Underarm Hair Removal: Laser vs. Other Methods - Dermatology

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Underarm hair removal consultation


Hello Dr.
Wu, I have consulted with a dermatologist who advised against shaving armpit hair, as it may cause the regrowth to be coarser.
They only recommend laser hair removal.

1.
I would like to ask if using scissors will also cause the hair to become coarser?
2.
If I use hair removal cream, will the new hair not become coarser? Or do you have other recommendations?
3.
What are the side effects/risks of laser hair removal? (For the laser treatment: potential failure, injury, scarring, skin lesions, increased pigmentation, darkening, skin sensitivity, itching, and complete inability to sweat? Regarding overall health: could it reduce sweating and heat dissipation, leading to fever or illness? Is there a risk of developing skin cancer or other serious diseases?)
Thank you sincerely for your time in responding, Doctor.

a, 10~19 year old female. Ask Date: 2024/01/17

Dr. Wu Yuxin reply Dermatology


There is no standard answer for hair removal methods; one should choose the method that is most suitable for oneself.
Trimming hair does not make it coarser.

Reply Date: 2024/01/17

More Info


When it comes to underarm hair removal, there are several methods available, each with its own advantages and disadvantages. The most common methods include shaving, waxing, depilatory creams, and laser hair removal. Let's delve into your specific questions regarding these methods and their implications.

1. Using Scissors for Hair Removal: If you choose to trim your underarm hair with scissors, it is unlikely to make the hair grow back thicker or coarser. The perception that hair becomes thicker after cutting is a common myth. When hair is cut, it is blunt at the end, which can make it feel coarser as it grows back. However, the actual structure of the hair follicle remains unchanged. Therefore, using scissors is a safe option if you want to manage the length of your underarm hair without the risks associated with shaving or other methods.

2. Depilatory Creams: Depilatory creams work by chemically dissolving the hair at the skin's surface. Similar to trimming, using these creams does not cause the hair to grow back thicker. However, they can cause skin irritation or allergic reactions in some individuals, so it’s essential to perform a patch test before applying them to a larger area. If you are looking for a method that minimizes the risk of hair becoming coarser, depilatory creams can be a viable option, provided you do not have sensitive skin.

3. Laser Hair Removal: Laser hair removal is often recommended for its long-term benefits. It targets the hair follicles with concentrated light, which can lead to permanent hair reduction over time. However, there are potential side effects and risks associated with this method. These can include:
- Skin Irritation: Temporary redness, swelling, or discomfort in the treated area is common but usually subsides quickly.

- Pigment Changes: Some individuals may experience changes in skin pigmentation, such as darkening or lightening of the skin, particularly in those with darker skin tones.

- Scarring: Although rare, there is a risk of scarring if the procedure is not performed correctly or if the skin is not properly cared for post-treatment.

- Increased Sensitivity: The treated area may become more sensitive to sunlight, necessitating the use of sunscreen to prevent sunburn or further pigmentation changes.

- Infection: As with any procedure that affects the skin, there is a risk of infection if proper hygiene is not maintained.

Regarding your concerns about overall health, laser hair removal does not significantly affect sweating or thermoregulation. While it may reduce hair in the underarm area, it does not eliminate the body's ability to sweat entirely. The body has multiple sweat glands, and the removal of hair from one area does not compromise the overall function of these glands.
As for the concern about skin cancer or serious diseases, there is currently no evidence to suggest that laser hair removal increases the risk of skin cancer. However, it is crucial to have the procedure performed by a qualified professional to minimize any risks.

In conclusion, each hair removal method has its pros and cons. If you are looking for a long-term solution, laser hair removal is effective, but it is essential to be aware of the potential side effects. If you prefer a less invasive method, trimming or using depilatory creams can be suitable alternatives. Always consult with a qualified dermatologist to discuss your options and determine the best method for your skin type and hair growth patterns.

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