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Hair Removal FAQ'S How Does Laser Hair Removal Work? Dark pigment (melanin) in the hair attracts and absorbs the energy emitted by the laser. The hair is vaporized immediately, and if in its “active” phase, the papilla is destroyed and the follicle will stop making hair permanently. Hair grows in three phases: the active phase, the mature phase and the dormant phase. In the active phase the part of the papilla, which is the part of the hair follicle that actually generates the hair is present. In the mature phase, the hair has stopped growing and the papilla has disappeared, and the dormant phase is when the follicle is preparing to shed the old hair (exfoliation) and cycle back to the active growth phase. Because of these phases, patients will need 5-7 sessions that are approximately 4-8 weeks apart in order to catch each follicle in the active growth phase if they are to achieve ‘permanent’ hair removal. Is Laser Hair Removal Permanent? The goal of this treatment is improvement not perfection. There will be some hair left at the end of the treatments. The amount of hair that is remaining will be relative to the fluence (energy) that the client can tolerate, the colour, the amount and the location of the hair that is being treated. The average loss of hair at the end of consecutive sessions is 70-95% less hair. Up to 20% of the population do not respond to any laser or light treatments. This cannot be determined until after the second treatment. With time, typical skin will grow new hair from new follicles that have never been active. This occurs throughout normal life changes, maturation, aging and normal hormonal cycles for both men and women. Therefore, even after a thorough and effective series of laser treatments, occasional long-term maintenance may be required to treat this new growth. What's Required for Optimal results? Optimal results typically require 5-7 visits. Hair grows in 3 phases... 1) The active growth phase – the part of the follicle (papilla) that actually generates the hair is present and is growing a hair. 2) The mature phase – when the hair has stopped growing and the papilla has disappeared. 3) The dormant phase – the follicle is preparing to “shed” the old hair (exfoliation) and cycle back to the active growth phase. On average, a hair follicle will cycle through the phases every 4-12 weeks depending on which part of the body the hair is growing. 1851 Grant Ave Phone: (204) 885.1419 Fax: (204) 885.1552 Toll Free: 1.866.379.7919 Web: www.thefirstglance.ca Email: [email protected] Anthony P. Lockwood, MD FRCSC When dark hair is treated, it is always vaporized regardless of the phase it’s in. However, the follicle itself will stop making hair only if treated during the active growth phase – when it is vulnerable - because the laser energy destroys the papilla. Therefore, the patient must return for 5-7 repeat visits approximately 4-8 weeks apart until every follicle is caught in the active growth phase. It is important to realize that it is the pigment in the hair that absorbs the laser energy, therefore darker hair will absorb more energy which is the key to vaporizing the hair and destroying the papilla. Thicker hair also will absorb more energy. Patients with very light, white, gray, red or blond hair are not candidates for this treatment. Does it hurt? In one pulse, a tiny fraction of a second-long, the laser remove hair on a patch of skin the size of a quarter. The sensation is like plucking hair, or a rubber-band snap on your skin. Our lasers incorporate state-of-the-art integrated cooling systems that cool down the skin minimizing any discomfort. Patients unanimously report that the treatment is a “piece of cake” compared to waxing. Are there any side effects to laser hair removal? Studies and experience with this technology have shown these to have some potential complications and side effects. - 10-20% chance of developing hypo and/or hyperpigmentation Purpura, blistering, and crusting Pimples Redness and swelling Although complications are very rare it is very important that in the event of any of the above developing the client MUST contact the doctor/technician immediately. Darker hair vs. lighter hair The pigment in the hair is the substance that actually absorbs laser energy. Thus, the darker the hair, the more laser energy it will absorb which is the key to vaporizing the hair and destroying the papilla. Additionally, the thicker the hair, the more laser energy it will absorb. Think of the hair shaft like a lightening rod, the thicker the rod, the more electricity it can absorb. Therefore, thick jet-black hair is easiest to remove. Patients with very light, white, gray, red or blond hair are not candidates for this treatment. Can these treatments be done on any skin colour? The best candidate for laser hair reduction is a person with lighter skin and darker hair. This treatment can be preformed on people with dark skin with the understanding that the side effects mentioned may occur and they will need 8-12 treatments due the lower energy that we would have to use to lessen then chance's of the side effects. 1851 Grant Ave Phone: (204) 885.1419 Fax: (204) 885.1552 Toll Free: 1.866.379.7919 Web: www.thefirstglance.ca Email: [email protected] Anthony P. Lockwood, MD FRCSC Before Hair Removal Instructions 1) Do Not wax,tweeze, sugar or receive electrolysis on the target area for 3-4 weeks prior to treatment. 2) DO NOT tan or use self tanners for 4-6 weeks before treatments. Tanned skin will absorb too much energy and more than likely cause burns and/or blisters. If you come for a treatment with a suspected tan you will be turned away. 3) Do shave or trim the target area the day of or night before your treatment. Visible stubble may cause burns and/or blisters as the hair will be heated above the surface before reaching the skin. If the target area is covered with longer hair, such as on a man’s back or chest, clip the area first to reduce razor burn. If the hair is not shaved or trimmed prior to treatment you will be turned away 4) Do make sure that you are not taking any medications that might make you sensitive to light. (Photosensitivity) Check with your physician first. 5) Do wash the target area prior to treatment, in order to remove all perfumes, oils, deodorants, skin-creams, antiperspirants and cosmetics, etc. After Hair Removal Instructions 1) Expect a little pink/red “puffiness” and small bumps like “goose bumps” (follicular edema) immediately after the treatment. The area may feel as if it was sun burned. These symptoms should subside within a few hours. (2-3 days at most) 2) In darker skin types hyper-pigmentation can occur, which is a natural reaction in which the melanocytes in the skin have been stimulated to produce extra melanin. This is essentially a dark tan, is temporary and will fade with time. In rare cases crusting and peeling may occur. 3) Do not wax,tweeze, sugar or receive electrolysis on the target area during the course of your laser treatments. These will reduce the effectiveness of your treatments by removing hairs (and their papillas) in their active growth phase before they can be treated with the laser. Shaving with an electric shaver or razor blades is OK. 4) Approximately 1-3 weeks after treatment, treated hair will push its way out of the skin to eventually fall out (Exfoliation). It may even seem that the hair is growing. Don’t worry, the hair is “dead” and is simply being pushed “over board” by healthy skin doing some house cleaning. 5) Gently rubbing your skin with a washcloth during a hot shower will assist this exfoliation process. 1851 Grant Ave Phone: (204) 885.1419 Fax: (204) 885.1552 Toll Free: 1.866.379.7919 Web: www.thefirstglance.ca Email: [email protected] Anthony P. Lockwood, MD FRCSC