Advertisement

Laser for Hair Removal

  • Voraphol Vejjabhinanta
  • Keyvan Nouri
  • Anita Singh
  • Ran Huo
  • Rawat Charoensawad
  • Isabella Camacho
  • Ali Rajabi-EstarabadiEmail author
Chapter

Abstract

Lasers for hair removal are a fast-growing area in cosmetic dermatology. Selective photothermolysis allows for targeting of specific chromophores while minimizing cutaneous damage. Treatment of individuals should be individualized based on anatomical area, skin and hair color, by varying the wavelength, fluence, pulse duration, spot size, and cooling technique of the laser.

Keywords

Lasers Hair removal Cosmetic dermatology Photothermolysis Chromophores 

References

  1. 1.
    The American Society for Aesthetic Plastic Surgery. ASAPS 2016 Cosmetic Surgery National Data Bank statistics. 2016. https://www.surgery.org/sites/default/files/ASAPS-Stats2016.pdf. Accessed 5 July 2017.
  2. 2.
    The American Society for Aesthetic Plastic Surgery. ASAPS 2014 Cosmetic Surgery National Data Bank statistics. 2014. https://www.surgery.org/sites/default/files/2014-Stats.pdf. Accessed 5 July 2017.
  3. 3.
    The American Society for Aesthetic Plastic Surgery. ASAPS 2012 Cosmetic Surgery National Data Bank statistics. 2012. https://www.surgery.org/sites/default/files/ASAPS-2012-Stats.pdf. Accessed 5 July 2017.
  4. 4.
    Nouri K, Trent JT. Lasers. In: Nouri K, Leal-Khouri S, editors. Techniques in dermatologic surgery, vol. 29. St. Louis: Mosby; 2003. p. 245–58.Google Scholar
  5. 5.
    Olsen EA. Methods of hair removal. J Am Acad Dermatol. 1999;40:143–55.CrossRefGoogle Scholar
  6. 6.
    FDA Docket K980517. July 21, 1998. Summary of safety and effectiveness for the epilaser normal mode ruby laser. www.access-data.fda.gov/cdrh_docs/pdf/K980517.pdf. Accessed 31 Jan 2011.
  7. 7.
    Dierickx C, Grossman M. Laser hair removal. In: Goldberg DJ, editor. Laser and lights, vol. 2. China: Elsevier Saunders; 2005. p. 61–76.Google Scholar
  8. 8.
    Anderson RR, Parrish JA. Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science. 1983;220:524–7.CrossRefGoogle Scholar
  9. 9.
    Dierickx C, Alora MB, Dover JS. A clinical overview of hair removal using lasers and light sources. Dermatol Clin. 1999;17:357–66.CrossRefGoogle Scholar
  10. 10.
    Battle EF, Hobbs LM. Laser-assisted hair removal for darker skin types. Dermatol Ther. 2004;17:177–83.CrossRefGoogle Scholar
  11. 11.
    Adrian RM. Vascular mechanisms in laser hair removal. J Cutan Laser Ther. 2000;2(1):49–50.CrossRefGoogle Scholar
  12. 12.
    Tanzi EL, Lupton JR, Alster TS. Lasers in dermatology: four decades of progress. J Am Acad Dermatol. 2003;49:1–31.CrossRefGoogle Scholar
  13. 13.
    Lask G, Friedman D, Elman M, Fournier N, Shavit R, Slatkine M. Pneumatic skin flattening (PSF): a novel technology for marked pain reduction in hair removal with high energy density lasers and IPLs. J Cosmet Laser Ther. 2006;8(2):76–81.CrossRefGoogle Scholar
  14. 14.
    Fournier N. Hair removal on dark-skinned patients with pneumatic skin flattening (PSF) and a high-energy Nd:YAG laser. J Cosmet Laser Ther. 2008;10(4):210–2.CrossRefGoogle Scholar
  15. 15.
    Rogachefsky AS, Silapunt S, Goldberg DJ. Evaluation of a new super-long-pulsed 810 nm diode laser for the removal of unwanted hair: the concept of thermal damage time. Dermatol Surg. 2002;28:410–4.PubMedGoogle Scholar
  16. 16.
    Nanni CA, Alster TS. Laser-assisted hair removal: side effects of Q-switched Nd:YAG, long-pulsed ruby, and alexandrite lasers. J Am Acad Dermatol. 1999;41:165–71.CrossRefGoogle Scholar
  17. 17.
    Campos VB, Dierickx CC, Farinelli WA, Lin TY, Manuskiatti W, Anderson RR. Ruby laser hair removal: evaluation of long-term efficacy and side effects. Lasers Surg Med. 2000;26:177–85.CrossRefGoogle Scholar
  18. 18.
    Lanigan SW. Incidence of side effects after laser hair removal. J Am Acad Dermatol. 2003;49:882–6.CrossRefGoogle Scholar
  19. 19.
    Haedersdal M, Wulf HC. Evidence-based review of hair removal using lasers and light sources. J Eur Acad Dermatol Venereol. 2006;20:9–20.CrossRefGoogle Scholar
  20. 20.
    Elman M, Klein A, Slatkine M. Dark skin tissue reaction in laser assisted hair removal with a long-pulse ruby laser. J Cutan Laser Ther. 2000;26:240–3.Google Scholar
  21. 21.
    Polderman MC, Pavel S, Le Cessie S, Grevelink JM, van Leeuwen RL. Efficacy, tolerability, and safety of a long-pulsed ruby laser system in the removal of unwanted hair. Dermatol Surg. 2000;26:240–3.CrossRefGoogle Scholar
  22. 22.
    Wimmershoff MB, Scherer K, Lorenz S, Landthaler M, Hohenleutner U. Hair removal using a 5-msec long-pulsed ruby laser. Dermatol Surg. 2000;26:205–9.CrossRefGoogle Scholar
  23. 23.
    Allison KP, Kiernan MN, Waters RA, Clement RM. Evaluation of the ruby 694 chromos for hair removal in various skin sites. Lasers Med Sci. 2003;18:165–70.CrossRefGoogle Scholar
  24. 24.
    Sommer S, Render C, Sheehan-Dare RA. Facial hirsutism treated with the normal-mode ruby laser: results of a 12-month follow-up study. J Am Acad Dermatol. 1999;41:974–9.CrossRefGoogle Scholar
  25. 25.
    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.CrossRefGoogle Scholar
  26. 26.
    Eremia S, Li CY, Umar SH, Newman N. Laser hair removal: long-term results with a 755 nm alexandrite laser. Dermatol Surg. 2001;27:920–4.PubMedGoogle Scholar
  27. 27.
    Nouri K, Chen H, Saghari S, Ricotti CA. Comparing 18-versus 12-mm spot size in hair removal using a Gentlease 755-nm alexandrite laser. Dermatol Surg. 2004;30:494–7.PubMedGoogle Scholar
  28. 28.
    Boss WK, Usal H, Thompson RC, Fiorillo MA. A comparison of the long-pulse and short-pulse alexandrite laser hair removal systems. Ann Plast Surg. 1999;42:381–4.CrossRefGoogle Scholar
  29. 29.
    Goldberg DJ, Akhami R. Evaluation comparing multiple treatments with a 2-msec and 10-msec alexandrite laser for hair removal. Lasers Surg Med. 1999;25:223–8.CrossRefGoogle Scholar
  30. 30.
    Hussain M, Polnikorn N, Goldberg DJ. Laser-assisted hair removal in Asian skin: efficacy, complications, and the effect of single versus multiple treatments. Dermatol Surg. 2003;29:249–7.PubMedGoogle Scholar
  31. 31.
    Görgü M, Aslan G, Aköz T, Erdogan B. Comparison of alexandrite laser and electrolysis for hair removal. Dermatol Surg. 2000;26:37–41.CrossRefGoogle Scholar
  32. 32.
    Sadighha A, Zahed MG. Meta-analysis of hair removal laser trials. Lasers Med Sci. 2007;24(1):21–5. [Epub November 20, 2007].CrossRefGoogle Scholar
  33. 33.
    Eremia S, Li C, Newman N. Laser hair removal with alexandrite versus diode laser using four treatment sessions: 1-year results. Dermatol Surg. 2001;27:925–30.PubMedGoogle Scholar
  34. 34.
    Bouzari N, Tabatabai H, Abbasi Z, Firooz A, Dowlati Y. Laser hair removal: comparison of long-pulsed Nd:YAG, long-pulsed alexandrite, and long-pulsed diode lasers. Dermatol Surg. 2004;30:498–502.PubMedGoogle Scholar
  35. 35.
    Handrick C, Alster TS. Comparison of long-pulsed diode and long-pulsed alexandrite lasers for hair removal: a long-term clinical and histologic study. Dermatol Surg. 2001;27:622–6.PubMedGoogle Scholar
  36. 36.
    Bäumler W, Scherer K, Abels C, et al. The effect of different spot sizes on the efficacy of hair removal using a long-pulse diode laser. Dermatol Surg. 2002;28:118–21.PubMedGoogle Scholar
  37. 37.
    Lou WW, Quintana AP, Geronemus RG, Grossman MC. Prospective study of hair reduction by diode laser (800 nm) with long-term follow-up. Dermatol Surg. 2000;26:428–34.CrossRefGoogle Scholar
  38. 38.
    Barolet D. Low fluence-high repetition rate diode laser hair removal 12-month evaluation: reducing pain and risks while keeping clinical efficacy. Lasers Surg Med. 2012;44:277–81.CrossRefGoogle Scholar
  39. 39.
    Royo J, Urdiales F, Moreno J, Al-Zarouni M, Cornejo P, Trelles MA. Six-month follow-up multicenter prospective study of 368 patients, phototypes III to V, on epilation efficacy using an 810-nm diode laser at low fluence. Lasers Med Sci. 2011;26(2):247–55.CrossRefGoogle Scholar
  40. 40.
    Nilforouschzadeh MA, Naieni FF, Siadat AH, Rad L. Comparison between sequentional treatment with diode and alexandrite lasers versus alexandrite laser alone in the treatment of hirsuitism. J Drugs Dermatol. 2011;10:1255–9.Google Scholar
  41. 41.
    Lorenz S, Brunnberg S, Landthaler M, Hohenleutner U. Hair removal with the long pulsed Nd:YAG laser: a prospective study with one year follow-up. Lasers Surg Med. 2002;30:127–34.CrossRefGoogle Scholar
  42. 42.
    Nanda S, Bansal S. Long pulsed Nd:YAG laser with inbuilt cool sapphire tip for long term hair reduction on type-IV and V skin: a prospective analysis of 200 patients. Indian J Dermatol Venereol Leprol. 2010;76(6):677–81.CrossRefGoogle Scholar
  43. 43.
    Gan SD, Graber EM. Laser hair removal: a review. Dermatol Surg. 2013;39(6):823–38.CrossRefGoogle Scholar
  44. 44.
    Tanzi EL, Alster TS. Long-pulsed 1064-nm Nd:YAG laser-assisted hair removal in all skin types. Dermatol Surg. 2004;30:13–7.PubMedGoogle Scholar
  45. 45.
    Goldberg DJ, Silapunt S. Hair removal using a long-pulsed Nd:YAG laser: comparison at fluences of 50, 80, and 100 J/cm2. Dermatol Surg. 2001;27:434–6.PubMedGoogle Scholar
  46. 46.
    Goldberg DJ. Current trends in intense pulsed light. J Clin Aesthet Dermatol. 2012;5(6):45–53.PubMedPubMedCentralGoogle Scholar
  47. 47.
    Schroeter CA, Groenewegen JS, Reineke T, Neumann HA. Hair reduction using intense pulsed light source. Dermatol Surg. 2004;30:168–73.PubMedGoogle Scholar
  48. 48.
    Marayiannis KB, Vlachos SP, Savva MP, Kontoes PP. Efficacy of long- and short pulse alexandrite lasers compared with an intense pulsed light source for epilation: a study on 532 sites in 389 patients. J Cosmet Laser Ther. 2003;5:140–5.CrossRefGoogle Scholar
  49. 49.
    Haak CS, Nymann P, Pedersen AT, et al. Hair removal in hirsute women with normal testosterone levels: a randomized controlled trial of long-pulsed diode laser vs. intense pulsed light. Br J Dermatol. 2010;163(5):1007–13.CrossRefGoogle Scholar
  50. 50.
    Szima GZ, Janka EA, Kovacs A, et al. Comparison of hair removal efficacy and side effect of neodymium:Yttrium-aluminum-garnet laser and intense pulsed light systems (18-month follow-up). J Cosmet Dermatol. 2017;16(2):193–8.CrossRefGoogle Scholar
  51. 51.
    Ismail SA. Long-pulsed Nd:YAG laser vs. intense pulsed light for hair removal in dark skin: a randomized controlled trial. Br J Dermatol. 2012;166:317–21.CrossRefGoogle Scholar
  52. 52.
    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.CrossRefGoogle Scholar
  53. 53.
    Al-Dhalimi MA, Kadhum MJ. A split-face comparison of facial hair removal with the long-pulsed alexandrite laser and intense pulsed light system. J Cosmet Laser Ther. 2015;17(5):267–72.CrossRefGoogle Scholar
  54. 54.
    Hession MT, Markova A, Graber EM. A review of hand-held, home-use cosmetic laser and light devices. Dermatol Surg. 2015;41(3):307–20.CrossRefGoogle Scholar
  55. 55.
    Wheeland RG. Permanent hair reduction with a home-use diode laser: safety and effectiveness 1 year after eight treatments. Lasers Surg Med. 2012;44(7):550–7.CrossRefGoogle Scholar
  56. 56.
    Wheeland RG. Simulated consumer use of a battery-powered, hand-held, portable diode laser (810 nm) for hair removal: a safety, efficacy and ease-of-use study. Lasers Surg Med. 2007;39(6):476–93.CrossRefGoogle Scholar
  57. 57.
    Thaysen-Petersen D, Barbet-Pfeilsticker M, Beerwerth F, et al. Quantitative assessment of growing hair counts, thickness and colour during and after treatments with a low-fluence, home-device laser: a randomized controlled trial. Br J Dermatol. 2015;172(1):151–9.CrossRefGoogle Scholar
  58. 58.
    Gold MH, Biron JA, Thompson B. Clinical evaluation of a novel intense pulsed light source for facial skin hair removal for home use. J Clin Aesthet Dermatol. 2015;8(7):30–5.PubMedPubMedCentralGoogle Scholar
  59. 59.
    Alster TS, Tanzi EL. Effect of a novel low-energy pulsed-light device for home-use hair removal. Dermatol Surg. 2009;35(3):483–9.CrossRefGoogle Scholar
  60. 60.
    Town G, Ash C, Dierickx C, Fritz K, Bjerring P, Haedersdal M. Guidelines on the safety of light-based home-use hair removal devices from the European Society for Laser Dermatology. J Eur Acad Dermatol Venereol. 2012;26(7):799–811.CrossRefGoogle Scholar
  61. 61.
    Thaysen-Petersen D, Bjerring P, Dierickx C, Nash JF, Town G, Haedersdal M. A systematic review of light-based home-use devices for hair removal and considerations on human safety. J Eur Acad Dermatol Venereol. 2012;26(5):545–53.CrossRefGoogle Scholar
  62. 62.
    Goldberg DJ, Marmur ES, Hussain M. Treatment of terminal and vellus non-pigmented hairs with an optical/bipolar radiofrequency energy source—with and without pre-treatment using topical aminolevulinic acid. J Cosmet Laser Ther. 2005;7:25–8.CrossRefGoogle Scholar
  63. 63.
    Yaghmai D, Garden JM, Bakus AD, Spenceri EA, Hruza GJ, Kilmer SL. Hair removal using a combination radio-frequency and intense pulsed light source. J Cosmet Laser Ther. 2004;6:201–7.CrossRefGoogle Scholar
  64. 64.
    Sadick NS, Laughlin SA. Effective epilation of white and blond hair using combined radiofrequency and optical energy. J Cosmet Laser Ther. 2004;6:27–31.CrossRefGoogle Scholar
  65. 65.
    Sadick NS, Shaoul J. Hair removal using a combination of conducted radiofrequency and optical energies—an 18-month follow-up. J Cosmet Laser Ther. 2004;6:21–6.CrossRefGoogle Scholar
  66. 66.
    Sand M, Bechara FG, Sand D, Altmeyer P, Hoffmann K. A randomized, controlled, double-blind study evaluating melanin-encapsulated liposomes as a chromophore for laser hair removal of blond, white, and gray hair. Ann Plast Surg. 2007;58(5):551–4.CrossRefGoogle Scholar
  67. 67.
    Kontoes P, Vlachos S, Konstantinos M, Anastasia L, Myrto S. Hair induction after laser-assisted hair removal and its treatment. J Am Acad Dermatol. 2006;54(1):64–7. [Epub December 2, 2005].CrossRefGoogle Scholar
  68. 68.
    Lolis MS, Marmur ES. Paradoxical effects of hair removal systems: a review. J Cosmet Dermatol. 2006;5(4):274–6.CrossRefGoogle Scholar
  69. 69.
    Gold MH. Lasers and light sources for the removal of unwanted hair. Clin Dermatol. 2007;25:443–53.CrossRefGoogle Scholar
  70. 70.
    Akinturk S, Eroglu A. Effect of piroxicam gel for pain control and inflammation in Nd:YAG 1064-nm laser hair removal. J Eur Acad Dermatol Venereol. 2007;21(3):380–3.CrossRefGoogle Scholar

Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  • Voraphol Vejjabhinanta
    • 1
  • Keyvan Nouri
    • 2
  • Anita Singh
    • 3
  • Ran Huo
    • 4
  • Rawat Charoensawad
    • 5
  • Isabella Camacho
    • 6
  • Ali Rajabi-Estarabadi
    • 2
    Email author
  1. 1.Department of Dermatology, Siriraj HospitalMahidol UniversityBangkokThailand
  2. 2.Department of Dermatology and Cutaneous SurgeryUniversity of Miami Miller School of MedicineMiamiUSA
  3. 3.Montefiore Medical Center, Albert Einstein College of MedicineBronxUSA
  4. 4.Broward Dermatology ClinicPembroke PinesUSA
  5. 5.Biophile Training CenterBangkokThailand
  6. 6.Georgetown University, School of MedicineWashington, DCUSA

Personalised recommendations