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Laser hair removal is nowadays one of the most popular non-surgical cosmetic procedures. The promise of no more nicks, cuts and bumps and long-lasting hair-free results is pretty tempting. While most publicity surrounding the treatment is good, it is prudent for those considering it to carefully evaluate the risks associated with laser hair removal treatment, as it is a serious medical procedure with potentially serious side-effects.

Because it is a serious procedure, the American Society for Dermatological Surgery has put together a list of dos and don't for those considering it. They recommend that a qualified physician be consulted; that consumers ask questions about the type of lasers used, the training the laser technician has received and any other question on their mind; that they undergo a skin test prior to treatment to determine any contraindications to the procedure; and that the consumer check the physician's experience with different skin types.

On the don't side of the equation, consumers should not arrive for treatment with suntanned or burnt skin, as this increases the risk of damage during the procedure and decreases the efficacy of the treatment; consumers should not look at laser treatment as an option for white, grey or blonde hairs, as these contain insufficient melanin for the procedure to bring results; and consumers should not undergo treatment if they have taken any light-sensitive medication, as this may render the skin susceptible to burning and scarring.

A 24 month study observed the side effects of laser hair removal treatment to be:

* treatment pain;
* oedema;
* erythema;
* hypopigmentation and hyperpigmentation (skin discolouration);
* blistering;
* crusting;
* erosions;
* purpura; and
* folliculitus.

Most of these side effects were generated from the use of Ruby and Alexandrite lasers, where the contributing effects of seasonal variation, anatomic treatment location and sun exposure were marked. It must be noted that none of the reported effects were serious or long-term in nature, and no infections or scarring occurred in the trial.

The study found that laser hair removal treatments were safe when, during configuration of laser parameters, consideration is made of the patient characteristics of skin type and degree of exposure to the sun prior to treatment, along with the anatomic location of the treatment area. When treating patients with dark skin or tanned skin, lasers with high melanin absorption capabilities should be used conservatively.

Laser treatment can be an effective means by which to remove unwanted hair from almost any area of the body, but as with any medical procedure, there is some inherent risk involved. Candidates for treatment are advised to follow the "Dos and Don'ts" published by the American Society for Dermatological Surgery.


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