Couldn't help it.... Got this new digital 
microscope & decided to get a sultry up
close and personal shot of your operator.


Laser

•  Theory - How does it work
•  Very little known about the long-term impact of laser use
•  High tendency for re-growth
•  Capabilites of this process are often advertised in excess of real outcomes
•  Significant possibility of deep tissue scarring and premature aging
•  Likelihood of inexperienced operators
•  Ineffective on lighter colored hair, or hair that has turned grey
•  FDA will not allow the use of the term "permanent" in describing its effect on hair
• 

Earliest modalities of this device have been discontinued




Theory - How does it work


While my last site got a little complex about some of the technology "out there" in laser-land, I felt that it was storming the average reader with too much information. So for this incarnation I will try to stick to more basic stuff.

Laser light has the property of transfering energy to its target by a thin beam of light. When the beam strikes the target, energy is transferred to it and heating takes place. In sufficient quanity, Laser is capable of burning nearly anything, and where the target is skin, the control of this property is paramount. Laser can literally vaporize the tissue to any depth necessary. This has many many uses.The Idea of using a laser to target a hair resides in the tendency of a dark object (the hair root) to absorb energy more efficiently than the surrounding tissue. It still seems to require about 280 degrees Farenheit to render a follicle damaged.




Very little known about the long-term impact of laser use

Information is difficult at best to obtain about the true results of laser electrolysis. One reason for this may well be that individuals and companies are trying to withold sufficient information to prevent the improper copying of their product. With the rest of the world looking on, this is somewhat understandable. However it is entirely possible, as well, that this makes analysis of the work difficult to nail down. Such has been the thrust of a couple of television documentaries on the dangers of laser electrolysis. Also there is a problem with the lay-public learning to read the reports. In one attempt to understand a report I started out with the word "fibrosis", and ultimately found that the report which mentioned moderate fibrosis was talking about "moderate scarring." This is not good. So coupled with the lack of long-term view, infrequent feedback and misleading or obtuse reporting methods, the results are going to be hazy. I hear routinely that one manufacturer fields about 3-5 complaints a week from clients who have been burned by lasers. This is not exactly headline news, but it should not be ignored.




High tendency for re-growth

Then there is the issue of regrowth. It is commonly known (or is it?) that laser electrolysis works on a long term basis in about 1 out of 50 cases. For every wonderful tale of one visit and it is gone, there are a bunch of people out there who have been sapped of a great deal of money and no way to even get so much as a cent back. They have been duped into believing that a miracle is going to occur with a process that cannot even be allowed to claim "permanent". Generally what happens, as with most flash thermolysis, is that the hair is simply bombed back to the stone age, but it will one day rebuild and return. Lately, judging by the work that is turning up for me, it seems that it takes about 2 years for the hairs to re-appear. The funny thing...well, not so funny after all...is that it seems that laser resets nearly ALL the hair to "zero" where it remains dormant. Judging by three noticeable cases that I have worked on, it then makes its re-appearance all at once.




Capabilites of this process are often advertised in excess of real outcomes

Perhaps one of the reasons that laser electrolysis is so popular is that you can hardly open a paper without reading an advertisement for it. And the nature of these advertisements are very misleading. There are claims that border on the illegal as to permanence, and I have already met clients who were fleeced of a significant amount of money before finding out that these machines are ineffective against light colored or grey hair. They do not print a surgeon general's warning, although I think they should. Bear in mind, that I mentioned that these machines have serious capabilities. Many doctors have found that the ownership of a few of these machines can reap very large rewards - one equipment seller claims a six figure increase in office income by offering laser electrolysis.

Over the last couple of years, there has been a growing incidence of customers utilizing laser electrolysis “for a quick color removal” then asking me to remove the remaining grey and white hairs. Essentially, they are asking me to clean up after the use of laser electrolysis. I have been doing this for the last 3+ years and I found several problem areas.


1: Hairs that have been affected by laser electrolysis tend to exhibit characteristics similar to the use of excess heat as in flash thermolysis. Follicles are often “spot-welded” into the skin and nearly impossible to remove following galvanic treatment. Tissue moisture in the follicle has been significantly reduced and galvanic struggles to break down follicle walls so necessary for effective hair kill. In spite all of this, hair is still growing (sometimes VERY well) in the follicle. While this is happening, regrowth hairs are re-emerging somewhere during the 2 year recovery period and I have been criticized for failing to kill re-growth.

2: Black debris is observed scattered throughout the dermal layers of the skin. There is an explanation for this characteristic. When a follicle is instantly heated to the required 284 degrees (or higher in some cases) steam is produced at 212 degrees by the sudden rise beyond the boiling point. Because of the instant rise of temperature in any given follicle, the dark bulb at the end of the hair root, called the dermal papilla literally explodes due to steam which cannot be contained in the lower follicle. The material in the dermal papilla is liquid and dark in color. Not unlike black ink, actually. This material is subsequently spread throughout the lower follicle and surrounding skin. The theory is that the skin can eliminate this waste matter, but it has been observed that a number of clients presenting to me have permanent shadow below the skin surface that has failed to dissipate. This problem along with the difficulty in removing embedded solid debris, leads to the assumption that I am responsible for scarring and coloration problems that can expose me to charges of malpractice.

3: Hair that has been treated by laser electrolysis tends to grow back brittle and with no appreciable tensile strength left to it. If I attempt to remove this hair, it snaps off and I must try again to remove it. Once again, I grasp the hair with the tweezers and again, it snaps off. This occurs 5-7 times until, finally, the root and what little hair is still embedded are now broken off below the skin surface. In working on clients who have done laser electrolysis, I have found that this is nothing to me but a case of Repetitive Stress Injury waiting to happen. Therefore, I have made policy that all work following laser electrolysis is done at premium prices. And yes, the howling has begun. You are reading it here and it is also written about extensively in other websites, such as www.hairfacts.com. Be advised, a quick removal of the initial shadow may only be the beginning of a long, expensive, and arduous horror tale.




Significant possibility of deep tissue scarring and premature aging

Laser has the dubious distinction of being able to scar large portions of skin rather than just a few follicles. One blink mis-applied and the result is as significant and as permanent as any tatoo. However, this is the obvious stuff. I would like to again take up arms against sub-dermal scarring. This is the insidious type of scarring in which collagen is boiled away deeper in the skin during the high temperatures involved in killing follicles only to be replaced by more dense and less flexible scar tissue. While this is done below the surface of the skin, I believe that improper laser use can lead to premature aging of the skin and it may not be evident for several years, but by then any warranties expressed, or implied, have probably run out. Caveat Emptor.



Likelihood of inexperienced operators


Here is where I get down and boogie. For over two years, I have been in search of a decent school where I might train on the use of laser. The purpose of this is to learn before I try to work with the laser machines. I am always into new stuff and trust me, this will happen. What I have found so far, is pretty scary, though. I located several schools claiming reputations and offering certification in laser electrolysis. One of them stated that they could do this in 1-2 days! What I found, though, left me a little cold. While a bit of a "techy" myself, I feel that to adequately understand the theory of operation and application of this type of equipment, I would need some decent training. The longest school I located was 5 days of training and cost nearly as much as 4 months of training in conventional electrolysis. This worries me. I am pretty dense myself, and it might take me a little longer or a little more hands-on time to become proficient in the use of laser. So I called one prestigious school and I was told that the hands-on portion of the work consisted of "a day or so". When I inquired about a way to obtain more course time, I was told that this would come after I went back to work " for your doctor". I guess I was to infer that my clients would be my training aids. Since that day about 4 years ago, I have been confronted by people who must have unwittingly been someone else’s training aids.



Ineffective on lighter colored hair, or hair that has turned grey


Forget using laser on grey hairs, they reflect too well, and the energy has no effect on the root structure. This same phenomenon is also present where the hair is sebaceous. This is where the hair itself is rooted within the sebaceous gland. All hair starts out this way and these glands tend to be white in color. Therefore there is no energy absorption and hence, no hair kill. Also, it would be wise to note here that often the outer sheath of a follicle can often be totally white in color while producing a black hair. Once again, laser can only work on dark colored roots by absorbing light energy and converting it to heat. No absorption, no heat, no kill.




FDA will not allow the use of the term "permanent" in describing its effect on hair

At this time the rule still stands that Laser Clinics and Operators may claim that their process is capable of "permanent reduction" and nothing more than that. The definition is also in consideration of the reduction as measured in a time period of three months. Remember what I said about re-growth re-appearing in 2 years? With THAT time frame, even permanent reduction is in doubt. Caveat Emptor.



Earliest modalities of this device have been discontinued

I was surprised to note in an investment newsletter that followed the activities of laser-based practices, that the manufacturer of one of the first laser-based electrolysis systems had closed its doors. Bear in mind, that this leaves no recourse for someone seeking damages for bad work out there. Significant, also, is the still unknown long-term repercussions of this work. Rumblings from a couple of engineer friends familiar with laser have pointed to the possibility that wavelengths in the 200-300 nanometer bandwidth are in fact capable of generating genetic mutations that could possibly lead to cancerous growth. Even though machines are not designed to operate in this bandwidth, the tendency of the skin to reflect laser light in much the same way as a prism, could produce reflected wavelengths in the 200-300 nanometer range. By the time it becomes obvious that something out there may have been responsible for an upsurge in the incidence of skin cancer, the perpetrator(s) may be long gone.