Monday, 5 April 2021

Customers Beware!

 

Customers Beware! (Abridged, easy-to-read version)

1. Electrolysis and laser hair removal (LHR) aren't for everyone. For non-exhaustive lists, please click here for electrolysis  and click here for LHR.

2.
Customers must understand that, in order to achieve results of permanent hair removal/reduction, your follicles must be inflamed 10-15 minutes after electrolysis or laser hair removal treatments. Once follicles & skin received trauma, they will heal by firstly inflame (red & swollen); some scabs may form; post inflammatory hyperpigmentation (PIH) may also form. These are not permanent and are parts of normal skin healing process, unlike permanent scars.

For LHR, no follicular inflammation, no results!

Mild hair follicle inflammation, less results!

 

Video search via Google or TikTok using the following keyword: "perifollicular edema hair removal"

Ex 1,   Ex 2,   Ex 3


Please note that, PIH can last from a few months upto around 2 years while gradually fading away. If you don't want to wait that long, there are quicker solutions for this PIH. But your hair is gone forever!

 

If scabs appear, do not scratch them away. This can cause scarring. Allow them to fall off naturally. Avoid any heat and frictions over the treated areas. For examples, avoid wearing chafing fabrics. Tight & chafing clothing may scratch scabs, create frictions & heat over the skin that still inflames causing prolonged healing process. Wear loose breathable natural fabrics such as cotton or linen. Avoid using hot water, but using cold or slightly lukewarm water to shower treated area for at least 48-72 hrs post treatment.

Scabs, if form, should be mild, gentle, shallow & pinpoint in sizes, (not hard, big & deep).

 

 

How skin look after Electrology hair removal:

 






 

 

 

 

Click here for another example of how skin normally heals post laser hair removal.

 

Provided you are good candidate for LHR and strictly follow our instructions, you will receive more than 80-95% permanent hair reduction within 4 - 6 treatments, within initial 2 years.



3.1 For electrology, some customers are so naive that they don't even realise that they are being over-treated by their therapists. As a client, you should be able to distinguish "normal healing vs under-treatment vs over-treatment".

-- One time of electrolysis over-treatment can cause scarring (= permanent marks). How do you know that your are overtreated? See case photos & vdos under the following subtopics:

"How your skin should temporarily look after electrolysis treatment?" &

"Examples of bad treatments =>"

Signs of overtreatements from electrolysis:
your treated skin area either:


i) is being blanched, become hypo-pigmentation  and/or


The proper electrology is aimed to completely destroy hair follicles, but not the outermost skin. When the top layers of skin turns blanched during the procedure, this indicates that it gets cooked, just like when egg white starts to change from fresh clear liquid to cooked cloudy solidified. Therapists must avoid this at all costs by adjusting either energy setting, probe size, &/or depth & angle of probe insertion. Please do not get confused with this overtreatment event and production of sodium hydroxide (lye) during when galvanic or blend methods are used.
 
 
ii) oozes clear yellowish liquid, then open pinpoint wounds develop


-- Multiple timeS of electrolysis under-treatmentS can also cause permanent scars because your therapist doesn't have the right skills and/or cannot see your hair because of no proper visual aids and/or insufficient lighting, thus cannot remove your hair permanently within one attempt and have to treat the same follicles over and over. These scars take time to develop. It's scary and mostly concerned because it isn't obvious. How do you know that you are not under-treated? You shouldn't feel being plucked and you should see result. For more info read "Expectation:". 

 

If your healing follows normal healing pattern, you won’t scars.

But if you were over-treated/under-treated, you can end up scarring permanently.
Scar won’t form or appear suddenly from thin air out of nothing, but there are continuous cascade events that eventually lead to it, when you won’t heal properly after the electrology procedure. If you healing follows normal healing patterns, you won't scars.

 


3.2 For any light/optical therapies, including laser, IPL and diode hair removal, over-treated signs of blistering and/or burning will not appear straight after you are hit by the light beam, but few minutes or even few hours after that. This is the reason why patch tests must be performed for different areas at least few days prior to the treatment.


So how do you know that you are over-treated?
When light beam hitting your skin, you will feel like a hot rubber-band snap and/or needling hotness of your hair follicles, without any lingering pain/soreness &/or heat. Your skin should cool down almost immediately. If it feels extremely hot, sore and is not cooling down, you MUST alert your therapist immediately. The heat & pain should go away almost immediately as soon as the pulse stopped & moved away from that treated spot.
Any lingering pain or burning sensation can result in blisters and/or burn.

Compared to the situation when you have extended sun exposure, such as when you go to the beach, you will only feel lingering heat but you won't see any skin reactions yet. Then within a day or two after that skin reaction either tanning, blistering, peeling or sun burn will start to appear. This is similar to burn caused by light therapies, such as Laser, diode, IPL or LED.

 

4. Hair should gradually fall out within a week or two after treatment. Although this may appear to be hair growth at first, it is not. This process is called purging or shedding and will take time (upto 1-2 weeks after the treatment). If this does NOT happen, the LHR treatment wasn't effective and don't waste your money and time to resume the next LHR session/treatment.

 

5. For LHR, timing between each session is essential, not only to obtain the most ultimate long-term result in hair removal/reduction, but also to minimise hypertrichosis risks. Your 1st & 2nd sessions should be between 6 to 8 weeks apart. Then subsequent 3rd to 6th session should be between 6 weeks to 6 months apart. Since laser/diode/IPL works effectively for hair only in anagen. When to resume next LHR session? Not too soon while more density of hair is still required & not too late when hair grow out too long - hair may no longer be in anagen phase of hair growth cycle. These can ruin your ultimate result to have the uttermost reduction. Resume next session as soon as majority of your hair start emerging out from skin. Good time to have treatment is when majority of hair is in anagen, only then u will get the greatest ultimate reduction result.

 

 










 

6. For some clients with undiagnosed insulin resistance (***must watch this***; Probiotic, particularly Akkermansia muciniphila, has been clinically-proven to enhance gut barrier function, support a healthy metabolism, and, most notably, mitigate insulin resistance; inositol) and/or history of allergy, hey fever, eczema, allergic hives, urticaria, over reactive histamine, itch or clients who smoke, they may experience intensified and prolonged inflammation of hair follicles post treatment, thus delayed healing. This is NOT over treatment, but the way how their bodies react to inflammation of destroyed hair follicles, but not skin. Taking oral anti-histamine, such as hayfever tablets, 1 hour before & 48-72 hrs after treatment procedure is optionally recommended to prevent scratching. Optionally, topical creams, such as zinc oxide, steroids or anti-histamine, can also be applied to the itchy areas.
 
If itchy, please DO NOT scratch cause it can lead to delayed healing even further, and lead to intensified + prolonged PIH.
 
(For laser hair removal, therapist should NOT reduce settings because aim is to destroy hair follicles, thus damaged/inflamed follicles are our aims!)




 
References:
-- Examples of non-steroidal creams
-- 1% hydrocortisone creams (Warning! They can have negatively serious effects. Pls read this before buying/using them.)

 

 

7. How does skin look and feel after being over treated by LHR?

Some photos were from Hairtell Forum






8. Some examples of unwanted effects after LHR



erythema ab igne vs reticular erythema: Erythema ab igne is a type of reticular erythema.





Other topics:

-- Go back to starting page, click here.

 

-- Care after Electrolysis/Laser Hair Removal Treatment (aloe vera containing no alcohol)

-- Quick fix for Post Inflammatory Hyperpigmentation (PIH) after electrolysis hair removal


-- Electrolysis PERMANENT Hair Removal (or Needle Epilation)

 

-- Laser Hair Removal (LHR)

-- Overtreatment by LHR: How to detect/spot if u r over-treated & After care 

 

 

Other interesting links:

-- Skin Pores

-- Scabbing

-- Redness of the Skin (Erythema) and Angiogenesis

-- Hyperpigmentation 

 

​​

Thursday, 10 December 2020

Opening Hours

 

Open by appointments only, almost everyday 7 days a week from 10am - 9pm

Public holidays might be open.

Please book in advance before coming. However, it is better to book me a few weeks in advance cause I can be booked out some time.

 

Please contact Nora

Mobile: 0404 345 888

Facebook I: Upwey Laser

Facebook II: Upwey Electrolysis



=> Go back to starting page, click here.



Wednesday, 11 November 2020

First Aid









First Aid priorities

1st follow Drs ABCD

2nd manage bleeding

3rd manage burns

4th manage shock

5th manage other injuries



Drs ABCD


Danger

Check area is safe for you, others, patient => Then approach the casualty from their head to avoid approach of their limbs

Response

Check response – talk and touch

COWS: Can you hear me? Open your eyes? What’s your name? Squeeze my hand?
 

If not yet respond, shake their shoulders.


Send

Send for help – call 000 for an ambulance & get the nearest defibrillator (via app or webpage)

Airway

Open mouth – check for foreign material and keep airway clear if possible

Breathing

Check for normal breathing – look, listen, touch if chest still moves up & down

CPR

Either 100-120 compressions per minute without breath (because disease transmission via mouth-to-mouth isn't worth it.) or

30 compressions : 2 breaths

(pinch nose, tilt head, lift chin & breath)


 

 

 

 

 

Defibrillation

Attach defibrillator (AED) and follow prompts




--  If response, leave the casualty in the position you find him/her.



--  If unconscious, carefully place the casualty into the recovery position and ensure their airway is clear & open.

--  If unconscious with suspected spinal injury, carefully place the casualty into the H.A.IN.E.S recovery position to protect the airway.




 












There are several variations of the recovery position, each has its own advantages. No single position is perfect for all casualties.



How to CPR

 

An ex of real-life CPR & defib


Another example


 



First Aid for Respiratory Arrest

If a casualty stops breathing, but has a strong & regular pulse, there is no need for CPR & defib.

The goal is to establish an open airway using head tilt-chin lift or
jaw thrust when spinal injury is suspected.

If an oropharyngeal or nasopharyngeal airway device is available, consider using these means to assist in airway maintenance.

Administering artificial respiration is when the first aider are breathing for the patient. Avoid excessive ventilation and make sure that you see the complete chest rise and fall with each breath. If you have access to supplemental oxygen, use it. You may use 100% oxygen initially, but it is best to titrate the level of supplemental oxygen necessary to achieve blood oxygen levels of 94% or higher (based on pulse oximetry). Likewise, if you have access to quantitative waveform capnography, you can use it to monitor end tidal carbon dioxide.

Remember that a person who is in respiratory arrest may enter cardiac arrest at any moment. Therefore, it is important to check for pulses.

If the patient enters cardiac arrest, you should commence CPR asap.





Emergency call triple zero (000)

Poisons Information Centre 13 11 26

 

 

Download Emergency App









For other responses, see Australian Resuscitation Council (ARC) guidelines



Saturday, 3 October 2020

How can you tell whether your electrolysis hair removal is effective?

 

You should never feel being plucked during the treatment.

 

Please note that:
The no. of clearances is different from the no. of sessions.
The number of sessions refer to the number of times u visiting therapist.
Each clearance refers to each time u have had ALL hairs in certain area removed/treated.


The thing you don't see doesn't mean it doesn't exist, like hair in exogen phase of growth. Not all the hair grows out of your skin at the time of treatment and not all the hair is at the same stage of growth at any one time. Therefore multiple no. of clearance are required, but how many clearances?

Unlike laser, electrology can remove hair in all stages of growth cycle if done properly.








 

 

 

 

 

Providing your regular commitments, u won't see much change (significantly less hair) until after 6 months of regular electrolysis treatments for facial hair, and

after 2nd clearances for body hair (and each clearance is at lest 3-4 months apart).


In the beginning, sessions are longer in duration and more frequent. Over time, treatments will shrink in duration and be spaced further and further apart until all hair is gone forever. Overall time to clear all hair in a certain area is around 1 1/2 - 2 yrs on average, but a client must spend regular commitments.

For body (non-facial) hair, it takes around 4 clearance on average to have all hair permanently removed, and each clearance is at least 3-4 months apart or longer.


A client should b able to observe the mentioned results with the condition that they have not waxed or plucked their hair for at least past 6 months before their very 1st electrolysis session, otherwise it may take a bit longer or few more sessions than other clients to hv all hair permanently removed.

If a client has laser hair removal (LHR) prior to electrolysis, LHR can retard hair growth upto many yrs. Says 4-6 yrs later u may still see hair regrowth.

Electrolysis can permanently remove hair if done properly. 
 
If you hair still keeps coming back and you don't see much change as explained above you can end up with permanent scarring. Electrolysis not only requires skills and experience, but please ensure your therapist uses visual aid with sufficient magnification and lighting. You don't want them to poke your skin randomly because they cannot see your follicles.
 
Permanent hair removal means you don't require multiple treatments that keep continuing forever. The treatment eventually ceases 1 1/2 - 2 years, on average, after your first initial treatment, but a client must spend regular commitments. 
 
 

Wednesday, 20 May 2020

How do you know if such laser treatment session is effective?


Why many therapists would under treat & avoid using high energy settings?

-- Their clients would have to spend for more treatment sessions, thus more revenue for them.

-- It's more comfortable for clients when applying lower energy settings. But this will ruin clients' ultimate results to have the uttermost/greater hair reduction in the long run. No pains no gain; less pain less gain.

-- Lower risks of over treatments such as blisters or burn when using lower energy

-- Some clients can be very upset over follicular inflammation despite the fact that they have received effective treatment. How can hair follicles get killed if there is no follicle inflammation?

-- It takes time and series of under-treatments for paradoxical hypertrichosis to become noticed, so the therapists can get away with it. Examples of reported cases: Case A, Case B, Case C 

https://www.lasercollege.org/diode-laser-hair-removal-or-hair-growth-stimulation/

https://pubmed.ncbi.nlm.nih.gov/20100274/

 





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Fortunately, in many cases, laser can provide significant hair reduction if done properly without clients ended up with more hair (due to being stimulated by light therapy). Proper laser treatments should not be painless. Your Hair FOLLICLES need to become inflamed 5-10 minutes after being hit by laser, diode, IPL light. The more pronounced follicle inflammation the better sign to indicate some damages to your hair follicles. But the settings shouldn't be too high that can blister or burn you, therefore patch tests to find different settings that are efficacious for different parts of the body are very important. Some hairs purge out from follicles as soon as they get hit by laser, while other hairs should fall out within a week or two after the treatment. If this isn't the case, it's not working.


Hair should gradually fall out within a week or two post LHR treatment.
But it has been 2 weeks now, why my hair doesn't fall out?

Case 1: If some hair fell out and some not, so it looks patchy now. This is because not all hair was in anagen when you were having LHR treatment, provided that your therapist was extremely thorough and no missed patches/no areas left untreated.
Case 2: If not much change and not much hair fell out at all,
2.1 energy settings might be too low (some machines, definitely NOT our machine, have too low power, beyond their capacities to emit energy insufficient to destroy hair follicles.) More effective high settings are higher fluence (J/cm2) & shorter pulse duration/width (in millisecond [ms]). Using too long pulse duration is counterproductive.
2.2 Therapist was too rushing in providing treatment, spending insufficient time to heat each hair follicles by moving laser handpiece too fast and causing lots of missed patches.

Case 3: If not much change and not much hair fell out at all, laser hair removal is NOT effective for you because your hair is either blond, red, grey, white, too light in colours, sparse, thin, fine or vellus.


Additionally, you should avoid having any light treatments (LHR) over the area where there is no hair or where there is vellus or fine hair in order to minimise potential risk of hypertrichosis.



LHR is most effective while your hair is still the most dense, thick, coarse & dark during your very first few sessions. Every time you received treatment, dark pigments (AKA melanins) within your hairs are destroyed & weaken. Less reduction results in subsequent sessions because 

as clients progress with subsequent LHR treatment sessions, their hair becomes finer and lighter, meaning that

their hair contains less dark melanins, thus absorb less light. Therefore laser become less effective. Clients receive greater ultimate reduction results when they are properly treated from the start.

Clients achieve greater amount of hair reduction when:

No follicle inflammation = No results

Less follicular inflammation = Less results


 

More pronounced follicular inflammation (without any lingering pain &/or heat!)= Greater reduction results to achieve long-term/permanent hair reduction/removal and lesser risks of hypertrichosis



Our clients see significant change since their first session even if more sessions are required to meet satisfaction, providing that hair is dark, dense, coarse & thick with light skin colours. Even if laser (diode & IPL) tends to have unpredictable results among different individuals, up to around 6-8 treatments within 1 ½ – 2 yrs are typically required to achieve maximum hair reduction, and I believe that further treatments can induce hair growth. I highly recommend that your initial two Laser Hair Removal sessions are between 6 to 8 weeks apart, then your subsequent 3rd and 6th sessions are between 6 weeks to 6 months apart. You should receive around 80% or more hair reduction.

(Based on our records, our clients require only 4 - 6 sessions.)


When to come for your next LHR? Timing between each treatment is very crucial for ultimate results from LHR. LHR is effective for only hair in anagen phase.
Different body areas have different hair growth cycles. In order to catch the most hair in the anagen phase during your LHR sessions, as soon as a significant percentage of the hair starts emerging from your skin, resume for the next session.



Please note that if you want every single unwanted hair permanently removed, Electrolysis is the only available solution.



Signs indicating effective laser hair removal treatments:











-----------------------------------

Signs of over- and under- treatments

-----------------------------------


 

 

 

No follicle inflammation = No results

Less follicular inflammation = Less results

More pronounced follicular inflammation (without any lingering pain &/or heat!) = Greater reduction results to achieve long-term/permanent hair reduction/removal and lesser risks of hypertrichosis