Free Consultation for Laser Hair Removal Treatment Niagara Falls Lasik Provision

Things Clients must know before beginning:

• Making sure patients read and fill out the consent form and only leaving things incomplete if they don’t comprehend the questions. (consent form attached)

• Go over consent form with client making sure all their questions have been answered.

• Stress the importance that more than one treatment is needed as hair grows in three stages.

• Explain that the laser energy heats the melanin in the hair follicle and bulge which disables the hairs in the anagen phase eliminating or impeding their growth.

• Lighter skin types may need between 3-6 treatments and darker skin types 6-8 treatments depending on their hair growth traits.

• Face every 4-6 weeks, arms every 8 weeks, bikini & underarms every 6-8 weeks, back and chest every 8-12 weeks and legs every 8-12 weeks.

• It is essential that their hair is present under the skin so they must not wax, tweeze, thread or have electrolysis for 3-4 weeks before the first session. Hair can be managed by shaving, trimming, bleaching or using Nair.

• Clients can use topical anesthetic before treatment to help with discomfort. Approx 30 mins before treatment apply a thick layer of topical cream to treated area and saran wrap over top so it can penetrate into the skin and not on clothing. Also advil 20 mins before treatment can help eliminate some of the discomfort.

• Explain that laser should be used cautiously with cold sores, genital herpes, uncontrolled diabetes, accutane for acne, keloid scarring, tattoos.

• Explain that most people describe the sensation similar to sunburn after treatment. Sun block/aloe is required on the treated area for 4 weeks after treatment. Redness usually fades within 24 hours.

• The hairs can take up to 3 weeks to be expelled from the follicle. Assisting the hairs by shaving or using a loofah or face cloth on the area.

• Lasers are intense sources of light and can reflect off the skin so eye protection must be worn.

Patient Preparation

• Area must be cleanly shaven with no hair above the surface.
• Skin must be clean of moisturizers, deodorant.
• Observe the clients and determine their skin type, color, thickness, and using chart determine your starting parameters. **Using patient hair screening form to determine skin type. **

Skin Type	Fluence 9x9 mm        12x12 mm	Pulse Width	Increase/decrease
I	40-60 j           32-48 j	auto	1-3 joules
II	35-60 j           28-48 j	auto	1-3 joules
III	30-45 j           24-36 j	auto	1-3 joules
IV	25-40 j           20-36 j	30-100 ms	1-3 joules
V	18-35 j           15-26 j	100 ms	1-2 joules
VI	10-15 j           10-12 j	100 ms	1-2 joules

** Medium or fat hair use option of 30 ms.

** Finer hair is more effective in auto.

Skin Type	Response Time
I-III	5-10 minutes
IV-V	20 minutes
VI	Test patch suggested and wait 48-72 hrs then treat

Where do I start?

Start by using the above chart. Use the lowest fluence # to begin with. Determine if hair is fine/thick and pick auto, 30ms or 100 ms. once this is set place hand through safety strap and DO NOT DROP head.

Apply a layer of gel to the skin. Place diode head on skin at 90 degree angle and do a test area of pulse 2-4 shots, moving the tip the full 9 mm with each beep from the machine. A 10 % overlap of the pulses is expected.

The chill tip protects the epidermis, pressing the tip into the dermis squeezes the blood out of the area and it decreases the ouch sensation for the client.

Look at the skin: you want to see smudged hair, hair smell, crunching sound.

If NO then increase by the chart and try again. If Yes then continue.

END:  Type I-IV Redness, heat and slight swelling

           Type V-VI same but takes longer to see.

Using the Lightsheer Diode

What is it?

800 nm wavelength diode laser with a patented built in 9mm x 9mm chill tip. FDA approved for permanent hair reduction for all skin types from I-VI using a regular 110 volt outlet.

Getting Started:

Plug electrical cord into back of machine and into a regular wall outlet. Take small black hose of air foot peddle and place onto back of lower left outlet. Turn on by switching white toggle power switch on back of machine. Takes about 1.5 minutes for computer to self check.  Turn key to the right when asked by computer. Once ready it will ask to calibrate. You have to do this each time you turn the lightsheer on for the first time each day.

To Calibrate:

1. Lift hand piece from holster.
2. Place hand piece back into holster.
3. Place your foot on lower 2/3 of foot peddles and compress it; leave your foot on it.
4. Place hand on hand piece and squeeze the trigger by leaving finger on it. This will allow the laser to fire 4 pulses. Remove hand and foot. Calibration is now complete.
5. Machine will say cooling, once it says standby it is ready to go.

Keeping Tip Clean

The laser can leave hair residue on the skin surface and on the tip surface. It is so important to keep both clean with water soaked gauze. Do not treat over an area of smudged hair-result in blistering. When hair is thick keep checking tip to maintain that it is spotless. Residue left on tip can produce blisters.

Clean the sapphire tip with cleaning solution all the time. Clean gray holster with water and soap. While cleaning holster look at glass plate inside, hair can fall down onto glass calibration plate. Clean with alcohol or Windex.

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Understanding Laser Hair Removal

In the past, the usual remedies for unwanted hair included plucking, shaving, waxing or chemical depilatories.  Some are painful, some are messy and all are only temporary.

For long term hair removal, electrolysis is popular and effective, but it is a time consuming procedure, which can be painful and is useful only in removing hair in small areas.  During electrolysis, an electric current passes through a needle to destroy each individual hair root.  It typically takes months and numerous regular visits to clear even small areas, like the upper lip.

Laser hair removal is a more effective solution.  The LightSheer™ Diode laser is a state-of-the-art system specially designed to remove unwanted hair faster, with less discomfort and more reliably than other methods.

About LightSheer™ laser treatment.

A laser produces a beam of highly concentrated light.  The light emitted by the LightSheer™ diode laser is well absorbed by the pigment located in hair follicles.  During the procedure, the laser pulses for a fraction of a second, long enough to heat up the hair and significantly impede the follicle’s ability to re-grow.  This process also treats numerous hair follicles simultaneously.  Therefore, LightSheer™ is appropriate for treating even the largest areas of the body both quickly and effectively.  

An important part of the procedure is the cooling of the skin.  A special contact-cooling hand piece allows your physician to treat even the most sensitive skin.  It protects and cools the upper layer of the skin before, during and after each laser pulse while directing the laser energy to the hair root.

What you can you expect?

The length of a laser treatment may last anywhere from a few minutes to an hour or more, depending on the size of the area being treated.  It is important to know that the hairs in an active growth phase (referred to as anagen) are most affected by the laser.  As all hairs are not in this phase at the same time, more than one treatment will be necessary to achieve the best result.  

Hair’s active growth phase is called anagen.  During anagen, the hair contains an abundance of melanin.  Hairs in this phase are most affected by treatment.  Catagen is the regression phase when the lower part of the hair stops growing but is not shed, and the follicle is reabsorbed.  The resting phase is called telogen, during which the old hair falls in preparation for the development of new hair.

The laser treatment itself may cause some discomfort.  Most patients tolerate the procedure well, but because some areas of the body are more sensitive than others, topical anesthesia can be an option.

The appearance of the treated area immediately following treatment will vary from patient to patient depending on the extent of the procedure and skin type.  Side effects, if any are minor.  They may include redness and swelling around the hair follicle, which are, in fact, desired clinical results and indicate that the follicle has responded to the treatment.  Most people return to normal activity right away.  We will be happy to tell you more about your treatment, possible side effects and what results you can expect during your consultation. There is a better solution for removing unwanted hair.  

You may be surprised to learn that virtually your entire body is covered with hair.  Because most of this hair is fine and pale, it usually isn’t visible to the naked eye.

But when darker, coarser hair appears in places which may make you uncomfortable- like on the face, neck, abdomen, breasts, legs or underarms in women or on the shoulders, chest and back in men, it may be time to consider hair removal with the LightSheer™ diode laser.

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FAQ about Laser Hair Removal

LASIK PROVISION

PERMANENT LASER HAIR REMOVAL

FREQUENTLY ASKED QUESTIONS

Is the LightSheer Diode FDA approved?

The laser was developed in 1994 and the first hair removal study began in July 1996.  The FDA cleared the device for treatments in December 1997.  The FDA then granted it’s claim for permanent hair reduction in April 1999 after it demonstrated in a 3000 person study a better than 50% permanent hair loss after only 3 treatments.

Is hair reduction permanent?

Yes, in 90% of individuals.  Treatments work the most successfully on hair that is light brown to black.  Blond, grey and some reds do not have enough melanin for the laser to absorb.  Most clients will loose 20-30% of hair volume with each treatment.  The FDA defines permanence as a hair that does not regrow after 2 cycles of growth.  Hair regrows in cycles between 4-12 weeks depending on the body area.

Is there an age limit for treatments?

It is suggested that girls have gone through puberty.  All ages can benefit as long as they understand the process and potential side effects.

Who is a candidate for laser hair treatments?

Anyone who has hair that is light brown to black.  The LightSheer with its patented chill tip at four degrees Celsius allows clients with any skin colour to be treated safely and effectively.

How many treatments will I need?

Hair grows in continuous cycles.  The anagen or growth phase of hair contains the largest amounts of melanin and this phase is the laser’s target.  From scientific studies we understand that any area contains a maximum of 20-30% anagen hairs at one time.  So, these anagen hairs are affected each treatment.  Most clients will require a minimum of three treatments up to six sessions.  Repeated sessions are necessary.  Finer hair and dark skin clients may require 6-8 treatments.  If you suffer from a hormone imbalance your treatments may be ongoing.  To have effective treatments it is imperative that they be sequenced.  Every client’s expectations of hair loss are different.  Some may be happy

with 50-60% loss and may want to discontinue and others will want to continue until they reach their maximum loss of 70-95%.  No one will ever be 100% hair free.

What areas can be treated?

All areas of the body except for the area around the eye.

What should I do before my treatment?

Try to avoid sun exposure.  Hair can be more aggressively treated without a fresh tan.  Having hair is essential to having a successful treatment.  You cannot wax, tweeze, thread or have electrolysis for 4 weeks before a treatment.  The best way to manage hair before is to shave, trim, bleach or use cream depilatories.  The day of your treatment the hair will need to have been freshly shaved.  If you suffer from cold sores often and are having your mouth area treated you will need to get a prescription for Acyclovir or Zovarix and take as directed by your technician.  Usually it is 2 days before and 3 days after your treatment.  Purchase either Aloe, Vitamin E gel or sunburn creams and keep them in your fridge ready to go for after your treatment.

Why the LightSheer Diode Laser?

The LightSheer has numerous documented studies to demonstrate its efficiency.  With it’s patented chill tip and 800 nm wavelength and ability to have a variable pulse duration to affect hair the LightSheer diode is considered the “gold standard” for hair lasers.  

Does the treatment hurt?

No treatment to remove unwanted hair is completely painless.  LightSheer has the patented chill tip and compression of the skin, which reduces the discomfort.  The darker the hair the more the client may feel the pulse of the laser.  Clients that have previously waxed or had electrolysis usually find the treatments more tolerable.  Most people describe the sensation as tingling or slight stinging.  The first treatment is usually the most uncomfortable.  There are some options to make the treatments more comfortable.  You can take whatever you normally take for a bad headache before your treatment.  Anbesol that is used for toothaches can assist those having their upper lip treated.  EmlaTM is available.  It is a topical anesthetic.  You can purchase it at your local pharmacy.  The hair needs to be shaved first, then apply a thick layer and occlude with saran wrap.  It works the best after it has been on for a minimum of 1-2 hours.  Your technician can inform you of how many tubes you will need to purchase.

What can I expect during the treatment?

The area will be cleaned.  A touch up shave will be done if there is still hair visible.  You will be asked to sign a consent form.  Photos will be taken.  Gel is applied to the skin and the laser is compressed into the skin and the treatment begins.  You will notice a distinguishable aroma of the lasered hair.  This is a good sign and the smell will not hurt you.  The skin will be cleaned frequently.  After treatment a gel or cloth will be applied to your skin.

How does the laser work?

The laser targets the melanin, the pigment located in the hair bulb and shaft.  The laser light energy causes thermal damage to the follicle.  The damage causes delayed regrowth and permanent destruction of the hairs in anagen or growth phase.

Will tanning affect my treatment?

A tan is damage to the skin.  When it is damaged it creates “tan” or colour.  This is “melanin” deposits in the skin.  The laser is attracted to melanin.  The technology in the LightSheer allows the skin to be cooled effectively to not traumatize the “tan” but the energy of the laser must be reduced accommodate a tan.  Therefore the client may require more treatments than someone without a tan.  To have a more effective and aggressive treatment it would be better to not have a tan.

How long do I wait between treatments?

Waiting time may vary with individuals.  The general guideline is 4-6 weeks for neck and above areas and 8-12 weeks for areas below the neck.

What can I do with the hair in between treatments?

You should not have much hair to manage.  If you need to, shaving or trimming is the most effective way to maintain in between treatments.

Is it safe?

Yes.  A laser is an intense source of light that produces heat.  Its target is melanin in the hair shaft.  The wavelength of the LightSheer is attracted mostly to the melanin.  The light is pulsed for a fraction of a second and the heat is then pulsed into the hair’s melanin.  The patented chill tip runs at four degrees Celsius and protects the epidermis (the outer portion of the skin).

How long will the treatment take?

This will depend on the size of the area being treated.  Can take as short as 5 minutes to 2 hours.  Your technician will inform you of the time required.

What about ingrown hairs?

The laser will not create ingrowns.  If you suffer from them the laser will produce an effective treatment to clear the ingrowns.

Can I wear makeup?

Yes, as long as the skin is intact.  If the skin is open anywhere you must use polysporin ointment on the open spots.

When laser cannot be done:

• if you are pregnant
• if you are on medication called Accutane
• if you make keloids
• if you have recently waxed, tweezed or had electrolysis within the last 4 weeks

Laser hair removal must be used with caution if you suffer from cold sores or genital herpes.

How much will the treatments cost?

Over time laser treatments have proven to be less costly than other ongoing methods such as waxing, shaving or electrolysis.  A price list will be provided by the clinic.

Is this covered by my insurance?

Most insurance companies do not offer reimbursement for cosmetic procedures.  However, consult your insurance company for more information.

Is there a guarantee that this will work?

Laser reduction works 90% of the time in most individuals.  Unfortunately 10% of people may not respond at all.  This cannot be determined until after 2 treatments.  If you attend all sessions as suggested you should obtain 70-95% permanent hair reduction.

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