Morristown Laser Hair Removal doctors

Emily Altman, MD Emily Altman, MD
Short Hills Dermatologic Surgeon
349 E. Northfield Road Suite LL7, Livingston
47 answers
Janet M. Neigel, MD Janet M. Neigel, MD
West Orange Oculoplastic Surgeon
101 Old Short Hills Rd Ste 204, West Orange
6 answers
Emil Bisaccia, MD Emil Bisaccia, MD
Morristown Dermatologist
Morristown
David Evdokimow, M.D. David Evdokimow, M.D.
Morristown Plastic Surgeon
96 S. Finley Ave, Basking Ridge
Larry Weinstein, MD Larry Weinstein, MD
Morristown Plastic Surgeon
Chester Woods Professional Park 385 Route 24 Suite 3K, Chester

Recent Answers

I Had Laser Hair Removal in 1997. Are There Any Known Long Term Effects from Those Treatments?

Back in 1997 when I was 18, I was taken to a doctor in philadelphia for facial laser hair treatment. The first couple of treatments, used a laser that required wiping a black salve type liquid on my face and finally, after several treatments later, they started using a clear cooling gel with a different laser. The treatments were extrememly painful and, in the end, extremely ineffective. Are their known risks/long term effects to these first lasers to be concerned about now?

A: Short and long term side effects of laser hair removal

Laser hair removal side effects are usually seen fairly rapidly after the treatment.  Most of them are temporary, such as hyperpigmentation or even burns.  Hypopigmentation can sometimes last a very long time.  If the burns are deep enough, they can result in permanent scars.

However, if you had no side effects after the treatments, they will not show up years later.  Lasers used for hair removal are in the visible light spectrum.  

There are lasers that use ultraviolet light to treat diseases such as psoriasis or vitiligo.  Those can potentially have long term side effects because ultraviolet light can cause damage to the DNA, the genetic code of the cells, and years later may result in precancerous or even cancerous skin lesions.  That is rare but can happen.

Here are some more details on laser hair removal side effects:

Laser hair reduction works by targeting the pigment (melanin) in the hair follicle. Melanin then absorbs the heat delivered by the laser and transfers it to the nearby growth control center of the hair follicle (stem cells). Heating of the stem cell area causes the hair to become lighter and finer until it is small and fine enough not to be seen above the skin surface. The hair is not actually destroyed, nor is the hair follicle scarred.

Under certain conditions, like hormonal changes during menopause or in women with polycystic ovary syndrome, the treated hair follicles can get activated again and start producing dark terminal hairs that again grow above the skin surface.

Because the laser actually preferentially targets the darker areas, the major potential side effect is burning the epidermis (surface layer of the skin), since it also contains melanin. That can result in darkening or lightening of the skin. If the burn goes beyond the epidermis into the lower layers of the skin, actual scarring and skin texture change can result.

It is extremely important to make sure that laser hair removal is not performed on anyone who has had sun exposure to the area to be treated within at least 6 weeks before laser hair removal. When the skin tans, the melanin darkens and the difference between the skin and hair color is significantly reduced. That makes it more likely that the laser will hit the pigment in the epidermis and cause a burn.

It is also important to carefully and accurately determine the person's skin type prior to the procedure. That is done by means of a detailed questionnaire, and not by just glancing at the skin and making a judgment. Skin type determines the proper settings on the laser that will also minimize the potential for side effects.

To decrease the risk of side effects, it is best to have the procedure done by a board-certified, trained and experienced physician, to do careful skin typing and to avoid sun exposure for at least 6 weeks prior to treatment.

Emily Altman, MD
Short Hills Dermatologic Surgeon
I Took a 6 Weeks Course of Doxycyline. How Long Do I Wait Before Laser Hair Removal Treatments Can Commence?

I took a six week course of the 'light sensitive' antibiotic and finished the course in mid-September. I'm wanting to get laser hair removal treatment on my legs, how long do I have to wait until I can start treatment. Not sure how long antibiotics stay in the system for? I'm also of Asian (Pakistani origin), my legs aren't particularly dark (light olive) and my hair is black. I heard that Sorprano laser is virtually pain-free and caters for all skintones, is this is a good choice. Thanks, Abi.

A: How long to wait between doxycycline and a laser procedure

I recommend waiting for 7-10 days.  By that time all the doxycycline should be out of your system.  The half life (the amount of time to eliminate 1/2 of the medication out of your body) of doxycycline is 18-22 hours, which means that after 1 day only half of the medicine is left, after two days 1/4, etc.

Essentially by the end of the week, pretty much all the medication should be gone.

Emily Altman, MD
Short Hills Dermatologic Surgeon
Is There A Way To Permanently Remove White Hairs?

Is There A Way To Permanently Remove White Hairs? I'm 23

A: The only way to remove white/grey hair is with electrolysis

Whether you undertake that or not depends on where the hair is.  If it is on your scalp and you are genetically predisposed to early greying, I would not suggest using electrolysis because you will be actively destroying the hair follicles on your scalp.  And only more would come.

If the hair is in an area where you do not want hair in the first place, then electrolysis is the only answer.

Emily Altman, MD
Short Hills Dermatologic Surgeon
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