Laser Hair Removal -Questions and Answers

How does the Cutera CoolGlide™ laser hair removal work?
The Cutera CoolGlide™ laser is a non-invasive light therapy system which has been custom designed to eliminate undesired hair from all parts of the body. The Cutera CoolGlide™ laser generates pulses of intense, concentrated light which are directed through small, cooled hand piece which is 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 a wide beam 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 anesthesia. 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 color, hair texture, and location on the body.

Cutera CoolGlide™ laser treatments is a safe, fast, gentle and effective method for hair removal. In just a few treatment sessions using the gentle power of this system, you can greatly improve the appearance of skin where there is unwanted hair.

How does 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 re-growth, even after many "intense pulsed light" treatments.

· Older laser systems:
o First generation Ruby laser: 694 nanometer (Epilaser™, Epitouch™, Chromos™)
o Second generation Alexandrite laser: 755 nanometer (Epitouch ALEX™, Photogenica LIPR™, GentleLASE™)
o 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 with the laser, instead we use electrolysis for these areas. The top of the eyebrows can be treated when the forehead is treated.

What are the benefits of the CoolGlide™ laser hair removal compared to alternative treatments?
The primary benefits of the CoolGlide™ laser hair removal include:
· Larger areas may be treated with less discomfort than with electrolysis, waxing or tweezing.
· The CoolGlide™ combines speed, comfort and long lasting results.
· The CoolGlide™ works on any area of the body where a hair-free appearance is desired.
· The CoolGlide™ is 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 offers 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 we recommend patients do electrolysis, 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.

Hair removal is much faster with the CoolGlide™ laser because each "pulse" of laser light disables a large number of hair follicles, and pulses can be delivered as often as twice every second. With electrolysis we can only treat those hairs that we can see and which they can reach the follicle through the hair shaft. The Cutera CoolGlide™ laser treats 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.

Professional services provided by appointment only.

There is no fee for pre-laser consultation.
Consultations about Cutera CoolGlide™ laser hair removal can usually be arranged within a week or two simply by calling our office at (624) 105-2209 or state side at: 425-216-3019 where we can schedule you a free consultation appointment.

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 is 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 colored.

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 re-growth 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 works 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 re-growth 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 re-growth for many years. In other cases you may wish to have additional treatment after a period of time.

Hair that re-grows 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 follicles and "peach fuzz" follicles.

Why are at least 4 treatment sessions usually needed?
The Cutera CoolGlide™ laser works 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 uses 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 has 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 the long wavelengths it uses, allows 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, and people with white to moderately dark, untanned skin are treated with this laser as well.

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 is 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 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 woman's 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 (and about 22 million American 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 is the safest and most effective device 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.

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 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 re-growth after your last CoolgGlide™ laser, 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.

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 us 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. 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 is 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 man's 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 is 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 uses 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 causes 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, the CoolgGlide™ laser has 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 destroys 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 does 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.

Laser Hair Removal Pre-treatment instructions:

1. 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.

2. 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.

3. 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 Cool Glide™ laser.

4. 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.

5. 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. 1-624-105-2209