An 18mm spot size achieves significantly deeper physical penetration than a 12mm spot size due to reduced lateral scattering. While a smaller 12mm spot allows photons to diffuse sideways quickly, the larger 18mm diameter maintains beam directionality. This ensures a higher percentage of the total laser energy reaches the hair follicles located deep within the dermis, rather than dispersing in the upper layers of the tissue.
Core Takeaway Laser penetration is not determined solely by power, but by the containment of light. Larger spot sizes (18mm) minimize the "edge effect" of photon scattering, effectively forcing energy vertically into the skin to target deep-seated roots that a 12mm spot often fails to reach.
The Physics of Laser Penetration
The Mechanism of Scattering
When laser light enters skin tissue, it does not travel in a perfectly straight line; it naturally scatters.
This scattering is the primary obstacle to reaching deep targets. In smaller spot sizes like 12mm, a significant portion of photons scatter laterally (sideways) out of the beam's path before they can penetrate deeply.
The Advantage of Volume
An 18mm spot size creates a larger volume of light within the tissue.
By increasing the diameter, you effectively insulate the center of the beam with its own outer edges. This drastically reduces the ratio of photons lost to lateral dispersion, allowing the central core of the beam to travel deeper with greater intensity.
Clinical Implications: 18mm vs. 12mm
Targeting Deep Follicles
The primary clinical difference is the ability to destroy the root.
Hair follicles for coarse hair often reside deep in the dermis. A 12mm spot may deliver heat to the skin surface, but due to scattering losses, the energy density attenuates (weakens) before reaching these deep roots.
Uniformity of Energy
An 18mm spot delivers energy more uniformly to the target depth.
Because the larger beam overcomes scattering losses, the energy profile remains consistent as it travels down. This leads to higher clearance rates for deep-rooted hair compared to the 12mm spot, which may only effectively treat shallower follicles.
Understanding the Trade-offs
The Power Requirement
While a larger spot size improves penetration, it requires significantly more power to be effective.
To maintain the same destructive force (fluence) across an 18mm area as you would on a 12mm area, the laser system must generate much higher total energy. If the system cannot sustain high fluence over the larger spot, the benefit of depth is lost because the energy delivered will be too weak to destroy the follicle.
Precision vs. Coverage
The 18mm spot is optimized for bulk heating and depth, but it is physically larger.
For extremely small or contoured areas, the 18mm size may be unwieldy compared to the 12mm option. However, for large areas like backs or legs, the 18mm spot not only penetrates deeper but also shortens treatment duration significantly.
Making the Right Choice for Your Goal
To select the correct spot size, you must balance the anatomical location with the depth of the hair targets.
- If your primary focus is deep-rooted or coarse hair: Prioritize the 18mm spot size to ensure energy overcomes scattering and actually reaches the follicle bulb.
- If your primary focus is treatment speed on large areas: Use the 18mm spot size to maximize coverage per pulse while maintaining the depth required for effective clearance.
- If your primary focus is restricted by system power: Ensure your laser can deliver therapeutic fluence at 18mm; otherwise, a 12mm spot with higher fluence is preferable to a large spot with weak energy.
Optimizing the spot size is the single most effective physical adjustment for converting surface energy into deep-tissue results.
Summary Table:
| Feature | 12mm Spot Size | 18mm Spot Size |
|---|---|---|
| Penetration Depth | Shallow (Higher lateral scattering) | Deep (Reduced photon scattering) |
| Energy Distribution | Weakens quickly in dermis | Remains uniform at depth |
| Target Hair Types | Fine or shallow-rooted hair | Coarse and deep-seated follicles |
| Treatment Speed | Standard | Significantly faster for large areas |
| Power Requirement | Lower | High (Requires robust laser systems) |
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References
- Keyvan Nouri, Carlos Ricotti. Comparing 18- Versus 12-mm Spot Size in Hair Removal Using a Gentlease 755-nm Alexandrite Laser. DOI: 10.1097/00042728-200404000-00004
This article is also based on technical information from Belislaser Knowledge Base .
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