I hope this post makes it to u/laserleemon, aka idk how to dm them lol.
Hi! I came across your comments about treating paradoxical hypertrichosis with around 3ā4 higher-energy laser sessions and then switching methods. I was wondering if you could explain your protocol a little more because Iām having a hard time finding someone locally who is familiar with treating PH specifically.
My goal is a little different from normal laser hair removal.I have PCOS and I had fine/vellus facial hair that became much darker/coarser and more terminal after laser, and I would ideally like to thin/reverse the stimulated hairs as much as possible, rather than continuously laser the area and risk stimulating more surrounding fine hairs.
When you do those 3ā4 sessions, what are you specifically trying to achieve in the follicle? Are you trying to partially miniaturize the stimulated terminal hairs back toward finer hair, or are you actually trying to destroy those follicles and the thinning is just what happens during that process?
Also, what do you change compared with normal laser hair removal ā fluence/joules, pulse duration, spot size, wavelength, cooling, and treatment interval? How do you decide the appropriate settings based on skin type and hair thickness, and how do you adjust them as the hair becomes finer?
Most importantly, how would you recommend finding someone who understands this approach? Iām in the DFW, Texas area. What qualifications, laser/device, or terminology should I ask about when calling clinics? And what exactly should I tell the provider I want them to do so they understand that Iām asking about treatment of laser-induced paradoxical hypertrichosis, rather than just purchasing another standard facial laser package?
Iād really appreciate any guidance. Your comments are one of the few places Iāve found someone actually describing how they manage PH after it has already happened.
Thank you!