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Paradoxical hypertrichosis after laser therapy: a review.
Shraddha Desai1, Bassel H Mahmoud, Ashish C Bhatia
1Department of Dermatology, Loyola University, Maywood, Illinois 60563, USA. shraddha.desai@dupagemd.com
Paradoxical hypertrichosis is a rare side effect of laser hair removal, causing excess hair growth. While the exact cause is unknown, it can occur on the face and neck, particularly in darker skin types.
Area of Science:
- Dermatology
- Aesthetic Medicine
- Laser Technology
Background:
- Laser hair removal is a common cosmetic procedure for unwanted hair.
- Paradoxical hypertrichosis (PH) is a rare but significant adverse effect.
- PH involves increased hair growth following laser treatment.
Purpose of the Study:
- To investigate the causes, risk factors, and treatment of paradoxical hypertrichosis.
- To analyze the relationship between laser types and PH.
- To evaluate management strategies for PH.
Main Methods:
- Review of existing case studies and literature.
- Analysis of clinical experiences with PH.
- Synthesis of data on laser hair removal side effects.
Main Results:
- PH incidence ranges from 0.6% to 10%, most often on the face and neck.
- All laser/light sources can induce hair growth, especially in darker skin types (III-VI), with dark hair, or hormonal conditions.
- Potential causes include inflammatory mediators and sub-therapeutic thermal injury affecting the hair cycle.
Conclusions:
- Paradoxical hypertrichosis is an uncommon side effect of laser hair removal.
- The precise pathogenesis of PH remains largely unknown.
- Further large-scale studies are recommended to understand this phenomenon.
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