is solid correlated with hair tone and fluence. Research has shown that in the ideal patient with fair skin and obscure hair, the probability for ongoing hair removal after a single treatment is approximately 8089" per cent, according to the device used. While, controlled hair counts indicate an average of 20 per cent hair loss with every treatment.

Regrowing hairs are very often thinner and lighter in tone, as indicated with the help of measurements of diameter and color of regrowing hairs. Likewise by length, diameter or the hairs colour-tone, this contributes to the overall cosmetic outcome cause the clinical impression of hairiness is defined also by the absolute number of hairs. Treatments number needed to obtain complete, permanent hair removal for unusual anatomical sites is unknown. While everyone else may respond poorly for yet unknown reasons, however. Exceptionally, a patient can obtain longterm complete hair removal right after a single treatment.

Temporary hair loss usually occurs right after laser treatment, disregarding hair color or device used. The possibility to induce 'longlasting' hair reduction is solid correlated with hair tone and fluence. While blonde-, patients with grim hair are mostly probably to obtain long lasting hair removal, red-, gray-, or 'whitey haired' patients are unlikely to experience a permanent reduction. Hair loss in the following patients could be maintained under the patronage of re treating at approximately 'three month' intervals. With an eye to treat patients with reddish hair, gray, blond, whitish or even an exogenous chromophore and a wavelength that matches its absorption peak is used. The fundamental difficulties is solid chromophore penetration in all depths of the hair follicle. The shorter pulse laser duration used in the SoftLight technique limits follicular extent damage. It fails to produce 'longlasting' hair removal, this technique successfully induces a delay in hair growth.

Photodynamic therapy can be an useful approach for hair removal. Photochemical destruction of all hair follicles, despite hair color or growth cycle, could potentially be obtained, since photosensitizers tend to localize in the follicular epithelium. Whenever making it potentially less costly than laser treatment, the technique does not require a laser light source. Permanent record and 'largescale' studies are needed in order to determine the safety and long lasting efficacy of this modality. The maximum tolerated fluence is determined with the help of the epidermal pigmentation present. Fairskinned patients with gloomy hair are most quickly treated. Whenever operating at longer wavelengths and longer pulse durations, have been shown to treat persons of darker skin types more safely in case associated with cooling devices, while persons with grim skin types are not readily treated with most of the ruby lasers due to melanin the alexandrite, interference and diode lasers and the intense pulsed light sources.

Qswitched Nd. YAG with, laser as well as with nothing like an external chromophore, is shown to be extremely useful for grim treatment skin types but appears to be ineffective for permanent hair removal. The long pulsed, 1064 nm Nd. YAG lasers developed more the other day might be the safest means to treat patients with gloomy skin tones. For patients presenting with a tan, pretreatment with a bleaching sun, agent, sunscreen or avoidance for at least 6 weeks is proposed prior to laser treatment. Laser and flashlamp technology now offer the potential for effective, rapid, safe as well as treatment of unwanted hair.a 'ever increasing' number of published studies have confirmed the 'longterm' efficacy of laser and flashlamp treatment. The procedure is extremely attractive due to its noninvasive nature, its potential to cover a great treatment place.

Despite a lot of advances in this field, lightbased hair removal is now largely limited to grim hairs. No uniformly effective treatment is attainable for patients with gray, blond, whitish and hairs. Research is ongoing to develop efficacious modalities for light treatment hairs. Hair removal techniques are rapidly evolving. Currently and smaller over-priced lightbased devices have happen to be accessible for 'self treatment' in a homelike environment following instructions and guidance provided under the patronage of a physician. Studies showed that with adequate training and instruction, patients may administer self treatments for hair removal with this short, light based unit in a safe and effective manner.

Latest studies have shown that CW, laser systems that emit long laser pulses, could potentially lead to ongoing hair removal right after repeated treatments at lower pure energy. But not being required to visit a clinic for treatment, this has stimulated the research to develop portable, 'light based' hairremoval devices that ladies can acquire and use home. Product commercialization of these 'socalled' laser razors could potentially proven to be a reality, when research studies meet the regulatory requirements. One shall remain cautious and observe how this technology evolves. Former Clinical Faculty, preceptor, professor or Department of Dermatology, department of housekeeping Irvine, university, expereince as well as University of California of Medicine; Former Professor and Preceptor, department of household practice Residency Training, downey medicinal Center; specialist medic Reviewer, medic Board of California; professional Consultant, california Department of Consumer Affairs; specialist Reviewer, california Department of Registered NursingAlly N Alai, FAAD as well as MD is a following partner medic societies, ally N MD, FAADmedicinal Director, the or even Alai Skin Center at Laguna. American Academy of Dermatology, american Society for MOHS SurgeryDisclosure. Nothing to disclose.

Arash M Department, MDResident Physician and Saemi of Radiology, 'Dartmouth Hitchcock' medic CenterArash M Saemi, MD is a following associate medicinal societies. American College of Physicians, radiological Society of North Sigma Xi, america and Society of Interventional RadiologyDisclosure. Nothing to disclose. Jennifer M AngUniversity of university, irvine and California of MedicineJennifer M Ang is a following participator medicinal societies. American medic Association, american medic pupil Association/FoundationDisclosure. Nothing to disclose.

Professor of Dermatology, texas AM University College of Medicine; Founding Chair, scott, department of Dermatology and whitish ClinicDavid F Butler, MD is a following associate medicinal societies; David F Butler, MDSection Chief of Dermatology, central Texas Veterans Healthcare method. American medicinal Association, alpha Omega Alpha as well as Association of army Dermatologists, american Academy of Dermatology, american Society for Dermatologic Surgery, american Society for MOHS Surgery, phi Beta KappaDisclosure. Nothing to disclose.

William D James, MDPaul R Gross Professor of Vice Chairman, residency project Director, department of Dermatology, university and Dermatology of Pennsylvania academy of MedicineWilliam D James, MD is a following associate medicinal societies. American Academy of Dermatology, society for Investigative DermatologyDisclosure. Nothing to disclose. Director, washington Institute of Dermatologic Laser SurgeryTina S Alster, MD is a following participator medicinal societies. Tina S MDClinical Professor, alster, georgetown and Department of Dermatology University academy of Medicine. American Academy of Dermatology, american medicinal Association and American Society for Dermatologic Surgery, american Society for Laser Medicine and Surgery, medicinal Society of ColumbiaDisclosure District. Received ownership interest from Home Skinovations for another.

Skin, laser as well as Director Center, belgium Christine Dierickx is a following partner medicinal societies, christine Dierickx, MD Visiting Scientist as well as Harvard medic college.

Mary Farley, MD Dermatologic Surgeon/Mohs Surgeon, anne Arundel Surgery Center Gan SD, graber EM. Laser hair removal. Dermatol Surg.

Weishaupt Gomer CJ, dougherty as well as KR TJ. Identification of singlet oxygen as the cytotoxic agent in photoinactivation of a murine tumor. Cancer Res. Asilian Nilforoushzadeh, A, shahmoradi Z and Mazloomi R MA. The effects and side effects of lidocaine tetracaine peel off on laser assisted hair removal. Adv Biomed Res.

Alster Fitzpatrick R, garden J, adelglass, sarkany M, T and even Rendon M Lidocaine/tetracaine peel in topical anesthesia prior to 'laser assisted' hair removal. Phase II' and Phase III study results. Dermatolog Treat. Dierickx Anderson, CC, farinelli WA and Grossman MC RR. Permanent hair removal by normal mode ruby laser. Arch Dermatol.

Grossman MC, anderson RR. Long pulsed ruby laser hair removal. Lasers Surg Med. Grossman Flotte T, farinelli W, anderson, dierickx C and MC RR. Damage to hair follicles by normal mode ruby laser pulses. Am Acad Dermatol.

Bouzari Abbasi Z, tabatabai H, N, nouri K, firooz an or Dowlati number role of treatments in 'laserassisted' hair removal using a 755 nm alexandrite laser. Drugs Dermatol. Eliezri YD. Fifteen week clinical trial of hair removal with Alexandrite laser. Lasers Surg Med.

Finkel Eliezri YD, waldman A, B as well as Slatkine Pulsed alexandrite laser technology for noninvasive hair removal. Clin Laser Med Surg. Nanni CA, alster TS. Long pulsed alexandrite laser assisted hair removal at 5, 20, ten or millisecond pulse durations. Lasers Surg Med.

Narukar Miller HM, efficacy, V and as well Seltzer the long safety pulse Alexandrite laser for hair removal in a variety of skin types. Lasers Surg Med. Battle Suthamjariya K, E and Alora pretty long pulsed diode laser for hair removal on all skin types. Lasers Surg Med.

Grossman MC, dierickx CC and Quintana Removal of excess torso hair with a 800 nm pulsed diode laser. Lasers Surg Med. Kopera Hair reduction. Cosmet Laser Ther.

Goldberg Laser hair removal with a millisecond 'Qswitched' Nd. Lasers Surg Med. Goldberg Wheeland, littler CM or DJ RG. Topical 'suspensionassisted' Qswitched Nd. YAG laser hair removal. Dermatol Surg.

Kilmer SL, chotzen VA. Qswitched' Nd YAG laser hair removal with no adjuvant topical preparation. Lasers Surg Med. Nanni CA, alster TS. Optimizing treatment parameters for hair removal using a topical carbonbased solution and '1064 nm' Qswitched neodymium. YAG laser clean energy. Arch Dermatol.

Alster Williams, TS and Bryan H CM. Long pulsed Nd. YAG laser assisted hair removal in pigmented skin. Arch Dermatol. Kilmer SL, chotzen V as well as Calkin Laser hair removal with the long pulse 1064nm coolglide laser scheme. Lasers Surg Med.

Raff Landthaler M, hohenleutner and even K Optimizing treatment parameters for hair removal using longpulsed Nd. Lasers Med Sci. Tanzi EL, alster TS. Longpulsed '1064 nm' Nd. YAG laser assisted hair removal in all skin types. Dermatol Surg.

Khoury Goldman, JG or Saluja R MP. Comparative evaluation of long pulse alexandrite and longpulse Nd. YAG laser systems used individually and in combination for axillary hair removal. Dermatol Surg. Divaris Kennedy JC, DX or Pottier RH. Phototoxic damage to sebaceous glands and hair follicles of mice after systemic administration of 5aminolevulinic acid correlates with localized protoporphyrin IX fluorescence. Am J Pathol.

Grossman MC, dwyer P, wimberley J and Flotte TJ. PDT for hirsutism. Lasers Surg Med. Henderson BW, dougherty TJ. Another question is. How does photodynamic therapy work? Photochem Photobiol.

Kennedy JC, pottier RH. Endogenous protoporphyrin IX, a clinically useful photosensitizer for photodynamic therapy. Photochem Photobiol 1992 Jul 14. Kennedy Pross, pottier RH and JC DC. Photodynamic therapy with endogenous protoporphyrin IX. Photochem Photobiol 1990 Jun.

Altshuler GB, anderson RR, erofeev AV, smirnov MZ, zenzie HH or even Dierickx Contact skin cooling. Phys Med Biol. Vachiramon V, mcMichael and Brown T AJ. Patient satisfaction and complications following laser hair removal in ethnic skin. Drugs Dermatol.

Fontana CR, bonini D and Bagnato VS A '12 month' followup of hypopigmentation right after laser hair removal. Cosmet Laser Ther. Pain management with a topical lidocaine and tetracaine 7 percent/7 per cent cream with laser dermatologic procedures. Drugs Dermatol.

Lapidoth David, ben Amitai D, M, shafirstein G, hodak E and Waner M Reticulate erythema following diode laserassisted hair removal. Am Acad Dermatol. Fitzpatrick RE, lupton JR. Successful treatment of 'treatment resistant' laser induced pigment darkening of a cosmetic tattoo. Lasers Surg Med.

Radmanesh M, azarBeig Abtahian A, M as well as Naderi AH. Burning, paradoxical hypertrichosis or even leukotrichia are 4 fundamental complications of intense pulsed light hair removal therapy. Dermatolog Treat. Casey AS, goldberg Guidelines for laser hair removal. Cosmet Laser Ther.

Tierney EP, goldberg DJ. Laser hair removal pearls. Cosmet Laser Ther. Sand controlled, altmeyer P, hoffmann A randomized, bechara FG, sand D or even M, 'double blind' study evaluating 'melanin encapsulated' liposomes as a chromophore for laser hair removal of blond, whitey as well as gray hair. Ann Plast Surg.

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