At-Home Laser Hair Removal Devices | Featured in Vogue

Dr. Alexandra Bowles shares her insights on at-home laser hair removal devices from her recent Vogue feature: The Best At-Home Laser Hair Removal Devices, According to Experts

Is laser hair removal permanent?

Laser hair removal is often marketed as a permanent solution to unwanted hair, but in reality, it generally results in long-term hair reduction rather than permanent hair removal. Many people experience significant hair reduction after a series of treatments. The treated hair may become finer, lighter and grow slower but not necessarily be completely removed. The FDA considers laser hair removal devices as providing “permanent hair reduction,” not “permanent hair removal.” This means that while treated hair follicles may not regenerate, new follicles can develop due to hormonal changes or other factors. It’s also important to keep in mind that results can vary widely among individuals. Some may experience nearly complete and long-lasting hair removal, while others may see regrowth over time.

Does laser hair removal hurt?

The sensation experienced during laser hair removal varies from person to person. However, most people describe it as uncomfortable rather than painful. Some of our patients who have undergone laser hair removal compare the sensation to a rubber band snapping against the skin or a quick, sharp sting followed by a feeling of warmth. The level of discomfort can vary based on individual pain tolerance, the area being treated, and the type of laser used.

For example, areas with thinner skin or more nerve endings, such as the upper lip and bikini line areas, tend to be more sensitive than others, like the legs and back. Hair and skin type can also affect the level of discomfort, whereby dark, coarse hair typically absorbs more laser energy, which can make treatments more intense. Oppositely, individuals with lighter hair might feel less discomfort due to the lower absorption of laser energy.

Is laser hair removal safe?

Laser hair removal is generally considered safe when performed by a trained and licensed professional. However, as with any cosmetic procedure, there are potential risks and side effects to always keep in mind.

For example, some common side effects are redness and swelling, which usually subside within a few hours, and temporary discomfort around the treated area. Less common or rare side effects include pigment changes, skin irritation, and scarring if the skin is improperly treated. Nevertheless, when undergoing laser hair removal, patients have to make sure to follow any pre and post-treatment guidelines provided by their physician to ensure the best results.

How does laser hair removal work?

Laser hair removal uses concentrated light energy to target and destroy hair follicles, inhibiting future hair growth. The laser device emits a beam of light that is absorbed by the pigment (melanin) in the hair. The absorbed light energy is then converted into heat, which damages the hair follicle, specifically the bulb and bulge responsible for hair growth. The laser inhibits or delays future hair growth by damaging these key structures within the hair follicle.

Is laser hair removal safe for all skin types?

Laser hair removal is generally safe and effective for all skin types as long as the laser and settings used are appropriate for the skin type. The effectiveness and risk of side effects however can vary based on skin tone and hair color. For this reason, it’s important for patients to always have a thorough consultation with a licensed professional who has experience treating your specific skin type. Qualified practitioners would typically administer a spot test. This will allow them to determine how your skin will react to the laser and to choose the appropriate settings.

What to look for in an at-home laser hair removal device?

When choosing an at-home laser hair removal device, it’s essential to consider several factors to ensure safety, effectiveness, and convenience. For one, look for FDA clearance, which indicates that the device has undergone testing for safety and efficacy. Check if the device is suitable for your skin tone. Some devices may not be effective or safe for darker skin tones. Verify if the device is effective for your hair color. Lighter hair colors, such as gray or blonde, may not respond well to certain devices.

Decide whether you prefer a laser or IPL device. IPL devices emit broad-spectrum light pulses, while laser devices use specific wavelengths of light. Laser devices are generally considered more effective for permanent hair reduction. Look for devices with adjustable energy levels and settings to customize treatments based on your skin sensitivity and hair thickness. I also recommend patients obtain proper eye protection if they choose to use these devices at home.

Which ones do you recommend?

Specific recommendations may vary based on individual needs and preferences. Some popular and highly-rated at-home laser hair removal devices that I have come across include:

Philips Lumea Prestige IPL Hair Removal Device
Tria Beauty Hair Removal Laser 4X
Silk’n Infinity Hair Removal Device.

These devices are popular for their effectiveness, versatility in treating a range of skin tones and hair colors, and user-friendly features such as adjustable settings and ergonomic designs. Additionally, they have received positive reviews from users, highlighting their reliability and noticeable hair reduction results over time.

Q&A with Dr. Mona on Brown Spots

As seen in the August 2022 issue of Cincinnati Magazine.

What are brown spots and how do they form?

There are different types of “brown spots” that might suddenly appear on our skin. Pigment producing cells called melanocytes create them all. UV exposure, most commonly from the sun or tanning beds, can cause our melanocytes to produce a pigment called melanin in an effort to protect our skin from the UV damage. This is what creates a tan. It’s our skin’s way of trying to shield itself. With repeated UV exposure, melanin clumps into higher concentration and produces those pesky “sun spots” that we start seeing as we get older. In addition, many people suffer from melasma, which can be aggravated by UV ray and hormonal causes.

How can we prevent brown spots?

I like to think of brown spots as icebergs that form in the ocean of our skin. Over time, the icebergs start floating to the top where we start to see them. The sun’s UV rays produce more pigment icebergs and cause them to rise to the surface more quickly.

For this reason, the easiest and best way to prevent brown spots suddenly appearing on the skin is to be “sun smart.” Use a broad-spectrum sunscreen. Avoid the middle of the day sun between 10am-2pm. Wear a broad brimmed hat, and consider wearing UPF clothing. I recommend sunscreens with zinc oxide and titanium dioxide. Some of my favorites are made by Elta MD, Colorescience, SkinMedica, and Alastin. Don’t forget to reapply every 2-3 hours!

You should also add a good topical antioxidant on a daily basis to prevent free radical damage from UV, pollution, and blue light. The Lumivive System by Skinmedica is one of my favorites. The day serum protects your skin from environmental damage, while the night serum repairs that damage. CE Ferulic, Phloretin CF and Sillymarin by SkinCeuticals are other fan-favorite antioxidants as well.

How can we treat brown spots after they form?

First, see a dermatologist to make sure that your brown spots are just normal sun damage and not something else such as skin cancer. I recommend a yearly skin exam and doing monthly self-exams using the ABCDEs as your guide. Early detection of skin cancers can result in higher cure rates.

To treat your brown spots, talk to your dermatologist about what approach is right for you. More superficial brown spots may be addressed with fading creams, skin brighteners, or a series of chemical peels. No down time treatments such as broad band light, often called BBL or IPL, can also help to even out your skin tone.

Occasionally, the “pigment icebergs” I mentioned earlier are too deep and dark, and we need to turn to different options such as Fraxel, Co2, or Picosecond lasers to break up the brown spots.

Are there any products that you recommend?

If you suffer from brown spot formation, I highly recommend a pigment brightener like Even & Correct by SkinMedica. Unlike hydroquinone (which I recommend people cycle on and off of) Even & Correct is safe to use year round and helps prevent and decrease brown spot formation.

Questions About Microblading with Dr. Bowles | Popsugar Feature

We’re thrilled to see our provider, Dr. Alexandra Bowles, featured in a recent article on Popsugar: “What Is Microblading? An Expert Answers All of Your Questions”

Expanding on her insights revealed in the interview with Popsugar, Dr. Bowles is sharing the inside scoop on Microblading with you, and what to consider if getting a treatment.

What is Microblading?

Microblading is a cosmetic technique that tattoos the eyebrows to help enhance and reshape them. The practitioner uses small, fine-point needles to deposit pigment into the superficial layers of the skin. Unlike traditional eyebrow tattoos that use a machine, microblading is done by hand. This allows the practitioner to create fine, hair-like strokes that mimic the natural pattern of the eyebrow.

How long will my results last?

It typically lasts between one to three years but it can vary for each individual. Those with oily skin might find that their pigment fades a bit more quickly versus those with less oily skin. In order to get the most out of your microblading treatment, it’s important to follow specific aftercare instructions. This can include moisturizing properly and even avoiding certain activities such as swimming and excessive sweating. Avoiding these activities will help the pigment last longer.

Other factors that determine the longevity of the pigment include:

Your exposure to sunlight
Your body’s own healing process from the procedure
The quality of the pigment.

A combination of using a quality sunscreen, working with your practitioner to determine if any touch ups need to be done, and finding a qualified practitioner to perform the service all play a major factor in the longevity of the service.

What is the downtime?

This procedure involves the use of small yet fine-point needles. You can expect a bit of swelling and redness immediately after the procedure, as you would any other invasive procedure.

You may even notice your skin adjust over time to the procedure and show signs of scabbing, flaking, itchiness, darkening or even fading. This is all part of the healing process. Over time your skin will adjust and the pigment will lighten as it settles in. You should then start to see the final result. If you have any concerns, questions, or you don’t feel your skin is healing well, it’s best to talk to your practitioner.

What does the aftercare look like?

Aftercare is a crucial part of the microblading process to ensure proper healing and long-lasting results. General guidelines include keeping the eyebrows clean and dry for 24-48 hours following the procedure. This includes keeping the eyebrows dry to allow for them to heal. Additionally, applying an ointment will help keep the skin moisturized and protected.

Similar to any procedure on the skin, you’ll want to avoid excess exposure to the sun. This includes direct sunlight, tanning beds, and more. Make sure to apply plenty of sunscreen and even consider covering the eye area for added protection.

Aftercare will also include refraining from applying makeup and skincare products for at least one week following the procedure. Not doing so could interfere with the healing process. This is also a good time to simply be gentle with your skin. For example, avoid rubbing your eyes or causing any additional irritation to the skin.

How much can it cost?

The cost of microblading can depend on a number of factors, such as the city you live in, experience of the practitioner, and more. On average, the cost for the procedure can range from $500-$1,000.

Is it permanent?

It’s important to note that microblading is considered a semi-permanent procedure. The pigment will gradually fade over time and may need to be refreshed with touch-up sessions to maintain the desired appearance. The frequency of touch-ups will depend on individual factors and personal preferences.

There is also a level of risk associated with microbladed brows. Improper technique and poor quality pigment can leave behind a less than ideal color to the skin. I have seen this in a few patients who required laser treatments to attempt to remove the pigment. This is difficult to do in a hair-bearing area, as laser removal can also cause permanent hair loss. I caution all of my patients to make sure that their microblading is performed by an experienced professional using a high quality product.

What does the Microblading feel like?

The pain level experienced during microblading can vary from person to person. Some factors that can impact the pain level include individual pain tolerance, the skill of the technician, and the techniques used. Generally, most people describe the sensation of microblading as uncomfortable rather than painful.

In most cases, a topical anesthetic will be applied to aid in numbing the area. You will most likely feel the strokes of the pigment being deposited onto the skin. Be sure to communicate to your practitioner if you have any discomfort during the procedure. To ensure a more comfortable and positive microblading experience, it’s important to choose a skilled and experienced technician who uses high-quality tools and techniques.

What is the process of Microblading?

Your experience may vary depending on the practitioner you are seeing. However, most will likely start with a consultation before the actual procedure begins. This will include your ideal eyebrow shape, color of the pigment, and the general look you desire. The practitioner may also assess your eyebrows to customize the treatment for your facial features and your desired outcome.

Following the consultation, the topical numbing agent will be applied allowing it to take full effect before beginning. While that sets, your practitioner may map out your eyebrows and ensure your pigment aligns with your eyebrow, skin, and hair color.

Using a sterile, handheld tool with fine-point needles, the technician will carefully map out and shape the eyebrows according to the agreed-upon design. This involves creating precise, hair-like strokes that mimic the natural growth pattern of the eyebrow hairs. The technician may also use a special pencil or marker to outline the shape and arch of the eyebrows before starting the microblading process.

Once the eyebrows are mapped and shaped, the technician will begin using the handheld tool to deposit the chosen pigment. This pigment goes into the superficial layers of the skin, creating fine, crisp, and natural-looking strokes. An experienced technician will work meticulously to fill in sparse areas, define the shape, and enhance the overall appearance of the eyebrows. Throughout the microblading process, the technician will periodically apply more pigment to the eyebrows, allowing the color to penetrate the skin. The technician will also ensure that the pigment is evenly distributed and that the strokes blend seamlessly with the natural eyebrow hairs. The entire microblading process typically takes about 2-3 hours to complete. This can vary depending on the complexity of the design and the individual’s needs.