Frequently Asked Questions
This laser energy passes through the skin and is absorbed by pigment in the hair and hair follicle, causing selective damage to the hair root without damaging delicate pores and structures of the skin. The laser is pulsed, or "turned on", for only a fraction of a second. The duration of the pulses is carefully calibrated so that laser energy will be absorbed by the hair follicle without transferring excessive heat to the surrounding skin.
Some of the hair which was in the treated follicles is ejected during treatment, and the rest is shed over the next 2-3 weeks. The surface of the skin is protected by the Dynamic Cooling Device. This device sprays a short burst of cryogen, a cooling substance, to the skin before each laser pulse to cool and protect the epidermis. The spray is computer calibrated to work with your skin type. This protects the skin while effectively treating the unwanted hair.
Unlike "hair-by-hair" treatments with electrolysis, the laser uses a wide beam which treats many hairs at once. It is possible to treat larger areas quickly such as the back, shoulders, arms, legs and face. Even sensitive areas such as around the nipples, upper lip and bikini line can be treated easily. The laser's design allows us to customize treatment according to your hair and skin color, hair texture, and location on the body. Candela GentleLASE Plus treatment is a safe, fast, gentle and effective method for hair removal.
In men, the most common areas for treatment are:
Electrolysis can be an excellent technique for the removal of small numbers of hairs, from areas where it is difficult to use the laser (under the eyebrows, near the eyes, and in the ears and nose.) Also white and very pale blonde hair which does not absorb laser light efficiently.
We want laser to be affordable not for a few but for the majority of people. We offer a FREE consultation in which we explain the process of laser hair removal. We will evaluate your needs and we will answer all of your questions. We accept cash, most debit and check cards, and most credit cards.
The removal of unwanted terminal hair for the management of hirsutism, congenital or drug-related hypertrichosis, pseudofolliculitis, transsexual states, and some skin grafts may be covered by some private insurance plans. We do not file for insurance reimbursement.
Rarely, (perhaps 2-4 cases out of a hundred) there can be lightening or darkening pigment in the treated area. This is seldom a major cosmetic problem, and generally resolves after a few months. Even a single blister, rather like a tiny sunburn, is very rare (less than one in a hundred).
HOWEVER, you must be aware that there is the possibility of new hairs growing from formerly non-producing hair follicles that become stimulated by hormones, stress, or medications.
The other group of hair follicles which could produce dark terminal hair in the future are the fine vellus "peach fuzz" follicles which have no pigment and so are not affected by laser treatment. If some of these fine little "peach fuzz" follicles mature into terminal hair follicles, they can be treated with laser at that time.
Because hair follicles cycle through "active" and "dormant" phases, a series of treatments are necessary to "catch" the hairs in their active stage. As the amount of hair declines, some people become very enthusiastic and want even LESS hair than they had originally planned on.
Children can be treated if they have a congenital nevus or other problem with excessive hair, but the children must be old enough (for example, 12 years old) to understand and cooperate with treatment. We frequently treat young, preteen girls who have developed dark hair on the upper lip.
Laser hair removal is not just for "cosmetic" problems. Patients with excess hair because of medications (i.e., organ transplant patients who are taking cyclosporine) can benefit from laser hair removal; as can patients who have problems with ingrown hair and folliculitis under prosthetic devices.
Hypertrichosis is excessive growth of hair in non-androgen dependent parts of the body (i.e., areas other than the face, neck, chest and medial thighs).
2. Tanning should be avoided! The Candela GentleLASE Plus is a safe and effective laser for light to medium tone skin types. Many Italian, Greek, and East Asian have been successfully treated with the Candela GentleLASE Plus.
The lighter your skin color at the time of treatment, the better the laser beam can get through the skin to the hair roots, where it is needed. If you avoid sun tanning, tanning creams and tanning beds for six weeks before treatment, you will get the maximum possible benefit from each treatment session.
Protect yourself by using a sunscreen of SPF 45 or higher on all areas to be treated before, during, and after treatments, or keep the areas covered with clothing. It is also a good idea to minimize tanning for a few weeks after laser treatments have ended to reduce the chance that your tan will be somewhat uneven.
3. Shaving or clipping the area to be treated is not a problem. Excess hair must be removed from the treatment area before treatment because hair ABOVE the surface of the skin will simply absorb and waste laser energy and keep it from getting to the hair roots where it is needed.
If you are unable to shave the area, we can do it for you. However, it will save time if you can have it shaved before your appointment, and some people's skin may be more sensitive if the hair has just been shaven.
Contrary to popular belief, shaving DOES NOT make hair grow back thicker, faster, darker or more profusely! So go ahead and shave before treatment, and between treatments!
4. Bleaching - Because the laser beam only acts on the hair ROOTS, it is OK to bleach hair in the areas to be treated because bleaching will not affect the color of the roots. We do prefer that you stop bleaching before your first visit so that we can see the hair color at the level of the skin and give you an accurate evaluation.
5. Timing - It takes 4-6 weeks for the next crop of hair roots to become active and develop pigment which is the target for the laser. So, to get the best value from your treatments, your treatments will be scheduled at 4-6 week intervals. There is no harm in having treatments MORE FREQUENTLY than every 4-6 weeks, or having treatments less than 4 weeks after waxing, plucking, etc. - but this could increase the total number of treatments needed to get a good result.
Also, there is no harm in waiting more than 4-6 weeks between treatments; for example, if there has not been much regrowth since your last treatment. Waiting longer for other reasons may place the hairs in a dormant phase.
6. Medications - There are a few medications which should not be taken while you are getting laser treatment. Anabolic steroids should certainly NOT be taken unless medically necessary, because these can increase male-pattern hair growth in some cases.
We cannot treat you if you are presently or have recently used Accutane or Bactrim. Women who take injections of Climacteron (testosterone & estradiol) as part of therapy for menopause and to increase libido often experience unwanted hair growth, but CAN BE TREATED with laser hair removal.
Medicines which inhibit hair growth (for example, spironolactone, Diane-35 birth control pills, Euflex, Androcur and Vaniqa cream) might slightly reduce the pigment in hair roots and make laser treatment less efficient, but this seldom interferes with the effectiveness of laser treatment.
Laser hair removal can certainly be done while you are on these medicines if you wish. These "anti-androgenic" medicines produce gradual but temporary effects, and will not remove unwanted hair from areas that are independent of androgen regulation.
Pretreatment with medicines like Acyclovir, Valtrex or Famvir may be necessary if you tend to get a lot of cold sores in the area to be treated.
Makeup will need to be removed before treatment, and may be reapplied after two hours. Do not apply vaseline, lip balm or other heavy petroleum based products on the area to be treated. There are no restrictions on what you eat or drink prior to your appointment.
Please do not shave the area to be treated on the day of your treatment. We like to see a small amount of hair to determine regrowth patterns. (1/16" is fine in most cases.)
After all of your last minute questions have been answered and paperwork handled, the areas you wish to have treated will be cleansed and pretreatment photos may be taken.
Everyone in the treatment room must wear protective goggles when the laser is used. The Candela GentleLASE Plus is a high powered laser system, and can cause eye injury if proper eye wear is not worn.
The length of the procedure itself can range from a few minutes for the upper lip to an hour or more. For example, a man's chest and back.
If you decide before coming in that you would like to have additional areas treated, please call ahead so that we can schedule enough time to accommodate your needs.
Some people find the FIRST laser treatment more uncomfortable than subsequent treatments. This is because there are more hair roots which are destroyed during the first treatment; and perhaps also because some people are more apprehensive during the first treatment because they are not sure of what to expect.
While some areas of the body are more sensitive than others, most patients report little or no discomfort.
The Candela GentleLASE Plus features the Dynamic Cooling Device (DCD). This device sprays a short burst of cryogen to the skin a split second prior to pulsing.
This coolant protects the skin and makes the treatment more comfortable for you. The cooling spray can be adjusted to suit your skin type and hair type and is computer calibrated for carefully controlled delivery.
It would not be uncommon for the skin to be slightly drier that evening. Using Aloe Vera Gel will sooth the skin. There are no limitations to your activities, however, we ask that you do not take a hot shower or bath for the first day. Also, swimming in a chlorinated pool or jacuzzi, or using a rough bath brush are not recommended for the first few days.
We ask you not to workout or engage in any physical activity that may cause sweating for the first 24 hours. Our experience has shown that better results are achieved with less irritation when you do not reheat the skin with hot water or exercise.
The hairs may appear to be growing but that is the body pushing the dead hairs from the follicles. It is normal that some hairs in the treated area may not fall out within 2-3 weeks. These will be treated in the next session.
It is best not to shave the treated area for a few days. If the skin is irritated, use only soft wash clothes and mild soap and moisturizing creams. You may use exfoliating gloves in the treated area but it is not really necessary.