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Hair removal with LEDA EPI 980 - Quantel Derma

Hair removal with LEDA EPI 980 - Quantel Derma

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<strong>Hair</strong> <strong>removal</strong> <strong>with</strong> <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> -<br />

Decisive wavelength for hair <strong>removal</strong> for Indian skin types<br />

Dr B. S. Chandrashekar<br />

Chief <strong>Derma</strong>tologist CUTIS - Academy of Cutaneous Sciences, Bangalore, India<br />

Background<br />

Hirsutism is a common problem for which laser is the treatment of choice. The use of lasers for hair <strong>removal</strong> has<br />

been studied for a number of years. In this procedure, laser light is absorbed by melanin in the hair shaft, damaging<br />

the follicular epithelium. Several lasers <strong>with</strong> different wavelengths, pulse durations, energy densities and<br />

skin cooling systems, are currently used for hair <strong>removal</strong>. However, the ideal wavelength for darker skin types is<br />

not yet found in regards to efficacy and safety for the patients.<br />

Objective<br />

A clinical study to evaluate the <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> (<strong>Quantel</strong> <strong>Derma</strong>, Erlangen, Germany), a Diode Laser <strong>with</strong> a<br />

wavelength of <strong>980</strong> nm for hair <strong>removal</strong> was conducted at Cutis. The wavelength used by <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> is<br />

supposed to be effective and safe for hair <strong>removal</strong> in darker skin types. It is close to the wavelength of 1,064<br />

nm - the currently preferred wavelength for darker skin types - but far less painful and at the same time safer<br />

than 808 nm.<br />

Materials and Methods<br />

100 female patients of different hair and skin types in the age group of 18 to 56 years were tested for the tolerability<br />

and efficacy of <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong>. All patients were treated for 6 sessions <strong>with</strong> <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> <strong>with</strong> contact<br />

cooling.<br />

We used the treatment parameters of 18 - 35 ms pulse duration and a fluence of 24 - 40 J/cm 2 , depending on<br />

skin type and hair color.<br />

Pre and post treatment pictures were taken at each session of hair <strong>removal</strong>.<br />

Five patients underwent a split face study to compare <strong>LEDA</strong> <strong>EPI</strong> 808 (<strong>Quantel</strong> <strong>Derma</strong>) <strong>with</strong> 808 nm wavelength<br />

and <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> <strong>with</strong> <strong>980</strong> nm wavelength. Efficacy, tolerability and adverse events were recorded both by<br />

patients and physicians.<br />

Clinical Images<br />

Split face study <strong>LEDA</strong> <strong>EPI</strong> 808 / <strong>980</strong><br />

The images compare the efficacy of<br />

<strong>LEDA</strong> <strong>EPI</strong> 808 and <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> on<br />

darker sin (skin type 3).<br />

The pictures where taken before the<br />

first treatment and after the 6 th treatment<br />

session.<br />

The pictures clearly show that <strong>LEDA</strong><br />

<strong>EPI</strong> <strong>980</strong> is more effective on Indian<br />

skin than <strong>LEDA</strong> <strong>EPI</strong> 808.<br />

Chin - right side<br />

Before treatment<br />

<strong>LEDA</strong> <strong>EPI</strong> 808<br />

Chin - left side<br />

Before treatment<br />

<strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong><br />

3 months after 6 th session<br />

3 months after 6 th session


Clinical Images <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong><br />

The images show the effectiveness of hair <strong>removal</strong> <strong>with</strong> <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong>. The number of hair is visibly reduced.<br />

Left axilla<br />

Right axilla<br />

Chin<br />

Before treatment<br />

Before treatment<br />

Before treatment<br />

Before treatment<br />

3 months after 6 th session<br />

3 months after 6 th session 3 months after 6 th session<br />

Courtesy of Dr. Jagadish Sakiya<br />

3 months after 6 th session<br />

Results<br />

After 6 sessions, all patients showed a decisive hair reduction of 60 - 80% depending on the hair color and type.<br />

The split face study comparing <strong>LEDA</strong> <strong>EPI</strong> 808 and <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> clearly showed that <strong>LEDA</strong> <strong>EPI</strong> <strong>980</strong> is more<br />

effective, safer and faster than <strong>LEDA</strong> <strong>EPI</strong> 808 on Indian skin.<br />

Regrowing hairs were shown to be thinner and lighter. Patient selection, proper use of the<br />

laser and appropriate parameter settings have shown to cause permanent hair reduction <strong>with</strong>out damaging the<br />

epidermis even at high fluences, regardless of skin and hair type.<br />

Conclusion<br />

Extensive clinical use of this highpower, multi faceted, <strong>980</strong> nm diode laser system has shown clear benefits<br />

over standard 808 nm hair <strong>removal</strong>, probably signalling the arrival of a decisive wavelength for hair <strong>removal</strong><br />

amongst patients <strong>with</strong> darker skin types such as Indian skin.<br />

Note: This case study is part of an ongoing study.<br />

Literature<br />

[1] Rao K, Sankar TK. Long-pulsed Nd:YAG laser-assisted hair <strong>removal</strong> in Fitzpatrick skin types IV-VI. Lasers Med Sci. 2011 Apr.<br />

[2] Braun M. Permanent Laser <strong>Hair</strong> Removal With Low Fluence High Repetition Rate Versus High Fluence Low Repetition Rate 810 nm Diode<br />

Laser – A Split Leg Comparison Study. J Drugs Derm. 2009 Nov; 8 (11): 14 -17.<br />

[3] Hammes S, Ockenfels HM, Metelmann H-R, Raulin C, Karsai S. Ein neuer Ansatz in der Laser-Haarreduktion – Diodenlaser mit SHR<br />

(„Super <strong>Hair</strong> Removal“) im Vergleich mit dem Alexandritlaser. Hautarzt 2010; 61: 880-884.<br />

<strong>Quantel</strong> <strong>Derma</strong> GmbH<br />

Am Wolfsmantel 46<br />

91058 Erlangen, Germany<br />

info@quantel-derma.com<br />

www.leda-system.com<br />

March 2012

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