D. Gawkrodger's Dermatology - An Illus. Colour Text PDF

By D. Gawkrodger

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Manual terminal hair counts were performed at baseline and compared with similar evaluations at 6 months following the final treatment. The percentage of hair loss was defined as the number of terminal hairs present after treatment compared with the number of terminal hairs present at baseline. 9% for the 10 msec pulse duration alexandrite laser. There was a slightly greater, albeit statistically insignificant, loss of thicker hairs (such as those seen on the back of men) with the 10 msec alexandrite laser.

The authors noted light erythema in 10% of treated patients. The erythema lasted up to several days. qxd 3/20/08 11:22 AM Page 22 L A S E R H A I R R E M O VA L blistering, were noted in 6% of patients. Healing occurred within 10 days. Transient hypopigmentation was noted in 6% of individuals. Hypopigmentation lasted up to 3 months. The average hair count taken before a second treatment was 65% of the hair as compared with the numbers present at baseline. However, the numbers varied in different anatomic areas.

The novice may wish to deliver several individual test pulses at an inconspicuous site, with equivalent pigmentation, starting at an energy fluence of 15 J/cm2 and slowly increase the delivered energy. As a general rule, somewhat lower fluences are required for effective hair removal than is required from the now rarely used ruby lasers. This may be related to the deeper penetration of the 755 nm wavelength. Undesirable epidermal changes such as whitening and blistering are to be avoided. Prolonged and permanent hair loss may occur following the use of all normal mode alexandrite lasers; however, great variation in treatment results is often seen.

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Dermatology - An Illus. Colour Text by D. Gawkrodger


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