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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.
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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.
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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.
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| 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.
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