Tatlidede Soner, Egemen Onur, Saltat Aysegul, Turgut Gursel, Karasoy Aysin, Kuran Ismail
Aesthet Surg J. 2005 Mar-Apr;25(2):138-43. doi: 10.1016/j.asj.2005.02.003.
Although laser depilation has been performed for removal or reduction of unwanted and dark-colored hair in recent years, techniques including the appropriate approaches for different skin types and body areas have not yet been optimized.
We review the principles of laser hair removal and report a retrospective study of 322 patients who received long-pulse alexandrite laser hair removal for 3 or more sessions between January 2000 and December 2002.
Prior to treatment, patients were evaluated by a physician and informed of the mechanism, efficacy, and possible side effects of treatment. Patients were classified by skin type according to the Fitzpatrick classification. Those patients with systemic disease, a history of sun sensitivity, or who had used drugs known to cause photosensitivity were excluded from laser treatment. All treatments were performed with a long-pulse alexandrite laser with a constant spot size (18 mm) and 3-ms pulse width that applied energy of 755 nm. Sessions were repeated at different intervals depending on the body parts to be treated.
The overall hair reduction rate for all patients, independent of skin type, was estimated as 80.8%. There were 2 cases of hypopigmentation and 8 cases of hyperpigmentation post-treatment. No other complications were reported.
Treatment with the long-pulse alexandrite laser can meet the expectations of patients who desire permanent hair removal. Careful examination of patients prior to therapy, as well as thorough patient education, are essential to patient compliance and success with this technique.
近年来，尽管已采用激光脱毛术来去除或减少多余的深色毛发，但包括针对不同皮肤类型和身体部位的适当方法在内的技术尚未得到优化。
我们回顾了激光脱毛的原理，并报告了一项对322例患者的回顾性研究，这些患者在2000年1月至2002年12月期间接受了3次或更多次长脉冲翠绿宝石激光脱毛治疗。
在治疗前，由医生对患者进行评估，并告知其治疗机制、疗效及可能的副作用。根据菲茨帕特里克分类法对患者的皮肤类型进行分类。患有全身性疾病、有日光敏感史或曾使用已知会引起光敏性药物的患者被排除在激光治疗之外。所有治疗均使用光斑大小恒定（18毫米）、脉冲宽度为3毫秒、波长为755纳米的长脉冲翠绿宝石激光进行。根据待治疗的身体部位，以不同间隔重复治疗疗程。
所有患者，无论皮肤类型如何，总体毛发减少率估计为80.8%。治疗后有2例色素减退和8例色素沉着。未报告其他并发症。
长脉冲翠绿宝石激光治疗能够满足渴望永久性脱毛患者的期望。治疗前对患者进行仔细检查以及对患者进行全面教育，对于患者的依从性以及该技术的成功应用至关重要。
