Saint Paul Laser Hair Removal doctors

Richard H. Tholen, MD, FACS Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
4825 Olson Memorial Highway (Hwy 55) Suite 200, Minneapolis
4 answers
Joseph Campanelli, MD Joseph Campanelli, MD
Minneapolis Facial Plastic Surgeon
2080 Woodwinds Drive Suite 220, Woodbury
2 answers
Charles Crutchfield, MD Charles Crutchfield, MD
Minneapolis Dermatologic Surgeon
1185 Town Centre Drive Suite 101, Eagan
1 answer
Heather Rocheford, MD Heather Rocheford, MD
Saint Paul Plastic Surgeon
2101 Woodwinds Dr Suite 400, Woodbury
Mitchell Bender, MD Mitchell Bender, MD
St. Paul Dermatologist
6363 France Ave S Ste 606, Minneapolis

Recent Answers

Hydroquinone During Laser Hair Removal?

Is it ok to use hydroquinone 4% in between appointments of laser hair removal? Is this drug safe to lighten the pubic area? If not what other topical treatments can be done for lightening the pubic area? What's the best product from reducing hyperpigmentation from acne scars or those left by pseudofolliculitis?

A: 4% hydroquinone after laser hair removal is safe.

Hydroquinones work by blocking one of the steps in the metabolic pathway of melanocyte activity. These prescription medications are often called skin "bleaching" agents, but they DON'T work like Chloroxing dirty socks! They simply "slow down" the metabolism of the pigment cells in the skin. Avoiding any kind of ultraviolet exposure (sun or tanning bed) is critical as well.

Since post-inflammatory hyperpigmentation (PIH) is a normal response to ANY kind of inflammation-producing cause (including laser hair removal), the balance is always between adequate energy for good hair removal and trying to minimize the collateral damage to the skin. In addition to hydroquinones, topical steroid creams (ask your hair removal doctor--laser hair removal MUST be supervised by a physician, even if it's at a spa) can help to reduce the inflammatory response that can occur with acne scars, pseudofolliculitis, AND laser heir removal energy.

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
Can the Use of GoldBond on Skin Prior to Laser Hair Removal Cause Burns? (photo)

On my 6th laser hair removal session I believe I got burnt and not sure why. Session was not very painful but almost immediately after I was in severe pain. My 1st 3 sessions were with YAG laser and I was fine. When switched to the Alex laser, I started getting small, minor dark spots but they cleared up within 2 weeks. Nothing like this. It was suggested that the Goldbond I had used 6 hours prior was to blame for this weird reaction. Is this possible? I am worried about after effects?

A: Laser hair removal--did Gold Bond cause this reaction?

Thanks for your photo. It's impossible to tell exactly if this reaction is thermal (actual burn from energy absorption overheating the skin) or allergic (from some sort of absorption of irritant--perhaps the Gold Bond--in the inflamed skin immediately after laser hair removal treatment).

Laser hair removal involves the introduction of energy into the upper layers of the skin where the hair follicles are located, and the hair growth areas of the follicle (the bulge and the base of the follicle) preferentially absorb enough energy to be destroyed. Unfortunately, the skin also absorbs some of the energy, and if excessive (such as for darker-skin races or tanned skin) inflammation, blisters, or even burns can occur. Gold Bond could be one way that the skin was irritated or reacted differently. This is easy to determine if everything else (laser type, energy used, and area treated) was the same; if the only "new" thing was the Gold Bond use prior to treatment, I'd say this is a good likelihood to have been the culprit.

If there is any good news here, it is that your photo appears to show no evidence that this will leave any permanent scarring, and the increased inflammatory response should mean that you will have somewhat better hair removal from this session! Best wishes!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
Laser Hair Removal on 15-16 Year Old: Any Risks?

I'm 15yo turning 16 in a bit and I want to have laser hair removal on my bikini, armpit and arm area. My parents don't agree with me having this done because some of their friends have told them is no good for people under 40yo! Is this true? And what kind of risks can a 15yo run when having this treatment done? Thank you in advance!

A: Laser hair removal is safe for all ages.

Although you need parental consent because you are still a minor, this should not be withheld because if the incorrect notion that it is "unsafe or ineffective for those under 40." What kind of friends gave them this baloney? If they simply don't want you to have it, they should tell you that (and perhaps why) and then you can at least have a discussion about it.

But as far as safety, laser hair removal uses non-ionizing energy, so there is NO risk of skin cancer (tanning beds are actually riskier!), and the worst things that can happen are inexpert treatment causing blisters, burns, or scars. These can occur in any age group, and choosing an expert hair removal provider is critical to minimizing these risks. (Price should NOT be the guiding force here). Properly performed, laser hair removal is safe and effective. You should understand that multiple treatments are need in any given area since the hairs need to be in a proper phase of growth in order to be effectively destroyed.

The cost may actually be the main issue here. Are you able to pay for this yourself? If you are or have saved up the required financial commitment, present your information and reasoning to your parents and do so in the adult manner you wish to be treated in. Best wishes!

Richard H. Tholen, MD, FACS
Minneapolis Plastic Surgeon
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