Effectiveness of Diode Laser versus Intense Pulsed Light in Hirsutism: A Prospective and Comparative Study in Samawa City

Authors

  • Arwaa A.Abdul-hussein FIBMS, MBChB, Department of Medicine, College of Medicine, Al-Muthanna University Author
  • Safa Azhar Razzaq Pharmacology & Toxicology Department, College of Pharmacy, Al-Muthanna University Author
  • Haidar Hamid Shak DMRD, Al Muthanna Health Directorate Al-hussein Teaching Hospital Author

DOI:

https://doi.org/10.61841/x63g9d32

Keywords:

Hirsutism, Diode Laser, IPL

Abstract

Lasers are widely used for hair removal. But the choice of the right laser for the right skin type is very important. The aim of this study is to compare the efficacy of diode lasers and intense pulsed light (IPL) on hair removal.

Patients and Methods: Fifty female patients with hirsutism were selected for a randomized controlled study in Samawa city at Al-Muthana government. The patients were divided into two groups; in group I, the patient's diode laser was used; in group II, intense pulsed light (IPL) was used. The patients were evaluated at 1st, 3rd, and 6th months after the last session was done, and medical history, hormonal assay, and abdomino-pelvic ultrasonography were performed to differentiate between idiopathic and pathological hirsutism. Hair thickness, rate of hair reduction and regrowth, and patient satisfaction questionnaire were recorded by using hair counts before treatment and during the period of follow-up.

Results: It was seen that the percentage of hair reduction after two sessions of treatment was maximum (45%) in the diode laser group and 30% in the IPL group. The percentage of hair reduction after four sessions of treatment was maximum (58%) in the diode laser group, followed by 37% hair reduction in the IPL group. The percentage of hair reduction after six sessions of treatment was maximum (80%) in the diode laser group, followed by 42% hair reduction in the IPL group.

Conclusions: The number of hair follicles and shafts was significantly decreased with the diode laser and IPL, but the diode laser was more effective. No dangerous or permanent damage was observed with both methods. 

Downloads

Download data is not yet available.

References

[1] Grossman MC, Dierickx C, Farinelli W, Flotte T, Anderson RR. Damage to hair follicles by normal-mode

laser pulses. J Am Acad Dermatol. 1996; 35:889–94.

[2] Adrian RM. Vascular mechanisms in laser hair removal. J Cutan Laser Ther. 2000; 2:49–50.

[3] Wheeland RG. Laser-assisted hair removal. Dermatol Clin. 1997; 15:469–77.

[4] Ross EV, Ladin Z, Kreindel M, Dierickx C. Theoretical considerations in laser hair removal. Dermatol

Clin. 1999; 17:333–55.

[5] Galadari I. Comparative evaluation of different hair removal lasers in skin types IV, V, and VI. Int J

Dermatol. 2003; 42:68–70.

[6] Bouzari N, Tabatabai H, Abbasi Z, Firooz A, Dowlati Y. Laser hair removal: Comparison of long-pulsed

Nd: YAG, long-pulsed alexandrite, and long-pulsed diode lasers. Dermatol Surg. 2004; 30:498–502.

[7] Chan HH, Ying SY, Ho WS, Wong DS, Lam LK. An in vivo study comparing the efficacy and

complications of diode laser and long pulsed Nd: YAG laser in hair removal in Chinese patients. Dermatol

Surg. 2001; 27:950–4.

[8] Lask G, Eckhouse S, Slatkine M, Waldman A, Kreindel M, Gottfried V. The role of laser and intense light

sources in photo-epilation: A comparative evaluation. J Cutan Laser Ther. 1999; 1:3–13.

[9] Battle EF, Jr, Hobbs LM. Laser-assisted hair removal for darker skin types. Dermatol Ther. 2004; 17:177–

83.

[10] Lou WW, Quintana AT, Geronemus RG, Grossman MC. Prospective study of hair reduction by diode laser

(800 nm) with long-term follow-up. Dermatol Surg. 2000; 26:428–32.

[11] Campos VB, Dierickx CC, Farinelli WA, Lin TY, Manuskiatti W, Anderson RR. Hair removal with an

800-nm pulsed diode laser. J Am Acad Dermatol. 2000; 43:442–7.

[12] Sadick NS, Prieto VG. The use of a new diode laser for hair removal. Dermatol Surg. 2003; 29:30–4.

[13] Klavuhn KG, Green D. Importance of cutaneous cooling during photothermal epilation: Theoretical and

practical considerations. Lasers Surg Med. 2002; 31:97–105.

[14] Goldberg DJ, Silapunt S. Hair removal using a long-pulsed Nd: YAG laser: Comparison at fluences of 50,

80, and 100 J/cm. Dermatol Surg. 2001; 23:434–6.

[15] Lévy JL, Trelles MA, de Ramecourt A. Epilation with a long-pulse 1064 nm Nd: YAG laser in facial

hirsutism. J Cosmet Laser Ther. 2001; 3:175–9.

[16] Bencini PL, Luci A, Galimberti M, Ferranti G. Long-term epilation with long pulsed neodimium: YAG

laser. Dermatol Surg. 1999; 25:175–8.

[17] Lepselter, J. and Elman, M. (2004) Biological and Clinical Aspects in Laser Hair Removal. Journal of

Dermatological Treatment, 15, 72-83.

[18] Swingler, R., Awala, A. and Gordon, U. (2009) Review Hirsutism in Young Women. The Obstetrician &

Gynaecologist, 11, 101-107.

[19] Sanchez, L.A., Perez, M. and Azziz, R. (2002) Laser Hair Reduction in the Hirsute Patient: A Critical

Assessment. Human Reproduction Update, 8, 169-181.

[20] Azziz, R. (2003). The Evaluation and Management of Hirsutism. Obstetrics & Gynecology, 101, 995-1007.

[21] Oner, G.V., Eapen, V., Faure-Brac, G., Ward, P., Hazell, P., Barton, G., et al. (2012) Hirsutism: Diagnosis

and Treatment. Journal of Metabolic Syndrome, 1, 1-6.

[22] Halachmi, S. and Lapidoth, M. (2012) Low-Fluence vs. Standard Fluence Hair Removal: A Contralateral

Control Non-Inferiority Study. Journal of Cosmetic and Laser Therapy, 14, 2-6.

[23] Cameron, H., Ibbotson, S.H., Dawe, R.S., Ferguson, J. and Moseley, H. (2008) Within-Patient Right-Left

Blinded Comparison of Diode (810 nm) Laser Therapy and Intense Pulsed Light Therapy for Hair

Removal. Lasers in Medical Science, 23, 393-397.

[24] Sarkar, P. and Hirsch, R.J. (2010) Update on Laser Hair Removal. Journal of Cosmetic Dermatology, 20,

440-444.

[25] Lanigan, S.W. (2001) Management of Unwanted Hair in Females. Clinical and Experimental Dermatology,

26, 644-647.

[26] Lapidoth, M., Dierickx, C., Lanigan, S., Paasch, U., Campo-Voegeli, A., Dahan, S., et al. (2010) Best

Practice Options for Hair Removal in Patients with Unwanted Facial Hair Using Combination Therapy

with Laser: Guidelines Drawn up by an Expert Working Group. Dermatology, 221, 34-42.

[27] Johnson, F. and Dovale, M. (1999) Intense Pulsed Light Treatment of Hirsutism: Case Reports of Skin

Phototypes V and VI. Journal of Cosmetic and Laser Therapy, 1, 233-237.

[28] Babilas, P., Schreml, S., Szeimies, R.M. and Landthaler, M. (2010) Intense Pulsed Light (IPL): A Review.

Lasers in Surgery and Medicine, 42, 93-104.

[29] Lin, T.Y., Dierickx, C.C., Campos, V.B., Farinelli, W.A., Rosenthal, J. and Anderson, R.R. (2000) Reduction of Regrowing Hair Shaft Size and Pigmentation after Ruby and Diode Laser Treatment. Archives of Dermatological Research, 292, 60-67.

[30] Dierickx, C.C. (1999) Laser Hair Removal: Scientific Principles and Practical Aspects. Coherent Medical, USA, 1-8.

[31] Gold MH, Bell MW, Foster TD, Street ST. Long-term hair removal utilizing the intense pulsed light source— two-year follow-up. Int J Cosm Surg Aesthet Derm. 2002; 4:15–8.

[32] Schroeter CA, Raulin C, Thürlimann W, Reineke T, De Potter C, Neumann HA. Hair removal in 40 hirsute women with an intense laser-like light source. Eur J Dermatol. 1999; 9:374–9.

[33] Sochor M, Curkova AK, Schwarczova Z, Sochorova R, Simaljakova M, Buchvald J. Comparison of hair reduction with three lasers and light sources: Prospective, blinded and controlled study. J Cosmet Laser Ther. 2011; 13:210–5.

Downloads

Published

30.04.2020

How to Cite

A.Abdul-hussein, A., Azhar Razzaq, S., & Hamid Shak, H. (2020). Effectiveness of Diode Laser versus Intense Pulsed Light in Hirsutism: A Prospective and Comparative Study in Samawa City. International Journal of Psychosocial Rehabilitation, 24(2), 2111-2117. https://doi.org/10.61841/x63g9d32