Laser Hair Removal: Key Facts

Dermatologists and plastic surgeons always give a great deal of attention to the time required to perform laser treatments. The time factor eventually determines the cost of the treatment.

There are only two methods to increase the coverage rate of a laser hair removal treatment: increase the pulse repetition frequency OR increase the spot size.

As shown in Table 1, time taken for a treatment area is a multiple of the spot size and repetition rate.

Table 1

Spot Size

Repetition Rate

Coverage Rate

Æ15 mm

1 Hz

1.8 cm2/sec

Æ12 mm

2 Hz

2.3 cm2/sec

Æ10 mm

3 Hz

2.4 cm2/sec

9 x 9 mm sq.

2 Hz

1.6 cm2/sec

Æ9 mm

3 Hz

1.9 cm2/sec

Æ7 mm

5 Hz

1.9 cm2/sec

It is always seen that an increase of the pulse repetition frequency leads to lower output energy levels. The capability of the laser to deliver high average power is a very important factor for consideration. It becomes hard to maintain cost-effective operation if the laser is not fast enough.

The data can be used to guess treatment time needed for different body areas, as given in Table 3. 

Table 2

Site

Approximate Size

Upper lip

15 cm2

Face

80 cm2

Bikini area

125 cm2

Underarms (2)

190 cm2

Man’s back

2750 cm2

Legs (2)

8100 cm2

Table 3

Area Treated

Treatment Time

# of Laser Treatments
Upper Lip 4 Minutes 3 - 8
Chin 5-10 Minutes 3 - 8
Bikini Line 10-15  Minutes 3 - 8
Underarms 4 Minutes 3 - 8
Man’s Back 1 Hour 3 - 8

Legs

1-2 Hours 3 - 8

That real treatment time depends on the following factors:

Technical characteristics of the laser system
Body area under treatment
Patient’s skin and hair characteristics
Surgeon’s talent and experience

The most desired wavelength needed to achieve best results by laser is in the range of 670 to 890 nm (nanometer). It allows for the farthest penetration of the tissue without any loss of light intensity.

The amount of power required for this optimum range varies with the depth of the follicle opening. There are usually 3 types of hair growth.

Table 4

Type of Hair

Depth (into the dermis)

Power Required

Terminal Hairs

7-8 mm

10 Joules per cm2

Secondary Hairs

5-6 mm

5 Joules per cm2

Vellus Hairs

-

2 Joules per cm2