Hormonal Hair Growth

ConsultingRoom.com
By ConsultingRoom.com

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Petrina Nugawela, senior aesthetic nurse practitioner (MBA Clinics) and international trainer ambassador for Lumenis, answers questions about hormones and hair.
 
How do hormones impact hair growth?
Hair is something deeply personal, and experiencing unwanted hair growth or not enough hair growth in certain areas can have a genuine impact on a person’s wellbeing. Unfortunately, when going through menopause, often, both changes need to be addressed. Due to fluctuating oestrogen and testosterone levels, increased facial hair growth can occur. As the production of oestrogen diminishes, it causes an imbalance, so as testosterone becomes more present it strengthens the hair follicles. 
 
What type of hair growth do women get when going through menopause? 
Facial hair is a common symptom of menopause, particularly in the chin area. If you are a woman who has not experienced facial hair in your 20s due to hormones, ethnicity, PCOS or other medical conditions, it usually starts with a stray hair that catches your attention. A typical initial reaction is to pluck it until it slowly increases, and you find yourself having to pluck or shave more frequently. As for why some people experience one or two strands while others have fuller hair growth, depends on hormonal fluctuation, genetics and ethnicity. For instance, a person of colour is more likely to have faster-growing, coarse hair compared to a Caucasian person going through similar changes.
 
What is the impact of unwanted hair during menopause on patients? 
Unwanted facial hair can have a huge impact on individuals, and it’s common to experience an emotional toll from having to constantly manage unwanted hair growth. We see this manifest in multiple ways, whether it’s feeling more anxious in social situations and personal relationships or continually checking/touching the affected area, which often results in the skin becoming sore and stressed due to constant plucking and shaving.
Is hormonal hair growth more challenging to treat than other hair? Why? 
Not necessarily. Some factors must be considered, such as the patient’s ethnicity, skin type and medication. Treating patients going through menopause does not make it any harder to achieve good results. That said, treating patients with PCOS, for example, can be more challenging as they may require further treatment sessions. Laser Hair Removal is effective as long as the hair follicle has pigment. If the hair follicle is grey, then we advise electrolysis. Combining electrolysis and Laser Hair Removal is possible to give the patient the best results if they have a mixture of dark and grey hair.
Is hormonal hair growth more challenging to treat than other hair? Why?
How can hormonal hair growth be managed?  
In my experience, the best method is Laser Hair Removal. It’s quick, clean, leaves the skin feeling soft, and lasts up to four to six weeks. Depending on the individual and area to be treated, we recommend a course of eight treatments four to six weeks apart. We would also advise no shaving or plucking in-between treatment sessions as patients should not have any hair between treatments.
 
This is a particularly important point, as some patients have had practitioners tell them to shave regularly in-between Laser Hair Removal treatments, which should not be needed following effective treatment. A common fear we often hear is that removing facial hair results in even more growth, but this is a myth. If the treatment is performed properly, patints will not grow extra hair by removing the hair that they have. If Laser Hair Removal is not for you, then you can shave, wax or thread the area, but the hair will come back quicker, leaving the skin in poor condition. 
 
In most patients threading and waxing results in ingrown hairs, irritant dermatitis, folliculitis and pigmentation concerns, particularly in patients with skin of colour. It is important that you offer patients a thorough consultation and a patch test prior to treatment. The laser machine used should suit their skin and hair type. You should also ensure you present patients with all the treatment options available to them, so they can make an informed decision on what to go ahead with.
 
How does LightSheer and SPLENDOR X work and what are the benefits? 
The Lumenis LightSheer® Quattro™ gives you the option of two wavelengths, 810 diode and 1060 Nd Yag, allowing the practitioner to treat any skin and hair type. Similarly, with the SPLENDOR X, you can safely treat all Fitzpatrick Skin Types (I to V) skin types with either the 1060 Nd Yag or 755 Alexandrite (collectively known as BLEND X™ technology) and target virtually any area of the body, including face, bikini line, legs, arms, stomach and underarms.   
 
Although results can vary, on average, individuals see up to an 80% reduction in hair growth after six to eight treatments with LightSheer® Quattro™ and SPLENDOR X. Maintenance treatments are in some cases required one to three times a year (every three/six/12 months). We would recommend a course of eight treatments, with each session four to six weeks apart.
 
Both systems are relatively pain-free. However, this is subject to each patient’s pain tolerance. Treatment time is short, a small area can take as little as five minutes with a LightSheer® Quattro™, and there is no downtime so patients can return to their daily lifestyle straight after treatment. There is no need for a break from treatment during the summer months as long as patients apply a good quality, broad-spectrum SPF.
This article was written for the Consulting Room Magazine.
 
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