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Announcing the New
Palomar Starlux
Now Available!


Why tie up your capital costly
purchase? Announcing our newest
addition, the Fraxel SR1500 Laser!


800.479.8855

 


Home > Ask the Doctor

Ask the Doctor

Kathleen Welsh, MDKathleen Welsh, MD, is the Medical Director of Monarch Laser Services. Dr. Welsh frequently lectures on cosmetic laser surgery and preceptors physicians in the use of aesthetic lasers for skin resurfacing, laser hair removal, and vascular lesions.

If you have a clinical question for Dr. Welsh, please fill out and send the form below. You will receive a response via e-mail and your question may be added to our list of FAQs.


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FAQs
Can I get more information about laser hair removal?
Can you provide me with more information about Vascular Lesion Pulse Dye Laser Treatment?
Can I get some general information from you about laser hair removal?

Laser hair removal technology is safe, fast and highly effective in the permanent reduction of unwanted hair.
  • There are 3 different phases of hair growth - anagen, telogen and catogen. In the anagen phase, the hair is actively making pigment in the root of the hair follicle. In the telogen phase, the hair is in the follicle, but is not making pigment in the root of the follicle. In the catogen phase, the hair is being shed by the follicle. The phase of hair growth most affected by the laser is the anagen phase. Since 20-30% of the hair is in the anagen phase at a time, we should destroy 20-30% of the hair with each treatment. The normal hair growth cycle is 4-8 weeks; therefore we schedule appointments 4-8 weeks apart. Scheduling treatments too early or too late in the growth cycle may make additional treatments necessary.

  • The laser works by sending a beam of light through the skin to the hair follicle and heating the hair bulb. There will be some pinkness and swelling around the hair follicle. This is transient and usually last 15 minutes to a few hours, however for some people it may last a day or two. Over the counter topical steroid cream, aloe vera gel, or cool compresses may be applied at home for discomfort.

  • The laser targets melanin (the pigment in hair), therefore blond, gray, strawberry red or fine peach fuzz will not respond to the laser. Because the laser targets pigment, precautions must be used in people with a lot of skin pigment. This means cautious laser settings and darker skin types may be pre-treated wit ha skin bleaching cream for 2-4 weeks before laser treatment. The cream must be continued the entire duration of laser treatment.

  • Most patients require 3-6 treatments to get the maximum benefit of the laser treatment (an average of 88% permanent reduction). People with darker skin types may need more treatments. People with underlying hormonal imbalances, polycystic ovaries, adrenal hyperplasia, use of oral steroids, or a strong genetic tendency for hair growth may also need additional treatments.

  • You must avoid the sun (on lasered areas) 2-4 weeks before, during and 2-4 weeks after final laser treatment. It is mandatory to use a sunscreen with UVA and UVB coverage and a SPF factor of 30.


Can you provide me with some general information about Vascular Lesion Pulse Dye Laser Treatment?
  • The laser works by delivering laser energy to targeted blood vessels, resulting in heating effect and uniform coagulation.

  • The laser targets hemoglobin (the color in blood).

  • The treatments will vary depending on the size and color of the vessels. Multiple treatments may be necessary and it may take up to three or more treatments for the best results. The treatments should be spaced 6 to 8 weeks apart.

  • You must avoid the sun (on lasered areas) before and during your laser treatments.

  • Immediately following the laser treatment, the treated area will appear red or bruised with a blue/grey discoloration, depending on the size of the vessel or lesion. Redness is usually gone within 2 to 24 hours. However bruising may last 5 to 10 days.

  • Some areas may show swelling. In that case ice in indicated for 10 to 20 minutes, 2 to 3 times a day, for 2 to 3 days.

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