There is a lot of conflicting information on how long laser hair removal lasts. (Yes, I'm aware of the semantics with regard to "permanent" being defined by the FDA as "long-term, stable reduction . . . over time greater than the duration of the complete growth cycle of hair follicles.")

Most studies have a six month follow up, and a few have gone to 24 months. (Yes, I'm aware that hair counts are usually stable between 6-24 months.)

This leaves us with our personal clinical findings. I'd like to hear from anyone who's been performing laser hair removal for more than two years and has had patient follow ups for at least that long. (i.e., seen the same patients at least two years later to assess clearance.)

James: I have probably had at least ten treatments myself on my back with a 755 nm Alexandrite laser (known as one of the best modalities for Fitz II and III with dark brown hair--which is me). I would estimate that my remaining hair is approx. 80% reduced from the point at which treatments started. In addition, most of the remaining hairs are much thinner, finer and lighter than when I began the treatments. It has been almost two years since my last treatment so I think we can conclude that this is a "permanent" result. This result pretty much reflects the published literature on the subject. Where many of us got into problems with our med spas is that we "overpromised" results. At my med spa some of our consultants would say ANYTHING to get the sale. Who wouldn't-- when their compensation is based on closing sales (and not on the aftermath). Many people were promised they would be virtually "hair free" after only five treatments. Needless to say I experienced the wrath of many, many unhappy patients!! It is not a good way to build good word of mouth advertising!!

With individuals who had light brown, dark blond, and reddish tone hair, the results are typically not even as good as mine. Ditto for patients who would not follow our "rules" about keeping the treatment area as pale as possible throughout the duration. No doubt about it-- laser hair removal can be a slippery slope!! There is a lot of debate and discussion going of right now regarding the use of 1064 nm (long pulsed) lasers and certain IPL systems -- sometimes in conjunction with other wavelengths-- in an effort to treat different targets (large,med and small) with different wavelengths, pulse durations, spot sizes and depths of light penetration. There are some very experienced, brilliant clinicians contributng to this blog so read the postings cover to cover. Lots of free information. Be careful because there are lots of sales reps piping in also. Maybe one of these days we will get this figured out! In the meantime, be sure to UNDERpromise (and try to overdeliver).

We have been doing it for about 4 years now with some good long term results. I have not done any studies or hair counts. I believe that we see some permanent destruction of follicles but others will be stunted. Some studies have shown what appears to be a stunting of some follicles for up to 2 years.

It is also very difficult for some areas of the body such as the upper lip and chin of women, they can have hormonal changes that convert fine villous hair into coarse darker hair over time. So essentially they have new hair. This makes it difficult to keep track of.

James:
I am glad someone has brought this out in the open!! :-) I agreed with what Medspaguy said. In general the gold standards for LHR is:
Fitz I-III: 755nm: better "bulb, root" elimination thus more permanent effects
Fitz III-VI: 1064nm less effect on "bulbs", less effect on fine hair but less side effects on darker skin. Thus less permanent effect but much safer on darker skin. However, in skilled hands with the right machine specifications and tools, one can get as good permanent results as in 755nm but with more initial treatments and touch-ups

I believe you must use an Alexandrite or a Diode. Never fall for an IPL. Wont work

beware of alc,

We are getting great results and have for the past 2 years with Palomar starlux for hair removal. It's IPL and it works. Don't post your opinion and state it as if it factual, your wrong.

The medspa I work for now uses the Palomar IPL with very good results. just a reminder: ALC deliberatley lowers the settings for their Syneron IPL lasers to avoid liability. Don't base all IPL results on their lasers or settings

I have used several lasers,(Cynosure,Aura, Comet, Palomar, Aesthera)over the past five years. I agree with "beware of alc" guy. IPL's do not work well for hair removal! The best results I have seen is from a yag1064 or Alexandrite 755 on most skin types. NorCal RN

Former ALC guys: while I thought the ALC-stuff wouldn't impact me, the local ALC in my area has gone Out of Business and wants to pay us to finish their HR packages that were sold. Anybody out there have experience w/ this??

I am not former alc but make them give you all names packages etc and then make them pay you very well. What they are asking is that their problem becomes your proble. I would be very careful you could get burned very easily.

DermaRogue: I agree with LH on this one. Be careful- because ALC had a number of problematic "guarantee" programs over the years and their clients were routinely overpromised on the results side.

On the other hand, it may be a great opportunity for you when you take into account the cost of acquiring patients. When I crunched my numbers I was astonished to see how much it cost me to acquire my customers. In addition, you will be able to get a great deal more value out of the patients since ALC had such a limited service offering and was not really a "medical" spa.

I agree with all of the above- but certainly be careful of the 2 year guarantee.
Find out as many details as possible about the clients and the center. In the 3+ years I was there, ALC closed only 2-3 clinics out of 200 for not producing. It's highly unusual- unless maybe it was a licensed or franchised location.
Be super cautious or you could inherit their big fat mess. On the other hand the patients may be so grateful not to be dealing with the evil empire you have a shot at upsales.

I have seen several people have results at ALC on both the Diode and the IPL.( it takes quite a while) I have seen people promised things that were a lie. Of course I informed them of what happens in the procedure and what to expect. I worked for an amazing laser company that was slow and so I ventured back to ALC. They have a new CEO, and are changing things. Honestly in being a good consumer you should research, what type of laser they are using?, how the procedure works? what FDA approved means? It means 80-90% reduction. The two year guarantee has rules and almost every patient ignores them even though we remind them at each treatment. ( it doesnt cover you if you have a hormonal imbalance, tan, ...etc ) but ALC still allows for people to receive treatments even if they are doing those things. Yes there are better lasers out there. My favorite so far is the LIGHTSHEER. It's amazing. Good luck everyone.

I dont believe you can fully guarantee that some hair wont come back after a series of treatments. I believe you should always under promise and over deliver as stated previously by med spa guy. Any hair removal on the face is difficult to guarantee due to hormones. I do think when you go to someone who is properly trained and using an effective laser you will get great results and reduce almost all of your hair. I always suggest patients come back for touch ups once to twice a year.

We have a Candela GentleLase that I personally have used on myself starting in 2004. The bikini was the first area "finished" and over 4 years later it's still pretty much gone! I have a few thin dark hairs creepiing in at the edge but thats it. My legs are a "work in progress" as I have worked on them sporadically over the last 5 years. I still have scattered dark haiirs but they are thinner, lighter and slow growing. It does seem that I have some very fine, light vellus type hairs (unsure if they were there before hiding under the dark ones or are converts). Overall it's been a fantastic improvement for a dark haired Fitzpatrick III who previous shaved daily to wear shorts or a bathing suit. Given the 4 year response on the bikini, I'm comfortable advertising this treatment as permanent!

i have an olive skin complexion. and i have dark brown hair. ive been working on my beard line because it grows very high above my cheeks. ive had 3 treatments and i can see reduction as well as finer slow growing hairs. my question is how many more treatments do i need for PERMANENT REDUCTION. i dont care if there are a few hairs as long as theyre light in color. also after i get the necessary number of treatments will the results last for the rest of my life? im 23 and italian.
let me know.

Thank you very much for this useful article. I like it.
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