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#111039 - 12/05/13 02:22 PM "Aftermath" of electrolysis
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
A client was kind enough to send a photo of his upper back and neck that was cleared about 3 weeks ago (the photos are “hidden” somewhere in the millions of Hairtell threads).

I’m posting this photo for prospective electrolysis patients to see, and think about. With clearing off large areas of body hairs, what you see in this photo is common, expected and appropriate. There’s a lot going on in this photo and I won’t take the time to discuss all the “stuff” going on.

But, you will notice tiny areas of irritation, fast growing anagen hairs (amazing how FAST), and tiny plugs of what’s left of the dead follicles.

All of this clears up, of course, and the skin will eventually be perfect. However, those seeking electrolysis for permanent hair removal must consider that your post-treatment skin is not going to look very good for a few weeks thereafter.

This is a great client and I will show you what he looks like in a few months when all the new hairs have grown in. (At the start of the 2nd clearance most patients think I’m a fraud! And, that’s also expected.)

Electrolysis is NOT a “walk in the park,” but it is guaranteed to DELIVER permanent hair removal!

In a sense, electrolysis is like “the Big Bang!” Laser often takes a few years of repeated treatments to achieve the goal. Electrolysis is a “BIG BOMB,” but never takes more than 3 or 4 clearances over a period of, say, 9 - 10 months.

Yes, laser seems fast, but you must also consider the overall time the entire process takes: the ELAPSED time. Elapsed time? Electrolysis is faster!


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#111041 - 12/05/13 03:26 PM Re: "Aftermath" of electrolysis [Re: Michael Bono]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
Here’s another photo (same guy). I left this a bit larger file so you may zoom in to really have a good look-see.

The area is the upper back near the underarm area. There are a few things happening in this photo. I’ll let Jossie “have a go at this,” but those “pustules” you see are NOT pustules!

Hint: new anagen hairs, hyperpigmentation (PIH) near the underarm, sebaceous papules and a bit of residual inflammation. Can you spot more?


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#111042 - 12/05/13 03:36 PM Re: "Aftermath" of electrolysis [Re: Michael Bono]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
Another note on the above photo:

If you look closely (and the lighting was perfect to show this), you will see that each "dead follicle" is a bit raised and the skin almost looks like it has "goose bumps," you know, when you get cold.

Here’s what’s happening. The follicle is now filled up with “wound collagen.” This initial mend is very rough and always causes a tiny mound to form. During the next several months, the body will completely replace the wound collagen with perfectly formed collagen … and the “bump” will completely disappear to skin level.

The guy is not showing this very well, but you might be able to detect some angiogenesis in each follicle (this is more difficult to spot on the back, but very easy to see on areas that have thin skin such as the fingers or toes.)

And THANKS to the “Oregon kid” for letting me use these fine photos!

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#111045 - 12/05/13 06:49 PM Re: "Aftermath" of electrolysis [Re: Michael Bono]
Lara07 Offline
Major Contributor

Registered: 06/29/13
Posts: 61
Thanks for sharing the realities of how bad the skin looks after treatments and clearances. I wish this part said was true for me, however:

"Electrolysis is a “BIG BOMB,” but never takes more than 3 or 4 clearances over a period of, say, 9 - 10 months."

I think this is misleading for people. I've had three clearances on my chin and cannot say the same results have happened. I am happy that they are becoming more spread out, but it will take longer than your expected amount of time.

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#111046 - 12/05/13 08:17 PM Re: "Aftermath" of electrolysis [Re: Lara07]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
Oh so true! And, oh so "not true."

The reality is the "bomb" works on BODY hair and with men that have not been "fiddling" with the hairs: left alone and untouched.

Not so with faces and especially women's cases. LOTS of reasons for this, but cases like yours are unlike the body and take “forever.”

Not misleading! Just completely different territories!

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#111050 - 12/06/13 12:14 AM Re: "Aftermath" of electrolysis [Re: Michael Bono]
Lara07 Offline
Major Contributor

Registered: 06/29/13
Posts: 61
That makes more sense. Do your female facial hair clients typically see permanency in the 18 month window or more/less?

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#111051 - 12/06/13 12:29 AM Re: "Aftermath" of electrolysis [Re: Michael Bono]
depilacionelectr
Unregistered


Originally Posted By: Michael Bono
Here’s another photo (same guy). I left this a bit larger file so you may zoom in to really have a good look-see.

The area is the upper back near the underarm area. There are a few things happening in this photo. I’ll let Jossie “have a go at this,” but those “pustules” you see are NOT pustules!

Hint: new anagen hairs, hyperpigmentation (PIH) near the underarm, sebaceous papules and a bit of residual inflammation. Can you spot more?





Yes, indeed, we can see dozens of small sebaceous papules that do not contain pus as someone who is not familiar with the normal progress in the body work might think. Unlike pustules that can leave marks, these little "pearls" disappear without trace. We can also see a couple of "tombstones", typical from the treatment in an area with a majority of hairs in telogen. We can see a small percentage of false regrowth (or new growth), ie hairs which could not be treated due to lack of a "pathfinder" wink (because exogen hair during first clearing). Hence, these hairs have appeared weeks later.
However, what is most significant here is the high percentage of "kill rate". 100%? oh yeah.

This is something that pleases the eye, especially today, after working in a male chest previously treated by another colleague, without the slightest evidence that something has happened. Really unfortunate.

Note: The illustrations are from the book "Treatment Strategy for Electrology" by Michael Bono.


Edited by depilacionelectr (12/06/13 12:39 AM)
Edit Reason: add note

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#111053 - 12/06/13 01:57 AM Re: "Aftermath" of electrolysis [Re: ]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
Jossie, English may not be your "first language," but you speak better than I.

(Or is that "me?" No, I think "I" is correct ... doesn't sound right though! Damn silly English language anyway. And spelling? "Forget about it!")

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#111054 - 12/06/13 02:09 AM Re: "Aftermath" of electrolysis [Re: Michael Bono]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
Looking closely at the photo, I think a few of the "tombstones" are actual "instant regrowth" (I spot 2 of these). Yes, I either missed the follicle or didn't deliver enough "juice." (I'll do those 2 hairs for free next time.)

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#111055 - 12/06/13 02:30 AM Re: "Aftermath" of electrolysis [Re: Michael Bono]
Michael Bono Offline

Top 10 Contributor

Registered: 01/11/11
Posts: 3185
Loc: Santa Barbara, CA USA
OH ... Hi Lara07,

I just noticed your post. Generally yes ... 18 months. However, a significant number of cases of female hair involves the dreaded "hormones."

If I woman is at, or passed, “menopause” I can clear the hair, but she will usually need one or two short treatments per year … with no end in sight.

And, this is soooooo frustrating for both the client and the electrologist. By contrast, what you see on your underarms is a “done deal.” Remove these and a hair will never grow in for the rest of your life … EVER!

Guys too, if they are young, often have not fully developed their body hair; so this can also be an on-going situation until it all grows in.

Not so with the SUPER hairy guys. These “Oh my God!” cases indicate that nearly all the body hairs have grown in, so results will be spectacular (and actually easy). Once gone, the hair will stay gone!

Seriously, my own frustration with WANTING to get women’s faces done fast has actually made me stop treating women’s faces altogether. Luckily we have a super electrologist in town that gets all my “face cases.”

I suppose I want results even more than the patient. The cases that drag on-and-on seem draconian, and I start to feel like I’m cheating people. When I hear on the phone, "The hairs have ALL grown back AGAIN," my heart sort of sinks. (The use of "all" REALLY gets me ... it feels like a knife in my stomach.)

So, I've stopped doing it. I think okay, fine, "screw it!" Of course, any body hair on a woman (or hairline) is fine however ... it's not hormone related in nearly all cases.

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