Chiharu dermatology clinic
medical doctor Dermatologist certified by the Japanese Dermatological Association AMI Japan Senior Trainer Specialist / Councilor, Japan Laser Medicine Association Member of Japanese Society of Allergology Member of Japanese Society of Clinical Dermatology Surgery Member of Japan Anti-Aging Medicine Association Dr. OBAGI certified physician Member of Japan Cosmetic Dermatological Association Director, Japanese Society of Placental Clinical Medicine Member of Japanese Society for Medical Hair Removal
Dr. Chiharu Watanabe is the President and Chief of the Chiharu Skin Clinic. He is a member of the Japan Society of Hair Removal and is a specialist and councilor of the Japan Society of Laser Medicine. He has a deep knowledge of medical hair removal using lasers, and has been active in researching diversifying hair loss needs, such as giving lectures at the Japanese Society of Aesthetic Dermatology and at academic conferences, and conducting interviews in specialized magazines on beauty care. Based on his experience of atopic dermatitis in his childhood, he gives detailed advice that sympathizes with his worries and a treatment policy for a “skin-friendly clinic”.
Hair removal treatments using machines performed at aesthetic salons and medical institutions include medical hair removal, light hair removal (flash hair removal / IPL hair removal), and needle hair removal (insulated needle electrical hair removal).
Compared to light hair removal, medical laser hair removal is more effective for a long time, needle hair removal can be done by medical laser hair removal but not medical treatment It is important to receive.
Medical laser hair removal irradiates a laser, a type of electromagnetic wave, to remove hair.
Whereas light is composed of multiple wavelengths, lasers are artificial rays of a single wavelength that travel sharper and straighter than light, producing strong thermal energy.
The following three parameters of laser are important for effective hair removal with medical laser hair removal.
A hair removal machine with the appropriate wavelength for medical laser hair removal, effective pulse width and irradiation energy, and equipped with a powerful cooling device would be desirable.
Lasers have the property of being easily absorbed only by certain substances and colors. For example, using a laser with a wavelength with a high absorption rate for black pigments such as melanin can be used for hair removal and spot treatment, and using a laser with a high absorption rate for the red pigment of hemoglobin can treat red face and telangiectasia. I can. Laser hair removal uses the melanin contained in the hair and hair bulb to remove hair.
The laser oscillation time is called the pulse width.A short pulse width can mainly damage the target substance selectively, and a long pulse width releases the target substance without breaking it to the surrounding tissues. You.
In other words, laser hair removal requires irradiation with a pulse width that does not damage the surface of the skin, but only damages the hair follicles.
The irradiation energy of the laser must be strong enough to destroy the target substance, but if it is too strong, it may cause burns. Therefore, a machine that can set an appropriate output and has a powerful cooling device is required.
The laser is adjusted so that it only affects the target substance, so there is no major damage to tissues other than the target.
In medical laser hair removal, three tissues involved in hair growth are targeted for destruction.
It is said that hair loss can be achieved by damaging the hair bulb, the sebaceous gland opening, and the hair follicle stem cells using the thermal energy generated and absorbed by the melanin contained in the hair and hair bulb. Conventionally, it was only necessary to destroy the hair papilla in the hair bulb, but in recent years it has become clear that the destruction of the bulge area is also important.
■ Hair shaft and hair root
The hair shaft is the hair exposed from the skin, and the hair root is the part wrapped in the hair follicle under the skin
■ Hair follicle
Hair-producing skin appendages
■ Hair ball
The site where the spherically bulging hair mother cells under the hair root
■ Hair nipple
Tissue that sends nutrients taken from capillaries to hair matrix cells
■ Hair mother cell
Cells that receive nutrients from the dermal papilla below the hair matrix and divide and grow as hair
■ The pilgrims
A type of smooth muscle attached to diagonal hair follicles in the dermis
■ Bulge area
It is located above the hair matrix and hair papilla and produces hair growth factors to promote hair growth in hair matrix cells
■ Sebaceous gland opening
Sites that secrete sebum
The long-lasting effect of medical laser hair removal is to prevent hair growth by damaging and destroying the hair matrix and bulge areas involved in hair growth.
Medical laser hair removal must prevent hair growth by affecting hair cells.
Hair has a growth cycle called the hair cycle, which repeats the initial growth phase, growth phase, regression phase, and rest period. During this cycle, the growth phase is the most capable of damaging hair matrix cells.
The hair cycle varies from part to part, and the growth period of the arm and leg is 3 to 5 months, and that of VIO is 2 to 3 months.
In addition, the proportion of hair in the growing period is about 90% for head hair, but it is only 20 to 30% in the armpits, arms, VIO and legs, and the other hair is in the catagen or telogen.
There are two methods for medical laser hair removal. It is a shot type (thermal destruction type / HR) that damages the hair follicle stem cells by giving heat damage to the source of hair growth, and hair loss by damaging the cells that store heat and growing hair and instructing growth The method of doing this is thermal storage hair removal (SHR).
Thermal storage hair removal is a new method of hair removal that is less painful than irradiation when shot, but it is said that the final hair removal effect is not significantly different from the shot hair removal method.
Shot-type (thermal destruction) hair removal is the most common irradiation method.
Irradiation with a high-energy laser causes a stimulus that is lightly repelled by a rubber band, but it is a widely used irradiation method. In the shot formula, hair is removed by acting on the black pigment of melanin. Therefore, tanned skin that contains a lot of melanin, or areas with moles, spots, pigmentation, and tattoos cannot be treated because the laser absorbs the pigment and generates heat, which increases the risk of burns. .
It may be less effective for gray hair and thin melanin. When removing hair without black pigment, treatment with needle hair removal (insulated needle electrical hair removal) is said to be suitable.
Shot-type medical hair removal machines: Lightshare Duet, Gentle Rays Pro, etc.
Thermal storage hair removal is a relatively new hair removal method that uses a motion technique that slides the laser irradiation surface into contact with the skin. The burden on the skin is minimized because it is repeatedly irradiated and heated with low output energy.
It acts on the hair bulb and melanin, but it gradually stores heat around the hair follicles and denatures hair follicles, hair follicle stem cells in the bulge area, and substances that transmit information about cells between hairs. For this reason, it is also possible to remove hair with dark pigments such as sunburn, and hair removal such as hair growth that is difficult to achieve with the shot method.
Main storage type medical hair removal machines: Soprano Ice Platinum, Mediostar NeXT PRO, etc.
|Shot type||Thermal storage|
|Pigmented skin or areas with dark pigment||Unable to respond due to increased risk of burns||Hair removal is possible for Japanese skin color|
|White hair or blonde||I can not cope||Can respond|
|pain||Pain like a rubber band||Less pain compared to shot type|
The type of laser changes depending on the wavelength. The wavelength that is well absorbed by the black pigment of melanin is 600-1200nm, and it is said that the shorter the wavelength in this wavelength band, the better the absorption. The longer the wavelength, the deeper it reaches the skin, with less pain but milder effects.
|Laser type (wavelength)||Irradiation method||Characteristic|
| Alexandrite laser |
|Shot type / thermal storage hair removal|
Irradiation is not possible on dark skin such as sunburn due to the possibility of burns
Widely used for hair removal
| Diode laser |
|Shot type / thermal storage hair removal|
Irradiation is possible even on dark skin such as sunburn
Widely used for hair removal
| YAG laser |
Irradiation is possible even on dark skin such as sunburn
Effective for hair with deep follicles and other hairs that cannot be removed by laser
| Ruby laser |
Effective for hair loss on white skin
Mainly used in Japan to treat spots, freckles and bruises
Thermal storage hair removal at Chiharu Skin Clinic
Chiharu Watanabe, director of the Chiharu Skin Care Department Clinic who supervised the article, uses a soprano ice and soprano titanium machine to perform thermal storage hair removal. One of the features of soprano titanium, which is the latest model among soprano models, is that it can simultaneously output three wavelengths: a YAG laser, an alexandrite laser, and a diode laser.
Therefore, it can react to thick hairs and hairs with different hair follicle depths for efficient hair removal. In addition, the treatment time can be shortened because the laser irradiation surface is large. For example, in the case of the back, soprano titanium can be treated in about 5 to 6 minutes by using parts called Quattro handpieces.
The reason that medical laser hair removal does not end in one treatment and needs to be performed multiple times is that only one hair in the anagen phase, which is about 20% of the total, has a hair removal effect by one irradiation.
Medical laser hair removal requires irradiation at a time that is suitable for hair removal, but it is impossible to visually check the hair cycle. For this reason, the frequency is set to be once every two to three months from the average of the rest periods of each part. Even if it is repeated for a shorter period of time, there is no effect outside of the growing season, so hair loss does not end soon.
If the proportion of growing hair is 20% of the total, 100% will be received if medical laser hair removal is received 5 times, so the total number of hair removal will be about 5 times and the period will be about 1 year Become. There are individual differences, but when you repeat about 5 times, you will be able to feel the effect of hair removal.
For thermal storage type hair removal, it is necessary to irradiate at the treatment interval according to the cycle of the hair cycle like the shot type hair removal. It is said that the hair removal effect can be realized by irradiating about 5 to 10 times every 1 to 2 months. The heat stored by thermal storage irradiation damages the cells that grow the hair and the tissue that directs the growth, so the hair begins to thin out about 2-3 weeks after the laser irradiation.
Despite medical laser hair removal, hair may appear to be growing. This may be due to the hair growing in the telogen, but not enough damage to the hair matrix and other areas.
In order to obtain a sufficient hair removal effect, it is necessary to consider the thickness of the hair and the site of hair growth according to the hair cycle, appropriately set the energy amount and pulse width of the laser, and repeat the irradiation .
Medical laser hair removal irradiates a laser, and needle hair removal stops the cell division of hair cells by passing electricity from the needle pierced into the pore. Therefore, the hair removal effect is said to last for a long time.
On the other hand, photoepilation performed in an esthetic salon (hereinafter referred to as esthetic salon) is performed at a lower output than a medical laser by a pharmacological method, so it is a hair loss treatment that weakens the function without destroying the hair mother cells.
|For both sides||Medical laser hair removal||Light hair removal|| Needle hair removal |
(Insulated needle hair removal method)
|Drug machine method||Medical practice||Not a medical practice||Medical practice|
|place||Medical institution||Beauty treatment||Medical institution|
|Lasting effect||Long-term hair loss||Temporary hair loss and depilation effect||Long-term hair loss|
|Pain and irritation to skin||-Pain varies depending on hair volume, hair type, model, etc.- Thermal storage type generally has less pain than shot type||Pain depending on the surgeon and output power||・ Strong ・ may require anesthesia|
|Price||About 4,000-30,000 yen||300 yen ~||About 100,000-150,000 yen|
|Time required for one time||About a few minutes to 30 minutes||About 30 minutes||About 1.5 hours|
|Average number of treatments to complete||5 to 10 times||10-18 times||5-6 times|
|merit||・ Slighter pain than needle hair loss ・ Surgical treatment at a medical institution enables treatment in case of skin trouble etc.||・ Slight irritation and pain due to low irradiation energy ・ Low price per time||・ Can be used on gray hair, under the eyebrows, sunburned skin, etc. ・ Can be treated in the event of skin problems due to treatment at a medical institution|
|Demerit||・ It is difficult to remove hair with thin melanin pigment such as gray hair. ・ Shot type cannot irradiate dark skin such as sunburn.||・ It is difficult to remove hair with thin melanin pigments such as gray hair. ・ It is not possible to irradiate skin with dark pigments such as sunburn. ・ It is a hair loss effect and not long term. ・ It takes longer than medical laser hair removal to complete.||・ Effects vary by technician ・ One operation takes a long time and requires a large number of operations, increasing costs ・ Unable to process waste hair until hair loss |
(Need to be extended)
There are also products that use lasers and light for home hair removers, but the energy output is designed to be lower than that of medical lasers and light hair removal for esthetics by the drug machine method.
It is important to note that medical laser hair removal and needle hair removal (insulating needle electrical hair removal), which respond to melanin pigment and apply heat to the deep part of the skin to destroy hair roots, sebaceous gland openings, and hair papilla, refer to `` hair papilla / sebaceous gland opening It is a medical practice to remove hair etc., "said Article 17 of the Doctors' Law, which means that it has been notified by the Ministry of Health, Labor and Welfare.
It can be said that proper treatment in the event of a burn, etc., and determination of irradiation energy in order to avoid any troubles are possible only with a doctor specializing in skin.
Areas where medical laser hair removal can be done are: armpits, elbow upper, lower elbows, finger backs, chest, areolae, upper abdomen, lower abdomen, navel circumference, whole V, I line, O line, neckline (nape), upper back, Lower back, hip, front thigh, rear thigh, knee, lower knee, toe back, forehead, cheek, lower nose, chin, lower chin, nose hair, ear hair, etc.
Depending on the policy of the medical institution, it may not be supported, so it is advisable to check in advance about the corresponding site and the target person.
There is a risk of developing burns, redness, tingling, swelling, folliculitis, hair growth, stiff hair, bleeding, and temporary hyperhidrosis.
In the unlikely event that trouble or complications occur due to medical laser hair removal, contact the medical institution where the treatment was performed and receive appropriate treatment.
Before medical laser hair removal, simple preparations are required. To avoid pain and reduced effectiveness, be aware of the following: In addition, please consult beforehand when skin trouble occurs in the hair loss site.
If you are worried about pain, there are medical facilities that can use anesthesia cream to remove hair if you ask in advance, so consult with a counselor or consultation.
Medical laser hair removal is possible in the following cases, but please do not judge yourself and check with your doctor at the time of diagnosis.
|Acne||Medical laser hair removal if partial acne or inflammation is not strong|
| Lichen pilaris |
(I do not want to do this, shark skin)
|Lichen psoriasis refers to the rough skin quality of the upper arms, shoulders, back, hips, thighs, etc.It is difficult to self-process with a razor because the surface of the skin is uneven, even if it is medical laser hair removal, even if it is psoriasis lichen Irradiation possible|
|Buried hair||Medical laser hair removal is possible even if the implanted hair that is not exposed on the surface of the skin is visible in black color.Even if the medical laser hair removal is performed, the embedded hair is buried under the skin until it comes out of the skin by turnover. If you don't improve it for a long time, consult a doctor|
|During menstruation||Medical laser hair removal is possible except for VIO|
In self-treatment, hair is easily buried, and ingrown hair is likely to occur. By performing medical laser hair removal, the skin will not be hurt by self-treatment, making pores less noticeable.
Wagiga is a state in which sweat and bacteria on the skin mix to produce a unique smell. If you forcibly pull out the hair by self-treatment by hair removal, the pores will become inflamed. Inflammation can stimulate and increase the amount of sweating, which can cause the formation of odor-causing substances.
However, by eliminating the burden on the skin due to self-treatment, sweating due to irritation is suppressed, and bacterial growth can be reduced. In addition, there is no place (hair) where bacteria adhere by hair loss, so bacterial growth is suppressed.
Immediately after medical laser hair removal, the skin becomes sensitive and needs aftercare. Under the direction of the doctor, also note the following:
Dr. Watanabe who supervised the article taught me.
| Price |
(5 times / tax excluded)
| Thermal storage hair removal |
| Shot type hair removal |
|Both sides||36,000 yen||22,500 yen|
|Below the elbow||126,000 yen||112,500 yen|
|Below the knee||171,000 yen||157,000 yen|
| V line |
|81,000 yen||67,500 yen|
|Whole back||261,000 yen||247,500 yen|
|abdomen||171,000 yen||157,500 yen|
※ Initial consultation fee 3,000 yen Re-examination fee 1,000 yen
Medical laser hair removal is a free practice, so pricing varies by medical institution. Hair loss treatment may be subject to medical expenses deduction for hirsutism (Ambras Syndrome) where abnormal hair growth is observed, but it is basically not covered by insurance.
(1) Fill out the medical questionnaire
Write down what you want to consult, parts of concern, and symptoms.
(2) Examination and counseling
We will explain medical laser hair removal, check the skin, check the effects, and discuss any concerns.
(3) Change clothes
If necessary, change into gowns provided at the clinic.
For thermal storage type hair removal: Apply gel to the hair loss site to improve skin protection and slipperiness, and irradiate laser. When irradiation is over, wipe off the gel to finish. If it is red, cool it.
In the case of the shot type: The laser is irradiated while cooling with a cooling device to make it hard to feel pain. When irradiation is over, cool down and finish.
Hair loss is not only for young women. More and more people in their forties and older who want hair loss in the delicate zone assuming that they will receive nursing care, and more men who want hair loss in their beards and chest hair.
Even if you have been hesitant about medical laser hair removal due to its weakness in pain, regenerative hair removal will reduce the pain. In addition, a clinic that performs careful irradiation while adjusting the energy output by checking the pain at each irradiation, such as the Chiharu skin clinic, will be safe.
Medical institutions with Dr. Chiharu Watanabe