Page 89 - Mike Murphy's Blog Posts
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A26 - SHR/In motion update
I read an interesting paper on this topic, last week. It was a clinical study looking into the application of ‘super hair removal’ using a low fluence output from a diode laser.
As you may already know, I’m not a big fan of this technique. I feel that it is ‘tricky’ to administer properly and makes it too easy to burn the skin.
The study used an 810nm diode laser with a fluence range between 5 to 10 J/cm2, in a pulsewidth range between 10 and 20ms, with a repetition rate of 10 Hz. They divided the treatment area into 10x10 cm squares and applied a ‘lateral movement of the handpiece in a constant sweeping mode’ at a speed of approximately 10 cm/second.
They delivered a maximum of 9.6 kiloJoules into each square area, resulting in an average of 96 J/cm2. Of course, this was over an extended period of time, so cannot be directly compared with a ‘stamping’ technique fluence, which typically uses between 20 and 40 J/cm2 per pulse. They didn’t say how many passes were needed to achieve this target.
Their diode laser had a water-chilled window which cooled the skin. In addition, they used a Zimmer air cooling device too.
They found that many patients reported ‘low’ pain using this technique, with a relatively small number saying it was high or very high. The vast majority reported a ‘good’ result after six months after six sessions. A small number reported ‘burns’ but these were resolved after six months.
It appears that this technique was very successful, but they appear to have been quite precise about its application.
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