Ulike Laser Hair Removal for Women and Men, Air 3 Ice- ...

Summary:
Pros:
The product is absolutely amazing!
* Easy to Use
* Quick and 99% painless (nothing horrible, see details for more info)
* Effective
* Very responsive
* Easy to set up and hold
* Pretty clear instructions and recommendations
* Multiple Settings
* Pretty Color and a nice box
* Great for sensitive skin
* Works in nearly ALL areas
* Effective against somewhat coarse hair (such as leg hair)

Down Sides:
* May be somewhat time-consuming for people who may not have set times for skin care and have a busy life.
* The light is BRIGHT!! You have to use the glasses provided or something darker, also don't have others in the room without eye protection as it can be seen across the room.
* Somewhat noisy but it's not too bad. (A small "quiet" vacuum is about the sound level.)

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Detailed Review:
I was on the fence about it, due to several reasons. For one, I have extremely sensitive skin to the point that I have to use specific soaps and products otherwise it breaks out or just tears. My skin is delicate but my hair is somewhat coarse, grows fast, and is stubborn.

It was a pricy investment I wasn't sure would work. That being said, I went ahead and got it and I'm so glad I did. I do have a very hectic life and forget simple things often, so setting a schedule to use it has been my only real issue, which is on me not the product.

Now, I have used it (so far) on my legs/thighs, somewhat bikini line, hands/wrist area, arms, underarms, and face. (Skip down to results if you don't have sensitive skin or concerns about how your skin will react...and feel lucky <3)

~*~ Products I have used Before ~*~
Just to give a thorough review (as I didn't see this in any other reviews)
Previous products I have tried and how my body handled them:
* Nair (regular, extra strength, sensitive skin, creams, foams, pretty much every variation) - Effect: Chemical burns even when using less than the recommended time, skin tearing, hair still very much present though a good bit was removed. Due to the chemical burns, I stopped using any of these.
* Waxing creams, gels, strips - Effect: Skin tearing and extreme irritation. Sometimes hair was pretty much completely removed but at the cost of removing my skin as well.
* Razers and a plethora of shaving creams/gels/ Pinterest and Tiktok recipes (I can't even cover all of them but nearly every Venus line, men's razors, and pretty much anything you can find at Walmart, especially the ones for sensitive skin) - Effects: Skin irritation, some tearing, breakouts, and hair the next day........

~*~ Finally THIS Product Results ~*~
Again, I have a hectic schedule so I have not been able to use it as recommended, however, the little bit I have used has shown promise. My legs, wrist, and hands have spots or strips that don't grow as fast after 2-4 uses over the span of a month (definitely wayyyy less than recommended for results).

I was worried about using it on my face and tried other parts first, so I have only used it on my face twice. This was actually the whole reason I bought it though, as I do not enjoy growing a ton of face hair and being a girl. It's life and natural, but I hate it and it really messes with my self-esteem (which is already pretty low).

When using the product, some sensitive spots or spots may still have hair sometimes have a small pinprick sensation for a few seconds. This isn't even that bad, especially since with razors I have about 2 days of burning. I would recommend a non-scented lotion afterwards as your skin can feel a little off. I haven't done a round without the lotion to see if it would get worse. Again, the slight discomfort or off feeling is nowhere near the pain or irritation caused by other products.

Overall, I love the product and would recommend it for people with sensitive skin, acne-prone skin, and even coarser hair.

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Continuing Education Activity

The demand for safe, long-lasting, and effective hair reduction for aesthetic as well as medical indications is on the rise. A variety of options for hair removal are available, such as epilation by plucking or waxing, depilation by shaving, chemical depilatories, electrolysis, eflornithine cream, and laser and intense pulsed light (IPL) systems. A variety of lasers and IPL systems are available and are the best option for long-term hair reduction. This activity describes the different lasers, their indications, contraindications and complications and highlights the role of the interprofessional team in educating patients who want to undergo hair removal.

Objectives:

• Describe the different lasers used for hair removal.

• Review the indications for laser hair removal.

• Summarize the complications of laser hair removal.

• Outline interprofessional team strategies for improving care coordination and communication to advance care bundle approaches for hair removal with the laser and improving outcomes.

Introduction

The demand for safe, long-lasting, and effective hair reduction for aesthetic as well as medical indications is on the rise. A variety of options for hair removal are available, such as epilation by plucking or waxing, depilation by shaving, chemical depilatories, electrolysis, eflornithine cream, and laser and intense pulsed light (IPL) systems. A variety of lasers and IPL systems are available and are the most effective options for long-term hair reduction.[1] The mechanism of action of these systems is the targeting melanin in the hair shaft, follicular epithelium, and hair matrix by emitting light with wavelengths ranging from 600 to nanometers (nm), because those wavelengths are selectively absorbed by melanin.[2]

Anatomy and Physiology

Selective Photothermolysis

Lasers for skin treatment work on the theory of "selective photothermolysis." This term implies a site-specific, thermally mediated injury of microscopic tissue targets by the selective absorption of pulses of radiation by the targets and the chromophores. The natural or artificial chromophores absorb monochromatic or broadband electromagnetic radiation of specific wavelengths. The chromophore employed in laser hair reduction is melanin. Melanin absorbs light in the range of 300 to nm, and lasers in this range of wavelengths can be effectively used for hair reduction.[3][4]

An Extended Theory of Selective Photothermolysis

Target absorption may not always be uniform. In these cases, the weakly absorbing parts may have to be destroyed by heat diffusion from the highly absorbing parts. This is the "extended theory of selective photothermolysis." This principle is applied to laser photoablation. Melanin content is much higher in melanin-bearing structures like the hair shaft and matrix cells than in the hair follicle. Thus melanin captures energy from the laser and distributes it to the surrounding follicular structures. This results in the destruction of the hair matrix and hair bulge stem cells.[5]

Indications

1. Hirsutism and hypertrichosis

2. Aesthetic purposes

3. Medical indications like pseudofolliculitis barbae, pilonidal sinus, and acne keloidalis nuchae. [6]

Equipment

Lasers for hair reduction include the following:

1. Ruby Laser (694 nm) - Red light is delivered through synthetic ruby crystals, more effective for lighter skin types with dark hair (skin types I-III*)

   (694 nm) - Red light is delivered through synthetic ruby crystals, more effective for lighter skin types with dark hair (skin types I-III*) [7]

2. Alexandrite Laser (755 nm) - Greater penetrance, good for lighter hair (skin types I-III)

   (755 nm) - Greater penetrance, good for lighter hair (skin types I-III) [8]

3. Diode Laser (810 nm) - Penetrates deeper, delivers better fluence, less epidermal damage, safer in darker skin (skin types I-V)

   (810 nm) - Penetrates deeper, delivers better fluence, less epidermal damage, safer in darker skin (skin types I-V) [9]

4. Neodymium-doped Yttrium-Aluminium-Garnet (Nd: YAG) Laser ( nm) - Better penetration, less epidermal damage, relatively less melanin absorption (skin types I-VI)

   ( nm) - Better penetration, less epidermal damage, relatively less melanin absorption (skin types I-VI) [10]

5. Intense Pulse Light (IPL) or Broadband Light (BBL) (500- nm) - High-intensity pulses of polychromatic, non-coherent light are delivered by a flash-lamp; various filters allow the narrowing of the emitted wavelength band, can be used on darker skin, larger areas can be covered due to its larger spot size, less expensive than a true laser but not as effective

   (500- nm) - High-intensity pulses of polychromatic, non-coherent light are delivered by a flash-lamp; various filters allow the narrowing of the emitted wavelength band, can be used on darker skin, larger areas can be covered due to its larger spot size, less expensive than a true laser but not as effective [11] [12] [13]

* Fitzpatrick Skin Types[10]

• I- Pale white skin, blue/green eyes, blond/red hair; always burns, does not tan

• II- Fair skin, blue eyes; burns easily, tans poorly

• III- Darker white skin; tans after the initial burn

• IV- Light brown skin; burns minimally, tans easily

• V- Brown skin; rarely burns, tans darkly easily

• VI- Dark brown or black skin; never burns, always tans darkly

Preparation

1. Detailed clinical history to rule out infections, drug intake, etc.

2. Hormonal evaluation to assess causes of hirsutism.

3. Counsel the patient to manage expectations. It must be stressed that the procedure provides permanent hair reduction rather than removal.

4. Evaluate skin and hair types to choose the right laser and parameters.

5. Avoid hair epilation by plucking or waxing for 6 weeks before the procedure.

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6. Sunscreens may be prescribed 4 to 6 weeks before the procedure, especially on exposed areas.

7. Pre-procedure photographs, with due consent, to maintain a record for evaluation of treatment response.

8. Shave the area long enough before the procedure to allow a slight stubble to develop; this will provide enough of a target for the laser without absorbing too much energy in the hair shaft itself.

9. Obtain an informed consent.

10. If need be, a topical anesthetic cream may be applied one-half to one hour before the procedure. [14] [15]

Technique or Treatment

1. Clean the area to remove oils from the skin

2. Position the patient comfortably.

3. Use eye protection for both the operator and the patient.

4. Avoid reflecting surfaces or metallic objects near the laser.

5. Individualize the parameters to each patient's skin and hair type and the type of laser being used. 

6. Place the handpiece perpendicular to the skin. Ensure that it is pressed down gently but firmly to bring the follicles close to the surface and temporarily decrease the blood supply to the treatment area.

7. Perifollicular edema and erythema is an expected side effect, and this must be explained to the patient prior to the procedure. [14] [15]

Post-Procedure Care

1. Although most machines have inbuilt cooling systems, ice packs or cooling agents may be used post-procedure to minimize pain and swelling.

2. In case of inadvertent epidermal injury, topical antibiotics may be used.

3. Strict sun protection and the use of sunscreens is a must.

4. Topical steroid creams may be prescribed to minimize erythema and swelling. [14] [11]

The hair matrix is only sensitive to laser treatment during the anagen phase of the hair growth cycle; therefore multiple treatments will be necessary in order to address all hair follicles when they are most sensitive to treatment. In the initial phase of hair removal therapy, 4 to 6 sessions spaced 4 to 6 weeks apart are the minimum required to achieve adequate results. Subsequently, patients may need maintenance treatments once every 6 to 12 months as small vellus hair may grow back.[16]

Various factors may affect the outcome, such as:

1. Hair location (axillary and pubic hair respond better than hair on the extremities and chest)

2. Skin and hair color (light skin of Fitzpatrick skin types I-IV with dark hair achieve the best results due to the lack of melanin in the skin and the abundance of melanin to absorb laser energy in the hair follicles)

3. Hair growth stage (anagen hair being most sensitive)

4. Laser type

5. Hormonal status

6. Treatment plan [2]

Complications

Adjacent epidermal structures other than melanin within the hair bulb can compete for absorption, and may cause laser energy to be absorbed by pigment in the epidermis. This hampers the effectiveness of the treatment and causes adverse effects due to adjacent epithelial damage. [17]

Common adverse effects of laser or IPL-based hair removal include post-treatment erythema, pain, and burning.[18]

More severe adverse effects include blistering, crusting, dyspigmentation, purpura, and sometimes scarring.[19][20] Ocular complications due to accidental injury may be seen. Paradoxical hypertrichosis may rarely occur, more commonly in skin type III and with the use of IPL systems.[21][22][23]

Clinical Significance

Selecting the correct lasers with the appropriate parameters, individualized to each patient, is very important, particularly in patients with intrinsically dark skin. Most complications are preventable when adequate precautions are taken with adjustment of the fluence, spot size, wavelength, and the use of appropriate cooling. Thus, it is all the more important that trained personnel with a thorough knowledge of the mechanisms, techniques, and complications carry out these procedures.

Enhancing Healthcare Team Outcomes

Laser hair removal is performed by many healthcare workers including nurses, dermatologists, plastic surgeons, primary care providers and other cosmetic surgeons. Unfortunately, because of lack of oversight, complications are common during this procedure. To make matters worse, patients are often given unrealistic expectations. The key is to use the correct laser, especially in dark skinned individuals. Common adverse effects of laser or IPL-based hair removal include post-treatment erythema, pain, and burning.[18] More severe adverse effects include blistering, crusting, dyspigmentation, purpura, and sometimes, scarring.[19][20] Ocular complications due to accidental injury may be seen. Paradoxical hypertrichosis may rarely occur, more commonly in skin type III and with the use of IPL systems.[21][22][23]

Overall, lasers can remove hair but rarely does the procedure provide a permanent cure for hair growth. Touch up maintenance treatments are required for most patients in the long term.

Disclosure: Tanvi Vaidya declares no relevant financial relationships with ineligible companies.

Disclosure: Marc Hohman declares no relevant financial relationships with ineligible companies.

Disclosure: Dinesh Kumar D declares no relevant financial relationships with ineligible companies.

If you are looking for more details, kindly visit Painless Laser Hair Removal.