CASE REPORT
Post-laser hair removal folliculitis: A case report
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1
Department of Ophthalmology, School of Medicine, Walailak University, Nakhon Si Thammarat, THAILAND
2
Division of Dermatology, Department of Internal Medicine, School of Medicine, Walailak University, Nakhon Si Thammarat, THAILAND
3
Center of Excellence in Data Science and Health Study, Walailak University, Nakhon Si Thammarat, THAILAND
Publication date: 2024-09-12
Electron J Gen Med 2024;21(5):em606
KEYWORDS
ABSTRACT
Depilation through laser hair removal has gained popularity due to its long-lasting effects, which can last for
several months and, in some cases, be considered permanent. This method also improves quality of life. However,
common complications include blistering, pigmentary changes, and scabbing. Folliculitis is rare, with most cases
being mild and transient. We hereby report on a 33-year-old healthy Thai male who rapidly developed severe
folliculitis one day after undergoing diode laser treatment, which combined three wavelengths (755 nm, 810 nm,
and 1,064 nm) into a single pulse. The condition improved significantly following a short course of prednisolone
and topical benzoyl peroxide. At the 4-week follow-up, the lesions had nearly resolved, with only a few
erythematous papules and hyperpigmented follicular macules remaining and no scarring. Further studies are
needed to clarify the mechanism of folliculitis after hair removal laser treatment, enabling more effective
prevention and management for patients.
REFERENCES (28)
2.
Maziar A, Farsi N, Mandegarfard M, et al. Unwanted facial hair removal with laser treatment improves quality of life of patients. J Cosmet Laser Ther. 2010;12(1):7-9.
https://doi.org/10.3109/147641... PMid:20020837.
3.
Blume-Peytavi U, Gieler U, Hoffmann R, Lavery S, Shapiro J. Unwanted facial hair: Affects, effects and solutions. Dermatology. 2007;215(2):139-46.
https://doi.org/10.1159/000104... PMid:17684377.
5.
Thomas MM, Houreld NN. The “in’s and outs” of laser hair removal: A mini review. J Cosmet Laser Ther. 2019;21(6): 316-22.
https://doi.org/10.1080/147641... PMid:31018716.
6.
Kao Y-C, Lin D-Z, Kang Y-N, Chang C-J, Chiu W-K, Chen C. Efficacy of laser in hair removal: A network meta-analysis. J Cosmet Laser Ther. 2023;25(1-4):7-19.
https://doi.org/10.1080/147641... PMid:37493187.
7.
Mallat F, Chaaya C, Aoun M, Soutou B, Helou J. Adverse events of light-assisted hair removal: An updated review. J Cutan Med Surg. 2023;27(4):375-87.
https://doi.org/10.1177/120347... PMid:37272371.
10.
Hussain M, Suwanchinda A, Charuwichtratana S, Goldberg DJ. A new long pulsed 940 nm diode laser used for hair removal in Asian skin types. J Cosmet Laser Ther. 2003;5(2):97-100.
https://doi.org/10.1080/147617... PMid:12850801.
11.
Royo J, Urdiales F, Moreno J, Al-Zarouni M, Cornejo P, Trelles MA. Six-month follow-up multicenter prospective study of 368 patients, phototypes III to V, on epilation efficacy using an 810-nm diode laser at low fluence. Lasers Med Sci. 2011;26(2):247-55.
https://doi.org/10.1007/s10103... PMid:20981465.
13.
Arsiwala SZ, Majid IM. Methods to overcome poor responses and challenges of laser hair removal in dark skin. Indian J Dermatol Venereol Leprol. 2019;85(1):3-9.
https://doi.org/10.4103/ijdvl.... PMid:30027915.
14.
Fayne RA, Perper M, Eber AE, Aldahan AS, Nouri K. Laser and light treatments for hair reduction in Fitzpatrick skin types IV–VI: A comprehensive review of the literature. Am J Clin Dermatol. 2018;19(2):237-52.
https://doi.org/10.1007/s40257... PMid:28791605.
16.
Nelson JS, Majaron B, Kelly KM. Active skin cooling in conjunction with laser dermatologic surgery. Semin Cutan Med Surg. 2000;19(4):253-66.
https://doi.org/10.1053/sder.2... PMid:11149606.
19.
Schuler A, Veenstra J, Tisack A. Folliculitis induced by laser hair removal: Proposed mechanism and treatment. J Clin Aesthet Dermatol. 2020;13(5):34-6. PMid:32802254.
20.
Garcia-Zuazaga J. Pseudofolliculitis barbae: Review and update on new treatment modalities. Mil Med. 2003; 168(7):561-4.
https://doi.org/10.1093/milmed... PMid:12901468.
22.
Omi T. Static and dynamic modes of 810 nm diode laser hair removal compared: A clinical and histological study. Laser Ther. 2017;26(1):31-7.
https://doi.org/10.5978/islsm.... PMid:28740327 PMCid:PMC5515709.
23.
Adrian RM, Shay KP. 800 nanometer diode laser hair removal in African American patients: A clinical and histologic study. J Cutan Laser Ther. 2000;2(4):183-90.
https://doi.org/10.1080/146288... PMid:11350674.
24.
Ogunbiyi A. Pseudofolliculitis barbae; current treatment options. Clin Cosmet Investig Dermatol. 2019;12:241-7.
https://doi.org/10.2147/CCID.S... PMid:31354326 PMCid:PMC6585396.
25.
Noorbakhsh SI, Bonar EM, Polinski R, Amin MS. Educational case: Burn injury–Pathophysiology, classification, and treatment. Acad Pathol. 2021;8:23742895211057239.
https://doi.org/10.1177/237428... PMid:34869832 PMCid:PMC8637691.
26.
Żwierełło W, Piorun K, Skórka-Majewicz M, Maruszewska A, Antoniewski J, Gutowska I. Burns: Classification, pathophysiology, and treatment: A review. Int J Mol Sci. 2023;24(4):3749.
https://doi.org/10.3390/ijms24... PMid:36835171 PMCid:PMC9959609.
27.
Burgess M, Valdera F, Varon D, Kankuri E, Nuutila K. The immune and regenerative response to burn injury. Cells. 2022;11(19):3073.
https://doi.org/10.3390/cells1... PMid:36231034 PMCid:PMC9563909.
28.
Korkmaz HI, Flokstra G, Waasdorp M, et al. The complexity of the post-burn immune response: An overview of the associated local and systemic complications. Cells. 2023;12(3):345.
https://doi.org/10.3390/cells1... PMid:36766687 PMCid:PMC991340.