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Laser Hair Removal
 
How Much Does Laser Hair Removal Cost

Laser hair removal is not for everyone. The absolute requirement is that one's hair must be darker than the surrounding skin. Additionally very darkly pigmented people absorb too much laser energy in their skin and are not candidates. Tanned patients with light hair are not candidates. Tanned patients with dark hair must wait until their tan fades before they can be treated. Lastly the treatment cost should be within reach of the patient. Laser hair removal, although much less expensive than electrolysis, requires multiple treatments, and generally costs over $1000 in total for most anatomic areas.

Treatment cost varies with the size of the area treated. Experienced laser centers, which have developed expertise in laser hair removal, generally average about $500 per treatment session, with an average of four treatment sessions initially recommended. Large areas, such as the entire back, or the entire legs, cost considerably more than this. Small areas, such as the upper lip, can be less. Individual consultation with the laser center is necessary to obtain exact pricing.


How does laser hair removal work?  Lasers have been used for many years for a variety of medical cosmetic procedures including treatment of facial and leg veins, age spots and smoothing fine lines on the face. The laser energy is transformed into heat, which can disable the follicle leaving the surrounding skin unchanged.

Why is laser preferred for hair removal?  Traditional hair removal techniques, such as shaving, plucking and waxing, provide only temporary relief. Until now, the only long-lasting hair removal solution has been by electrolysis - which can be time-consuming and is usually limited to small areas, because each hair is treated individually. Laser hair removal is non-invasive, and safely removes unwanted body hair without damaging the delicate pores and structures of the skin. Facial and bikini areas are usually completed in under 45 minutes; legs and larger areas can take longer.

What does the treatment include?  Depending on the amount of hair and area treated, the procedure varies from patient to patient. Generally, the treatment will include:  Safety eyewear to protect the patient's eyes during the procedure from the laser light. A small handpiece will be used to deliver the laser light. Most experience little discomfort at the treatment site. The sensation and the degree of discomfort varies with each person. In some cases, topical anesthesia is an option. Your laser specialist will discuss this before laser treatment. Depending on the size or number of areas treated, the time will vary in length from minutes to hours. Patients can return to work or resume their normal activities immediately following treatment. The area may become slightly red and may last from a few minutes to several days depending on the area and skin sensitivity.

What precautions should be taken before and after treatment?  If you are tan or have a darker skin type, a bleaching cream should be started 4-6 weeks before treatment for our melanin absorption lasers.

How many treatments will I need?  Hair grows in cycles. The laser is only effective on hair in its actively growing cycle. At any one time there will only be certain hairs in that growing phase. This means that consistent treatments at appropriate intervals are absolutely necessary for the best possible results. The number of treatments required depends upon your skin, hair coloring, coarseness of the hair and density per treated area. Everyone will require at least 2-3 treatments as the process is only effective on hairs during their growing cycle. Additional treatment will be necessary to treat other follicles when they re-enter the growth phase and produce new growth.


Power, Wavelength and Tissue Penetration

The most efficient wavelength required to achieve results by laser is in the 670 to 890 nm (nanometer) range. This particular frequency allows for the greatest tissue penetration without loss of photon intensity through the dermis(2). This range is also highly selective (as well as reactive) with follicle melanin and carbon dye.

The amount of power required for this range to reach the papilla matrix varies with the depth of the follicle pore. There are generally 3 types of hair growth: terminal (deep), secondary (medium) and vellus (shallow). Terminal hairs usually extend 7-8 mm into the dermis and require around 10 Joules per CM2 of photon intensity at the surface of the skin to create adequate thermolysis in the papilla matrix to destroy the tissue(3). Secondary hairs grow to about 5-6 mm in depth and require ≈5 JCM2. The lightest hairs need roughly 2 JCM2. These vellus hairs are most common on upper lips of adult women and normally respond very well laser epilation.


Faster Than Regular Electrolysis

The advent of this new technology has created enormous excitement in the field of epilation cosmetology, and with good reason. Laser hair removal is simply the fastest way to remove unwanted hair currently available. It is very easy and highly effective. The laser can completely clear the leg hair growth on an average woman in under one hour.  The same area would require more than 40 hours of needle electrolysis.


Discussion
In this study the laser treatments given every six weeks yielded better long-term clinical results than the treatments given every two weeks. Previous studies [1-5] have demonstrated good to excellent results for treatment intervals between four and eight weeks. An earlier study done by the investigators [6] demonstrated excellent long-term hair reduction using three-week treatment intervals. Mathematical modeling showed that better laser penetration was achievable at the hair bulb and bulge in the absence of terminal hair shafts extending to the skin surface. It was recognized that the success of a hair removal treatment at a shortened treatment interval was dependent on the regeneration of melanized target structures for the follow-up treatments [6]

The poor long-term results seen with the shortened treatment interval would suggest that the laser treatment given only two weeks following the initial treatment did not yet have an adequate target to absorb the laser's energy.  It is hypothesized that the hair bulb has not yet regenerated at two weeks and hence the laser treatment was ineffective.  The six-week interval allowed adequate time for the hair bulb and follicle to regenerate therefore providing an adequate target for the laser and hence, a more effective long-term result.
Conclusions
The treatment intervals chosen for laser hair removal strongly affect the efficacy of long-term results. This study demonstrates better efficacy at the six-week treatment interval compared with the two-week treatment interval.
References
1. 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.
2. Kauvar AN. Treatment of pseudofolliculitis with a pulsed infrared laser. Arch Dermatol 2000; 136:1343-6.
3. 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: 925-9.
4. Gorgu M, Aslan G, Akoz T, Erdogan B. Comparison of alexandrite laser and electrolysis for hair removal. Dermatol Surg  2000; 26:37-41.
5. Bencini PL, Luci A, Galimberti M, Ferranti G. Long-term epilation with long-pulsed neodimium:YAG laser. Dermatol Surg  1999; 25:175-8.
6. 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

Patient #

hair counts 6 week clearance
2 females, 3 males pre post percent
1 274 9 97%
2 331 63 81%
3 327 19 94%
4 187 2 99%
5 411 54 87%
median     91.6%


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