Pulse width functions as the critical "timer" that determines the duration of laser energy release during a single shot. In laser hair removal, adjusting this parameter controls the balance between heating the hair follicle to a destructive temperature and allowing the surrounding skin enough time to cool down, thereby ensuring the treatment is both effective and safe.
Core Takeaway The optimal pulse width exploits the difference in "cooling time" between skin and hair. By setting the duration between the Thermal Relaxation Time (TRT) of the epidermis (3–10ms) and the hair follicle (10–100ms), you ensure the skin dissipates heat safely while the follicle retains enough energy to be permanently destroyed.
The Principle of Selective Photothermolysis
Defining Pulse Width
Pulse width, measured in milliseconds (ms), is the length of time the laser actually emits light on the skin.
It acts as the rate of delivery; a shorter pulse delivers energy aggressively and instantaneously, while a longer pulse spreads that same energy out over time.
The Role of Thermal Relaxation Time (TRT)
Every tissue has a specific TRT—the time it takes for the tissue to lose 50% of its heat.
The epidermis (skin surface) cools down quickly (3–10ms), while the hair follicle is larger and holds heat longer (10–100ms).
The Target Window
To achieve safety and efficacy, the pulse width must be calibrated to hit a specific window.
It should be longer than the TRT of the epidermis to allow the skin to cool, but shorter or matched to the TRT of the hair follicle to ensure heat builds up sufficiently to destroy it.
Maximizing Efficacy: Destroying the Follicle
Targeting the Stem Cells
The ultimate goal is not just to burn the hair shaft, but to destroy the regenerative stem cells located in the "bulge" of the follicle.
Primary reference data indicates that professional devices typically use a long-pulse mode (10ms to 100ms) to achieve this.
Heat Diffusion Mechanics
This specific timing facilitates a controlled slow diffusion of heat.
The laser heats the melanin in the hair shaft, and the pulse width allows that heat to radiate outward just enough to cook the surrounding stem cells without damaging distant tissue.
Adjusting for Hair Thickness
Thicker hair has a longer TRT (it holds heat longer).
Therefore, thicker hair generally requires a longer pulse width to allow thermal energy to conduct fully from the shaft to the entire follicle structure.
Ensuring Safety: Protecting the Epidermis
Preventing Epidermal Damage
If the pulse width is shorter than the skin's TRT (e.g., <3ms), heat accumulates in the epidermis faster than it can dissipate.
This rapid accumulation can exceed the tissue's heat dissipation capacity, leading to burns, protein coagulation, and scarring.
The "Cooling" Gap
By setting the pulse width above 10ms, you allow the epidermis to cool via thermal conduction during the energy delivery.
This is particularly vital for darker skin types (like Type IV), where melanin in the skin competes for energy; a setting like 30ms helps prevent acute erythema and pigmentary changes.
Understanding the Trade-offs
The Risk of Short Pulses
Aggressive, short pulse widths (e.g., 5ms) create "instantaneous heat accumulation."
While highly effective at shocking the hair, this significantly raises the risk of pain and collateral damage to the epidermis and surrounding collagen.
The Risk of Excessively Long Pulses
If the pulse width is set too long (exceeding the follicle's TRT), the heat diffuses too broadly into the surrounding dermal tissue.
This results in "sub-lethal" heating of the follicle—meaning the hair isn't destroyed—and unnecessary heating of the dermis, which lowers overall efficacy.
Making the Right Choice for Your Goal
To optimize clinical outcomes, you must customize the pulse width based on the patient's specific physiology.
- If your primary focus is treating darker skin tones: Increase the pulse width (e.g., 30ms+) to allow the epidermis time to cool and prevent surface burns.
- If your primary focus is treating coarse, thick hair: Use a longer pulse width to match the hair's slower thermal relaxation time and ensure heat reaches the deep follicle structure.
- If your primary focus is treating fine hair on light skin: A shorter pulse width (closer to the 10ms range) is often necessary to heat the small target quickly before it cools.
Mastering pulse width is about respecting the physics of heat transfer to kill the hair while sparing the skin.
Summary Table:
| Hair/Skin Type | Recommended Pulse Width | Core Mechanism |
|---|---|---|
| Thick/Coarse Hair | Long (30ms - 100ms) | Matches long TRT to ensure heat reaches follicle stem cells. |
| Fine/Thin Hair | Short (10ms - 20ms) | Heats small targets quickly before they can dissipate energy. |
| Darker Skin Tones | Extended (>30ms) | Provides epidermis time to cool, preventing surface burns. |
| Light Skin/Dark Hair | Moderate (10ms - 30ms) | Optimizes heat accumulation in follicle with low epidermal risk. |
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References
- Merete Hædersdal, Christina S. Haak. Hair Removal. DOI: 10.1159/000328272
This article is also based on technical information from Belislaser Knowledge Base .
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