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Kathryn A Martin, R Rox Anderson, R Jeffrey Chang, David A Ehrmann, Rogerio A Lobo, M Hassan Murad, Michel M Pugeat, Robert L Rosenfield
Objective: To update the "Evaluation and Treatment of Hirsutism in Premenopausal Women: An Endocrine Society Clinical Practice Guideline," published by the Endocrine Society in 2008. Participants: The participants include an Endocrine Society-appointed task force of seven medical experts and a methodologist. Evidence: This evidence-based guideline was developed using the Grading of Recommendations, Assessment, Development, and Evaluation system to describe the strength of recommendations and the quality of evidence...
March 7, 2018: Journal of Clinical Endocrinology and Metabolism
Alessandro Martella, Mauro Raichi
The High Power Pulsed Light™ [HPPL™] and Incoherent Fast Light™ technologies [IFL™, Novavision Group S.p.A., 20826 Misinto (MB), Italy] are recent innovations in the field of unwanted hair removal with intense pulsed light devices. IFL™ is a further improvement over the already advanced characteristics of the HPPL™ technology. A selection of photoepilation case histories with the HPPL™ and IFL™ technologies is presented; a short introduction highlights the main features of the two technologies...
March 13, 2017: Dermatology Reports
Alessandro Martella, Mauro Raichi
The effectiveness of intense pulsed light (IPL) and laser devices is widely accepted in aesthetic dermatology for unwanted hair removal and treatment of a variety of cutaneous conditions. Overall, most comparative trials have demonstrated similar effectiveness for IPL and laser devices. Literature studies alternatively favor the IPL and laser concepts, but the incidence of severe local pain and side effects were generally lower with IPL. IPL phototherapy, already established as a sound option in photoepilation and treatment of photoaging, hyperpigmentation and other skin conditions, is also considered first choice in the phototherapy of skin vascular malformations...
March 13, 2017: Dermatology Reports
Sushil T Tahiliani, Harsh S Tahiliani
Laser-based photoepilation of dark skin types demands a delicate combination of appropriate light wavelengths and spot size to achieve optimal epidermal-to-follicular energy absorption ratios. This prospective study assessed the axillary, arm, thigh, and back hair clearing ef cacy of the LightSheer In nity 1060 nm diode laser in 10 Fitzpatrick skin type IV-V patients. Each area was treated up to ve times, at 4-6-week intervals, after which immediate skin responses and adverse events were recorded. Hair count, color and coarseness were assessed before each treatment session, as well as 1, 3, and 6 months following the last session...
November 1, 2016: Journal of Drugs in Dermatology: JDD
Bibilash Bs, Ravi Kumar Chittoria, Devinder Mohan Thappa, Devi Prasad Mohapatra, Friji Mt, Dineshkumar S, Sandhya Pandey
BACKGROUND AND OBJECTIVES: There are no large volume comparative studies available to compare the efficacy of lasers over lights for hair removal in Fitzpatrick V and VI skin types. This study is designed to compare the efficacy of Nd:YAG laser versus IPL in the darker skin types. STUDY DESIGN/MATERIALS AND METHODS: Thirty-nine patients included in Group-1 were treated with Nd:YAG and 31 in Group-2 with IPL. Both groups received 5 sessions of treatment. The hair counts were assessed using digital photography and manual counting method before and after treatment and the results were analysed...
October 2017: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Mario A Trelles, Patricia Almudever, Justo M Alcolea, Julio Cortijo, Gabriel Serrano, Inmaculada Expósito, Josefina Royo, Franck Marie Leclère
BACKGROUND: Photothermolysis of unwanted hair depends on the presence of melanin in the hair follicle as the chromophore, but is not effective in patients with non-pigmented, melanin-sparse hair shafts and follicles. This split-scalp, double-blind study was to monitor the efficacy of melanin bound in nanosomes to inject exogenous melanin into the hair follicles thus potentiating successful photothermolysis.<br /> MATERIAL AND METHODS: Twelve patients, phototypes II-III, with white or very fair hair, were treated with a compound containing melanin encapsulated in nanosomes (Melaser<sup>®</sup>) together with a fluorescent marker...
May 1, 2016: Journal of Drugs in Dermatology: JDD
E J van Zuuren, Z Fedorowicz
Hirsutism is a common disorder with a major impact on quality of life. The most frequent cause is polycystic ovary syndrome. Effects of interventions (except laser and light-based therapies) were evaluated, including Grading of Recommendations Assessment, Development and Evaluation assessments. Searches included Cochrane Skin Group Specialised Register, CENTRAL in The Cochrane Library, Medline, Embase and five trials registers to June 2014. We included 157 randomized controlled trials (RCTs) with 10 550 participants...
July 2016: British Journal of Dermatology
A C Vissing, E H Taudorf, C S Haak, P A Philipsen, M Haedersdal
BACKGROUND: Photoepilation is the treatment of choice for hair removal in patients with hirsutism, but it remains a challenge to prevent regrowth of hairs. OBJECTIVES: The objective of this study was to investigate whether topical eflornithine maintains hair reduction in hirsute patients after cessation of intense pulsed light (IPL) therapy. METHODS: A randomized, split-face, single-blinded controlled trial on topical eflornithine vs. no eflornithine treatment (control) after 5-6 IPL-treatments in 22 women with facial hirsutism...
February 2016: Journal of the European Academy of Dermatology and Venereology: JEADV
Esther J van Zuuren, Zbys Fedorowicz, Ben Carter, Nikolaos Pandis
BACKGROUND: Hirsutism occurs in 5% to 10% of women of reproductive age when there is excessive terminal hair growth in androgen-sensitive areas (male pattern). It is a distressing disorder with a major impact on quality of life. The most common cause is polycystic ovary syndrome. There are many treatment options, but it is not clear which are most effective. OBJECTIVES: To assess the effects of interventions (except laser and light-based therapies alone) for hirsutism...
April 28, 2015: Cochrane Database of Systematic Reviews
Muhsin A Al-Dhalimi, Mohammad J Kadhum
BACKGROUND: Undesirable hair growth presents a significant problem for many patients. Photoepilation has become a very popular procedure in esthetic and cosmetic practice. Among the systems used are the long-pulsed alexandrite laser (755 nm) (ALX) and intense pulsed light (IPL). OBJECTIVE: To compare the safety and efficacy of long-pulsed ALX and IPL for hair removal. PATIENTS AND METHODS: This comparative study was carried out in the outpatient Department of Dermatology and Venereology, Al-Sadir Teaching Hospital, Al Najaf City during the period from June 2009 to July 2010...
2015: Journal of Cosmetic and Laser Therapy: Official Publication of the European Society for Laser Dermatology
Besa Gacaferri Lumezi, Aferdita Goci, Violeta Lokaj, Hatixhe Latifi, Natyra Karahoda, Ganimete Minci, Drita Telaku, Antigona Gercari, Allma Kocinaj
INTRODUCTION: Hirsutism is a common disorder of excess growth of terminal hair in an androgen-dependent male distribution in women, including the chin, upper lip, breasts, back, and abdomen. It is very important to identify the etiology of hirsutism and adequate treat is prior to any cosmetic therapy. CASE PRESENTATION: The case was a 17-year-old female with severe hirsutism, oligomenorrhea, and obesity. She was evaluated to identify the etiology and diagnosed as a case of polycystic ovarian syndrome (PCOS), nonclassic congenital adrenal hyperplasia (NC-CAH), and hyperandrogenic insulin-resistant acanthosis nigricans (HAIR-AN) syndrome, which is a rare combination of hirsutism etiology...
June 2014: Iranian Red Crescent Medical Journal
Sang Ju Lee, In Kwon Yeo, Kui Young Park, Seong Jun Seo
No abstract text is available yet for this article.
July 2014: Journal of the American Academy of Dermatology
Stefan Riml, Lorenz Larcher, Martin Grohmann, Peter Kompatscher
The use of high energy light sources [laser, intense pulsed light (IPL)] is booming in aesthetic surgery. A trend, especially concerning usage of photoepilation in cosmetic institutes, is detectable. Photoepilation works through selective photothermolysis, by heating the chromophore melanin within the hair follicles. We present a case impressionably demonstrating that high-energy light demands profound knowledge of its mechanism of action, and can cause severe harm in absence of basic knowledge. Photoepilation is a balancing act between maximal therapeutic effect and minimal side effect risk...
August 2013: Photodermatology, Photoimmunology & Photomedicine
A Klein, S Steinert, W Baeumler, M Landthaler, P Babilas
BACKGROUND: Safe and efficient options for removing unwanted hair are in great demand. Laser devices and intense pulsed light (IPL) sources are the most commonly used treatment modalities. Yet, only a few randomized controlled trials (RCTs) comparing laser and IPL devices are available, and RCTs with long-term results are missing from the literature. OBJECTIVES: To compare the safety and long-term efficacy of diode lasers (DL) and IPL sources for axillary hair removal, we conducted an intrapatient, left-to-right, assessor-blinded and controlled trial...
June 2013: British Journal of Dermatology
Soodabeh Zandi, Harvey Lui
Laser (or light) hair removal, also referred to as photoepilation, is the most commonly used laser or light-based cosmetic medical procedure. The extended theory of selective photothermolysis is the basic principle for destruction of hair follicles using light. In this type of laser application the chromophore is follicular melanin. Several types of lasers and light sources have been effective for hair reduction, including the ruby, alexandrite, diode, and neodymium:yttrium-aluminum-garnet lasers and broadband, intense pulsed light sources...
January 2013: Dermatologic Clinics
Caerwyn Ash, Kelvin Donne, Gwenaelle Daniel, Godfrey Town, Marc Clement, Ronan Valentine
The objective of this work is the investigation of intense pulsed light (IPL) photoepilation using Monte Carlo simulation to model the effect of the output dosimetry with millisecond exposure used by typical commercial IPL systems. The temporal pulse shape is an important parameter, which may affect the biological tissue response in terms of efficacy and adverse reactions. This study investigates the effect that IPL pulse structures, namely free discharge, square pulse, close, and spaced pulse stacking, has on hair removal...
2012: Journal of Applied Clinical Medical Physics
Sophia Rangwala, Rashid M Rashid
Since the 1980s, laser technology has become increasingly popular to treat a variety of cutaneous conditions. Its successful use as an epilator comes with the rare but interesting side effect of paradoxical hypertrichosis. In this review, we summarize cases describing hair growth after photoepilation, as well as studies testing laser and light sources as treatment for alopecia, particularly androgenetic alopecia and alopecia areata. We also discuss the possible biologic mechanisms by which phototherapy induces hair regeneration...
February 15, 2012: Dermatology Online Journal
Beom-Joon Kim, Mi-Hyang Kim, Jun-Kyu Oh, Yong-Kwan Rho, Dong-Hyun Kim, Jee-Woong Choi, Sang-Woong Youn, Kyoung-Chan Park, Chang-Hun Huh
Photoepilation is one of the most popular cosmetic procedures. However, there has been no objective method to evaluate the efficacy of hair removal. The goal of this study is to evaluate the effect of photoepilation more objectively using a phototrichogram method. Thirteen young, healthy, female volunteers were enrolled in this study. At initial work-up, semi-permanent tattoos were marked in both axillae of all the volunteers and hair variables were evaluated by phototrichogram and digital camera. Intense pulsed light-assisted photoepilations were performed in both axillae of the volunteers twice at 4-week intervals...
December 2010: Journal of Dermatology
S Hammes, H M Ockenfels, H-R Metelmann, C Raulin, S Karsai
BACKGROUND: Photoepilation has been an essential field of application of dermatologic laser therapy for many years. The present article evaluates whether the use of a new operation mode of a long-pulsed diode laser can be effective, nearly painless, with few side effects and independent of the skin type. To this aim, its use has been compared to an established method of photoepilation. MATERIAL AND METHODS: In a controlled prospective study with 18 (♀=12, ♂=6) patients aged between 22 and 58 years, the effects of photoepilation with the long-pulsed alexandrite laser and the long-pulsed diode laser, operated in the Super Hair Removal mode (SHR), were compared...
October 2010: Der Hautarzt; Zeitschrift Für Dermatologie, Venerologie, und Verwandte Gebiete
G Holzer, H Nahavandi, R Neumann, R Knobler
BACKGROUND: Variable Pulsed Light (VPL) is a new intensity pulse light (IPL) system. We evaluated VPL for safety and long-term efficacy in non-facial hair removal. STUDY DESIGN/MATERIAL AND METHODS: The Variable Pulsed Light [VPL System (Energist Limited, UK), 610-950 nm] system was used for the removal of unwanted non-facial dark pigmented body hair in 42 volunteers (40 females, two males, age: 18-43 years, mean: 30.4 +/- 7.4 years) with Fitzpatrick skin phototype (SPT) II (33...
May 2010: Journal of the European Academy of Dermatology and Venereology: JEADV
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