What are skin tags? Skin tags are soft, benign pieces of hanging skin that can occur anywhere on the body.  The most common places are the upper chest; neck; eyelids; and underarms. They can occur anytime in your life, but are most likely to develop in adult years.

What are the factors that lead to skin tags? There are many. To begin, if they run in your family, chances are you will have them too.  Being overweight will also cause skin tags for many reasons. Being overweight is usually a sign of high sugar levels and we know that sugar will cause skin tags. Type-2 diabetes, prediabetes and insulin resistance are all associated with skin tags; as are high cholesterol, and the human papilloma virus.

What exactly is insulin resistance? It is when the cells in the body “resist” or don’t respond to what the hormone insulin is trying to do and that is to push sugar into the cells. The result is that sugar builds up in the body and the pancrease becomes exhausted from trying to keep producing more and more insulin. Diabetes follows. Sometimes as few as 3 skin tags will indicate a predisposition to diabetes.

What are the risk factors for cardiovascular disease and diabetes? Those with high blood sugar levels and high cholesterol will likely develop the illnesses. Also, high levels of the C-reactive protein (CRP) will be a factor, resulting in inflammation in the body and often diabetes. An excess of triglycerides will also lead to cardiovascular disease and diabetes. It is interesting to note that those without skin tags are less likely to have these conditions.

Skin tags are also common in women who have Polycystic Ovarian Syndrome (PCOS). PCOS is not really a gynecological problem. It has more to do with glucose. Here the body has an impaired glucose metabolism and many women with PCOS (65%) are obese. These women suffer from hyperinsulinemia (i.e., too much insulin hormone is produced). This can often result in something as trivial as skin tags, or as serious as diabetes, or polycystic ovarian syndrome.

The best thing for women with PCOS to do to prevent diabetes, cardiovascular disease, or even skin tags is to lose weight gradually.

We now know that skin tags are not as innocent or benign as thought. There is definitely something sinister in something that can be an indication of diabetes, cardiovascular disease, or even polycystic ovarian syndrome. Perhaps we need to rethink those tiny pieces of “hanging skin”.

At Nell Laser Clinic, Nell will remove any skin tags you may have effortlessly.

  Call 416-228-0011 to make an appointment today.   

Brown Spots Removal Toronto

Melasma or (Chloasma) is patterned pigmentation on the face particularly over cheeks, and forehead especially in women. Melasma can be idiopathic (no cause) or it can be a result of taking birth control pills or during pregnancy. In the latter case, the pigmentation will fade gradually once you stop taking the pill or after pregnancy, but it could take many years. An idiopathic cause is more common. Chloasma looks light to dark brown and ends abruptly forming a line along the forehead or cheek. It is more often seen in darker races. Sometimes the upper lip and chin can be affected. Melasma is aggravated by sun exposure and perfume, therefore it is a good idea to wear sunscreen.

Phyto-photo dermatitis occurs after coming in contact with a plant or plant derivative (phyto) to which you are allergic, followed by exposure to the sun (photo). Dermatitis refers to the redness or swelling of the skin which occurs almost immediately after sun exposure. After inflammation settles the skin is left dark brown.

Perfume dermatitis or Berloque dermatitis are other names for phyto-photo dermatitis. In perfume dermatitis the effects of using perfumes, colognes and aftershave containing oil of bergamot, or furocoumarin related substances can be mild and pigmentation is the only sign which occurs.  No inflammation of the skin occurs. 

Many plants like limes and lime oil from the rind can cause the same symptoms if you are allergic to them. Common sites are the wrists, behind the ears, and the sides of the neck. In men, the beard area is a common site because of aftershave. Phyto-photo dermatitis usually subsides after a year, but in darker skinned people it could take longer.

Ochronosis is severe hyperpigmentation caused by hydroquinone. It is an ingredient found in many skin-lightening creams. Hydroquinone does not allow (blocks) the production of melanin in melanocytes of the epidermis. Because less melanin is produced, there is less protection from UV light and deeper penetration into the skin structures. This form of hyperpigmentation is permanent and irreversible. Some of the symptoms are coarse black skin and large black papules. The chin, forehead, cheeks and upper lip are the most common sites. Ochronosis is often seen in black populations in countries that use a lot of skin-lightening creams.

Malignant melanoma is skin cancer. Three percent of all Malignant skin tumors are Malignant melanoma. Most often the lesions appear flat and pigmented or can be raised. These nodules are grey-brown or blue-black and ulcerate or extend into an irregular outline. They grow downward into the dermis and become attached to the underlying tissue.

People with many naevi are more at risk of developing Malignant melanoma. Fair complexion and light hair and eyes are more common as well. People who were severely sunburned in their past, or have it run in their families are more likely to experience the illness. It is most common between the ages of 40 and 50 or any time after puberty.

Malignant melanoma can occur anywhere on the body where there are melanocytes. The eyes and mucous membranes are possible sites. It is common on the backs of men and on the legs of women.  Other common places are lower limb, nail bed, sole of foot, neck, and head (especially for people who have no hair or are balding).

It is fair to say that age spots, sun spots and melanin abnormalities are not always permanent. At Nell Laser Clinic there are solutions for age spots, sun spots and brown spots. We access your problem and make educated and helpful suggestions to solve your problems. Make an appointment today.

Fortunately, these days there are many solutions for all hyperpigmentation disorders such as age spots, sun spots, melasma.  These include: Laser; micro-needling; microdermabrasion; chemical peel; and cosmetic acupuncture.  These treatments, with the aid of proper skin care products, will resolve hyperpigmentation.  Patience and persistency, however, are key.

For a complementary consultation call us at 416-228-0011

Sun Spots Removal Toronto

As we now know, hyperpigmentation comes in many forms that are usually called age spots, sun spots, brown spots and melasma. But common to all is the presence of melanin in the body. Ephelides, Lentigo, and Pigmented naevi are all similar in nature.  Dysplastic naevi, and Malignant melanoma have much in common. Melasma or (Chloasma), Phyto-photo dermatitis, and Ochronosis also share common characteristics.

Ephelides is another word for what we know as freckles. They are small, evenly pigmented macules which are more obvious after sun exposure. They are caused by an increase in the melanin in a normal number of melanocytes(producers of melanin). Ephelides often occur on the face, arms, legs and nose, and in fair skinned or red-haired people.

Lentigo is the Latin word for lentil. As such, lentigo resembles lentils in its appearance and form. The lesions of lentigo are called lentigines and they are more defined and darker than freckles. Also, they are slightly raised and distributed in no particular order. They are the result of an increase in the number of melanocytes found in the basal layer of the epidermis.

Pigmented naevi, otherwise known as moles, are tumours of melanocyte cells and usually appear in early adulthood and throughout life.  They are usually small (less than 1cm in diameter) and can be skin coloured to light brown to blue black.  There are three types of pigmented naevi: intradermal,

junctional, and compound.

It is important to note that intradermal naevi are usually never malignant.  They occur in adults and are dome-shaped, papillomatous, or pedunculated.  They may or may not have hairs and they can appear anywhere on the body especially the head and neck.  Intradermal naevi are not, however, usually found on the palms, soles, or genetalia.  They are shades of brown or even skintone in colour, and are found completely within the dermis of the skin.

Junctional naevi, on the other hand, are found mainly on the soles, palms, and genetalia. They can be flat or slightly raised.  Actually, they can be found anywhere on the body and they are hairless.  A small percentage of the naevi can go on to become Malignant melanomas.  The junctional naevi are found where the dermis and the epidermis meet (ie.,dermo-epidermal junction).

Compound naevi have both intradermal and junctional components because they are located in both the intradermal part of the dermis and dermo-epidermal junction. They are raised and papillomatous even though they are like intradermal naevi. They have coarse dark hairs and a small percentage can become malignant(junctionalcompnent).

How can you tell if a naevus is malignant? Many are benign, but the small percentage that change in appearance and behaviour (eg., inflammation) are likely to become malignant. If there is any pain, itching, bleeding, enlargement, darkening, or ulceration it should be checked out by a pathologist.

Hairs on the naevi do not always lead to malignancy. Intradermal moles generally have hairs and compound moles may have hairs because of their intradermal component. It is the junctional component of compound moles that can lead to malignancy. Only through a biopsy under dermatologist supervision (ie., under a microscope) can you be 100% certain of malignancy.

Dysplastic naevi have an irregular colour and shape (greater than 7mm in diameter) with an indistinct border both on biopsy and to the naked eye. They are considered atypical. Dysplastic naevi have a variegated appearance and must be monitored carefully because of their high risk to become Malignant melonoma.

Fortunately, these days there are many solutions for all hyperpigmentation disorders such as age spots, sun spots, melasma.  These at Nell Laser Clinic include: Laser; micro-needling; microdermabrasion; chemical peel; electro-cauterization and cosmetic acupuncture.  These treatments, with the aid of proper skin care products, will resolve hyperpigmentation.  Patience and persistency, however, are key.

For more information and a complementary consultation call us at 416-228-0011 

Sun Spots Removal Toronto

What is age spot or brown spot?  How does the body make brown spots?  How does melanin determine our skin type?  There are many disorders of pigmentation, but for now we will focus on hyperpigmentation and lightly touch on an unfortunate condition called Vitiligo, the opposite of hyperpigmentation.  We will also look at the causes of hyperpigmentation or brown spot and hopefully provide some answers on how to treat it.  Let’s get into it!

Age spots, liver spots, sun spots and melasma are unpleasant phenomena known as hyperpigmentation which is caused by the amount of melanin produced by the melanocytes in the body.  Melanocytes look like an octopus with long arms or dendrites.  They are found in the basal layer of the epidermis and hair follicle, and extend upward into the stratum spinosum layer.  Everyone has 800-1000 melanocytes per square millimeter of epidermis.

Melanocytes contain melanosomes which are granules containing the enzyme tyrosinase.  Tyrosinase helps change tyrosine to melanin which is then taken up by the prickle cells in the epidermis of the skin.  This multistage chemical process is called melanogenesis.

The colour of our hair, eyes, and skin are all determined by the amount of melanin in the special cell melanocytes.  They are not determined by the number of melanocytes (one for every 36 keratinocytes) which is the same in everyone.  The skin’s colour and intensity (how dark or how light) depends also on the type of melanin (eumelanin or yellow-red pheomelanin).  It also depends on the size and number of the melanosomes and their distribution in the epidermis. In darker skinned people, the melanosomes are larger and carry more melanin than in lighter skinned people.

Melanin can be both good and bad.  It protects, but it can also do harm.  Melanin blocks UV radiation from damaging DNA, but it also has the potential to cause skin cancer like melanoma.

There are three main forms of abnormalities in pigmentation of the skin.  First, hyperpigmentation or brown spot (increase in pigmentation or melanin).  Second, hypopigmentation (decrease in pigmentation or melanin).  Thirdly, achromia (no colour, pigmentation or melanin).  These conditions can be either localized in one area or generalized (the whole body).

Hyperpigmentation occurs when the melanocytes are more active or there is an increased number of melanosomes, thus producing more melanin. an example of the opposite of hyperpigmentation is a condition called Vitiligo which occurs when there is a loss of pigment or melanin. 

Vitiligo is the result of melanocytes being destroyed.  It is cosmetic and affects all races equally, but it is more noticeable in dark skinned people.

Treating abnormal pigmentation can be simple most of the time, because usually it is cosmetic.  There is anecdotal evidence, for example, that vitamin C can increase melanin.  Eating foods like green leafy vegetables, berries, and citrus fruits as well as taking vitamin C supplements will increase melanin. 

There are many factors that can cause hyperpigmentation.  Drugs like oral contraceptives, physical or chemical (burns, chronic scratching), endocrine (eg., hypothyroidism), pregnancy(chloasma), tumors (malignant melanoma), genetic (ephelides ie., freckles), and nutritional (Pellagra).

Hyperpigmentation, on the other hand, responds well to laser Therapy if it is localized.

In short, melanin is responsible for causing age spots, sun spots, liver spots and even melasma.  This brown spots or reddish pigment produced by melanocytes, and how much of it is present, will determine your skin type.  Laser Therapy, such as that offered at Nell Laser Clinic, is a good option for someone trying to treat hyperpigmentation, as is the moderate use of lightening creams.  Adding vitamin C to your diet and getting a little more sun will increase the amount of melanin in your body.  Whether you have too much melanin or too little, never give up.  There is always hope.

In Part 2 of this blog we will take an in depth look at some disorders of pigmentation.  These include Ephelides, Lentigo, Chloasma, Phyto-photo dermatitis, Pigmented naevus, Malignant melanoma, and Ochronosis.

Fortunately, these days there are many solutions for all hyperpigmentation disorders such as age spots, sun spots, melasma.  These at Nell Laser Clinic include: Laser; micro-needling; microdermabrasion; chemical peel; electro-cauterization and cosmetic acupuncture.  These treatments, with the aid of proper skin care products, will resolve hyperpigmentation.  Patience and persistency, however, are key.

For a complementary consultation call us at 416-228-0011

Sun Spots Removal Toronto

Most people would like to remove their unsightly spider veins, but they are confused about spider veins and varicose veins: I will attempt to highlight the differences and similarities and why removing spider veins with laser therapy is so worth it. What are spider veins?  What causes them?  How do I prevent them? How do you treat them using laser Therapy?

What are spider veins? 

To begin with, both spider veins and varicose veins are types of venous insufficiency. In other words, the one-way valves in the veins do not close properly as the blood tries to return to the heart, causing it to flow backwards. The blood collects or pools in the vein resulting in spider veins or, in more extreme cases, varicose veins. In both types of veins, the valves are damaged and do not close as they should.

Spider veins, also known as telangiectasia (red, thread-like veins) and venulectasias (blue veins close to the surface of the skin and less than 2mm in diameter), look like spider webs.  In short, they are busted blood vessels close to the surface of the skin. Spider veins can be removed with the Nd:YAG laser such as the one we use at Nell Laser Clinic. Varicose veins are larger and deeper, usually lumpy, twisted and flesh-coloured. Some varicose veins, if they are tiny and close to the surface, can be removed by laser, but most of the time varicose veins require more extensive procedures- sometimes even surgery.

What causes spider veins? 

Spider veins usually cause no pain or swelling, and they are typically removed for cosmetic reasons.  Varicose veins, on the other hand, will cause pain, swollen ankles and legs as well as a heavy feeling in the legs.  Unlike spider veins, varicose veins usually cause itchiness and discomfort.

Coughing, sneezing, vomiting (i.e., pressure), giving birth, and sun damage from ultraviolet rays can sometimes lead to spider veins. Certain circumstances will make some people more susceptible to spider veins (and varicose veins). Age, weight, family history, gender (females are more prone), menopause (higher levels of estrogen can weaken valves), and standing or sitting for long periods of time without taking a break to walk around (ideally every 30 minutes) can all lead to the condition.

How do I prevent them?

To prevent spider veins from getting worse there are some lifestyle changes you can make. Keep a healthy weight, don’t wear tight clothes, limit alcohol, elevate legs, move around, wear compression stockings, exercise, avoid hot tubs and saunas (they bring blood to the surface of the skin), and see your Skin Therapist if you have Rosacea.

How do you treat them using laser Therapy?

Laser Treatment is by far the easiest and least invasive way to remove spider veins. The Nd:YAG laser has a cool tip to prevent any burning. It is a hand-held device whereby the heat(photons) from the laser coagulates the blood, the vein collapses, seals and is eventually absorbed by the blood in your body.

The Treatment is not a walk in the park, but with technology so advanced there is nothing to worry about. You just need a little courage and determination. The cool tip makes the procedure a lot easier.

One week before the Treatment avoid the sun, aspirin, alcohol and smoking. No lotions or creams on the day of treatment and be sure to wear loose, comfortable clothing.

You will need 2-6 treatments scheduled 4-6 weeks apart, depending on the size and number of veins.  The results are not immediate in most cases. Veins soon turn a light red and disappear within 2-6 weeks.  Some veins may take longer, sometimes 6 months to a year.

Unfortunately, there is no cure for spider veins. They are usually recurrent, but the skin’s appearance is dramatically improved with laser Therapy. The result: no more unsightly spider veins! 

For a complementary consultation call us at 416-228-0011

Brown Spots Removal Toronto

  1. Use Mineral-based Sunscreen.

Sun protection with mineral based Zinc oxide and Titanium dioxide providing the skin with a high level of protection against UVA, UVB and free radicals. Mineral based products usually don’t have preservatives.

  •  Don’t ignore diet supplements.

Vitamins, minerals, herbals and enzymes will rejuvenate your skin because of their sheer nutrients. They will give a healthy glow to the skin and help to moisturize and fight skin-aging.

  •  Take Tepid showers, not hot ones!

Hot showers bring blood circulation to the skin thus removing too many natural oils. This can lead to rashes or even aggravate eczema or dry patches.

Hot water can also cause spider veins. If you’ve been in the sun for a long time and you take a hot shower it will dry out your skin. Excessive sweating can also lead to acne breakouts.

  •  Give Retinol a try if your skin isn’t too sensitive.

Retinol, Vitamin A, lighten dark spots, sun spots, age spots and prevent skin aging by helping build collagen. Overnight retinol repair is an example of topical retinol cream that dramatically reduce the appearance of skin aging. Look for creams that have Vitamin A in them.

  •  Exfoliate – it’s a must.

Peeling your skin twice to three times maximum a week is essential. Exfoliating removes dead skin cells and excess oils which can clog pores and lead to breakouts. Avoid harsh beady scrubs which can irritate and even scarring the skin. Exfoliate gently.

  •  Don’t underestimate Antioxidants.

Oxidative stress caused by free radicals can be reduced with antioxidants. Antioxidants are food for the skin. They fight aging and limit the production of free radicals by neutralising them. The most common free radicals affecting the skin are ultraviolet radiation, pollution and other environmental stressors.

  •  Proper cleansers are a great way to clean the skin.

Soap-free cleansers thoroughly removes impurities without disturbing the skin’s natural moisture balance. But you must remember to moisturize your skin according your skin type to protect and hydrate the skin, helping to restore suppleness and tone.

  •  Keep your dermatologist and skin therapist appointments.

It is imperative to visit your skin therapist at least three times a year. Dermatologists are also important because they can detect and diagnose skin problems.

For a complementary consultation call us at 416-228-0011

Cosmetic Acupuncture Toronto

  1. Sleep on a silk pillowcase.

We are all used to “crunches” of our regular cotton pillowcases, but try silk ones where the face “slides” smoothly. It will help prevent scrunching up and ultimately wrinkling your face.

  • Eat the rainbow.

Because most people want a healthy glow, not a sallow one, it is wise to look at your diet. Fruits and vegetables such as carrots, spinach, tomatoes and other leafy greens are high in carotenoids. Carotenoids are the bright pigments which are high in antioxidants. Eat lots!

  • When talking on your cell phone use headphones.

Our cell phones are full of bacteria, and acne or breakouts are caused by bacteria. Studies hare shown that there are approximately 7000 different binds of bacteria on our cell phones: more than on a toilet seat!

  • Reduce sugar intake.

Collagen is the protein that keeps wrinkles from forming, and sugar can stiffen collagen. Collagen is what keeps our skin healthy, firm and reduce wrinkles. Optimal for natural sources of sugar like fruit and dried fruit such as dates.

  • You must use sunscreen to avoid any problems in the future.

Sunscreen fights aging of the skin such as wrinkle and age spots as well as skin cancer and other diseases of the skin. Always apply it to the face first. Do as Dr. Victoria A Cirillo, a dermatologist suggests: “Slip, Slop, Slap, Seek and Slide”. I call them the five S’s.

  1. Slip on a shirt
  2. Slop on SPF 30 + sunscreen
  3. Slap on a hat
  4. Seek shade or shelter
  5. Slide on sunglasses

       and Enjoy the warm weather!

  • Eat tomatoes.

Eating this delicious red fruit has many nutritional benefits like Vitamin C and lycopene. Not to mention, they will bring back the colour in your cheeks and make them rosy and help rejuvenating skin.

  •  Stick to a morning/night skin routine.

Not getting enough sleep or even getting too much sleep will often keep you from attending to your skin care regimen.

  • “Less or More”.

In the evening cleanse with a gentle cleanser and exfoliate, then moisturize with a cream and off to bed! Choose products without fragrances or additions because the fewer the ingredients the better. Try to be a minimalist when it comes to skin care.

For a complementary consultation call us at 416-228-0011

Facial Laser Hair Removal Toronto

 The health of our bodies and the health of our skin especially when it comes to inflammation such as Acne, Wrinkles, Eczema and psoriasis is a reflection of what we decide to ingest: Fats and Oils are no exception. Omega-6 and Omega-3 fats and their ratio are very important. Fathy fish, Avocados, and Walnuts are the best sources of fat that address this ratio. It is also important to look at cooking: in particular, Deep Frying and the Fats and Oils available to the consumer.

Eicosanoids regulate inflammation in the body and skin. Eicosanoids are made from Omega-6 and Omega-3 fats and are considered signaling molecules. Omega-6 fats cause inflammation. The more Omega-6 fats you eat the more Omega-3 fats you should eat to compensate or strengthen your immune system. The ratio should be 4:1 or 2:1, not 16:1 as it is today.

The Western Diet today does not have a healthy ratio of Omega-6: Omega-3 fats and most people suffer from inflammation both of the body and of the skin. This is especially apparent with Acne, Wrinkles and Eczema. Omega-6 eicosanoids are pro-inflammatory while Omega-3 fats are anti-inflammatory. Inflammation increases oil production and sebum resulting in psoriasis or acne. Sugars do the same. In the long, the imbalanced ratio can lead to cardiovascular disease, cancer, depression, arthritis on us to name a few.

Omega-3 fats make skin less sensitive to the sun’s UV rays and reduce inflammation. A Diet rich in Omega-3 fats includes Fatty fish, Avocados, and Walnuts.

Fatty fish such as salmon, herring and mackerel contain Vitamin E, protein and zinc. Zinc helps produce new skin cells and heals wounds. Zinc deficiency leads to inflammation.

UV damage leads to wrinkles and premature aging. Avocados keep skin flexible and moisturized. Avocados contain both Vitamin E and Vitamin C. Vitamin E is an antioxidant and reduces oxidative damage such as age spots or brown spots, and wrinkle. Vitamin C helps create collagen which helps to give the skin structure.

Walnuts are an important food because they have fatty acids which the body cannot create on its own. Especially Omega-3’s.

Deep Frying should be avoided for health reasons, but if you are going to deep fry keep in mind the following. Coconut oil, animal fats, olive oil and avocado oil are all good; but Peanut oil and Palm oil are not recommended.

Coconut oil is the best for deep frying. After 8 hrs. of deep frying at 365 or 180℃ it will keep its integrity. It is a saturated fat, thus coconut oil is resistant to heat. Once considered unhealthy, saturated fats have been proven to be not so bad after all.

Animal fats such as Lard, Tallow, Ghee, and Drippings are excellent for deep frying. Most animal fats are saturated and monounsaturated, therefore they are resistant to heat. One must make sure, however, that the animals were pasture-raised or grass-fed and not grain-fed because the letter will have more polyunsaturated fatty acids in their storage cells.

Olive oil is the healthiest fat according to many. It is high in monounsaturated fatty acids (i.e. only one double bond) and olive oil is highly resistant to heat. Although the flavor and fragrance might change, olive oil can be used to deep fry for over 24 hrs. continuously before it oxidizes.

Avocado oil has some saturated fats and some polyunsaturated fats mixed in, but it is mainly monounsaturated. It is similar to olive oil. It has a smoke point of 520℉/270℃.

Peanut oil, although popular for its neutral taste, is not very healthy. It is high in polyunsaturated fats which means it oxidizes at high temperatures. Peanut oil is a groundnut oil with a smoke point of about 446℉ or 230℃.

Industrial Vegetable Oils and Oils extracted from seeds should be avoided for deep frying. The following oils should be avoided altogether because they contain fatty acids that are toxic trans fats: Soybean oil, Corn oil, Canola oil, Cottonseed oil, Sufflower oil, Rice bran oil, Grape Seed oil, Sunflower oil, and Sesame oil. These oils are high in polyunsaturated fats and have a terrible Omega-6: Omega-3 fat ratio. Using the above-mentioned oils for deep frying results in unhealthy compounds due to large amounts of fatty acids being oxidized.

In short, Fats and Oils are necessary for our health and health of our skin in order to avoid any inflammatory skin disorder and diseases such as acne, eczema and psorasis. It is important, however, to be wise in our choices. The choices we make today will decide how we will feel and look tomorrow.

For a complementary consultation call us at 416-228-0011

Cosmetic Acupuncture Toronto

Will Laser Hair Removal Work on Women Facial Hair?

Excess facial or body hair (hirsutism) is an embarrassing condition for many women. While hair growth might be genetic or even caused by medication, excessive male hormones and hair growth are linked in women. Laser hair removal is currently the best option for removing dark hair in multiple facial or body areas, but does it work on hair growth caused by these hormones?

Hormones and Hair Growth: Laser hair Removal May Not Work

Before undergoing laser hair removal, women with excessive facial or body hair should determine if there is a hormonal imbalance. A medical evaluation is important, examining whether growth is sudden, if there are problems, such as acne and obesity, or if there is a family tendency for hirsutism. In some patients with hormonal imbalance, laser treatments can stimulate increased hair regrowth or the laser treatments may remove the existing hair, but the excess male hormones will stimulate regrowth quickly. The good news is that hormonal imbalance is treatable with medication, or in some cases surgery. If any of these concerns apply to you learn more about hormonal imbalance and excess hair growth before considering laser hair removal.

Causes of Excessive Hair Growth:
• Polycystic Ovarian Syndrome (PCOS): This is a common cause of unwanted hair growth. Other symptoms include acne, irregular menstrual periods, difficulty losing weight, and diabetes. Pelvic ultrasound shows cysts on the ovaries.
• Tumors or diseases of the adrenal gland: The adrenal gland produces DHEAS, a type of androgen or male hormone, as well as other hormones. Diseases of the adrenal gland that cause excess hair growth include Cushing Syndrome and Congenital Adrenal Hyperplasia.
• Medications: Oral cortisone, phenytoin, minoxidil, and testosterone are medications that cause excess hair growth.
• Familial: Excess hair growth in women can be genetic and not associated with excess male hormone. The exact cause is unknown.
• Post menopause: After menopause women have a relative decrease in estrogen and increase in testosterone. This may cause a moderate increase in dark facial hair.

Evaluation of Hormones and Hair Growth

Depending on the symptoms you experience there are lab and radiology tests that can determine the exact cause. Some of the blood tests that may be done are:
• Serum testosterone
• DHEAS
• 17 OH progesterone
• ACTH stimulation test

If there is suspicion of PCOS, a pelvic ultrasound may be necessary. Other radiology tests such as CT or MRI may be done if there is suspicion of an adrenal tumor.

Treatment for Hormonal Health Issues

⁃ PCOS: There are several medications that will reduce excess hair growth. Oral contraceptives are prescribed to suppress female testosterone produced by the ovaries. Spironolactone is often prescribed with birth control pills to suppress DHEAS or adrenal testosterone. For patients with diabetes or pre-diabetes, metformin is used to control excess insulin. When the hormonal issues are normalized, patients with PCOS can achieve successful laser hair removal treatments.

⁃ Hirsutism with normal Hormones: Oral contraceptives and/or spironolactone may still be helpful in reducing regrowth of facial or body hair. This can lead to less regrowth after laser hair removal.

⁃ Post Menopause Facial Hair: Low dose hormone replacement, either oral or topical may decrease facial hair regrowth

Laser Hair Removal, Hormones and Hair Growth

Laser hair removal does not work well for women with hormonal imbalances. For these individuals the results are temporary, unless the underlying problem is treated. When the hormonal imbalance is treated, laser hair removal treatments can begin and excellent results can be achieved.

For a complementary consultation call us at 416-228-0011

Facial Laser Hair Removal

Laser hair removal technology has advanced over many years and now includes devices that offer a more precise application of the laser to the follicle. This results in a faster and pain free treatment experience. If you haven’t tried laser hair removal, talk to someone who has, the results really are phenomenal. Imagine no longer having to spend 15-20 minutes in the shower every day to shave. Imagine not spending that extra $10,000 throughout your lifetime on shaving and hair removal products. Imagine having silky smooth legs or a bikini area without the bumps, ingrown hairs or dark follicles.