Saturday, 31 July 2021

Treating Unwanted Hair From Inside Out (for Female)

Topic: Treating Unwanted Hair From Root Causes (for Female) 

 

Many women have invisible fine hair above their lips and on their chins, chests, abdomens, backs, &/or thighs. The growth of coarse dark hair in these areas (more typical of male-pattern hair growth) is called hirsutism. It is the excessive hair growth in androgen-dependent areas in females. 

Whereas hypertrichosis is termed for any excessive hair growth in any body areas that are not only limited to androgen-dependent.

 
Excessive hair growth can be other underlying health problem!

The number of hair follicles each woman has is genetically programmed before birth. Hair follicles exist on every part of the body except lips, palms and soles of the feet. Most of our body hair is fine and uncoloured. Hair growth is controlled by our sex hormones, with androgens, for example testosterone, mainly being responsible for stimulating hair growth and increasing the darkness of body and facial hair. Hair follicles in certain parts of the body are more sensitive to the effects of androgens. We call these areas “androgen-sensitive” areas of the body. These areas include the upper lip, chin, lower abdomen and pubic region, upper arms and inner thighs. Androgen levels speed the growth of hair as well as increase the thickness and darkness of hairs.
 
For some women this is simply genetic and their blood hormone levels are completely normal. Other women may have elevated androgens such as testosterone circulating in their blood causing their increased hair growth.

Women experiencing excess body hair that is more than a minor cosmetic nuisance should seek medical advice to exclude an underlying problem. This is more likely if a woman is also experiencing acne and/or irregular periods. A sudden increase in hair growth may be a cause for concern and indicates the need for medical assessment. 

** Excess hair is one of the consequences, not the cause. To cure the root cause is the ultimate option, but many times solutions aren't yet readily available or undiagnosis or misdiagnosis can lead to inaccurate treatments of the underlying disease. Many approaches including some medications are just symptom managements.
 

Causes:

-- In most cases, the exact cause is idiopathic or never known. It can be congenital or acquired.
-- imbalance level of androgens - The condition often runs in families (genetically related) or you may have a tumour that control/affect these hormones.
-- the degree of sensitivity (metabolism) of your hair follicle to serum androgen.
-- ovarian cysts, such as polycystic ovarian syndrome (PCOS) => Read this interesting story    Must watch this!
-- problems with menstrual periods
-- hyperthecosis - A condition in which the ovaries produce too much androgens
-- tumor or cancer of the adrenal glands, ovary or endometrium
-- stress
-- over production of adrenal cortex hormone
-- lung cancer
-- pituitary disease
-- impaired thyroid
-- Cushing syndrome: excess cortisol levels can stimulate androgen receptors leading to hirsutism
-- congenital adrenal hyperplasia =>
This is an inherited condition in which the adrenal glands producing higher levels of male hormones (anderogen) causing excessive hair. It's usually diagnosed in childhood but may become apparent later in life, causing excessive body hair growth. It is diagnosed with specific blood tests.
-- metabolic diseases, such as diabetes mellitus, hyperinsulinemia
-- insulin resistance (*** must watch this ***)
-- being overweight or underweight, such as anorexia nervosa
-- too much exposure to sunlight
-- constant rubbing/friction of the skin
-- chronic/ long-term itchiness and repeated scratching of the skin, such as lichen simplex
-- vitamin deficiency, such as D3
-- acromegaly
-- hyperprolactinaemia
-- menopause: The drop in estrogen giving rise to testosterone levels during menopause. This can trigger increased hair growth.
-- medications that can stimulate hair growth:
Examples are:
 
Steroids: anabolic steroids, topical corticosteroids, prednisone, androgen hormone therapy, danazol, testosterone, glucocorticoids, DHEA
 
Immunosuppressants: cyclosporine, azathioprine

Anticonvulsants: 
phenytoin, phenobarbital
 
Some contraceptive pills
 
minoxidil, fluoxetine (antidepressant), sodium valproate (used for epilepsy) and etc.

-- Other iatrogenic causes

-- The sudden occurance of long, fine lanugo hair which is called "acquired hypertrichosis lanuginosa" or "hypertrichosis lanuginosa acquisita" can be one of the signs and symptoms associated with cancer of lung or colon, or other diseases
 


References: 123


-- Lumbosacral hypertrichosis (faun tail) with the possibility of underlying spinal dysraphism with potential neurologic sequels


 

 

 What tests should be done?

-- check blood androgen profile
-- check thyroid function: abnormally overactive/underactive
-- screen for tumor or abnormality of certain organs, such as reproductive organs, endometrium, pituitary gland, adrenal glands
-- etc.
 

Regular/normal/annual check-ups of biomarkers with your regular GP are only the tip of iceburg (Watch this!), they omit lots of many other important indicators to help find underline health issue. For better health check-up & tests which are in more details, some times even before it turns into decease, much better check-up orders prescribed by your regular GP => it is highly recommended to consult medical doctors (MD) or specialists who r specialised in anti-aging, preventative & integrative medicine. For an example:

https://niim.com.au/clinic , ACNEM.org or any medical doctors who are board certified with A4M.com

These doctors of medicines are new world medicines, newer & better than our current modern medicine, nothing like your GP & specialists.

 

We can only treat you cosmetically, but the root cause is still there, thus these MDs and GP may be able to help find out & treat the root causes of your underlying health issues.

Modern medicine yet often treat acute symptoms and many infectious diseases successfully, but

it doesn't address the root causes, and instead it is focusing in treating/managing chronic symptoms & disease managements, but it fail to cure them (chronic symptoms/diseases).

Moreover, modern/conventional medicine has become segregated and disintegrative, but I strongly believe medicine should apply integrative, holistic approach to treat the person as a whole, not segregated into separate body systems (such as, endocrinology, Obs/Gyn, neurology, dermatology & etc.) Anti-aging medicine started in the mid 1990s. This branch of medicine aims to close these gaps by helping us address root causes of various chronic symptoms before they develop into or become diseases and applying evidence-based practice (EBP) using the combinations of lifestyle, exercises, mental health, environment, nutrition, supplements and medicines to help prevent chronic diseases developed from just mild chronic symptoms, in order to treat root causes and/or to manage diseases in integrative & holistic manners by interconnecting different body systems as a whole.

In anti-aging medicine, health care should be holistic, integrative & tailor-made (to suit each individual) addressing the root causes of all deterioration and symptoms such to prevent these from developing into diseases, which is different from modern medicine approaches.

Anti-aging medicine is not about making your skin or face look younger, but it is a new/future paradigm of integrative & holistic health care to slow down deterioration & aging process of our body, from cellular level up to promote good health & to maintain good quality of your life for as long as possible.

Anti-aging medicine can also cure, for examples, fatigue, weakness, allergy, inflammation, irritation, insomnia, indigestion, hormonal imbalance, weight management, wrinkles, aging, depression, impaired immune, impaired skin, impaired digestive system, other chronic symptoms/diseases and etc.

Watch this!

 

 

Treatments:

-- Permanent solution => Electrolysis hair removal with medications, hormone therapy, weight loss, proper diets and regular exercises

-- Regular consumption of food such as
 
 

 
-- Other non-permanent solutions, such as laser, diode, IPL, waxing, shaving and etc.

 

Please note even if electrology and some laser hair removal can permanently remove hair cosmetically, but they don't remove the root cause.



Some Medical Treatments:

 -- Eflornithine cream (Vaniqa®) is a cream containing 13.9% eflornithine hydrochloride which temporarily slows hair growth. It is available in Australia by prescription for delaying re-growth of unwanted facial hair in women following depilation such as waxing or plucking. It is applied twice daily to facial areas such as the upper lip or chin.

Studies following women for up to six months indicate that Vaniqa cream significantly reduces hirsutism in women with unwanted facial hair. Vaniqa works in two out of three women after about six to eight weeks of treatment. It works in women with light or dark hair and with light or dark skin colouring.

Because it is effective within a few weeks it works well with other treatments. Combining Vaniqa and laser therapy to treat hirsutism makes the laser more effective. Hair growth returns to its normal rate about 8 weeks after stopping the treatment. Side effects are few but may include acne, local skin irritation and rash. It must not be used in if you have severe kidney disease and is not recommended during pregnancy and breast feeding

-- Prescribed oral medications
Cosmetic management, such as electrolysis and LHR, is sufficient for most women but medical treatment is an option when hair growth is severe. For most women drug treatment is only a temporary measure.
Pharmacological (drug) treatment is recommended when hirsutism is severe or when cosmetic measures have failed. Around twelve months of any treatments (LHR or electrolysis) are necessary to decide if it is effective.
The drugs are only effective when they are used and the benefits fade when they are discontinued. They can be divided into two main categories–drugs that reduce production of the androgen hormone and medications that block androgen action (or anti-androgens). As these medications decrease the effect of androgen (testosterone) action, reduced libido is a common unwanted side effect.
 
  • Oral Contraceptive Pill (OCP)
    The OCP is ideal for women requiring regulation of their periods or contraception. The OCP stops eggs being released by the ovaries. This reduces the production of the androgen hormone and can reduce hair growth. There are oral contraceptive pills that contain a hormone with specific anti-androgen activity, and these have been shown to reduce hair growth over six months.

 

          Inositol vs Metformin: Which is better for PCOS? For me, my preventative medical dr. recommend me to take both daily

 

  • Cyproterone acetate
    Cyproterone acetate can be taken in a low dose as part of an OCP or alone in postmenopausal women. In women with acne and minimal hirsutism, the low dose in the OCP (2mg/day) may be adequate, but women with moderate to severe hirsutism usually require higher doses to achieve a satisfactory response. The most common side effects include lowered libido, diarrhoea, nausea, weight gain, breast tenderness, and headache.
 
  • Spironolactone
    Spironolactone is often used first in treating hirsutism, being as effective as cyproterone acetate. The recommended starting dose is 100mg twice a day and should be continued for at least six to twelve months to achieve the best outcome. In women with regular periods spironolactone may cause irregular bleeding, whereas in women with irregular periods, menstrual regularity may occur. If necessary, menstrual cycles can be regulated by also using an oral contraceptive pill.
 
  • Flutamide
    Flutamide has been shown to be as effective as cypterone acetate and spironolactone, reducing hair growth by seventy percent after a year of treatment. In high doses liver damage is a rare side effect. This has not been seen in the much lower doses commonly used for treating women with hirsutism. Flutamide is not currently available for the treatment of hirsutism in Australia.
 
  • Finasteride
    Finasteride blocks the conversion of testosterone to a more potent form. In one study hair growth was reduced by almost half after 6 months of treatment, and when combined with an OCP the effects were greater. It is not clear if finasteride is as effective as spironolactone, cyproterone acetate or flutamide. Side effects with finasteride have not been commonly reported but may include headache, depression, breast tenderness and decreased libido. Women who may become pregnant should not use finasteride as it can cause genital abnormalities in the male fetus. Finasteride is also used to treat hair loss so it might stimulate hair grow, instead of reducing it. Interesting article: https://www.verywellhealth.com/taking-finasteride-for-pcos-2616525
 
Some references are provided:
 
 
 
Food:

 
 


https://youtu.be/q3wosoik-7k




https://youtu.be/ym7Jt7rehko



Must read! => DIM

 

 

Avoid protein or other processed food from soy beans because it contains certain type of estrogens that can worsen some types of cancers, such as breast cancers, ovarian cancers and etc.

 




Go back to starting page, click here.



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.

 

 

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