As much as I enjoy ritualistically shaving my tender bits, I’m ready for a more permanent solution. Waxing/sugaring is better…but I don’t have the commitment to allow regrowth. There is, alas, one solution. Laser hair removal.
But can I have what everyone else around me is getting? Apparently not.
The universe has decided that I must either:
1 - Attack myself with blades
2 - Have gleaming-eyed women place hot wax on my loins
forevermore.
I consulted the experts. Below is my discussions with:
* Dr. Joel Schlessinger, a board-certified Dermatologist and General Cosmetic Surgeon< and President of the American Society of Cosmetic Dermatology and Aesthetic Surgery as well as President of LovelySkin.com.
* Beth K. Miller MA, NMT, Registered Esth.
1 - Who should *not* do laser hair removal?
JS: Laser hair removal doesn’t work on red, white or blonde hair, despite what certain operators may say. Additionally, it doesn’t work on dark or tanned skin as well as on lighter skin, but there are some lasers that do help in those types of individuals. The problem, however, is that the potential for burns and other problems go up significantly.
BM: Laser hair removal is done with a broad spectrum beam of heat and light that is safe for all hair types. The contraindications for this treatment are the same contraindications for all laser and chemical peel treatments. They would be pregnancy, nursing, open lesions, infection, diabetes, high blood pressure, epilepsy.
2 - I know that certain lasers work only for certain hair
types/colors, and that many do not work for blond/light-haired people
(like me!). What are our options?
JS: Sadly, the options are rather limited. For example, there is electrolysis, which is painful and can lead to scarring or waxing (ouch!). Also, depilatories can be used and a topical product, Vaniqa, has also been used. Vaniqa is a cream that has to be used twice daily over these areas forever and it simply slows down growth but doesn’t stop it. You need to use some other method with it like plucking, waxing, etc.
BM: Laser hair removal works for all hair types. What changes is the beam flow. The laser produces a broad spectrum of light in a range of wavelengths. The concept behind the use of light to treat skin tissue is that the light, when absorbed by tissue, generates heat. This treatment provides a flexible and safe system, which adapts specific colors of light wavelengths to treat different skin types and hair colors.
3 - Are there any dangers to laser hair removal?
JS: Absolutely. There are many operators now who have very little training (some with less than an hour of training are out there playing laser doc and the kicker is that they were probably trained by someone who also had less than an hour of training). We see many cases of burns from medispas that are run by non-dermatologists and non-cosmetic surgeons where the price may be right, but the results certainly aren’t. This happens about once a week now in my practice. My best advice is to do your homework when looking for a place and insist that there is a dermatologist or plastic surgeon who not only is there onsite but actually lays eyes on you and preferably determines the settings on the laser. Most medispas go on the assumption that lasers area point and click device with no thought necessary and that couldn’t be further from the truth!
BM: There are no “dangers” however people who are sunburned will possibly become hypopigmented. I have seen this several times since Florida is a sun State.
4 - Who are the best candidates?
JS: The best candidates are light skinned people with dark hair – lots of it. Laser hair removal doesn’t work on peach fuzz and wispy dark hair has less of an effect from it as well. Don’t do it if you are tanning. That means tanning within one to two months of the procedure and don’t do it before a big trip in the sun either. Many of my patients don’t realize that tanning (even ‘just once a week’) is a potential disaster with laser hair removal. It can lead to horrible, lifelong, burns and isn’t something that is worth risking.
BM: There are no “best” candidates. Light hair is the most difficult to treat since the laser has to adhere to the hair pigmentation. Light hair types generally require more sessions however that should not prevent a client from seeking treatment.
5 - Any recommendations on how to find/choose the right place to go?
And what questions to ask?
JS: Whatever you do, don’t be all about price. The places that have the lowest prices are typically manned by ‘technicians’, who may have little or no training and are typically on commission. They may not even be a nurse! So price is a huge draw, but may be low just because they have little or no standards. Don’t believe everything they say, either. I see ads all the time saying that laser hair removal is permanent. It isn’t permanent in the way that most people think. If you think you are going to do laser hair removal and never have to shave again, you may be in for a surprise. While you will shave less frequently and may have stubble rather than longer hairs, it takes many sessions to see the results most people would equate with the word permanent. Unfortunately, many medispas have unethical advertising and personnel who will say anything to make the sale.
Lastly, watch out for the person who wants you to pay for a year or more of sessions at once. Medispas go out of business frequently and this means your money may be lost forever. It has happened to many of my patients who thought they were getting a great deal. Most reputable places charge by the session rather than monthly or yearly rates.
BM: Always get a good word of mouth recommendation if possible. If not, make sure the practitioners are certified (ask to see their license) and find out who the medical director is (if applicable). Not all States need one. Many States need only specific certification and that’s perfectly alright. There are several types of lasers on the market today and the one generally used is the Gentle Lase. That doesn’t mean it’s the best. It’s just the one most widely used. Some of the newer ones have a great cooling mechanism on the hand piece.
Thanks so much to these experts for their help…but I am more confused than ever! Read on for more expert round-ups in the great debate over my bikini line.