Guidelines on the safety of light‐based home‐use hair removal devices from the European Society for Laser Dermatology

In the past 5 years since their US introduction, there has been a rapid proliferation of light‐based hair removal devices intended for home‐use. In the last 2 years in Europe, sales already run into many tens of thousands of units with well‐known multi‐national companies entering the market. These guidelines provide a definition of light‐based home‐use technology, to inform healthcare professionals about home‐use light‐based technology and encourage manufacturers wishing to sell in Europe to adopt ‘best practice’. The review presents the current status on standards and regulation issues and considers home‐use safety issues, encompassing human, device and electrical safety, given risks to the eyes and skin from optical radiation both to the consumer and persons in the vicinity. Proposed technical measurement methodology is considered with focus on recognized critical parameters for the safe use of light‐based hair removal technology including recording the technical performance and safety claims of a range of home‐use hair removal devices. The literature review emphasizes potential adverse incidents and safety aspects of treating cosmetic conditions, such as unwanted hair growth. Although some regulations exist, they differ from region to region and there is a specific need for international common principles and guidelines relating to the manufacture, marketing and use of intense pulsed light and laser devices, including manufacturing standards for home‐use products intended, amongst others, for cosmetic hair removal and photo‐rejuvenation procedures. In these guidelines, the European Society for Laser Dermatology (ESLD) provides a professional view of what ‘best practice’ may imply for manufacturers and consumers alike.

[1]  K. Khatri The safety of long‐pulsed Nd:YAG laser hair removal in skin types III–V patients during concomitant isotretinoin therapy , 2009, Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology.

[2]  C. Raulin,et al.  Professional Errors Caused by Lasers and Intense Pulsed Light Technology in Dermatology and Aesthetic Medicine: Preventive Strategies and Case Studies , 2002, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[3]  R. Pardo,et al.  Solar-induced postinflammatory hyperpigmentation after laser hair removal. , 1999, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[4]  C. Liang,et al.  Traumatic macular hole secondary to a Q-switch Alexandrite laser. , 2005, Retina.

[5]  C. Barcaui Localized hypertrichosis after intense pulsed light treatment for tattoo removal. , 2007, Dermatologic Surgery.

[6]  S. Vlachos,et al.  Hair induction after laser-assisted hair removal and its treatment. , 2006, Journal of the American Academy of Dermatology.

[7]  DM Clarkson The role of measurement of pulse duration and pulse profile for lasers and intense pulsed light sources , 2004, Journal of medical engineering & technology.

[8]  D. Goldberg,et al.  Guidelines for laser hair removal , 2008, Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology.

[9]  N. Kluger,et al.  Keloid occurring in a tattoo after laser hair removal. , 2009, Acta dermato-venereologica.

[10]  C. Castelo-Branco,et al.  Paradoxical Effect After IPL Photoepilation , 2002, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[11]  K. Landau,et al.  Ocular Complication of PhotoDerm VL Therapy for Facial Port‐Wine Stain , 2003, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[12]  J. Shapiro,et al.  Paradoxical hypertrichosis after laser epilation. , 2005, Journal of the American Academy of Dermatology.

[13]  R. 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 , 2007, Lasers in surgery and medicine.

[14]  W. Hodge,et al.  Diode laser-induced uveitis and visual field defect. , 2007, Ophthalmic plastic and reconstructive surgery.

[15]  C. Ash,et al.  Measuring key parameters of intense pulsed light (IPL) devices , 2007, Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology.

[16]  E. McBurney Side effects and complications of laser therapy. , 2002, Dermatologic clinics.

[17]  H. Skelton,et al.  Histologic features seen in changing nevi after therapy with an 810 nm pulsed diode laser for hair removal in patients with dysplastic nevi , 2001, International journal of dermatology.

[18]  Z. I. Carrim,et al.  Iris damage and acute pigment dispersion following photo-epilation , 2006, Eye.

[19]  T. Albini,et al.  Ocular complication of intense pulsed light therapy: iris photoablation. , 2010, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[20]  E. Tanzi,et al.  Effect of a Novel Low‐Energy Pulsed‐Light Device for Home‐Use Hair Removal , 2009, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[21]  J. Spencer Clinical evaluation of a handheld self-treatment device for hair removal. , 2007, Journal of Drugs in Dermatology.

[22]  H. Moseley,et al.  Assessment of the optical radiation hazard from a home‐use intense pulsed light (IPL) source , 2009, Lasers in surgery and medicine.

[23]  Godfrey Town,et al.  Are home-use intense pulsed light (IPL) devices safe? , 2010, Lasers in Medical Science.

[24]  W. Hall,et al.  Selective Photothermolysis : Precise Microsurgery by Selective Absorption of Pulsed Radiation , 2005 .

[25]  S. Lanigan,et al.  Incidence of side effects after laser hair removal. , 2003, Journal of the American Academy of Dermatology.

[26]  T. Albini,et al.  Ocular Damage Secondary to Intense Pulse Light Therapy to the Face , 2011, Ophthalmic plastic and reconstructive surgery.

[27]  L. Woung,et al.  Iritis and pupillary distortion after periorbital cosmetic alexandrite laser , 2011, Graefe's Archive for Clinical and Experimental Ophthalmology.

[28]  B. Zelickson,et al.  Clinical study to determine the safety and efficacy of a low‐energy, pulsed light device for home use hair removal , 2010, Lasers in surgery and medicine.

[29]  A. Brézin,et al.  Ocular complications after laser epilation of eyebrows. , 2007, European journal of dermatology : EJD.

[30]  G. Georgopoulos,et al.  Iris atrophy and posterior synechiae as a complication of eyebrow laser epilation. , 2007, Journal of the American Academy of Dermatology.

[31]  K. Khatri Diode Laser Hair Removal in Patients Undergoing Isotretinoin Therapy , 2004, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[32]  J. Uitto,et al.  Systemic isotretinoin: effects on dermal wound healing in a rabbit ear model in vivo. , 1990, The Journal of dermatologic surgery and oncology.

[33]  G. Town,et al.  Hair removal with a novel, low fluence, home-use intense pulsed light device , 2009, Journal of cosmetic and laser therapy : official publication of the European Society for Laser Dermatology.

[34]  H. Esmaili,et al.  Leukotrichia Developed Following Application of Intense Pulsed Light for Hair Removal , 2002, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[35]  M. Landthaler,et al.  Recurring Mistakes in Tattoo Removal , 2008, Dermatology.

[36]  Shraddha Desai,et al.  Paradoxical Hypertrichosis After Laser Therapy: A Review , 2010, Dermatologic surgery : official publication for American Society for Dermatologic Surgery [et al.].

[37]  R. Geronemus,et al.  Keloid formation with the 585-nm pulsed dye laser during isotretinoin treatment. , 1997, Archives of dermatology.

[38]  J. Kvedar,et al.  Hirsutism: evaluation and treatment. , 1985, Journal of the American Academy of Dermatology.

[39]  Wenzel Sm Current concepts in laser tattoo removal. , 2010 .

[40]  C. Lerche,et al.  Carcinogenesis related to intense pulsed light and UV exposure: an experimental animal study , 2006, Lasers in Medical Science.

[41]  H. Zachariae,et al.  Delayed wound healing and keloid formation following argon laser treatment or dermabrasion during isotretinoin treatment , 1988, The British journal of dermatology.

[42]  S. Vlachos,et al.  Development of Terminal Hair Following Skin Lesion Treatments with an Intense Pulsed Light Source , 2002, Aesthetic Plastic Surgery.

[43]  Julian M Handley,et al.  Adverse events associated with nonablative cutaneous visible and infrared laser treatment. , 2006, Journal of the American Academy of Dermatology.

[44]  P. Bjerring,et al.  Relevance of the structure of time‐resolved spectral output to light‐tissue interaction using intense pulsed light (IPL) , 2008, Lasers in surgery and medicine.

[45]  R. Hugtenburg,et al.  Investigation and development of a measurement technique for the spatial energy distribution of home-use intense pulsed light (IPL) systems , 2011, Journal of medical engineering & technology.