Risks of Erbium Yag Laser Hair Removal: What You Need to Know

Erbium Yag laser hair removal is a popular method of permanent hair removal, but it is essential to be aware of the risks associated with this procedure. Feldman et al. (200) conducted a multicenter study on excimer laser involving 124 patients with mild to moderate plaque-type psoriasis. The results showed that 72% of the participants achieved an improvement of at least 75% in an average of 6.2 treatments, and 84% achieved an improvement of 75% or more after 10 or fewer treatments.

However, side effects included erythema in half of the patients, blisters in 56%, hyperpigmentation in 47%, and erosion in 31%. Other adverse effects included pain, sunburn sensation, peeling, itching, tenderness, peeling, vesicle formation, exacerbation of the disease, crusting, and festering lesions. To reduce macular edema after laser therapy, the number of laser spots applied per session should be reduced. Before starting a laser procedure, it is recommended that the operator test the operation of the system, often with a wooden tongue depressor. Oram and colleagues (20) evaluated the role of alexandrite laser hair removal after surgery in treating patients with pilonidal sinus disease.

Look at the pedal used to fire the laser located at the base of the device and the ULPA filter (smoke aspirator) located to the left of the laser. Non-ablative laser treatments do not remove the epidermis, but they cause controlled thermal injury, which stimulates the production of collagen and elastin. Lukish et al. (200) refer to the use of laser hair removal (LE) of intergluteal hair in adolescents with pilonidal disease (PE) as a method of permanent hair removal. Ahramiyanpour et al.

(202) stated that research on the efficacy of laser therapy in primary localized amyloidosis (PLCA) has recently begun to materialize. Pronk and colleagues (201) stated that removing body hair in the sacrococcygeal area has been suggested to prevent recurrence after surgery for sacrococcygeal pilonidal sinus disease (SPSD). Based on this finding, laser therapy can be associated with several side effects and complications; therefore, prior to treatment, it is necessary to determine the types of lasers and their properties to prevent side effects. The American Society of Colon and Rectal Surgeons clinical practice guidelines on “The Treatment of Pilonidal Disease” (Johnson et al., 201) state that “the removal of hair from the gluteal cleft and surrounding skin, by shaving or laser hair removal, can be used for both acute and chronic pilonidal disease in the absence of abscesses as a primary or complementary treatment measure.” Other options include sun exposure, blue laser therapy, intense pulsed light, and fractionated CO2 laser treatments. However, there is insufficient evidence to conclude that laser hair removal is effective in treating pilonidal sinus disease. In conclusion, erbium Yag laser hair removal is a popular method for permanent hair removal but it is important to understand that there are risks associated with this procedure. It is recommended that prior to treatment you determine the types of lasers and their properties to prevent side effects from occurring.

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