Medical-Cosmetic Devices for Home Use: Present and Future Considerations

López-Estebaranz, J.L.; Cuerda, E.

doi:10.1016/S1578-2190(10)70620-X

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Abstract

Laser systems and other energy sources for home use are being developed and will have an exponential growth in the coming years. It is in the field of laser hair removal and hair regrowth where these lasers and intense pulsed light systems for home use are gaining most ground. There are few studies supporting their efficacy and safety and there are still no long term studies. Currently these systems do not require medical prescription and can be purchased in the same way as any over-the-counter product. Although they are not a substitute for professional medical systems, they will play an important role in the treatment of medical and cosmetic conditions, and dermatologists should know about them. Technological progress and commercial and market pressures will encourage the development of more sophisticated devices and broaden the cosmetic and medical indications. Appropriate use and rigorous long-term studies would be desirable to better define their safety and efficacy.

Keywords:

Home laser systems

Laser

Hair removal

Intense pulsed light

Acne

Hair growth

Resumen

Los sistemas láser y otras fuentes energéticas de uso domiciliario se están desarrollando y van a tener un crecimiento exponencial durante los próximos años. Es en el campo de la depilación láser y la estimulación capilar donde mayor auge están teniendo estos sistemas láser y de luz pulsada intensa de uso domiciliario. Son escasos los estudios que avalan su eficacia y seguridad y no disponemos aún de estudios a largo plazo. Actualmente estos sistemas no requieren prescripción médica y se pueden adquirir como cualquier producto de venta sin receta. Aunque no sustituyen a los sistemas médicos profesionales, van a desempeñar un importante papel en el tratamiento de las patologías médico-estéticas, por lo que es conveniente el conocimiento de las mismas por parte de los dermatólogos. El desarrollo y avance tecnológico, así como la presión comercial y de los mercados, hará que aparezcan nuevos sistemas más sofisticados y para otras indicaciones dermoestéticas. Su correcta utilización y el desarrollo de estudios rigurosos a largo plazo sería deseable para establecer su eficacia y seguridad de forma más precisa.

Palabras clave:

Sistemas láser domiciliarios

Láser

Depilación

Luz pulsada intensa

Acné

Estimulación capilar

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References

[1.]

T.E. Rohrer, V. Chatrath, P. Yamauchi, G. Lask.

Can patients treat themselves with a small novel light based hair removal system?.

Lasers Surg Med, 33 (2003), pp. 25-29

http://dx.doi.org/10.1002/lsm.10192 | Medline

[2.]

R. Schulze, K.J. Meehan, A. Lopez, K. Sweeney, D. Winstanley, W. Apruzzese, et al.

Low-fluence 1064-nm laser hair reduction for pseudofolliculitis barbae in skin types IV, V and VI.

Dermatol Surg, 35 (2009), pp. 98-107

http://dx.doi.org/10.1111/j.1524-4725.2008.34388.x | Medline

[3.]

D.S. Hodson.

Current and future trends in home laser devices.

Semin Cutan Med Surg, 27 (2008), pp. 292-300

http://dx.doi.org/10.1016/j.sder.2008.09.003 | Medline

[4.]

A.J. Stratigos.

A review of laser systems and light sources for hair removal.

Med Surg Dermatol, 5 (1998), pp. 103-106

[5.]

C. Raulin, B. Greve, H. Grema.

IPL technology: a review.

Lasers Surg Med, 32 (2003), pp. 78-87

http://dx.doi.org/10.1002/lsm.10145 | Medline

[6.]

Silk’n website. Accessed October 1, 2009. Available from: www.homeskininovations.com.

[7.]

R.S. Mulholland.

Silk’n–A novel device using home pulsed light for hair removal at home.

J Cosmet Laser Ther, 11 (2009), pp. 106-109

http://dx.doi.org/10.1080/14764170902902806 | Medline

[8.]

T.S. Alster, E.L. Tanzi.

Effect of a novel low energy pulsed light device for home use hair removal.

Dermatol Surg, 35 (2009), pp. 483-489

http://dx.doi.org/10.1111/j.1524-4725.2009.01089.x | Medline

[9.]

Spa Touch and No!No! Website. Accessed on October 1, 2009. Available from: www.radiancy.com.

[10.]

J.M. Spencer.

Clinical evaluation of a handheld self-treatment device for hair removal.

J Drugs Dermatol, 6 (2007), pp. 788-792

Medline

[11.]

R. Emerson, G. Town.

Hair removal with a novel, low fluence, home-use intense pulsed light device.

J Cosmet Laser Ther, 11 (2009), pp. 98-105

http://dx.doi.org/10.1080/14764170902792199 | Medline

[12.]

R.G. Wheeland.

Simulated consumer use of a battery-powered hand-held, portable diode laser (810 nm) for hair removal: a safety, efficacy and ease-of-use study.

Laser Surg Med, 39 (2007), pp. 476-493

[13.]

G. Town, C. Ash.

Measurement of home-use laser and intense pulsed light systems for hair removal: preliminary report.

J Cosmet Laser Ther, 11 (2009), pp. 157-168

http://dx.doi.org/10.1080/14764170903137113 | Medline

[14.]

E.F. Berstein.

Hair growth induced by diode laser treatment.

Dermatol Surg, 31 (2005), pp. 584-586

Medline

[15.]

A. Alajlan, J. Shapiro, J.K. Rivers, N. MacDonald, J. Wiggin, H. Lui.

Paradoxical hypertrichosis after laser epilation.

J Am Acad Dermatol, 53 (2005), pp. 85-88

http://dx.doi.org/10.1016/j.jaad.2004.06.054 | Medline

[16.]

N. Boozari, A.R. Firooz.

Lasers may induce terminal hair growth.

Dermatol Surg, 32 (2006), pp. 460

http://dx.doi.org/10.1111/j.1524-4725.2006.32092.x | Medline

[17.]

M.S. Lolis, E.S. Marmur.

Paradoxical effects of hair removal systems: a review.

J Cosmet Dermatol, 5 (2006), pp. 274-276

http://dx.doi.org/10.1111/j.1473-2165.2006.00269.x | Medline

[18.]

A. Wiley, J. Torrontegui, J. Azpiazu, N. Landa.

Hair stimulation following intense pulsed light photo-epilation: review of 543 cases and ways to manage it.

Lasers Surg Med, 39 (2007), pp. 297-301

http://dx.doi.org/10.1002/lsm.20485 | Medline

[19.]

I.A. Bukhari.

Pili bigemini and terminal hair growth induced by low-fluence alexandrite laser hair removal.

J Cutan Med Surg, 10 (2006), pp. 96-98

Medline

[20.]

P.C. Silveira, E.L. Streck, R.A. Pinho.

Evaluation of mitochondrial respiratory chain activity in wound healing by low-level laser therapy.

J Photochem Photobiol B, 6 (2007), pp. 279-282

[21.]

Hairmax lasercomb Web page. Accessed on October 1, 2009. Available from: www.hairmaxespana.es.

[22.]

M. Waiz, A.Z. Saleh, R. Hayani, S.O. Jubory.

Use of the pulsed infrared diode laser (904 nm) in the treatment of alopecia areata.

J Cosmet Laser Ther, 8 (2006), pp. 27-30

http://dx.doi.org/10.1080/14764170600607368 | Medline

[23.]

M. Leavitt, G. Charles, E. Heyman, D. Michaels.

HairMax LaserComb laser phototherapy device in the treatment of male androgenetic alopecia: A randomized double-blind, sham device-controlled, multicentre trial.

Clin Drug Investig, 29 (2009), pp. 283-292

Medline

[24.]

M.R. Avram, N.E. Rogers.

The use of low-level light for hair growth: Part I.

J Cosmet Laser Ther, 11 (2009), pp. 110-117

http://dx.doi.org/10.1080/14764170902842531 | Medline

[25.]

P. Boixeda, M. Calvo, L. Bagazgoitia.

Recientes avances en láser y otras tecnologías.

Actas Dermosifiliogr, 99 (2008), pp. 262-268

Medline