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Laser- und Lichtepilation bei unerwünschtem Haarwuchs

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Lasertherapie der Haut

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Zusammenfassung

Der Erfolg von Laser- und IPL-(″intense pulsed light″-)Behandlungen zur Haarentfernung ist von der vorhandenen Melaninmenge im Haarschaft abhängig. Der ideale Patient für die lasergestützte Haarentfernung hat helle Haut mit schwarzen, dicken Haaren. Die Beweislage für die Wirksamkeit der Laser- und Photoepilation ist sehr umfangreich; Anfang 2009 lagen 43 kontrollierte Studien dazu vor. Laserbehandlung und Photoepilation sind den herkömmlichen Methoden wie Rasur, Wachsbehandlung und Elektrolyse überlegen. Wiederholungsbehandlungen verbessern den Wirkungsgrad der Laser- und Photoepilation. Für den Rubin-, Alexandrit- und Diodenlaser sowie den Neodymium:Yttrium-Aluminium-Granat-Laser (Nd:YAG-Laser) und für IPL-Geräte konnte mehrfach eine kurzfristige Wirksamkeit bei der Haarentfernung für einen Zeitraum von bis zu 6 Monaten nachgewiesen werden. Des Weiteren liegen Beweise für eine langfristige Wirksamkeit von Wiederholungsbehandlungen mit Alexandrit- und Diodenlasern sowie langgepulsten Nd:YAG-Lasern vor, die länger als 6 Monate anhielt. Weiße, graue und rote Haare sprechen nicht ausreichend auf Standardbehandlungen an. Eflornithin, topisches Melanin und die photodynamische Therapie können jedoch neue Behandlungsoptionen für diese schwierig zu entfernenden Haartypen darstellen, obwohl es bisher noch an maßgeblicher Evidenz dazu mangelt. Zum jetzigen Zeitpunkt gibt es keine Evidenz für eine vollständige und dauerhafte Haarentfernung. Die Patienten sollten vor der Behandlung mit Laser und IPL über das zu erwartende Ergebnis aufgeklärt werden, um eine realistische Erwartungshaltung zu ermöglichen. Geräte für den Hausgebrauch, die von den Patienten selbst bedient werden können, sind auf dem Vormarsch.

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Author notes

  1. Annesofie Faurschou Dr.

    Present address: Department of Dermatology, D92?, University of Copenhagen, Bispebjerg Hospital, Bispebjerg Bakke 23, DK-2400, Copenhagen NV, Dänemark

  2. Merete Haedersdal Prof. Dr.

    Present address: Dept. of Dermatology D-42, Bispebjerg University Hospital, Bispebjerg Bakke 23, DK-2400, Copenhagen NV, Dänemark

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    1. Annesofie Faurschou Dr.
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    2. Merete Haedersdal Prof. Dr.
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    Correspondence to Annesofie Faurschou Dr. or Merete Haedersdal Prof. Dr. .

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    1. Laserklinik Karlsruhe, Karlsruhe, Deutschland

      Christian Raulin

    2. Klinikum Darmstadt, Darmstadt, Deutschland

      Syrus Karsai

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    Faurschou, A., Haedersdal, M. (2013). Laser- und Lichtepilation bei unerwünschtem Haarwuchs. In: Raulin, C., Karsai, S. (eds) Lasertherapie der Haut. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29910-0_23

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    • DOI: https://doi.org/10.1007/978-3-642-29910-0_23

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