Hair Reduction IPL SHR Theory .pdf

Intense Pulsed Light (IPL)TRAINING Hair Reduction SHR/IPL Hair Reduction Hair Reduction — Great for preventing ingrown hairs — Safe and relatively pain free — Treatments are 4-6 weeks apart A lot of hair removal clinics are promoting their IPL hair removal treatments as being 'permanent hair re...

Intense Pulsed Light (IPL)TRAINING Hair Reduction SHR/IPL Hair Reduction Hair Reduction — Great for preventing ingrown hairs — Safe and relatively pain free — Treatments are 4-6 weeks apart A lot of hair removal clinics are promoting their IPL hair removal treatments as being 'permanent hair removal'. This is incorrect and misleading. No technology has been shown to completely and permanently remove hair. Laser and IPL hair removal can result in lasting hair reduction for up to 90%, but it is usually necessary to have occasional 'top-up' treatments to maintain good results. Phases of hair growth! — — — — — Hair on the face and body has several stages of development Anagen – The growing phase Catagen - The transition phase Telogen – The resting phase Hair can only be treated successfully in the Anagen phase and intervals of anywhere from 4 – 8 weeks between treatments are required to reduce the hair. Effect of one treatment BEFORE- 2 hairs in Anagen phase DURING-destruction of the Anagen hairs 6 WEEKS LATER- 2 hair follicles destroyed How IPL targets hair — As light travels into skin it is absorbed into melanin rich substances like a hair shaft. As the hair absorbs the light, heat will be produced as a reaction(thermal tissue interaction). — As soon as the hair shaft becomes hot it will radiate heat out into the surrounding follicle tissue. The rate which the hair loses heat into surrounding tissue is called thermal relaxation time. (TRT) — Heating tissue to 70 degrees will cause protein in the cell walls to be denatured. The aim is to heat the germinating cells in the follicle wall destroying the follicle thus preventing or reducing further hair growth, without damaging surrounding tissue. — More energy will be needed in subsequent treatments as it is harder to destroy lighter, thinner hair. — After a week the hairs will start to loosen from the damaged follicle then they will shed out. This shedding process can take a few weeks to complete. — There is a minimal skin reaction following treatment. — The clinical end point is mild erythema sometimes with some peri follicular oedema. Reaction with treatment Peri Follicular Odema Peri Follicular Odema Causes of excessive hair growth — Medication — Hereditary — Hormones — Stress — Disease — Blood supply SHR- Super Hair Removal — SHR combined with “In Motion” represents a breakthrough in semi permanent hair reduction with light technology. The treatment is more pleasant than with the conventional systems and your skin is better protected. — Traditional laser or IPL technologies employ short impulses of approximately 2-300 milliseconds, applying a vast amount of energy (12-120 Joule on one square centimeter). Energy is transported to the hair root through melanin, where warmth of 65-72° Celsius is produced. Energy reaches the root of the hair follicle solely through melanin. Skin and red blood cells have a similar absorption coefficient as melanin and therefore also absorb the high levels of energy produced by the laser and IPL methods. — SHR technology, on the other hand, utilizes the melanin path only partially (50%), and combining In-Motion technology, gently warms the skin helping penetrate down to the follicles which produce hair growth. — Conventional devices, not using SHR technology, merely transport energy along the melanin to the follicles. — SHR gently transports the energy through the skin and through the melanin to the hair follicles. Research has shown that a slower, but longer heating process is considerably more effective for hair reduction than high and short levels of energy. Therefore, when using SHR, the device is passed over the tissue multiple times (in motion) using low energy but a high rate of repetition (up to 10Hz, i.e. 10 times per second) instead of using the traditional method with single, high-energy impulses. Thus, the hair and melanin, as well as the tissue of the stem cells, is heated with low energy at a slow pace and over a longer period of time to a comfortable temperature of 45° Celsius. SHR filter — 690-950 nm — It is very important only to use this filter for SHR treatment. — SHR can only be used with the large hand piece ( 15 x 35 ), it will not work in any other hand piece. SHR treatment guideline — Mark out area — Apply gel — Perform one pass , check for erythema, and/or swelling of follicle. — Increase joules as needed — Perform second pass then check for desired response — Move onto next area Face hair — 4 week intervals — 6-8 sessions — At the beginning it is important to regulate hair growth if client has been waxing and/or plucking. — If there is a hormonal issue then this will be a maintenance treatment as long as hormones are fluctuating. — Important to discuss outcomes with client. — Although still good results for PCOS( with maintenance treatments). Under arms and Bikini — 4-6weeks — 6-8 sessions — Important only to shave between treatments — Large spot size for deeper penetration. — 610,640,690 filters. — Hairs lay deeper so deeper filters may work better. Legs, back and chest — Slower hair growth cycles — 6 weeks – 8 weeks — 8-10 treatments — Shave between treatments — Increase energy as hair becomes thinner — Space out treatments as needed — Filters 610,640,690 — End point slight erythema. Areas not to be treated — Eyebrows — nostrils — Inner ear — Inner labia — scrotum Treatment plan — Stage 1- Face 4 weeks Under arms, bikini, 4-6 Legs, back, chest 4,6 or 8 weeks Only extend the time between treatments when there is not enough hair returning to warrant treatment. Don't extend too soon as you may miss anagen hair growth stage. — Stage 2- maintenance sessions – maybe months apart important to plan on individual basis. No waxing or plucking hairs amongst treatments. 5 treatments, 4 weeks apart client with PCOS Consultation Guide — Ask if the client has ever had a treatment before (this gives you an idea of how in depth you will need to go into your consultation) — Confirm what treatment they will be having and what their concerns are. — Introduce Machine and technology. , this technology allows us to treat Pigmentation/Redness/Skin Rejuvenation, Acne and Hair reduction. This prompts them to ask questions regarding other treatment options. — Prepare client that you will start your consultation and then answer any questions they may have at the end. (This allows you to get through your spiel without too much interruption), as most questions they will have you will be answering. — Explain process of how the IPL Treats Hair /Pigmentation/Vascularity (what the process is; Such as light being attracted to the target Chromophore) — Things you need from them and why. i.e. no sun exposure/tan/shaving/hat/sunscreen ect — Contraindications, Meds, heat, Sun exposure. — Double check ethnic background. — Explain the sensation they will feel, the intensity of the light ect. — Post treatment care (this will be reiterated again at the end of the treatment before they leave, along with their post treatment care pamphlets) — Treatment packages and cost . Realistic expectations of treatment course.