Precise adjustment of the laser pulse width is the defining factor in preventing collateral skin damage. It is necessary to match the pulse duration to the hair diameter to ensure the laser energy destroys the hair follicle while adhering to the specific thermal limits of the surrounding tissue.
Core Takeaway Effective hair removal relies on selective photothermolysis. By calibrating the pulse width to the hair's diameter, you ensure heat accumulates sufficiently to destroy the follicle without dissipating into the dermis, thereby preventing scarring and protecting non-target tissues.
The Mechanics of Heat Confinement
To understand why pulse width must change with hair diameter, you must look at the physics of heat retention and transfer.
Matching the Thermal Relaxation Time
Every object absorbs and loses heat at a specific rate, known as its Thermal Relaxation Time (TRT).
For laser hair removal to be safe, the duration of the laser pulse (pulse width) must be roughly equal to or shorter than the TRT of the hair follicle.
This ensures the target (the hair) absorbs the energy faster than it can cool down, causing destruction.
The Role of Hair Diameter
The diameter of the hair directly dictates its TRT.
Thicker hairs have more volume and retain heat longer; they have a longer TRT.
Thinner hairs cool down very rapidly; they have a shorter TRT.
If you treat a thick axillary hair with a pulse width optimized for fine hair, the energy delivery may be too aggressive, potentially damaging the skin surface.
Conversely, treating fine hair with a long pulse allows the hair to cool down during the pulse, rendering the treatment ineffective.
Preventing Collateral Damage
The primary safety goal in axillary treatments is to contain the thermal injury strictly to the follicle.
Avoiding Heat Dissipation
If the pulse width is too long relative to the hair's diameter, the follicle cannot hold the heat.
Instead of destroying the root, the excess thermal energy conducts outward into the surrounding dermis.
This "heat leakage" is the primary cause of adverse effects, including burns, pigmentation changes, and scarring.
Preserving Non-Target Tissues
The skin in the axillary region is sensitive.
By strictly adhering to the principle of selective photothermolysis, you protect the skin structure.
Correct pulse width ensures the skin—which has a different TRT than the hair—remains cooler than the threshold for damage.
Common Pitfalls to Avoid
While pulse width is critical, it functions within a broader system of parameters. Understanding the trade-offs helps prevent clinical errors.
The Risk of Static Settings
A "one-size-fits-all" approach to pulse width is dangerous.
Axillary hair often varies in thickness depending on the patient's genetics and the stage of treatment.
Failing to reassess hair diameter at every session can lead to ineffective results (if hair thins out) or unnecessary skin trauma.
Balancing Fluence and Spot Size
Pulse width does not work in isolation; it interacts with fluence (energy level) and spot size.
While larger spot sizes (e.g., 18mm) improve depth of penetration and speed, they do not correct for improper pulse width.
Practitioners must adjust fluence (e.g., 10 J/cm² to 14 J/cm²) alongside pulse width to maintain the correct energy density for the specific hair texture.
Making the Right Choice for Your Goal
When configuring your laser device for axillary hair removal, assess the hair characteristics first.
- If your primary focus is treating thick, coarse hair: Select a longer pulse width. This matches the longer thermal relaxation time of large diameter hairs, heating them slowly and safely without burning the epidermis.
- If your primary focus is treating fine or residual hair: Select a shorter pulse width. This is required to "snap" the follicle with energy before it can cool down, ensuring efficacy on smaller targets.
Ultimately, the correct pulse width is the barrier between a successful treatment and a clinical injury.
Summary Table:
| Hair Texture | Diameter Size | Thermal Relaxation Time (TRT) | Recommended Pulse Width | Clinical Objective |
|---|---|---|---|---|
| Coarse/Thick | Large | Long | Longer | Safe, deep heat accumulation without epidermal damage |
| Fine/Thin | Small | Short | Shorter | Rapid energy delivery to destroy follicle before it cools |
| Medium | Standard | Moderate | Balanced | Precise thermal confinement to the hair follicle |
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References
- Josiane Hélou, Roland Tomb. Nouveaux effets indésirables du laser dépilatoire axillaire. DOI: 10.1016/j.annder.2009.04.005
This article is also based on technical information from Belislaser Knowledge Base .
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