Sunday, November 8, 2009

You Have Too Much Hair?

by Frank Vanderlugt

The quest for permanent hair removal goes back millenia; archeologist say that men shaved as far back as 20 thousand years ago, using sharpened rocks and shells. Societies all around the world use diverse hair removal methods, from sugaring to caustic depilatory creams. However, the hair eventually grows back and the procedure must be repeated endlessly.

The oldest method of permanent hair removal is electrolysis. It works as advertised for most consumers if done correctly, but it requires training and skill by the operator. A hair-thin probe is inserted into each hair follicle, and low-voltage electricity is applied, causing localized damage to the follicle and preventing hair regrowth. Proper insertion of the probe follows the natural opening of the follicle and does not penetrate the skin.

This method of hair removal has a proven track record of more than 125 years, and most studies show 90%-93% customer satisfaction with the results. However, it can be expensive if large areas are to be treated, and waiting while a technician attends to each individual hair in turn can be tedious. It can be moderately painful. If the technician is unskilled, permanent scarring can occur, and unsterilized equipment can spread skin infections.

The treatment may have to be repeated 3-4 times, both to redo follicles which were not destroyed after one treatment, and to catch follicles which were not producing hairs at the time of treatment and thus went unnoticed. Hair follicles are not always in an active growth phase; however, after a year or so, most follicles will have been treated. Because a majority of hair follicles are in a dormant, non-growth phase at any given time, treatment must be repeated at 2-3 month intervals to catch them all.

The term "needle-free electrolysis" is sometimes used to describe hair removal devices which function by passing electric current down the hair shaft to the follicle by a tweezer or a conductive patch. These systems are completely ineffective, as hair is a poor conductor of electricity.

Battery-operated home units are sold on at department stores, the Internet and on Ebay, usually for around $20. The most popular brand is One-Touch by Babyliss, though others are offered as well. From personal experience, I can testify that these units do indeed work, but a lot of practice is necessary. Consumers who try this option should be aware that despite the detailed and quite adequate instructions accompanying the units, there is a learning curve, and many people have found that performing electrolysis on themselves is too difficult to be worth the trouble. However, if you do decide to use this option, a pair of magnifying glasses and a good set of tweezers can make the procedure much easier.

Electrolysis has a long history, and many researchers were experimenting with electrical methods of hair removal as far back as the American Civil War era. The first workable electrolysis machine was invented by St. Louis ophthalmologist Charles Michel, who in published results of permanent hair removal with treatment by a battery-powered electrified needle in 1875. He had been using his device to treat ingrown eyelashes since 1869. This DC-current powered method is referred to as electrolysis or galvanic electrolysis because a chemical reaction in the hair follicle causes formation of sodium hydroxide, which damages the follicle. The chemical reaction is as follows : NaCl (salt) H2O (water) direct current = NaOH (sodium hydroxide) Cl (chlorine) H (hydrogen).

Subsequent improvements included a machine using multiple needles, invented by Paul Kree in 1916; and the use of AC current, called diathermy, which causes direct thermal injury to the hair follicle, reported in medical literature in 1924 by Dr. Henri Bordier. The latter method is also referred to as thermolysis, short-wave, high-frequency, and radiofrequency hair removal.

Minor improvements continued through the 1930s and 1940s. In 1948, Arthur Hinkel and Henri St. Pierre received a patent in 1948 for a combination method they developed, and 20 years later published "Electrolysis, Thermolysis and the Blend", which described their experiments with different hair removal techniques. "Blend" refers to the fact that blended methods often work better than just one method alone.

Further improvements included incorporating transistors and computerized controls, as well as insulated probes and sterile disposable needles. However, despite attempts to automate electrolysis equipment, the effectiveness and safety of electrolysis is highly dependent on the skill of the operator. Electrolysis professional organizations exist and set standards for member certification, but in many states, anyone is legally permitted to offer electrolysis services. Therefor it is important for anyone seeking electrolysis to get references beforehand.

Use of this hair removal method continued into the early part of the 20th century, when it was briefly eclipsed by X-ray hair removal, which was advertised as safe and painless. It should be noted that people in this era displayed a generalized, dangerous lack of knowledge about the dangers of radiation; shoe stores even featured x-ray machines to aid in shoe fitting!

After the X-ray fad ended consumers returned to electrolysis until the advent of effective laser treatment in the 1990's. These days, most hair removal is done by laser, but electrolysis is still useful for isolated hairs, and for pale hair which responds poorly to light-based treatment.

Monday, October 5, 2009

Does Laser Hair Removal Hurt?

by Frank Vanderlugt

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.