Calibrated TRT

Absolute contraindications are conditions or factors that completely rule out the use of laser hair removal, as they pose a high risk to the patient. If a patient has any of these conditions, laser hair removal should NOT be performed.

• Pregnancy: Laser hair removal is NOT recommended during pregnancy or nursing due to the lack of research on its safety for the mother and fetus.

• Pacemakers or Internal Defibrillators: Patients with electronic implantable devices should avoid laser hair removal due to potential electromagnetic interference.

• Area with Implants: Treatment areas that have superficial metal or other implants must be avoided.

• History of Keloid Scarring or Hypertrophic Scars: Patients who are prone to keloid or hypertrophic scar formation have a higher risk of developing these scars after laser treatments, making them unsuitable candidates.

• History of Skin Cancer or Suspicious Lesions: Laser hair removal should not be performed on patients with a history of melanoma, squamous cell carcinoma, or basal cell carcinoma, or on areas that have suspicious moles and lesions.

• Photosensitive Conditions: Conditions like lupus or porphyria, or a history of photodermatitis, where the skin is highly sensitive to light, can lead to severe skin reactions.

• Use of Photosensitizing Substances: Drugs such as isotretinoin (Accutane) within the past 6-12 months, certain antibiotics (e.g., tetracyclines), and certain herbs/supplements such as St. John’s Wort can increase the risk of severe skin reactions, including burns, blisters, and pigmentation changes.

• Active Infection in the Treatment Area: Conditions like bacterial infections, herpes simplex virus (cold sores), warts, or fungal infections should be treated and resolved before undergoing laser hair removal.

• Active Skin Diseases in the Treatment Area: Conditions such as psoriasis, eczema, vitiligo, or severe dermatitis make the treatment area more prone to complications and should be avoided.

• Areas with Tattoos or Permanent Makeup: Laser hair removal should not be performed over tattoos or permanent makeup, as the laser can cause burns, pigment changes, and damage to the tattoo.

Relative contraindications are factors or conditions that do not completely prevent laser hair removal but require careful consideration, modification, or additional precautions. The treatment may be possible under certain circumstances, depending on the patient's condition and the clinician's judgment.

• Tanned or Recently Sun-Exposed Skin: Patients with recent sun exposure or tanning (either from natural sunlight, tanning beds, or self-tanners) are at higher risk of burns and hyperpigmentation. Treatment should be postponed until the tan has faded (typically 2-4 weeks).

• Use of Self-Tanning Products: Self-tanners can increase the risk of burns and pigment changes. It’s recommended to discontinue use at least 2 weeks before the treatment.

• History of Hyperpigmentation or Hypopigmentation: Patients with a history of post-inflammatory hyperpigmentation or hypopigmentation are at higher risk of pigment changes. Patch tests are recommended.

• Menstruation: While not a strict contraindication, some women may experience increased sensitivity during their menstrual cycle. It is often recommended to schedule treatments outside this time for comfort.

• Use of Anticoagulants or Blood Thinners: These medications can increase the risk of bruising or bleeding. Such medications should NOT be discontinued without consulting with the prescriber. Written clearance from the prescriber of these medications is required before proceeding.

• Active Acne or Use of Topical Acne Medications: Topical treatments like retinoids or benzoyl peroxide can make the skin more sensitive, increasing the risk of burns or irritation. Patients should discontinue these products for at least 1 week before and after treatment.

• Recent Use of Chemical Peels or Microdermabrasion: Treatments such as chemical peels, microdermabrasion, or laser resurfacing in the treatment area should be avoided for at least 2 weeks before laser hair removal.

• Diabetes: Diabetic patients may have slower healing and an increased risk of infection, particularly if the diabetes is poorly controlled.

• Autoimmune Conditions Affecting the Skin: Conditions like scleroderma or other autoimmune diseases that affect skin health can increase the risk of complications.

• Varicose Veins or Vascular Lesions: Areas with varicose veins, vascular lesions, or spider veins may require special consideration, as laser treatments can sometimes worsen the condition.

• Breastfeeding: While laser hair removal is not contraindicated during breastfeeding, hormonal changes can affect hair growth patterns, making the results less predictable.

• Hormonal Imbalances (e.g., PCOS): Patients with conditions such as polycystic ovary syndrome (PCOS) or other hormonal imbalances may have persistent hair growth even after completing a series of treatments. This doesn’t prevent treatment but may require more sessions.

• Recent Waxing, Plucking, or Epilation in the Treatment Area: These methods remove hair from the follicle, which is necessary for the laser to work effectively. It is recommended to avoid these hair removal methods for 4-6 weeks prior to treatment.

• Use of Steroids: Long-term use of steroids can thin the skin, increasing the risk of burns and other skin reactions. Consultation is necessary to determine the risk.

• History of Seizures: While not a strict contraindication, the bright light from the laser may trigger seizures in photosensitive individuals. Protective eyewear and precautions should be used.

Before proceeding with laser hair removal, the patient should careful review all the absolute and relative contraindications provide here.

The patient is responsible to clearly inform the medical providers if they have any of these absolute or relative contraindications during initial consultation and should NOT proceed with treatment without confirming that the medical service provider is aware that the patient has one of more of these contraindications.

If the patient withholds such information from the clinical team, an adverse outcome with negative consequences is more likely and the patient shall indemnify and hold the medical provider—including its personnel—harmless for such an outcome. For patients with relative contraindications, a patch test may be recommended to assess skin sensitivity and reaction.

These side effects are typically short-lived and resolve on their own within a few hours to a few days after the treatment.

• Redness and Swelling (Erythema and Edema): The treated area may appear red and slightly swollen, similar to a mild sunburn. This reaction is usually temporary and may last a few hours to a couple of days.

• Mild Pain or Discomfort: Some patients describe a sensation similar to a rubber band snapping against the skin during treatment. After the procedure, the area may feel slightly sore or tender.

• Itching: Itching is a common response during and after the treatment due to the skin’s reaction to the laser energy. It usually resolves within a day or two.

• Perifollicular Edema: This refers to small, localized bumps around the hair follicles. It’s a sign that the follicles have been targeted, and it generally subsides within a few hours.

• Dry Skin or Flaking: Some individuals may experience dryness or slight peeling of the treated skin. Moisturizing the area can help alleviate this symptom.

• Temporary Pigment Changes: Mild hyperpigmentation (darkening of the skin) or hypopigmentation (lightening of the skin) may occur but typically resolves within a few weeks.

These side effects are less common and may require medical management if they occur.

• Blistering or Crusting: Blisters or crusting can occur, especially with more aggressive laser settings or if the patient had recent sun exposure. These should be treated promptly to prevent scarring.

• Burns: Minor burns can develop. These burns can range from first-degree to, in rare cases, second-degree burns.

• Scabbing: Scabbing can happen if the skin forms a crust or hard layer after blistering. It should be left to heal naturally to prevent scarring or pigmentation changes.

• Folliculitis: Inflammation of the hair follicles can cause small, red or pus-filled bumps, especially in patients who are prone to acne or have recently shaved the area. Topical antibiotics may be needed to treat this condition.

• Infection: Although rare, infections can develop if the skin barrier is compromised. Signs include increased redness, pain, swelling, or pus. Proper aftercare can minimize the risk for an infection.

• Bruising (Purpura): Small bruises can form in the treatment area, particularly in patients taking blood thinners or with certain skin types. Bruising typically resolves in 1 to 2 weeks.

These side effects are less common and may require medical management if they occur.

• Permanent Scarring: Poor aftercare can contribute to scarring, particularly if the skin is burned or if blistering is not treated appropriately at home. Scars may be permanent in severe cases.

• Severe Changes in Skin Pigmentation: Permanent hyperpigmentation or hypopigmentation can occur, particularly in darker skin types or if the patient has a history of pigment disorders.

• Paradoxical Hypertrichosis: Paradoxical hypertrichosis is a rare phenomenon where, instead of reducing hair, the laser treatment stimulates new hair growth in the treated or adjacent areas. This is more likely to occur on the face and neck and in patients with darker skin tones. Regardless of the increase incidence of Paradoxical Hypertrichosis with a particular skin tone, there no way to accurately predict which individual patients will experience this side effect. Furthermore, there are no precautions that a clinician that will definitively prevent this side effect. It just a unavoidable risk associated with laser hair removal.

• Allergic Reactions: Some patients may experience allergic reactions to topical anesthetics, numbing creams, or cooling gels used during treatment. Symptoms can include redness, itching, and swelling.

• Reactivation of Herpes Simplex Virus (HSV): Laser hair removal can trigger an outbreak of cold sores (HSV-1) or genital herpes (HSV-2) in susceptible patients. Antiviral prophylaxis may be recommended for those with a history of herpes infections.

• Ocular Injuries: Laser hair removal around the eye area can result in serious eye damage if proper protective eyewear is not worn correctly. Potential injuries include corneal burns, vision changes, and, in extreme cases, permanent vision loss.

These side effects may not pose serious health risks but can affect the aesthetic appearance of the treated area.

• Textural Changes in Skin: Rarely, the treated area may develop textural changes, including rough or uneven patches. This is often a temporary condition but can persist if the skin is damaged.

• Changes in Hair Texture: In some cases, the texture of remaining hair can change, making it finer or coarser. This is more likely to occur in areas that did not respond well to treatment.

• Temporary Tattoo Fading: If laser hair removal is performed too close to a tattoo, it can cause temporary or permanent fading of the tattoo ink. This side effect is more common with darker inks.

• Skin Sensitivity or Tingling: Some patients may experience lingering sensitivity or a tingling sensation in the treated area, particularly if nerve endings were affected. This sensation usually resolves within a few days to weeks.

Proper patient selection, appropriate laser settings, and good aftercare are essential to minimizing side effects:

• Be Aware of ALL Contraindications for Laser Hair Removal Treatments: Carefully review ALL the absolute and relative contraindications for Laser Hair Removal to make sure none of the contraindications apply to you and/or your individual circumstances.

• Inform your Laser Hair Removal Provider of any contraindications: When booking your initial consultation and/or during the initial consultation clearly inform the medical providers if you have any absolute and relative contraindications for Laser Hair Removal.

• Do NOT proceed with treatment without confirm clinician awareness of contraindications: You should NOT proceed with treatment without confirming that the actual clinical personnel performing your treatment are aware and have taken into consideration any and all contraindication you have for Laser Hair Removal.

• Avoid Sun Exposure and Tanning: Patients should avoid direct sun exposure and tanning beds for at least 4 weeks before and after treatment to reduce the risk of burns and pigment changes.

• Use Broad-Spectrum Sunscreen: Apply a high SPF sunscreen to treated areas when exposure to sunlight cannot be avoided.

• Follow Aftercare Instructions: Use soothing creams or aloe vera gel to calm the skin and prevent irritation. Avoid hot showers, saunas, and intense workouts for at least 3 days post-treatment.

• Consult a Qualified Professional: Ensure that treatments are performed by a licensed and experienced provider who understands laser settings, skin types, and potential contraindications.

Understanding the potential side effects can help patients make informed decisions and help providers deliver safer, more effective treatments.