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Affiliate Advertising Section
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Laser Dermatology,
Electrolysis, Permanent Hair Removal Maryland |
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ALBRITTON, JILL I MD
3635 OLD COURT RD # 304 PIKESVILLE, MD 21208
ALLERGY & DERMATOLOGY
10331 SOUTHERN MARYLAND DUNKIRK, MD 20754
ALLERGY & DERMATOLOGY ASSOC
26840 POINT LOOKOUT RD LEONARDTOWN, MD 20650
BAILEY, DEBRA L MD
104 RIDGELY AVE # 302 ANNAPOLIS, MD 21401
BERGER, ROBERT S MD
11355 PEMBROOKE SQ # 108A WALDORF, MD 20603
BERK KEAHEY & YEAGER
19221 MONTGOMERY AVE GAITHERSBURG, MD 20886
CENTER-SURGICAL DERMATOLOGY
1302 BELLONA AVE LUTHERVILLE, MD 21093
CRAIN MEDICAL CTR
750 MAIN ST # 201 REISTERSTOWN, MD 21136
CRAWFORD, LYNDA M MD
4000 MITCHELLVILLE RD # 206 BOWIE, MD 20716
DAMM, STEPHEN R MD
9811 MALLARD DR # 202 LAUREL, MD 20708
DERM CARE
1720 CRAIN HWY S # 102 GLEN BURNIE, MD 21061
DERMATOLOGY & COSMETIC SURGERY
7701 GREENBELT RD # 504 GREENBELT, MD 20770
DERMATOLOGY CARE CTR
516 N ROLLING RD CATONSVILLE, MD 21228
EPSTEIN, BONNIE MD
2360 W JOPPA RD # 208 LUTHERVILLE, MD 21093
FELDMAN, LAWRENCE R MD
1645 LIBERTY RD # 201 SYKESVILLE, MD 21784
FELDMAN, LAWRENCE R MD
902 WASHINGTON RD # E WESTMINSTER, MD 21157
GOLDNER, RONALD MD
217 WASHINGTON HEIGHTS MED CTR WESTMINSTER, MD 21157
GREATER WASHINGTON DERMATOLOGY
18111 PRINCE PHILIP DR # 201 OLNEY, MD 20832
GWYNN, MAJORIE B MD
600 RIDGELY AVE # 123 ANNAPOLIS, MD 21401
HIGHMAN, BARBARA MD
3335 OLD LINE AVE LAUREL, MD 20724
HINES & SEMMES
106 MILFORD ST # 301 SALISBURY, MD 21804
INTERNAL MEDICINE DEPARTMENT
2 KNOLL NORTH DR COLUMBIA, MD 21045
JAMPEL, RISA M MD
21 CROSSROADS DR # 325 OWINGS MILLS, MD 21117
JEN-JON INC
68 THOMAS JOHNSON DR # C FREDERICK, MD 21702
JOHNSON & FORD
19211 MONTGOMERY VILLAGE AVE GAITHERSBURG, MD 20886
KAISER PERMANENTE
10810 CONNECTICUT AVE KENSINGTON, MD 20895
KATZ, RONALD A MD
6201 GREENBELT RD # U6 COLLEGE PARK, MD 20740
KOROSSY, KATALIN MD
11126 WOODSON AVE KENSINGTON, MD 20895
KRONTHAL, HERBERT L MD
4000 OLD COURT RD # 300 PIKESVILLE, MD 21208
KURGANSKY, DENNIS MD
2 NORTH AVE # 100 BEL AIR, MD 21014
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LAHTI, JAMES MD
600 RIDGELY AVE # 123 ANNAPOLIS, MD 21401
LAKE SHORE PLAZA MEDICAL CTR
4231 POSTAL CT PASADENA, MD 21122
PTAU, RICHARD G MD
600 RIDGELY AVE # 123 ANNAPOLIS, MD 21401
ROBINSON, J FLETCHER MD
509 BONIFANT RD SILVER SPRING, MD 20905
RUSONIS, PAUL A MD
9501 OLD ANNAPOLIS RD # 305 ELLICOTT CITY, MD 21042
SAU, PURNIMA MD
1104 SPRING ST # 200 SILVER SPRING, MD 20910
SCHANER, SUSAN M MD
19705 EXECUTIVE PARK CIR GERMANTOWN, MD 20874
SCHANER, SUSAN MD
7 POST OFFICE RD # M WALDORF, MD 20602
SIMMONS, EVA MD
21 CROSSROADS DR # 325 OWINGS MILLS, MD 21117
SKIN MEDICINE USA
10801 LOCKWOOD DR # 310 SILVER SPRING, MD 20901
SKIN MEDICINE USA
325 HOSPITAL DR # 104 GLEN BURNIE, MD 21061
SODEN, CYLBURN E MD
11223 LOCKWOOD DR SILVER SPRING, MD 20901
SODEN, CYLBURN E MD
8373 CHERRY LN LAUREL, MD 20707
SOUTHERN MARYLAND SKIN SPECS
23000 MOAKLEY ST # 206 LEONARDTOWN, MD 20650
SOUTHERN MD SKIN SPECIALISTS
23000 MOAKLEY ST # 206 LEONARDTOWN, MD 20650
SPOTT, DAVID A MD
7525 GREENWAY CENTER DR # 213 GREENBELT, MD 20770
SPOTT, DAVID A MD
9131 PISCATAWAY RD # 550 CLINTON, MD 20735
STEPHENSON, RICHARD R MD
511 IDLEWILD AVE EASTON, MD 21601
STROBEL, DAVID MD
716 MAIDEN CHOICE LN # 305 CATONSVILLE, MD 21228
SWEREN & ALBRITTON
3635 OLD COURT RD # 304 PIKESVILLE, MD 21208
TAYLOR & TAYLOR
9500 HARFORD RD PARKVILLE, MD 21234
WARNER & VAN METER
63 THOMAS JOHNSON DR # A FREDERICK, MD 21702
WASHINGTON DERMATOLOGY
198 THOMAS JOHNSON DR # 5 FREDERICK, MD 21702
WEST, TINA B MD
5530 WISCONSIN AVE # 1440 CHEVY CHASE, MD 20815
WILLIAMSON, BARBARA C MD
1400 MERCANTILE LN # 110 UPPER MARLBORO, MD 20774
WOLFE, IRVING D MD
21 CROSSROADS DR # 255 OWINGS MILLS, MD 21117
WONG, ALBERT K MD
615 HAMMONDS LN # A2 BALTIMORE, MD 21225
YEAGER, JOSEF K MD
8901 WISCONSIN AVE BETHESDA, MD 20814
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The
first laser hair removal treatment was done by a technician in the
late 1970’s, quite by accident. While doing preventative maintenance on a
1 Watt 692 Diode Pumped laser, he unwittingly exposed a portion of his
arm to the beam for several seconds. Surprisingly, his skin was unharmed by
the exposure, but all of the hair in the area had completely burned off.
The
accident was quickly forgotten, until several months later, when he noticed
an unexplainable bald patch of skin on his arm. Tracing his thoughts back to
the laser incident, he made the connection. The procedure was
repeated and studied. The tests showed a substantial reduction in hair
growth; henceforth, laser hair removal was born.
Over the
next two decades, the procedure continued to evolve. The addition of photosensitive
(light-absorbing)
dyes improved the rate of photon-to-pigment heat exchange and made
the procedure more effective and reliable on light colored hair growth.
This new field of development is called Photodynamic Therapy (PDT).
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[ Laser
Hair Removal Procedure ] |
'LASER BEAMED'
Imagine
a hair-removal treatment that doesn't involve regular battles with razors,
hot wax, or lotions that smell like a chemical plant. Laser hair removal may
sound like something out of star wars but, believe me, its the greatest
beauty breakthrough since the invention of the blow-dryer.
I was initially skeptical
when I set off to investigate this futuristic sounding miracle.
Anyone who passed O level
physics will be pleased to hear that the laser works with low energy. Those
who failed the exam should content themselves with the knowledge that it's
gentler than other laser treatments and suitable for all skin colors.
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.
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Power,
Wavelength and Tissue Penetration
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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.
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Faster Than Regular Electrolysis
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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
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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% |
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median |
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91.6% |
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