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In use about 50 years
Thermolysis was devised and described as a hair removal technique
by Dr. Bordier of Paris, France. His concept was the use of a radiating
wave of electro-magnetic energy raising the temperature in the tissue
surrounding the hair. The rapid oscillation of the wave would cause
molecular friction within the tissue which would then increase with
time or intensity. The increase in friction resulted in an increase
in temperature. This works very much the same way as your microwave
as it heats a styrofoam cup of water. Bear in mind that the energy
can pass easily through the styrofoam into the water as well. This
becomes very important in a later discussion, when I debunk a
rapidly
growing myth. What followed Bordier's invention was the
slow, but steady decline in the use of galvanic electrolysis in favor
of the "new technology" which promised so much more in terms
of speed and volume. In 1945 the concurrent use of both thermolysis
and galvanic electrolysis became possible. This was done by Henri
St. Pierre and Arthur Hinkle whose company continues to manufacture
equipment to this day. But thermolysis would continue to gain popularity
because of two facets. It was fast and ANYONE could do it. By 1990,
finding a good BLEND operator was difficult to say the least. On the
East Coast U.S., and in Europe it was impossible!!! It is confusing
to those of us on this side of the Atlantic to find that in many parts
of Europe this process is actually called diathermy, but essentially
the difference is in terms only.

Fastest per-hair method
Without a doubt, thermolysis is fast. A simple blink of power and
the follicle, if done properly, is ready removed. Properly done, small,
peach fuzz hairs can be removed easily. Swelling and discoloration
are generally gone in about 2-3 hours. The "point effect"
of the energy radiating downward from the tip of the needle is also
quite useful when treating small sebaceous hairs. This removes the
need for actual insertion itself. Simply touching the skin at the
base of the hair brings the sebaceous bulb within range of the power
band. But I warn you, this is not for amateurs and God knows, there
are a few too many out there!! Besides, I have since learned that
the proper use of galvanic power can be 5 times more effective, even
here...

Primarily meant for the removal of sparse or light hair
Generally, the original intent of thermolysis was to remove a few
sparse hairs or an upper lip of peach fuzz. Both St Pierre and Arthur
Hinkle warned against the use of Flash Thermolysis for the purpose
of removing coarse deep terminal hair such as beards. *sigh* Not many
people have read their work prior to wrecking the complexion of some
poor client. And yet the transgender community continually insists
on this kind of work be done on them. Purveyors are not difficult
to be found, either.
For the removal of sparse hair, thermolysis can even be overused without
significant impact to the skin. However in the case of facial beards
or seriously dense hair thermolysis is subject to a problem with overlapping
of power. This
overlapping of power is touted to the community as doubling
or tripling the effectiveness of treatment, when in fact, the overlap
between any three hairs is sufficient to cook the skin into a serious
second degree radiation burn with severe tissue damage. One community
provider even went so far as to dismiss the damage as "an allergic
reaction" and it was not until the scars formed that the truth
was known.

Widely used by many operators because of simplicity of operation
The simplicity of thermolysis operation makes for
a tantalizing position from the operator's view. Most modern machines
are
fully automated such that operating them consists of turning
this knob to here and that knob to there and wail, man, wail. This
is often as much instruction as some operators get. Bear in mind that
many states have no testing or licensing, much less,
training
requirements.

Difficult to obtain permanent hair kill
I don't want to be accused of saying that thermolysis is not permanent,
but don't worry, someone will do that for me. To further understand
the nature of why thermolysis seems at the outset to not kill hair,
we must go under the skin, to see how a
philo-sebaceous
unit works. It is prudent to point out here that the
instant power stops, so does any means of further damage to the hair
follicle. Not so with Galvanic lye. With thermolysis, we find that
with each pass, we remove the main hair, but stimulate follicle sites
surrounding the original offender. The skin, does what it does best,
and that is to protect itself against stimulation and one of those
mechanisms for protection is...(good grief)...HAIR. Often the harder
you work, the more there is to do!!!
Difficult to use without causing deep-tissue scarring and premature
So, of course, many operators simply "turn it up". This
works fine for hard rock music, but NOT for thermolysis. There are
two knobs, so let's infer that the first knob is the timing. What
the heck. It is the easiest to reach! Increasing the timing actually
has two consequences. First the heating pattern moves upward into
dryer skin where tissue becomes
desiccated
because it is already
partially dry. Second, the heating at the lower depths
is also beginning to dessicate tissue due to the increased length
of time. Bear in mind, that all of this can occur in under one second!!!
Of course, increasing intensity, the other knob, can also lead to
tissue desiccation and scarring. The insidious thing about thermolysis
is the fact, that the damage is often done long before either the
client or the operator is aware of it. Usually scabbing will follow
for a couple of weeks and then the skin displays a small circular
scar around the original hair site. I have a few of these, myself.
Not on my face, thankfully. They are the price I paid for being a
guinea pig at electrolysis school. Large areas of high power thermolysis
will ultimately present as white blotches in the skin.
Can require up to 30 or 40 passes before hair growth is substantially
reduced
Thus, it is that we come to a serious problem. One way to remove all
those hairs that seem to return week after week, and month after month
is to simply remove them again. This is the least damaging way out
of the dilemma and sadly, the least often used. Instead the temptation
to increase settings prevails, and skin damage results. Far too many
clients have turned up with 30-50 passes over a given area and asked
me to do the remainder of the work. They are usually quite shocked
when 3-4 passes later, very little re-growth remains. However, I usually
do have to set them straight with regard to my attitudes on
prior
work.

Can cause imbedded debris, ingrown hairs, circular scars (pits)
Ho Boy! Here is where the horror tales begin. It is
bad enough that permanent scarring and bleaching of the skin are the
price to pay for using flash thermolysis on coarse, deep hair. But
there is even more damage to come.
When high levels of power are applied, the follicle heats unevenly,
due to the presence of the hair. When inserting the needle into the
follicle, the hair has to lie alongside the shaft of the needle. When
the power is applied, the result is much like a bi-metal strip. One
side of the follicle side expands more rapidly than the other. In
high speed photography of this process, what is evident (besides the
congealing of the tissue outside of the hair follicle) is the tendency
of the lower follicle to twist or even invert. Sometimes the bend
can very nearly approach 180 degrees of rotation!!! Of course, this
process "freezes" when the power disconnects. The operator
then
"removes" the hair and the follicle dies. Well...maybe,
maybe not. Generally, not, as the germination parts of the follicle
may still be present and undamaged. Remember, when the power stops,
so does the kill. Given sufficient distortion, and skin damage, there
is simply no follicle at all. Should the hair begin rejuvenation,
there is simply no place for it to grow. As the dermal papilla (end
of the root) begins to re-start producing hair, the hair is simply
pushed through the skin and this results in the exorbitantly high
number of ingrown hairs. These are
easily removed, once they reach somewhere near the surface
where they can be dug out.
Debris, on the other hand, is a far worse situation. This can be the
burned remains of the lower part of the follicle. It can be small
bit of keratinized stuff that was produced before the follicle changed
its mind and died after all. It is usually dark and severely imbedded.
Often found at depths of .75 cm (about 3/8") to 1.5 cm (3/4"),
a piece of debris can be as much as 5 times the size of the original
hair and look 5 times larger than its actual size, due to the diffraction
of the light in the skin. As tissue is transparent, the effect is
not unlike a magnifying glass. This produces a dark area under the
skin which may take anywhere from 2 minutes to an hour and a half
to extricate. Because of massive destruction or distortion of the
follicle by high temperatures, there seems to be no way that the debris
will work its own way out of the skin. Also, I have added a series
of photographs which clearly show that the outer follicle was simply
cooked into the consistency of a tough, semi-transparent “sac”
which was so difficult to rip apart, that the debris and re-germinated
hair were unable to exit the now dead follicle.
Can damage surrounding tissue and most notably, sebaceous glands surrounding
the hair follicle It may seem to be a bit of an
old drum that I am beating, but I feel that the dangers cannot be
overstated. I am continually the recipient of one woeful tale after
another, and the observer of the sick and sorrowful work being done
out there. I would like to focus on the exact nature of the skin
damage itself and not the debris. Although the two are intimately
intertwined, I feel that I should also discuss them in different
contexts, for a much clearer view of what is happening.
One of the most insidious forms of skin destruction occurs when
massive amounts of thermolysis power are applied again, and again,
to an area of skin. I have promised myself I would not mention any
other operators who do this, but all you have to do is go to the
newsgroups and wait 5 minutes.
When the temperature of 212 degrees Farenheit (100 degrees C) is
reached, things happen. Ideally, the temperature for thermolysis
hair kill is 172 degrees Farenheit. However, the operator is given
only two ways to control that temperature and neither of them is
all that accurate. Of course, it is impossible to insert a thermometer
to measure the process at work, but only by controlling time of
treatment and intensity of treatment can we change the temperature.
The equipment is incapable of measuring the exact temperature and
only knowledge and experience can affect the results. Also, operators
are confronted with a wide variety of skin moisture types and even
areas of the same face are different in their moisture content.
Moisture plays a significant role in the heating characteristic
of thermolysis. Most often bad thermolysis is observable near the
corners of the mouth and around the lips, areas of high moisture
content. In addition to the discussion earlier about the drying
out of skin at 212 degrees, we have the damage to collagen. Again
this is very observable in the upper lip and the corners of the
mouth.
Collagen is an integral part of deep tissue and is what helps the
skin retain its shape and suppleness. You may be familiar with the
use of collagen injections to accentuate areas of the face that
are aging. It is thought that part of the aging process is the gradual
wearing down of collagen and certainly in the skin, that process
is observable. But collagen also has another characteristic. It
reduces itself to gelatin when heated to 212 degrees and is carried
away from the site of destruction as waste product. It is usually
replaced in some part by more dense tissue in a process called
fibrosis. What results is the formation of more dense
and inflexible scar tissue
The end result of excessive heating of the skin by the use of thermolysis
(also, see my section laser) is the gradual replacement of soft
supple skin with a much harder and less flexible form of scar tissue.
The result can often take as long as 10-15 years to be completely
evident. What is evident at that time is skin which is excessively
wrinkled and a smile that looks more like the parting of a theater
curtain.
Illustration of how skin damage in
Thermolysis (RF) occurs
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Yellow
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RF (Thermolysis) Treatment Area.
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Orange |
Overlapping Treatment Area - Potentail Skin Dammage. |
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Red
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Tripple Overlapping & Tissue
Destruction. |
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This sketch demonstrates the area
affected by the RF or thermolysis whenever a hair is treated.
It is in Yellow. However whenever two hairs fall within the
range of each other, a double exposure to RF occurs. This may
or may not result in skin damage. This is illustrated by the
orange or brown areas. However whenever a third exposure of
RF falls within range of the first two, the potential for severe
skin damage can occur and this area is marked in red. Note the
damage on several photographs, and you will see how the scarring
presents itself as irregular areas or spots. This may also result
in pitting. No amount of plastic surgery or skin surfacing techniques
will remove these types of scars. They are permanently a part
of the skin itself. |
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