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Low-fluence vs. standard fluence hair removal: a contralateral control non-inferiority study
Shlomit Halachmi1, Moshe Lapidoth
1Laser Unit, Department of Dermatology, Rabin Medical Center, Petach Tikva, Israel. shlomith@gmail.com
Introduction:
Laser hair removal at lower fluences, delivered under certain conditions, may retain the efficacy of high-fluence lasers while improving tolerability. We performed a pilot study comparing the efficacy, safety and tolerability of laser hair removal using traditional settings compared to lower fluences, delivered from a larger handpiece and under vacuum.
Material And Methods:
Fourteen healthy participants underwent 5 axillary hair removal treatments with an 800 nm diode laser at 1-month intervals, with follow-up 1 and 3 months after the 5th treatment. In all patients, one side was treated with standard parameters using a 9×9 mm chilled tip and gel, while the contralateral side was treated using a 22×35 mm vacuum-assisted handpiece at fluences up to 12 J/cm(2). Follow-up assessments were performed after each treatment and at each follow-up visit, and included photography and questionnaires.
Results:
Eleven participants completed the study and follow-up. All experienced significant hair removal in all treated areas. At the 3-month follow-up visit, the high-fluence and low-fluence treated axillae demonstrated comparable hair reduction. Participants found the lower fluence treatments to be more tolerable. No adverse events were reported.
Conclusion:
Lower fluence diode laser, delivered under conditions of vacuum and using larger spot sizes, can provide significant hair reduction.
