Laser Treatment of Unwanted Hair

  • Jeremy Man
  • David J. Goldberg
Chapter

Abstract

  • A wide variety of lasers can now induce permanent changes in unwanted hair

  • Hair removal lasers are distinguished not only by their emitted wavelengths, but also by their delivered pulse durations, peak fluences, spot size delivery systems and associated cooling

  • Nd:YAG lasers with effective cooling represent the safest approach for the treatment of darker skin

  • Complications from laser hair removal are more common in darker skin types

  • Pain during laser hair removal is generally a heat related phenomenon and is multifactoral

  • Laser Treatment of non-pigmented hairs remains a challenge

Keywords

Hair Follicle Hair Shaft Ruby Laser Intense Pulse Light Hair Removal 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. Adrian RM, Shay KP (2000) 800 nanometer diode laser hair removal in African American patients: a clinical and histologic study. J Cutan Laser Ther 2:183–190PubMedGoogle Scholar
  2. Alijanpoor R, Bejehmir AP, Mokmeli S (2011) Successful white hair removal with combined coloring and intense pulsed light (IPL): a randomized clinical trial. Photomed Laser Surg 29(11):773–779PubMedCrossRefGoogle Scholar
  3. Alster TS, Bryan H, Williams CM (2001) Long-pulsed Nd:YAG laser-assisted hair removal in pigmented skin: a clinical and histological evaluation. Arch Dermatol 137(7):885–889PubMedGoogle Scholar
  4. Altshuler GB, Zanzie HH, Erofeev AV et al (1999) Contact cooling of the skin. Phys Med Biol 44:1003–1023PubMedCrossRefGoogle Scholar
  5. Altshuler GB, Anderson RR, Smirnove MZ et al (2001) Extended theory of selective photothermolysis. Lasers Surg Med 29:416–432PubMedCrossRefGoogle Scholar
  6. Anderson RR (1994) Laser-tissue interactions. In: Baxter SH (ed) Cutaneous laser surgery: The art and science of selective photothermolysis. Mosby, St. Louis, pp 1–19Google Scholar
  7. Anderson RR, Parrish JA (1983) Selective photothermolysis: precise microsurgery by selective absorption of pulsed radiation. Science 220:524–527PubMedCrossRefGoogle Scholar
  8. Azziz R (2003) The evaluation and management of ­hirsutism. Obstet Gynecol 101(5 Pt 1):995–1007PubMedCrossRefGoogle Scholar
  9. Azziz R, Carmina E, Saways ME (2000) Idiopathic ­hirsutism. Endocrinol Rev 21:347–362CrossRefGoogle Scholar
  10. Bencini PL, Luci A, Galimberti M et al (1999) Long-term epilation with long-pulsed Neodymium:YAG laser. Dermatol Surg 25:175–178PubMedCrossRefGoogle Scholar
  11. Bjerring P, Zachariae H, Lybecker H et al (1998) Evaluation of free-running ruby laser for hair removal. Acta Dermatol Venereol 78:48–51CrossRefGoogle Scholar
  12. Boss WK Jr, Usal H, Thompson RC et al (1999) A comparison of long-pulse and short-pulse alexandrite laser hair removal systems. Ann Plast Surg 42:381–384PubMedCrossRefGoogle Scholar
  13. Campos VB, Dierickx CC, Lin TYD et al (1999) Long-term efficacy of normal-mode 694 nm ruby laser, 80 nm diode laser for hair removal. Lasers Surg Med 11(suppl):22Google Scholar
  14. Campos VB, Dierickx CC, Farinelli WA, Anderson RR et al (2000a) Ruby laser hair removal: evaluation of long-term efficacy and side effects. Lasers Surg Med 26:177–185PubMedCrossRefGoogle Scholar
  15. Campos VB, Dierickx CC, Farinelli WA et al (2000b) Hair removal with an 800 nm pulsed diode laser. J Am Acad Dermatol 43:442–447PubMedCrossRefGoogle Scholar
  16. Carter JJ, Lanigan SW (2006) Incidence of acneform reactions after laser hair removal. Lasers Med Sci 21(2):82–85PubMedCrossRefGoogle Scholar
  17. Chess C, Chess Q (1993) Cool laser optics treatment of large telangiectases of the lower extremities. J Dermatol Surg Oncol 19:74–80PubMedGoogle Scholar
  18. Cotsarelis G, Sun TT, Lavker RM (1990) Label-retaining cells resides in the bulge area of the pilosebaceous unit: implications for follicular stem cells, hair cycle and skin carcinogenesis. Cell 61:1321–1327CrossRefGoogle Scholar
  19. Deplewski D, Rosenfield RL (2000) Role of hormones in pilosebaceous unit development. Endocr Rev 21:363–392PubMedCrossRefGoogle Scholar
  20. Dierickx CC, Grossman MC, Anderson RR et al (1998) Permanent hair removal by normal-mode ruby laser. Arch Dermatol 134:837–842PubMedCrossRefGoogle Scholar
  21. Dover JS, Margolis RJ, Polla LL et al (1989) Pigmented guinea pig irradiated with Q-switched ruby laser pulses. Arch Dermatol 125:43–49PubMedCrossRefGoogle Scholar
  22. Dry FW (1926) The coat of the mouse. J Genet 16:287–340CrossRefGoogle Scholar
  23. Finkelstein LH, Blatestein LM (1990) Epilation of hair bearing urethral grafts utilizing the neodymium:YAG surgical laser. Lasers Surg Med 10:189–193PubMedCrossRefGoogle Scholar
  24. Garcia C, Alamoudi H, Nakib M et al (2000) Alexandrite laser hair removal is safe for Fitzpatrick skin types IV-VI. Dermatol Surg 26:130–134PubMedCrossRefGoogle Scholar
  25. Gilchrest BA, Rosen S, Noe JM (1982) Chilling port-wine-stains improves the response to Argon laser therapy. Plast Reconstr Surg 69:278–283PubMedCrossRefGoogle Scholar
  26. Gold MH, Bell MW, Foster TD et al (1997) Long-term epilation using the EpiLight broad band, intense-pulsed light hair removal system. Dermatol Surg 23:909–913PubMedCrossRefGoogle Scholar
  27. Gold MH, Bell MW, Foster TD et al (1999) Successful treatment of blond hair with the intense pulsed light source. J Aesthet Dermatol Cosmet Surg 1:169–172Google Scholar
  28. Goldberg DJ, Samady JA (2000) Evaluation of a long-pulse Q-switched Nd:YAG laser for hair removal. Dermatol Surg 26:109–113PubMedCrossRefGoogle Scholar
  29. Goldberg DJ, Littler CM, Wheeland RG (1997) Topical suspension-assisted Q-switched Nd:YAG laser hair removal. Dermatol Surg 23:741–745PubMedCrossRefGoogle Scholar
  30. Goldberg DJ, Marmur ES, Hussain M (2005) 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 7(1):25–28PubMedCrossRefGoogle Scholar
  31. Goldman MP (1998) Treatment of benign vascular lesions with the PhotoDerm VL high-intensity pulsed light source. Adv Dermatol 13:503–521Google Scholar
  32. Goldman L, Blaney DJ, Kindel DJ et al (1963) Effects of the laser beam on the skin. J Invest Dermatol 40:121PubMedGoogle Scholar
  33. Gorgu M, Aslan G, Akoz T et al (2000) Comparison of alexandrite laser and electrolysis for hair removal. Dermatol Surg 26:37–41PubMedCrossRefGoogle Scholar
  34. Grossman MC, Dwyer P, Wimberley J, Flotte TJ (1995) PDT for hirsutism. Lasers Surg Med 7(suppl):44Google Scholar
  35. Grossman MC, Dierickx CC, Farnelli W et al (1996) Damage to hair follicles by normal-mode ruby laser pulses. J Am Acad Dermatol 35:889–894PubMedCrossRefGoogle Scholar
  36. Haedersdal M, Egekvist H, Efsen J et al (1999) Skin pigmentation and texture changes after hair removal with the normal-mode ruby laser. Acta Derm Venereol 79:465–468PubMedCrossRefGoogle Scholar
  37. Hertzberg J, Gusck W (1970) Das ergrauen des kapfhaares. Eine histo-und fermentschemische sowie elektronen-mikroskopische studie. Arch Klin Exp Dermatol 236:368–375Google Scholar
  38. Hovenic W, DeSpain J (2011) Laser hair reduction and removal. Facial Plast Surg Clin North Am 19(2): 325–333PubMedCrossRefGoogle Scholar
  39. Kim JC, Choi YC (1995) Hair follicle regeneration after horizontal resectioning: implications for hair transplantation. In: Stough DB, Haber RS (eds) Hair replacement: surgical and medical. Mosby-Year Book, St. Louis, pp 355–363Google Scholar
  40. Kligman A (1959) The human hair cycles. J Invest Dermatol 33:307–316PubMedCrossRefGoogle Scholar
  41. Knochenhauer ES, Key TJ, Kahsar-Miller M et al (1998) Prevalence of the polycystic ovary syndrome in unselected black and white women of the Southeastern United States: a prospective study. J Clin Endocrinol Metab 83:3078–3082PubMedCrossRefGoogle Scholar
  42. Kuriloff DB, Finn DG, Kimmelman CP (1988) Pharyngoesophageal hair growth: the role of laser epilation. Otolaryngol Head Neck Surg 98:342PubMedGoogle Scholar
  43. Lask G, Elman M, Slatkine M et al (1997a) Laser-assisted hair removal by selective photothermolysis. Dermatol Surg 23:737–739PubMedCrossRefGoogle Scholar
  44. Lask G, Elman M, Noren P et al (1997b) Hair removal with the EpiTouch ruby laser: a multicenter study. Lasers Surg Med 9(suppl):32Google Scholar
  45. Liew SH, Grobbelaar A, Gault D et al (1999) Hair removal using the ruby laser: clinical efficacy in Fitzpatrick skin types I-V and histological changes in epidermal melanocytes. Br J Dermatol 140: 1105–1109PubMedCrossRefGoogle Scholar
  46. Liew SH, Grobelaar A, Gault D et al (1999) Ruby laser-assisted hair removal: a preliminary report of the correlation between efficacy of treatment and melanin content of hair and the growth phases of hair at a specific site. Ann Plast Surg 42:255–258PubMedCrossRefGoogle Scholar
  47. Liew SH, Cerio R, Sarathchandra P et al (1999) Ruby laser-assisted hair removal: an ultrastructural evaluation of cutaneous damage. Br J Plast Surg 52: 636–643PubMedCrossRefGoogle Scholar
  48. Lin TD, Manuskiatti W, Dierickx CC et al (1998) Hair growth cycle affects hair follicle destruction by ruby laser pulses. J Invest Dermatol 111:107–113PubMedCrossRefGoogle Scholar
  49. Littler CM (1999) Hair removal using an Nd:YAG laser system. Dermatol Clin 17(2):401–430PubMedCrossRefGoogle Scholar
  50. Lloyd JR, Mirkov M (2000) Long-term evaluation of the long-pulsed alexandrite laser for the removal of bikini hair at shortened treatment intervals. Dermatol Surg 26:633–637PubMedCrossRefGoogle Scholar
  51. Lou WW, Quintana AT, Geranemus RG et al (2000) Prospective study of hair reduction by diode laser (800 nm) with long-term follow-up. Dermatol Surg 26:428–432PubMedCrossRefGoogle Scholar
  52. Lumachi F, Basso SM (2010) Medical treatment of hirsutism in women. Curr Med Chem 17(23):2530–2538PubMedCrossRefGoogle Scholar
  53. McDaniel DH (1993) Clinical usefulness of the hexascan. J Dermatol Surg Oncol 19:312PubMedGoogle Scholar
  54. McDaniel DH, Lord J, Ash K et al (1999) Laser hair removal: a review and report on the use of long-pulsed alexandrite laser for hair destruction of the upper-lip, leg, back, and bikini region. Dermatol Surg 25: 425–430PubMedCrossRefGoogle Scholar
  55. Moclli JG, Tan OT et al (1986) Tunable dye laser (577 nm) treatment of port-wine-stains. Lasers Surg Med 6:94–99CrossRefGoogle Scholar
  56. Nanni CA, Alster TS (1997) Optimizing treatment parameters for hair removal using a topical carbon-based solution and 1064 nm Q-switched neodymium:YAG laser energy. Arch Dermatol 133:1546–1549PubMedCrossRefGoogle Scholar
  57. Nanni CA, Alster TS (1999) Laser-assisted hair removal: side effects of Q-switched Nd:YAG, long-pulsed ruby, and alexandrite lasers. J Am Acad Dermatol 41:165–171PubMedCrossRefGoogle Scholar
  58. Nelson JS, Milner TE, Anvari B et al (1995) Dynamic epidermal cooling during pulsed laser treatment of port-wine-stain. Arch Dermatol 131:695–700PubMedCrossRefGoogle Scholar
  59. Ohshiro T, Maruyama Y (1983) The ruby and argon lasers in the treatment of nevi. Ann Acad Med Singapore 12(2 suppl):388PubMedGoogle Scholar
  60. Oliver R (1966a) Whisker growth after removal of the dermal papilla and lengths of follicle in the hooded rat. J Embryol Exp Morphol 15:331–347PubMedGoogle Scholar
  61. Oliver R (1966b) Histological studies of whisker regeneration in the hooded rat. J Embryol Exp Morphol 16:231–244PubMedGoogle Scholar
  62. Oliver R (1967) Ectopic regeneration of whiskers in hooded rat from implanted lengths of vibrissa follicle wall. J Embryol Exp Morphol 17:27–34PubMedGoogle Scholar
  63. Ort RJ, Anderson RR (1999) Optical hair removal. Semin Cutan Med Surg 18(2):149–158PubMedCrossRefGoogle Scholar
  64. Pans R, Cotsarelis G (1999) The biology of the hair follicle. N Engl J Med 341:491–497CrossRefGoogle Scholar
  65. Paparodis R, Dunaif A (2011) The Hirsute woman: challenges in evaluation and management. Endocr Pract 17(5):807–818PubMedCrossRefGoogle Scholar
  66. Polla L, Margolis RJ, Dover JS et al (1987) Melanosomes are primary target of Q-switched ruby laser irradiation in guinea pig skin. J Invest Dermatol 89:281–286PubMedCrossRefGoogle Scholar
  67. Randall VA (1994) Androgens and human hair growth. Clin Endocrinol 40:439–457CrossRefGoogle Scholar
  68. Reynolds AJ, Jahoda CAB (1991) Inductive properties of hair follicle cells. Ann NY Acad Sci 642:226–242Google Scholar
  69. Raulin C, Greev B (eds) (2001) Laser und IPL-Technologie in der Dermatologie und Asthtischen Medizin, 1st edn. Schattauer Stuttgart, New YorkGoogle Scholar
  70. Richard RN, Meharg GE (1995) Electrolysis: Observations from 13 years and 140,000 hours of experience. J Am Acad Dermatol 33:662–666CrossRefGoogle Scholar
  71. Ronda MW, Roland LR (1999) Hair removal using the long-pulsed ruby laser. Dermatol Clin 2:367–372Google Scholar
  72. Ross EV, Ladin Z, Kreidel M et al (1999) Theoretical considerations in laser hair removal. Dermatol Clin 17:333–355PubMedGoogle Scholar
  73. Russ D, Kienle A, Falkenstein W et al (2000) Optimierung der Laserepilation durch Stimulation der thermischen Wirkung der Laserstrahlung. Lasermedizin 15:87–95Google Scholar
  74. Sadick NS, Shea CR, Burchette JL et al (1999) ­High-intensity flashlamp photoepilation: a clinical, ­histological, and mechanistic study in human skin. Arch Dermatol 135:668–676PubMedCrossRefGoogle Scholar
  75. Sadick NS, Weiss RA, Shea CR et al (2000) Long-term photoepilation using a broad-spectrum intense pulsed light source. Arch Dermatol 136:1336–1340PubMedCrossRefGoogle Scholar
  76. Sand M et al (2007) 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 58(5):551–554PubMedCrossRefGoogle Scholar
  77. Schroeter CA, Raulin C, Thurlimann W et al (1999) Hair removal in 40 hirsute women with an intense laser-like light source. Eur J Dermatol 9:374–379PubMedGoogle Scholar
  78. Schroeter CA, Groenewagen JS, Reineke T et al (2003) Ninety percent permanent hair reduction in transsexual patients. Ann Plast Surg 51(3):243–248PubMedCrossRefGoogle Scholar
  79. Seago SV, Ebling HG (1985) The hair cycle on the human thigh and upper arm. Br J Dermatol 113:9–16PubMedCrossRefGoogle Scholar
  80. Sommer S, Render C, Sheehan-Dare R (1999) Facial hirsutism treated with the normal-mode ruby laser: results of a 12 months follow-up study. J Am Acad Dermatol 41:974–979PubMedCrossRefGoogle Scholar
  81. Thaysen-Petersen D et al (2012) A systematic review of light-based home-use devices for hair removal and considerations on human safety. J Eur Acad Dermatol Venereol 26(5):545–553PubMedCrossRefGoogle Scholar
  82. Tope WD, Hordinsky MK (1998) A hair’s breath closer? Arch Dermatol 134:867–869PubMedCrossRefGoogle Scholar
  83. Uno H (1986) Biology of hair growth. Sem Reprod Endocrinol 4:131–141CrossRefGoogle Scholar
  84. Van Gemert MJC, Welch AJ (1989) Time constants in thermal laser medicine. Lasers Surg Med 9:405–421PubMedCrossRefGoogle Scholar
  85. Waldman A, Kreindle M (2003) New technology in aesthetic medicine: ELOS electro optical synergy. J Cosmet Laser Ther 5(3–4):204–206PubMedCrossRefGoogle Scholar
  86. Weiss RA, Weiss MA, Marwaha S et al (1999) Hair removal with a non-coherent filtered flashlamp intense-pulsed light source. Lasers Surg Med 24:128–132PubMedCrossRefGoogle Scholar
  87. Wheeland RG (1995) Clinical uses of lasers in dermatology. Lasers Surg Med 16:2 [Abstract]PubMedCrossRefGoogle Scholar
  88. Wheeland RG (1997) Laser-assisted hair removal. Dermatol Clin 15(3):469–477PubMedCrossRefGoogle Scholar
  89. Williams R, Havoonjian H, Isagholian K et al (1998) A clinical study of hair removal using the long-pulsed ruby laser. Dermatol Surg 24:837–842PubMedCrossRefGoogle Scholar
  90. Williams RM, Gladstone HB, Moy RL (1999) Hair removal using an 810 nm gallium aluminum arsenide semiconductor diode laser: a preliminary study. Dermatol Surg 25:935–937PubMedCrossRefGoogle Scholar
  91. Wimmershoff MR, Scherer K, Lorenz S et al (2000) Hair removal using a 5-msec long-pulsed ruby laser. Dermatol Surg 26:205–209PubMedCrossRefGoogle Scholar
  92. Zenzie HH, Altshuler GB, Anderson RR et al (2000) Evaluation of cooling for laser dermatology. Lasers Surg Med 26:130–144PubMedCrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 2013

Authors and Affiliations

  • Jeremy Man
    • 1
  • David J. Goldberg
    • 2
    • 3
    • 4
  1. 1.Skin Laser and Surgery Specialists of NY/NJNew YorkUSA
  2. 2.Department of DermatologyMount Sinai School of MedicineNew YorkUSA
  3. 3.Dermatologic SurgeryUMDNJ-New Jersey Medical SchoolNewarkUSA
  4. 4.Skin Laser and Surgery Specialists of NY/NJHackensackUSA

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