LASER HAIR REMOVAL - THE FACTS Lasers have been used for treating skin problems for many years and new uses are being found all the time. Like many discoveries, the idea of using a laser to remove hair was made by accident. However following worldwide trials, The Alexandrite Laser is an extremely effective method of hair removal without some of the side-effects and pain associated with other methods. How does normal hair grow? Hair is made up of a shaft and a root ; the shaft is the hair you see on your skin, the root is buried within the skin. At the lower end of the root is a swelling called a hair bulb and this is surrounded by a socket called a follicle. The hair grows upwards from the root and emerges from the skin. Each hair follicle has a growth phase where the hair grows in length, a resting phase, and a shedding phase where the hair falls out. This is known as the normal growth cycle. In this way hairs are continually grown, shed and replaced throughout an individual’s life and at any one time, different hairs will be at a different stage of this growth cycle. Is hair distribution the same in all individuals? No. The amount and distribution of body hair is largely determined genetically. This may vary according to racial or familial characteristics. For example, those of Asian or Mediterranean background may tend to grow darker, thicker hair than fairer, European individuals. What is hirsutism? Hirsutism means excessive hair growth in females. This can be due to facial or familial characteristics as mentioned above and also due to some medical conditions. The presence of hair in certain regions of the body may be acceptable for some people but not for others, hence the need to remove hair - a process which is known as depilation. What methods of depilation are available? There are a number of methods used to remove hair today. These include plucking, shaving, depilatory creams, waxing and electrolysis. All these methods have problems; they may be painful, messy, need to be done frequently and treatment can often take a long time. Until the Mid 1990’s, these were the only methods of depilation available. Now however, due to laser technology, there is a method available which in many cases is extremely effective. What type of laser is used? A number of different lasers have been shown to be effective for hair removal. Our laser of choice is the Alexandrite Laser. This laser, which neither burns or cuts the skin’s surface, has been used extensively in medical practice for a number of years now. How does the treatment work? The light energy from the Alexandrite laser is absorbed by pigment in the hair shaft and the melanosomes of the hair bulb. The duration of each laser pulse has been carefully chosen to be just long enough to heat and destroy the hair and its growth mechanism but not so long that excess heat is transmitted to the surrounding skin. Treatment is only effective on those hairs in the growth phase. Can all types of hair be treated? The response and hence the number of treatments depends on a number of factors. It seems that fine hair may respond more quickly than thick hair and similarly, darker hair is more effectively treated than fair hair Blonde hair generally does not respond to treatment. We also know that the methods of hair removal used by people prior to attending the clinic can have an effect in the number of treatments required. Is the treatment permanent? Laser hair removal results have been very encouraging. The majority of patients who have been treated using the Alexandrite laser have had excellent long term treatment results on both facial and body hair. It has been also shown that the laser can permanently destroy some hair follicles and miniaturise others. It should be emphasised that everyone has the potential to create new hair follicles at different stages of life. How many treatments are necessary? This varies from individual to individual because different hairs are at different stages of the hair growth cycle. Typically, approximately six to ten treatments may be enough for some patients for hair removal, considerably more for others. Once the area is substantially cleared, further treatments may be required in the future as completely new hairs grow. Certain patients, in particular those with coarse, light hair, may find that the treatment is not effective. Can the laser stimulate hair growth In a tiny number of cases worldwide it is thought that a laser may have stimulated hair growth. In the majority of these cases changes in the treatment parameters have controlled the growth. Can all areas of the body be treated? Yes. All areas can be treated although we would not recommend in the treatment of hairy moles, the nasal septum or very close to the eye. Prior to treatment the hair is required to be trimmed or shaved, although the hair can be left in order for an assessment to take place during the free consultation. We cannot treat hair if the area has been plucked waxed or epilated within a four week period or if the hair has been bleached or their depilatory cream used within ten days of treatment. Can all skin types be treated? Because the light beam from the laser is absorbed well by melanin skin pigment, it is possible that dark skinned people may get damage to their skin. For this reason, we are extremely cautious in offering treatment for patients with dark coloured skin and would strongly recommend that areas to be treated are not sun-tanned. In addition we strongly recommend that people do not use sunbeds or fake tan. Does it hurt? Most patients experienced little discomfort at the treatment site because of the dynamic cooling. Active cooling at the time of treatment minimises the side effects of excessive heat in the skin. The degree of discomfort varies with each person depending on his or her pain threshold. Are there any after effects following treatment? World-wide clinical trials have found laser hair removal to be remarkably safe. A slight irritation of the skin, including redness and some burning sensation can occur for the first few days following treatment. Cooling the area as will happen during treatment and also after treatment with, for example ice packs or cooling gels, should help reduce inflammation. Slight blistering or crusting may occur in a very small minority of patients. Rarely is any specific treatment required and it will usually clear within a few days. If blistering does occur, prolonged immersion in water e.g. swimming should be avoided and when bathing or showering the area should be patted dry and not rubbed. Rarely, some patients may find that the area of skin treated appears darker. This is known as post-inflammatory hyperpigmentation and this will, almost always, settle with time. Even more rarely, the skin may become lighter following treatment, known as hypopigmentation. Again, this would normally settle although complete return to normal pigmentation cannot be guaranteed in either case. Direct exposure to strong sunlight should be avoided following treatment. There is an incredibly small risk of scarring. What are the costs likely to be? This will be discussed at the initial consultation, which we offer entirely free of charge and with no obligation to undergo treatment. Treatment costs will vary between individuals according to the areas treated as well as the density of hair growth and number of repeat treatments required. All patients wishing to have laser hair removal following the free consultation will have an initial test area treated for which there will be a small charge. Only if both patient and the Practitioner are happy with the results of treatment to the test area will full treatment begin. The procedure can take as little as 10 minutes or up to an hour depending on the area treated. As a guide, prices start from as little as £150. Is laser treatment safe? Yes. There is no published evidence to suggest that treatment can lead to skin disorders or an increased risk of cancer. Furthermore, every precaution has been taken to ensure the safety of the patient. The lasers are regularly serviced and there is a Laser protection supervisor and Laser Protection Advisor appointed by NHS Grampian Radiation Protection Services. In our clinic, laser hair removal treatment is carried out by fully qualified and registered doctors or senior nurseries only. The patients are required to wear approved protective goggles at all times. Please note that the information given on this sheet is for guidance only and each individual may respond in a different way. At the time of a consultation you will be given the most current information available