The fundamental mechanism is selective photothermolysis. In the 700-1000 nm range, laser energy specifically targets melanin within the hair shaft to generate intense heat. This thermal energy is then conducted to the hair follicle's stem cells, destroying the biological structures responsible for hair regeneration.
The core success of this mechanism relies on a precise energy transfer: the laser heats the optical target (the hair shaft), which then diffuses that heat to destroy the biological target (the follicle stem cells).
The Principle of Selective Photothermolysis
Targeting the Right Chromophore
The effectiveness of lasers in the 700-1000 nm range relies on identifying a specific light-absorbing molecule, known as a chromophore.
In hair removal, the primary chromophore is melanin. This pigment absorbs light energy efficiently within the infrared and near-infrared spectrums provided by these lasers.
Wavelength Specificity
The 700-1000 nm wavelength window is critical because it allows for deep penetration while maximizing absorption by the melanin.
This specific range ensures the energy is absorbed by the hair rather than being reflected or absorbed excessively by surrounding tissues.
The Energy Conversion Process
Converting Light to Heat
Once the laser energy strikes the hair, the melanin absorbs the photons.
This absorption instantly converts the laser's light energy into thermal energy. The hair shaft essentially becomes a heated rod within the skin.
Optical vs. Biological Targets
It is crucial to distinguish between what the laser hits and what it intends to kill.
The optical target is the hair shaft itself, which absorbs the light. The biological target consists of the hair follicle stem cells, which are responsible for regrowth.
Mechanism of Follicle Destruction
Thermal Diffusion
For the treatment to be effective, the heat generated in the hair shaft must travel outward.
The thermal energy diffuses from the heated hair shaft into the surrounding follicular epithelium.
Stem Cell destruction
This diffusion of heat reaches the stem cells located within the follicle bulb and bulge.
When these cells are raised to a sufficient temperature, they are thermally destroyed, rendering the follicle incapable of producing a new hair shaft.
Understanding the Trade-offs
Melanin Dependence
Because the mechanism relies on melanin as the "antenna" for the energy, the presence of pigment is non-negotiable.
Hairs with little to no melanin (white, gray, or very blonde hair) cannot absorb the laser energy required to generate heat.
Heat Transfer Limitations
The process relies on indirect heating. The laser does not hit the stem cells directly; it relies on the hair shaft to carry the heat to them.
If the hair shaft is not properly connected to the follicle (as seen in different growth phases), the heat may not successfully diffuse to the stem cells, leading to treatment failure.
Making the Right Choice for Your Goal
To maximize the efficacy of treatments using 700-1000 nm lasers, you must assess the patient's physiology against the mechanism's requirements.
- If your primary focus is treatment success: Ensure the patient has sufficient melanin in the hair shaft to act as an effective optical target.
- If your primary focus is long-term permanence: Recognize that multiple sessions are required to catch hairs in the growth phase where the shaft is physically connected to the stem cells.
Permanent reduction is only achieved when the thermal transfer from the hair shaft effectively neutralizes the follicle's reproductive stem cells.
Summary Table:
| Component | Role in Hair Removal Mechanism |
|---|---|
| Wavelength | 700-1000 nm (Deep penetration & high melanin absorption) |
| Chromophore | Melanin (The primary light-absorbing molecule) |
| Optical Target | Hair Shaft (Converts light energy into thermal energy) |
| Biological Target | Follicle Stem Cells (Destroyed via thermal diffusion) |
| Key Principle | Selective Photothermolysis (Targeted destruction without skin damage) |
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References
- Ioana Teodora Tofolean, Radgonde Amer. Laser-induced CNV following hair removal procedure. DOI: 10.22336/rjo.2019.44
This article is also based on technical information from Belislaser Knowledge Base .
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