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Journal of the American Academy of Dermatology
Volume 41, n° 6
pages 974-979 (décembre 1999)
Doi : 10.1016/S0190-9622(99)70256-2
accepted : 23 June 1999
Facial hirsutism treated with the normal-mode ruby laser: Results of a 12-month follow-up study

Sabine Sommer, Catherine Render, Robert Sheehan-Dare
Leeds Dermatology Laser Centre, Department of Dermatology. Leeds, England 


Fifty-one patients of skin type I to IV with facial hirsutism received treatment with the normal-mode ruby laser (950-μs pulse; 4-mm spot; mean fluence, 49 J/cm2; maximum fluence, 66 J/cm2). For each patient, one site was treated once only, and a second site was treated 4 times at 4-week intervals. After 48 weeks, 46 patients were available for assessment. After a single treatment, hair counts were reduced to a mean of 45% at 4 weeks (pretreatment median of 63 hairs down to 26), increased to 80% (median, 51 hairs) at 12 weeks, were 65% (median, 41 hairs) at 24 weeks, and were 59% (median, 35 hairs) at 48 weeks. Four weeks after 3 treatments, the hair counts had reduced to a mean of 30% (pretreatment median of 68 hairs down to 15). Twelve weeks after 4 treatments, the hair counts had increased to 45% (median, 24 hairs) and were 39% after 36 weeks (median, 22.5 hairs). No anesthesia was needed. Treatment tolerance improved with consecutive visits, allowing higher fluences to be used. Hyperpigmentation developed in 9 patients, which had faded completely in 8 patients at the end of the study. One patient showed hypopigmentation. Depressions in the skin below the jaw line developed in 5 patients, which resolved completely within 4 to 32 weeks. We conclude that normal-mode ruby laser treatment is well tolerated and leads to significant improvement of facial hirsutism, which is maintained for at least 48 weeks. Repeated treatments result in greater clinical effects. (J Am Acad Dermatol 1999;41:974-9.)

The full text of this article is available in PDF format.

 Reprint requests: Robert A. Sheehan-Dare, MRCP, Leeds Dermatology Laser Centre, Department of Dermatology, Great George St, Leeds, LS1 3EX, London, United Kingdom.
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