Dermatology Book

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Hair Removal TechniqueAka: Hirsutism Management, Hypertrichosis Management, Epilation, Laser Hair Removal, Electrolysis

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  1. See Also
    1. Hirsutism (for antiandrogen management)
  2. Indications
    1. Hirsutism
    2. Hypertrichosis
  3. Technique: Epilation (Hair plucking)
    1. Removes Hair Shaft and Hair Bulb for 6-8 weeks
    2. Only effective for hairs in Anagen phase
    3. Adverse effects
      1. Risk of damage to hair matrix
      2. Limited to localized areas of Hair Growth
      3. Risk of inflammation
        1. Folliculitis or pseudofolliculitis barbae
        2. Risk of Hyperpigmentation or scarring
    4. Methods
      1. Hot waxing with resin (risk of burn injury)
      2. Hair plucking with tweezers
      3. Depilation (chemical dissolving of Hair Shaft)
        1. Effects last only 2 weeks (does not affect bulb)
        2. Contains thioglycolates, mercaptans, and alkali
        3. Risk of Contact Dermatitis and sulfur odor
  4. Technique: Laser hair removal
    1. Effects last 3 months
    2. Targets Melanin in Hair Bulb
    3. Works best with dark hair on light skin
    4. Pain may occur with procedure
    5. Risk of edema and erythema in first 24 hours
    6. Risk of skin Hyperpigmentation changes
    7. Types
      1. Pulsed diode laser (least expensive, most reliable)
      2. YAG laser (best on dark skin, but short term effect)
  5. Technique: Shaving (less popular among women)
    1. Safe and effective
    2. Does not affect hair thickness or growth rate
    3. May leave appearance of hair thickening
    4. May cause irritation or pseudofolliculitis barbae
  6. Technique: Electrolysis
    1. Effect varies by operator experience
    2. Permanent hair removal (destroys Hair Follicle)
    3. Technique
      1. Small needle inserted into skin at Hair Follicle
      2. Current applied for 0.02 to 20 seconds per hair
    4. Methods
      1. Galvanic (DC): Multiple treatments required (slow)
      2. Thermolysis (Alternating Current)
    5. Adverse effects
      1. Pain with procedure
      2. Risk of Keloid, scarring or pigmentation changes
  7. Technique: Topical agents: Eflornithine Cream (Vaniqa)
    1. Apply bid to involved face
    2. Not first-line (often used to augment other methods)
      1. Works well in combination with laser
    3. Effective within 4-8 weeks of regular use
    4. Hair Growth normalizes 8 weeks after discontinuation
    5. Risk of Acne Vulgaris and local irritation
  8. References
    1. Hansen (1997) Female Patient 22:11-18
    2. Gilchrist (1995) Am Fam Physician 52(6):1837
    3. Kalve (1996) Am Fam Physician 54(1):117
    4. Shenenberger (2002) Am Fam Physician 66(10):1907

Surgical galvanism (C0013830)

ConceptsTherapeutic or Preventive Procedure (T061)
EnglishElectrolysis, Electrolysis - action, Electrolysis operation, Electrolysis procedure, Surgical galvanism
Spanishelectrolisis - accion, galvanismo quirurgico, operacion por electrolisis, procedimiento de electrolisis
Parent ConceptsDuplicate concept (C1274013), Electrodestruction - action (C1292838), Destruction using electrical energy (C1293137), Ambiguous concept (C1274012)
SourcesMTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)


General hair removal - epilation (C0018504)

ConceptsTherapeutic or Preventive Procedure (T061)
MSHD006204
EnglishDepilating hair, Depilation, Depilation of skin, Depilations, Epilation, Epilation -hair removal, Epilation of skin, Epilations, General hair removal - epilation, General hair removal-epilation, Hair Removal, Hair Removals, Removal of hair, Removing hair
Spanishdepilacion, depilacion de la piel, remocion de pelo, remocion general de pelo - depilacion
Parent ConceptsCosmetic Techniques (C0010163), General hair removal - epilation (C0018504), Procedure on hair (C0455072), Removal of dermal appendage (C0565197), Duplicate concept (C1274013), Reason not stated concept (C1276325), Ambiguous concept (C1274012)
SourcesAOD, CST, MSH, MTH, SCTSPA, SNOMEDCT
Derived from the NIH UMLS (Unified Medical Language System)



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