The
Cutera CoolGlide laser are noninvasive
light therapy systems which have been
custom designed to eliminate undesired
hair from all parts of the body. The
Cutera CoolGlide laser generate pulses
of intense, concentrated light which
are directed through small, cooled
hand pieces which are gently applied
to the treatment site.
This energy passes through the skin
to the hair follicle, where the energy
is absorbed by pigment in the hair
and hair follicle, causing selective
damage to the hair root while protecting
delicate pores and structures of the
skin. The energy is pulsed, or "turned
on", for only a fraction of a
second. The duration of the pulses
is carefully determined so that energy
will be absorbed by the hair follicle
without transferring excessive heat
to the surrounding skin.
Some of the hair which was in the
treated follicles is wiped off immediately
after treatment, and the rest is shed
over the next 2-3 weeks. The hair
roots which have been destroyed are
reabsorbed by the body. If you have
ingrown hairs, they will be reabsorbed
by the body and the appearance of
the skin will improve greatly over
the next few months.
The surface of the skin is protected
by built-in cooling systems which
help to protect and soothe the skin
during treatment of your unwanted
hair.
Unlike "hair-by-hair" treatments
such as electrolysis, the CoolGlide
uses wide beams which treats many
hairs at once. Because the Cutera
CoolGlide laser can treat dozens of hairs with
each pulse, it is possible to treat
larger areas -- for example the back,
shoulders, arms, legs and face. The
Cutera CoolGlide laser can be
used just about anywhere on the body,
and usually requires no anaesthesia.
Even sensitive areas such as the nipples,
upper lip and bikini line can be treated
easily and with minimal discomfort.
The
unique design of these systems allows
us to customize treatment, according
to your hair and skin colour, hair
texture, and location on the body.
Cutera CoolGlide™ laser reatments are a safe, fast, gentle
and effective method for hair removal.
In just a few treatment sessions using
the gentle power of one of these systems,
you can greatly improve the appearance
of skin where there is unwanted hair.
How
do Cutera CoolGlide
laser differ
from older technologies?
Other
laser and intense pulsed light systems
include:
- Older
intense pulsed light (IPL) systems
were flash lamps producing a spectrum
of light energy rather than laser
light. Those intense pulsed light
systems were limited by their
short wavelength and so tended
to stun rather than kill hair
follicles, so that there is often
an unacceptable amount of hair
regrowth, even after many "intense
pulsed light" treatments.
- Older
laser systems:
- First
generation Ruby laser: 694
nanometer (Epilaser,
Epitouch, Chromos)
- Second
generation Alexandrite laser:
755 nanometer (Epitouch ALEX,
Photogenica LIPR, GentleLASE)
- Third
generation Diode laser: 800-810
nanometer (LightSheer,
Apex)
These
relatively short wavelength lasers
can produce good results in some circumstances,
but because they produce light which
has a shorter wavelength, their laser
energy both scatters more in the skin,
and is mostly absorbed in the top
few millimeters of the skin, above
many of the hair roots. This means
that sometimes not enough energy reaches
the hair roots, where it is needed.
These short wavelength, lower power
systems are effective in some cases,
but in other cases may only stun rather
than destroy many of the hair roots
and therefore sometimes cause temporary
rather than permanent hair reduction.
Short wavelength lasers can be difficult
or impossible to safely use on people
with dark, tanned or black skin. The
cooling system in 800 nm lasers usually
relies on a sapphire window, which
is only 1/10 as efficient as the gold
plated copper cooling head in the
Cutera CoolGlide. Because the sapphire
window of the 800 nm lasers has to
be pressed on the skin while the laser
is triggered, there is a risk that
stray hairs will be burned into the
skin. By comparison, there is no contact
between the laser aperture and the
skin when the Cutera CoolGlide
laser beam is applied to your skin.
Our fourth Generation Cutera CoolGlide
laser uses the longest available,
deeper penetrating 1064 nanometer
wavelength. Cutera CoolGlide
reaches even the deepest hair roots,
which can be 4-6 mm below the skin
surface in some cases.
The long 1064 nanometer wavelength
of the Cutera CoolGlide makes
it possible to safely and effectively
treat all people -- even those with
tanned, very dark or black skin. Like
all lasers, the CoolGlide works more
efficiently on light colored skin
-- so to minimize the number of treatments
you need, try not to have a fresh
suntan when you come in for treatment.
CoolGlide also allows the operator
to adjust the duration of the pulse
of laser energy to best suit the thickness
of the hair shafts on different parts
of your body. Some older laser systems
lack this degree of fine control.
The gold plated ClearView cooling
head on the CoolGlide laser
provides an extra margin of safety
and comfort, allows the operator a
clear view of the area to be treated,
and does not require pressure on your
skin.
What
areas of the body can be treated?
ALL
parts of the body CAN be treated (and
ARE treated) with the Cutera CoolGlide
hair removing laser. In women, the
most common areas for treatment are
upper lip, chin, bikini line, arms
and legs, and underarms. In men, the
most common areas for treatment are
shoulders and back, and the beard
area. While it is technically possible
to treat even the eyelashes and eyebrows,
we do not treat those areas at the
present time. The top of the eyebrows
can be treated when the forehead is
treated.
What
are the benefits of CoolGlide
laser hair removal compared to alternative treatments?
The
primary benefits of CoolGlidelaser
hair removal
include:
- Larger
areas may be treated with less
discomfort than with electrolysis,
waxing or tweezing.
- The
CoolGlide™
combine speed, comfort and long
lasting results.
- The
CoolGlide works on any area
of the body where a hair-free
appearance is desired.
- The
CoolGlide™
are safe for use on pregnant women
-- who respond well because their
hair is often thicker and darker
during pregnancy.
Shaving,
waxing and depilatory creams remove
the hair but leave the hair follicles
intact, so the hair re-grows within
one to four weeks in most cases. CoolGlide™
laser hair removal
offers you a long-term reduction in
both the amount of hair, and also
in many cases a reduction in thickness
and color of hair shafts which do
grow back.
Hair
removal methods like plucking, waxing
or sugaring which cause irritation
may actually stimulate hair growth.
This happens because one way the body
defends itself against having hair
pulled out is to produce thicker,
stronger hairs which are harder to
pull out next time. Another advantage
of CoolGlide™ laser treatment is that your skin can
be kept nice and smooth between treatments
by shaving -- you will never again
have to grow your hair out long enough
to be waxed or sugared. Occasional
waxing can be useful to temporarily
get rid of white hairs and fine peach
fuzz hairs after you have completed
a course of Cutera CoolGlide™ laser treatment.Cutera
CoolGlide™ laser hair removal offer long lasting
results, and even if hair does eventually
grow back it is usually finer in texture
and lighter in color than the original
hair, and much less of a cosmetic
problem.
What
are the advantages over electrolysis?
It
has been said that:
"Removing hair by electrolysis
is like mowing grass -- one blade
at a time!"
With
electrolysis, the operator inserts
a needle into the hair follicle and
tries to have the needle tip reach
the hair root. The operator then triggers
a small electrical charge to disable
the hair root. The hair from that
follicle is then removed with tweezers.
Electrolysis
can be an excellent technique for
the removal of:
- small
numbers of hairs
-
hairs from areas where it is difficult
to use the laser (under the eyebrows,
near the eyes, and in the ears
and nose.)
- white,
red and blonde hair (which do
not absorb laser light efficiently).
I
sometimes refer patients for electrolysis,
and electrolysis operators sometimes
refer patients to me, depending on
the needs and wishes of the patient.
For example, electrolysis can be useful
for white or light colored hairs which
do not respond to laser treatment,
or if there are only a few dark hairs
which need to be removed. Some people
who have a mixture of dark and white
hairs will have CoolGlide™ laser treatment to
remove as many of the dark hairs as
possible, then have electrolysis to
remove any leftover white hairs.
There
can be considerable variation in the
results between electrolysis therapists,
and the rate of permanent hair loss
has been reported to be from 15 to
50%. Electrolysis can be a tedious
process and is an difficult undertaking
for some patients. Even a small area
like the face, for example, in the
case of a woman with heavy facial
hair, could require electrolysis for
2 3 hours per week for 2 years,
with further treatments over an undetermined
period of time, for a total treatment
time exceeding 210 hours. Despite
its popularity over the past two decades
and its use for over 100 years, there
is little in the medical and scientific
literature about electrolysis.
Hair
removal is much faster with the CoolGlide™
laser because
each "pulse" of laser light
disables a large numbers of hair follicles,
and pulses can be delivered as often
as twice every second. Electrolysis
operators can only treat those hairs
that they can see and which they can
reach the follicle through the hair
shaft. The Cutera CoolGlide™ laser treat
all "active" follicles,
even if the hair has not yet reached
the surface of the skin, is "ingrown",
or if the hair shaft is not straight.
Many
people want Cutera CoolGlide
laser hair removal,
but everyone wonders: "How much
does it cost?"
You
will find that the fees listed below
for laser hair removal using the efficient,
effective, fourth-generation Cutera
CoolGlide laser are surprisingly affordable.
Fees
are per treatment session, plus GST,
and can be paid at the time of treatment
with Interac, Visa, MasterCard,AmEx,or
cash. No cheques please.
Professional
services provided by appointment only.
Prices subject to change without notice.
There
is no fee for pre-laser consultation.
Consultations
about Cutera CoolGlide laser
hair removal
can usually be arranged
immediately.At BERKOWITS we give all
the time to discuss your wishes
and options, and answer your questions.
No referral is required.
Treatment
may be scheduled for the same day
as the consultation if there is a
time slot is available, or may be
scheduled for a later date.
What
are the risks of hair removal?
Short-term
side effects may include a slight
reddening of the skin or local swelling
which typically lasts less than an
hour, although it may infrequently
last a few days. Long wavelength Cutera
CoolGlide laser are less likely than older devices
to cause prolonged irritation, pigment
changes or blistering. Rarely (perhaps
2-4 cases out of a hundred) there
can be increased or decreased pigment
in the treated area. This is seldom
a major cosmetic problem, and generally
resolves after several months. Even
a single blister (rather like a tiny
sunburn) is very rare (less than one
in a hundred). The light from the
Cutera CoolGlide laser is safe, simple infra-red light
and does not cause skin cancer.
Unlike
plucking, waxing and sugaring, laser
hair removal does not run the risk
of making hair grow back thicker,
darker or quicker.
After
Cutera CoolGlide laser treatment hair growth will be
delayed, AND when hair does grow back,
it is often lighter, finer and less
dense.
Is
laser hair removal "permanent"?
"Permanent
hair removal" means: "ALL
the hair is gone, FOREVER!"
There
is NO hair removal method (including
laser) which can guarantee "ALL
the hair will be gone, FOREVER!"
The
most realistic description of the
results after laser treatment is:
"long-term hair REDUCTION".
This means: "After four to eight
treatments most people will see that
the total amount of hair is greatly
reduced -- generally by 70% to 90%
-- and hair which does grow is often
much finer and lighter in color."
It
is important for you to realize that
after having between four and eight
treatment sessions it is VERY LIKELY
that there WILL BE a very substantial
reduction in both the amount of hair
and also a reduction in the thickness
and color of the hair in the treated
areas. You should expect that this
reduction in hair may last for many
years.
This
long-term hair reduction is exactly
what most people want, but could be
an issue, for example, if you removed
hair from an area and later decided
that you wanted to have hair in that
area.
Lasers
have been used for hair removal since
at least 1995, and we know that stable,
long-term hair reduction commonly
lasts for many years. In some cases,
dormant follicles will start to produce
new hair, or "peach fuzz"
follicles may start to produce black
or brown hair, and this new hair if
it develops will respond well to treatment.
Should
I expect to be "hair free"
in the treated area after the series
of treatments?
No,
most patients experience an 70-90%
reduction in the amount of hair in
a given area after between four to
eight treatments, and a reduction
in the thickness and color of the
remaining hair, but should not expect
to be "hair free". A few
patients are satisfied in less than
four treatments, and some want or
need more than eight treatments, in
particular in cases where the hair
is relatively light coloured.
It
has been suggested that a 6 month
follow-up may be sufficient to assess
final outcome after the final laser
hair removal session, because once
regrowth had stabilized (usually within
6 months), there is usually little
or no change in hair counts at 6,12,
and 24 months.
How
much hair will grow back, and how
fast will it grow back?
The
Cutera CoolGlide laser work by destroying hair roots
which are active at the time of treatment,
and which are dark enough to absorb
sufficient laser energy. The hair
shafts in the treated hair follicles
will fall out, or be "shed"
1-3 weeks after treatment.
After
the first treatment, hair regrowth
may resume within a few weeks or it
may be anywhere from 2-4 months before
any true hair growth is observed,
as previously dormant hair follicles
become active, and hair follicles
which were stunned but not killed
recover and start to produce hair
shafts again. Some people find that
there is not much extra hair reduction
after the second treatment, then they
notice a substantial further reduction
after the third or more commonly the
fourth treatment. After four to six
treatments there may be little or
no regrowth for many years. In other
cases you may wish to have additional
treatment after a period of time.
Hair
that regrows after laser treatment
generally is finer and lighter in
colour, and so is much less of a cosmetic
problem. Reductions in coarseness
and color can occur independently
of each other.
New
dark hair appearing in hormone-sensitive
sites (mainly the face, axillae and
genital area) after successful treatment
with Cutera CoolGlide laser
could result
from hormone-stimulated maturation
of previously dormant hair folicles
and "peach fuzz" follicles.
Why
are at least 4 treatment sessions
usually needed?
The
Cutera CoolGlide laser work by disabling hairs that are
in their active growth cycle at the
time of treatment. Hair follicles
in their "dormant" phase
have no hair shaft in them and so
will not be affected by the treatment.
Because hair follicles cycle through
"active" and "dormant"
phases, additional sessions are usually
desired once the "dormant"
follicles become "active",
and also to deal with hair follicles
which were stunned but not killed
by previous treatment.
The
other group of hair follicles which
could produce dark terminal hair in
the future are the fine "peach
fuzz" follicles which have no
pigment and so are not affected by
treatment. If some of these fine little
"peach fuzz" follicles mature
into hair follicles which produce
black or brown hair, they can be treated
with laser at that time.
There
is NO treatment which will kill 100%
of the hair follicles, 100% of the
time. Cutera CoolGlide laser
use the longest,
most deeply penetrating wavelengths,
and special cooling, to maximize the
number of killed hair follicles and
minimize the number that are stunned
during each treatment session.
At
any one time, 50 to 85% of your hair
follicles are in the active (anagen)
phase but only 1/4 to 1/3 of your
hairs have enough of the pigment in
their ROOTS to absorb the laser beam
which destroys the hair root. So,
about 1/4 to 1/3 of your hair roots
are good targets for the laser beam,
and can be damaged or destroyed in
a single laser session.
Because
1/4 to 1/3 of the actively growing
pigmented hair roots are damaged or
destroyed in any one session, almost
all people will want a minimum of
four CoolGlide treatments to
reach a satisfactory degree of hair
reduction, and many people will wish
to have more than four treatments,
most commonly 5 to 8 treatments; and
in some cases another session or two
in six to twelve months, to eliminate
any black or brown hairs which have
developed when dormant follicles started
to produce hair, or when "peach
fuzz" hair follicles mature and
start to produce black or brown hair.
The
number of treatments desired will
depend on:
-
the desired degree of hair reduction
(as the amount of hair declines,
some people become very enthusiastic
and want even LESS hair than they
had originally planned on).
- hair
color (people with naturally light
colored hair sometimes need more
treatments).
- ethnic
and genetic background (people
with dark skin sometimes need
more treatments).
- hormonal
status
- area
being treated
- hair
density
- age
-
weight (obesity can increase hair
growth)
- medication
(for example medicines like Dilantin
and cyclosporine can increase
hair growth)
Additional
"touch up" treatments on
small troublesome areas can be arranged
at relatively low cost. There is no
safety limit on the number of treatments
a person can have. People who have
been partially treated with other
types of hair removing laser might
in some cases need less than 3 CoolGlide
laser treatments to reach a satisfactory
degree of long-term hair reduction.
Previous
laser treatment or electrolysis? No
problem!
Cutera
CoolGlide laser have been successfully used on
many people who were not able to tolerate
-- or did not obtain satisfactory
results with -- electrolysis, or with
older laser and "high intensity
light" systems, including ruby
laser, alexandrite laser, 800 nm lasers,
and Epilight systems.
In
fact, depending on how much hair is
left, people who have been partially
treated with other lasers may need
only one or two treatments with the
Cutera CoolGlide laser to "finish the job".
Am
I a good candidate for Cutera CoolGlide
laser hair removal?
The
unique design of the CoolGlide
laser and ProWave 770, and the
long wavelengths they use, allow treatment
of people with all skin colors, and
treatment of even light brown hair.
Because hair which is naturally blonde,
red or white does not have enough
pigment in the roots, it cannot be
reliably treated with any type of
laser or IPL device. Fewer treatments
are needed when the hair is dark and
the skin is light colored -- so to
get maximum effect from each session
avoid tanning, but even people who
have black skin can be successfully
treated with the Cutera CoolGlide
laser.
Children
can be treated, for example if they
have a congenital nevus or other problem
with excessive hair, but the children
must be old enough (for example, 12
years old) to understand and cooperate
with treatment.
CoolGlide
laser hair removal
are not just for "cosmetic"
problems. Patients with excess hair
because of medications (for example,
organ transplant patients who are
taking cyclosporine) can benefit from
hair removal; as can patients who
have problems with ingrown hair and
folliculitis under prosthetic devices.
Am
I being vain?
Many people at some time
before hair removal, laser treatment
of unwanted blood vessels, or before
BOTOX® treatment for wrinkles
or excessive sweating have fears and
doubts. A common concern is that they
are being vain. My experience has
been that just about all patients
who have BOTOX® treatment, CoolGlide
laser hair removal,
and other procedures to maintain their
appearance and comfort are no more
vain than anyone else. What does distinguish
these individuals is a desire to get
the most out of life, and to look
as good as they feel.
Looking
after our appearance is not a fault.
After all, would you leave your house
with broken gutters or peeling paint?
Why do less for your body? I think
you should feel proud of yourself
for having the will and the ability
to change something that you find
unacceptable. I emphasize that you
should only have BOTOX® treatment,
hair removal, and other treatments
if it is for you. It is a big mistake
to do these things if it is just for
somebody else.
As
Dr. Richard Glogau of San Francisco
has noted: the same self-esteem that
makes our patients successful in their
chosen fields, precise in their consultation
questions, well groomed and well dressed,
and often careful in their diet, exercise,
and other aspects of health maintenance
leads our patients to seek help for
their wrinkles and frown lines.
These
individuals are normal healthy people,
and the same degree of self-interest
that prompts them to exercise, be
selective in what they eat and drink,
and protect themselves from sun damage
leads them to explore the benefits
of BOTOX®, hair removal, and other
treatments. Our patients simply want
to look their best.
Which
hair colors respond best to treatment?
Because
lasers and IPL devices target the
PIGMENT in hair roots, they work best
on black or brown hair. Naturally
red or blonde hair may respond only
partially.
White
hair does not respond at all to treatment
- so get your unwanted hair removed
before it turns grey or white!
Questions
to ask yourself when considering Cutera
CoolGlide laser hair
removal:
- How
much are you bothered by your
facial hair? Hair on other areas?
- How
much are you bothered by the time
you spend removing, treating,
or concealing your facial hair?
Hair on other areas?
- How
uncomfortable does your facial
or other unwanted hair make you
feel in exchanges of affection
(such as intimate exchanges with
your partner)?
- How
uncomfortable does your unwanted
hair make you feel when you meet
new people?
- How
uncomfortable does your unwanted
hair make you feel when you go
to social gatherings, dine out
in a public restaurant, go to
a supermarket or other public
place?
- How
uncomfortable does your unwanted
hair make you feel when you go
to work or class?
What
are Hirsutism and Hypertrichosis?
Hirsutism
is excessive growth of hair in androgen
(testosterone)-dependent areas of
a womans body where terminal
hair is not normally found, including
the face, neck, chest or medial thighs.
Hypertrichosis
is excessive growth of hair in non-androgen
dependent parts of the body (ie. Areas
other than the face, neck, chest and
medial thighs).
What
is Unwanted Female Facial Hair?
Growth
of hair on the face which is coarser,
longer or more profuse than is "normal"
for the age and race of the woman.
Unwanted Facial Hair is a chronic
problem for about 2 million Canadian
women who remove facial hair at least
once a week.
How
can I get the best value from each
treatment?
To
get the best results with the smallest
number of treatment sessions, please
pay attention to the following guidelines
as you work with us:
Avoid waxing
/ sugaring / plucking / EpiLady and
electrolysis
Because the energy from
the CoolgGlide laser seeks out and destroys ACTIVELY
GROWING hair roots, it is important
(if you want to get the best value
from your treatment) NOT to wax /
pluck / sugar / use EpiLady-type pluckers
or have electrolysis for at least
EIGHT WEEKS before treatment. These
things temporarily remove the pigmented
part of the hair follicle which the
CoolGlide need to use as a target when they
destroy the hair follicle.
Tanning should
be avoided!
CoolgGlide laser
are the safest
and most effective devices for ALL
types of skin, even black people who
cannot be safely treated with other
hair removing lasers. Many Italian,
Greek, and East Asian people have
been successfully treated with the
CoolgGlide laser .
BUT:
the lighter your skin color at the
time of treatment, the better the
laser beam can get through the skin
to the hair roots, where it is needed.
SO:
tanning is not a BIG deal, but if
you avoid tanning and stop using artificial
"tanning" creams for six
weeks before treatment, you will get
the maximum possible benefit from
each treatment session. People with
very dark skin (and people who are
really into tanning) sometimes need
one or two extra sessions to reach
their desired degree of long-term
hair reduction.
It
is also a good idea to minimize tanning
for a few weeks after laser treatment,
to reduce the chance that your tan
will be somewhat uneven.
Recommended
sunscreens include Ombrelle-SPF 60
and Anthelios-60.
Shaving or clipping
the hair? Good idea!
Shaving or clipping the
area to be treated is not a problem.
In fact, we like the areas to be shaved
the day of treatment or the day before.
Some people find that the skin is
less sensitive if it is shaved at
least a few hours before treatment.
Another advantage of shaving the area
to be treated BEFORE you come in is
that YOU can shape the area to be
treated exactly the way YOU want it
to be. This is of particular importance
in areas like the sideburns, temples,
and bikini line / bikini area.
Excess
hair should be removed from the treatment
area before CoolgGlide laser
treatment, because
hair ABOVE the surface of the skin
will simply absorb and waste laser
energy and keep it from getting to
the hair roots, where it is needed.
Contrary
to popular belief, shaving DOES NOT
make hair grow back thicker, faster,
darker or more profusely! So go ahead
and shave before treatment, and between
treatments!
Hair Dye and
Bleaching? No problem!
Because the beam only acts
on the hair ROOTS, it is OK to dye
and/or perm hair in the areas to be
treated. Likewise, it is OK to bleach
hair in the areas to be treated because
bleaching will not affect the color
of the roots.
Timing
It takes 8 to 12 weeks
for the next crop of hair roots to
become active and develop pigment
which is the target. So, to get the
best value, you should wait 8-12 weeks
between treatments.
There
is no harm in having treatments MORE
FREQUENTLY than every 8 weeks, or
having CoolgGlide laser or ProWave
770 treatments less than 8 weeks after
waxing, plucking, etc. -- but this
is less efficient, and could increase
the total number of treatments needed
to get a good result.
Also,
while there is no harm in waiting
MORE THAN 8 weeks between treatments
(for example, if there has not been
much regrowth after your last CoolgGlide
laser treatment),
there is usually no extra BENEFIT
to waiting longer than 12 weeks between
treatments.
Medications?
We are not aware of any
medications which should not be taken
while you are getting CoolgGlide
laser treatment.
Anabolic steroids should certainly
NOT be taken unless medically necessary,
because these can increase male-pattern
hair growth in some cases. Women to
take injections of Climacteron (testosterone
& estradiol) as part of therapy
for menopause and to increase libido
often experience unwanted hair growth,
which can be treated with CoolgGlide
laser hair removal.
Recent
studies have confirmed our experience
that treatment can safely be done
for patients who are taking Accutane
or using Retin-A and similar
medications.
Medicines
which inhibit hair growth (for example,
spironolactone, Diane-35 birth
control pills, Euflex, Androcur
and Vaniqa cream) might slightly
reduce the pigment in hair roots and
make laser treatment less efficient,
but this seldom interferes with the
effectiveness of treatment. Cutera
CoolgGlide laser hair removal can certainly be
done WHILE you are on those medicines,
if you wish. These "anti-androgenic"
medicines produce gradual but temporary
effects, and will not remove unwanted
hair from areas that are independent
of androgen regulation.
Pre-treatment
with medicines like Zovirax,
Valtrex or Famvir is NOT
necessary, unless you tend to get
a lot of cold sores in the area to
be treated.
What
is a "test area", and why
is it sometimes performed?
"Test
areas" are small areas of skin
that are treated at various energy
levels prior to treatment of large
surface areas on darker skin types.
"Test areas" are done on
darker skin types to determine the
level of energy that is best for that
individual, and checked up to one
week later to make sure there was
no burning or pigment change. Light
skin types generally don't have to
have test areas done. This may be
done at the same time as your consultation,
and a $50 fee is required for this
test. The fee for the "test area"
is deducted from the cost of your
first treatment.
Moles,
freckles and tattoos in the area to
be treated?
Small
moles and freckles do not require
any special precautions. Large, dark
moles and freckles which are to be
treated may require a reduction in
the intensity of treatment, the same
way that the intensity would be reduced
when treating a dark-skinned or tanned
person. Tattoos will be avoided, because
exposure to CoolgGlide laser
could cause fading
of the tattoo, discomfort, or even
a burn. Be sure to tell Dr. Smith
and his staff if you have permanent
lip liner or permanent eyebrow liner,
because these are tattoos and special
precautions may be needed if there
will be laser treatment in those areas.
What
will happen on the treatment day?
HELLO
LASER, GOODBYE RAZOR!
Lasting hair removal has never been
this easy!
Other
than your regular skin care routine,
there is no standard "prep"
for this procedure. It is important
not to wear any makeup -- or at least
wear simple water-based makeup that
can be easily removed -- because makeup
can sometimes absorb laser energy.
This could interfere with treatment,
or even cause overheating of the skin
surface and burning. Makeup can be
re-applied immediately after Cutera
CoolgGlide laser treatment, if you wish.
There
are no restrictions on what you may
eat or drink prior to your appointment
-- in fact it is a good idea to have
a nice breakfast or lunch before coming
in for treatment.
Please
shave or clip the areas to be treated
before you come in for treatment.
Freshly shaved skin is more sensitive,
and there is less discomfort if you
wait at least an hour between shaving
and having laser treatment. Shaving
also allows you to shape the exact
area you want treated -- this is sometimes
very useful in the bikini area. Excess
hair above the surface of the skin
absorbs and wastes laser energy, and
reduces the amount of energy that
reaches the hair root, where it is
really needed. Excess hair above the
surface of the skin also increases
the chance of burning or irritating
the skin.
Everyone
in the treatment room must wear protective
goggles while the CoolgGlide
laser are in
use.
The
length of the procedure itself can
range from a few minutes for the upper
lip to an hour or more (for example,
a mans chest and back). You
may save considerable time, as you
reduce or eliminate the need for shaving
and other hair removal methods.
If
you decide before coming in that you
would like to have additional areas
treated, please call ahead so that
we can schedule enough time to accommodate
your needs.
The process is very simple...
Cooling pads are sometimes applied
to the skin for a few moments before
the area is treated, and sometimes
the Cryo-5 chilled air stream is applied
to large areas like the back or legs
to increase your comfort. The CoolgGlide
laser pulses
are quickly and evenly applied by
our carefully trained and supervised
staff.
You
can bring a friend or family member
if you like -- quite often mothers
and daughters will come in together
for treatment.
Does
it hurt?
The
CoolgGlide laser use pure, simple light. You will
feel a momentary "snapping"
sensation like a rubber band. There
is no bleeding and no open wound is
created. Some people find the FIRST
treatment more uncomfortable than
subsequent treatments. Maybe this
is because there are more hair roots
which are destroyed during the first
treatment; and perhaps also because
some people are more apprehensive
during the first treatment, because
they are not sure of what to expect.
Many
patients find that they have less
discomfort if they shave the area
to be treated at least a couple of
hours BEFORE coming in for treatment,
because freshly shaved skin is often
somewhat more sensitive. Shaving before
coming in for treatment also allows
you to shape the area to be treated
exactly the way YOU want it. This
is of particular importance in areas
like the forehead, sideburns and bikini/pubic
hair areas.
While
some areas of the body like the upper
lip and pubic hair area are more sensitive
than others, many patients report
little or no discomfort. If there
is unusual discomfort, please let
us know so that we can apply more
cooling or adjust the settings.
People
who have had waxing, sugaring, and/or
electrolysis (or treatment with other
lasers) usually report that CoolgGlide
laser cause
less discomfort, and sometimes there
is little discomfort.
Another
possible explanation for reduced discomfort
with the Cutera CoolgGlide laser
compared with
other forms of treatment is that the
long wavelength of this equipment
delivers more energy into the deeper
part of the skin where the hair roots
are -- and wastes less energy in the
top 2 millimeters of the skin where
many of the nerve endings are.
In
addition, both the CoolgGlide
laser have the
ability to reduce the frequency of
pulses and increase the cooling time
in sensitive areas, to maximize your
comfort.
EMLA
anesthetic cream is occasionally used
in very sensitive areas or by those
who think they have a very low pain
threshold. EMLA can be purchased
without a prescription, and a very
thick layer should be applied an hour
before the procedure. Most people
do best with cooling gel pads and
the Cryo-5 chilled air blower, and
do not bother with EMLA anesthetic
cream.
Many
people find it helpful to simply take
two or three plain Tylenol and/or
Advil a couple of hours before coming
in for treatment. Some women who find
that they are less sensitive after
their menses prefer to schedule their
treatment sessions to avoid the premenstrual
and menstrual time.
What
will happen after treatment?
Redness
often has faded greatly by the time
you get home. It would not be uncommon
for the skin to be slightly drier
that evening and to require more of
your favorite moisturizer, for example,
Alyria Hydrating Complex Moisturizing
Cream.
The
hair follicles may appear slightly
more obvious or a bit pink for the
next day or two, but this is seldom
a cosmetic problem, and generally
much less obvious than after waxing
or sugaring.
Why
does the hair sometimes look like
it's growing for 1-3 weeks after laser
treatment?
CoolGlide
laser destroy
hair roots which are active at the
time of treatment, but do not remove
hair shafts instantly. Hair shafts
in the treated hair follicles will
fall out, or be "shed" mostly
in the first week after treatment,
with all of the treated hairs falling
out within 2-3 weeks.
It
is normal that some hairs in the treated
area may not fall out within 2-3 weeks.
These will treated in the next session.
These
hairs which are being shed will come
out on their own. It is best not to
shave the treated area or to wash
it with anything but mild soap like
Alyria Gentle Cleanser and your
bare hand (no Buf-Pufs, washcloths
or Body Washes) for 3-4 days after
treatment, because some people find
that their skin is irritated by these
things.
Are
there any restrictions on my activity
after treatment?
Since
the CoolgGlide laser do not burn or cut the skin in
any way, no bandages are necessary.
You can return to work the same day
and resume all your regular activities.
To reduce the chance of uneven tanning
in the treated areas, you should minimize
sun exposure and tanning for a week
or two after treatment.
It
is OK to resume shaving or clipping
hair in the treated area after 3-4
days. You should NOT have waxing /
sugaring / plucking or electrolysis,
because these things will temporarily
remove pigmented hairs from the hair
roots and reduce the effectiveness
of your next treatment. Sometimes
after plucking, waxing or sugaring
the hair will become thicker and darker,
because one of the ways that the body
defends itself from chronic irritation
is to produce thicker, darker hairs.
Shaving
really is the BEST temporary way to
remove unwanted hair before treatment,
and between treatments. Shaving leaves
the hair SHAFT in the hair follicle,
so the hair shaft can be a target
for laser energy, heat up and KILL
the hair follicle.
You
can shave as often as you want. It
has been shown in scientific studies
that:
- Shaving
does NOT make hair grow faster.
- Shaving
does NOT make hair grow thicker.
- Shaving
does NOT make hair grow darker.
- Shaving
does NOT make hair grow more profusely.
Pre-treatment
instructions:
- Please
do not do any waxing, plucking
or sugaring for 6 weeks before
treatment, because hair follicles
which do not have hair shafts
in them to absorb energy will
not be killed by the treatment.
- Please
try to minimize tanning for a
week or two before treatment:
a fresh tan can interfere a bit
with the effectiveness of the
treatment, though this is less
of a problem than with older,
short wavelength lasers and IPL
devices.
- Please
do not wear makeup on the areas
to be treated, or at least wear
makeup that is easy to remove.
If makeup absorbs energy, less
energy will reach your hair follicles
and hair shafts, and if the makeup
heats up it could irritate or
burn your skin. Makeup can be
re-applied immediately after Cutera
CoolgGlide laser treatment, if you wish.
- Please
shave or clip the areas to be
treated the day before treatment
or on the morning of treatment.
This way, the skin will be less
sensitive. Shaving before you
come in also allows you to shape
the exact area you want treated
-- this is sometimes very useful
in areas like the hairline and
sideburns, and in the bikini area.
Excess hair above the surface
of the skin absorbs and wastes
energy, and reduces the amount
of energy that reaches the hair
root, where it is really needed.
Excess hair above the surface
of the skin also increases the
chance of burning or irritating
the skin.
- Many
people find it helpful to simply
take two or three plain Tylenol
and/or Advil 2 hours before
coming in for treatment. Some
women who find that they are less
sensitive after their menses prefer
to schedule their treatment sessions
to avoid the premenstrual and
menstrual time.
During
the treatment, remember that: We want
to be doing this FOR you, not doing
it TO you. Unexpected discomfort is
Nature’s way of telling us something
is wrong, so please tell us and we
will go slower, apply more cooling,
or adjust the settings for you.
Post-treatment
instructions:
- Redness
often has faded greatly by the
time you get home. It would not
be uncommon for the skin to be
slightly drier that evening and
to require more of your favorite
moisturizer, for example, Alyria
Hydrating Complex. The hair
follicles may appear slightly
more obvious or a bit pink for
the next day or two, but this
is seldom a cosmetic problem,
and generally much less obvious
than after waxing or sugaring.
- Try
to avoid tanning for a week or
two after treatment, because occasionally
the tan could be somewhat irregular
(lighter and/or darker in the
treated areas.) Ombrelle-60
and Anthelios-60 are excellent
sunscreens.
- Hair
shafts will be released from hair
follicles in the treated area
for a week or two after treatment.
You do not need to do anything,
but you may gently exfoliate or
shave the areas if you wish.
- Shaving,
depilatory creams like Nair
or Neet, or bleaching are
OK between laser treatments. Plucking,
waxing and sugaring should be
avoided because these things could
reduce the effectiveness of your
next treatment.
- Blistering
or scaling after Cutera CoolgGlide
laser hair
removal is very uncommon, but
usually resolves over a few days
or a week with a bit of Polysporin
cream several times a day. Please
call us if this happens, or if
you have any other problems or
questions.
Consultations
about Cutera CoolgGlide laser
hair removal
can usually be arranged immediately. Treatment can
be done the same day as
the consultation.
Our
staff, many of whom have had hair
removal treatments themselves, can
take the time to discuss your wishes
and options, and answer your questions.
No referral is required.