Laser Hair Removal For Men?
Permanent hair removal has been available in some form for 125
years; the first electrolysis machine was invented in the late
1800s by an ophthalmologist who used the device to treat ingrown
eyelashes (trichiasis). Since then, numerous electrolysis
machines have been patented, but no new hair removal technology
appeared until lasers entered the consumer market in the 1960s.
While electrolysis is undeniably effective, it can only target
one hair at a time. The holy grail of permanent hair removal has
always been the bulk treatment of many hair follicles at once.
This reduces the time needed to treat an area of skin by a
factor of several hundred.
The first lasers used in dermatology in the mid to late 1960s
emitted a continuous wave, an impractical feature for hair
removal since the beam also damaged adjacent tissue. The
development of the Q-switch, similar to a camera shutter,
allowed the beam to be emitted in timed pulses.
In the late 60s, early laser hair removal devices targetted
individual follicles through a wire-thin fiberoptic probe, later
modified into a penlight-type device. These devices were
difficult to use, just as electrolysis probes are, and in
addition were ineffective at destroying the hair follicle. The
FDA forced the removal of these devices from the marketplace due
to false advertising.
In a repeat of history, the late 70's saw the introduction of a
laser device to treat ingrown eyelashes. This led to the
introduction of argon laser equipment to treat unwanted hair
elsewhere on the body, but this device also proved to be useless
for body hair.
Other dermatologists noticed that lasers used to treat tatoos
and vascular lesions produced hair loss in the adjacent tissue,
which led to more experiments.
1995 the first FDA-approved laser hair removal device was
introduced, the SoftLight by ThermoLase. However, FDA approval
does not mean that a device is effective; it just means that
according to the FDA's inspectors, it is not acutely dangerous
and makes no medicinal claims that have not been substantiated
by research.
The SoftLight used a carbon-based lotion which was rubbed into
the skin immediately following hair removal by waxing.
Theoretically, the lotion would penetrate into the open hair
follicle, and then the laser would be applied to heat the
accumulated carbon and destroy the follicle. However, this
device proved less effective than light devices that targeted
the hair follicle pigments naturally present in skin.
The company which produced SoftLight initially made an excellent
profit by offering what they claimed was permanent hair removal
through a chain of proprietary clinics called Spa Thira.
However, by 1997, a medical study which followed treated
patients found full hair regrowth, and in 1998 and 1999
successful lawsuits against the company forced it to cease
manufacturing the devices.
In 1997, the FDA approved several more devices which target the
melanin in the hair follicle. These devices have better results
than the earlier versions; however, some are still so new it is
difficult to tell if the hair removal is permanent. Of the 9
laser or light-based systems currently being used, 2 of these
use non-laser light. The non-laser technologies use columnated
light of many wavelengths which the system operator filters to
select the wavelength most likely to be absorbed by the melanin
in the patient's follicles.
Some consumers claim they have experienced long-lasting hair
removal with the newer lasers. The treatments are safe if
performed properly, and are useful for large areas such as the
back or legs, where electrolysis would be a tedious, painstaking
process. Even when hair is not completely removed, it grows back
finer and lighter. Light-skinned patients with dark hair have
the best results. The treatments are said to be more comfortable
than electrolysis, and patients can usually tolerate them
without analgesics.
3-4 year results are available for some systems such as pulsed
light, but most of the newer machines have not been around long
enough for long-term data to be available. Also, light-based
devices do not work well on blondes or redheads, or people with
dark skin. Untrained technicians can cause burns, lesions, skin
discolorations and in some cases scars.
It is important to remember that any permanent hair removal
treatment must be repeated several times, over a period of at
least 1-2 years. At any given time, most hair follicles are in
the dormant stage, not producing any hairs, and if there is no
dark hair in a follicle, laser/light systems will not have any
effect. However, after a year or two, most follicles will have
restarted their growth cycle.