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True or False? Lasers can sometimes cause Paradoxical Hypertrichosis in higher Fitz clients

The answer is: True!

Paradoxical Hypertrichosis, or PH for short, is when, “energy-based treatments which include laser or IPL (intense pulsed light) can mean some individuals (uncommonly) can end up with more hair, or coarser hair, or a combination of both post-treatments,” explains Dr Williams.


Also – it’s not a condition that happens all over the body – paradoxical hypertrichosis only appears on the face (sideburns, cheeks, upper lips, and chin) and neck for women and the upper torso (back, shoulders and chest) for men.


The exact cause of paradoxical hypertrichosis is still unknown. But experts have narrowed the likely cause down to is how the heat from laser devices is delivered to the skin, causing an almost reversed effect. “PH is thought to be related to an inflammatory response in the skin,” says Dr Williams. Therefore, as the laser device targets the skin, “the heat delivered to nearby hair follicles kick starts and stimulates the hair growth cycle,” adds Dr Wilson. So, instead of the hair follicle starting with coarser hair and almost becoming light peach fuzz (often affiliated with a laser hair removal journey), the hair becomes thicker. The total opposite to the hair removal cycle.


Black individuals naturally have thicker and darker hair, and two – some may also have underlying hormone conditions that can increase the chances of experiencing PH. “The risk of paradoxical hypertrichosis is higher in those with darker skin, especially in women with PCOS (polycystic ovarian syndrome, a hormonal imbalance with elevated levels of male hormones, androgens),” says Dr Williams


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