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| ND:YAG Laser |
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The following information was taken from http://www.hairfacts.com/medpubs/ndyagmed.html Nd:YAG laser using a carbon-based lotion was promoted as long-term and even permanent for years, until published clinical data showed that this was not true. [1] The best overview of Nd:YAG history, benefits and limitations is Littler's 1999 article. [2] Q-switched with carbon-based lotion Early published medical papers using Nd:YAG with the carbon lotion reported from 27% to 66% reduction at 3 months after one treatment. [3] One 15-subject study found long pulse Nd:YAG more effective and less painful when compared to alexandrite treatment [4] One large study of patient satisfaction at six months after multiple treatments showed those seeking to thin hair were generally pleased, but 75% of those expecting more were not pleased. [5] One study observed full regrowth by month six [6]. Side effects were observed in one study to be less likely with this treatment compared to other lasers. [7] Another also saw fewer side effects than ruby or alexandrite [5] One study confirms observation that treatment is probably more effective on anagen hairs. [8] Histological evidence suggests thermal damage occurs to about 1 mm deep. [9] One small study suggests promise for treatment of “shaving bumps” (pseudofolliculitis barbae) [10] and another reports on successful treatment of infants born with excessive amounts of downy hair (hypertrichosis lanuginosa congenita) [11] Long pulse Nd:YAG The one published study found 15 subjects had 59% reduction at 3 months [12] An unpublished report observed skin discoloration in tanned skin is rare and resolved by 6 months. Eleven patients followed had about 30% reduction at 6 months. [13] Another unpublished manufacturer report [14] with a long-term follow up [15] observed that 25 subjects had median of 27% reduction at 3 months after a single treatment. Also in this report, observers of before and after photos thought the after photos looked better in three-fourths of the treated areas, with the control looking better in half the treated areas. Sites receiving one or two treatments were observed to have 39% and 50% reduction at 12 months, respectively. References
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