Management of Unwanted Hair

Gurpreet S. Ahluwalia

The Gillette Company, a wholly owned subsidiary of The P&G Company,

Needham, MA, USA

10.1 Introduction 240

10.2 Physical Methods 240

10.2.1 Shaving 240

10.2.2 Epilation 241

10.3 Chemical Methods 242

10.3.1 Depilatory Creams 242

10.3.2 Enzyme Depilatories 243

10.3.3 Cosmeceuticals for Hair Reduction 244

10.3.4 Pharmaceuticals (Rx) for Hair-Growth Control 244

10.3.4.1 Hormonal Treatments 244

10.3.4.2 Vaniqa (Eflornithine), a Topical Drug (Rx)

for Unwanted Facial Hair 245

10.4 Energy-Dependent Processes 246

10.4.1 Electro-epilation 246

10.4.2 Laser and Light-Based Systems 246

10.4.3 Photodynamic Therapy for Hair Removal 247

10.5 Biochemical Target-Based Hair-Growth Reduction 247

10.5.1 Patented Technologies on Hair-Growth Regulation 247

References 249

Gurpreet S. Ahluwalia (ed.), Cosmetic Applications of Laser and Light-Based Systems, 239-252,

© 2009 William Andrew Inc.

10.1 I ntroduction

The main function of mammalian hair is to provide environmental protection. However, this function has now largely been lost in humans, in whom hair is retained or removed from various parts of the body essentially for cosmetic reasons. Though both men and women remove hair, it is the appearance of hair on a woman’s body that is perceived as unnatural. Women feel that hair does not belong to their body, except for the scalp, and constantly seek means to rid themselves of this unwanted hair. In Western culture, the hair-free body is the norm for women [1,2]. The issue of unwanted hair is further magnified, and takes on a whole new significance, for women who suffer from the presence of terminal hair on their face. The psychological aspects of having facial hair is extremely devastating to women, who will go to great lengths to hide the condition, as it is a condition accompanied by a significant psychosocial burden [3]. Hirsute patients treated in an endocrinologist’s practice are often the most grateful of all patients, who are satisfied with rather small improvements [4].

Generally, women rely on shaving, depilatory creams, bleaching, waxing, and plucking to remove unwanted hair. Lack of femininity, irritation, and nonperformance are some of the dis­advantages that prevent these cosmetic methods of hair removal from being totally acceptable in this population. Moreover, these approaches provide only a short-lived or temporary effect. Even with these disadvantages, it has been estimated that women spend over $2.0 billion a year on cosmetic remedies for this problem. Among emerging technologies, laser-assisted hair removal has received much attention. The technology introduced about ten years ago has seen a tremendous growth, with the current worldwide revenue of about $2.8 billion (Medical Insight publication). Most of this revenue, however, represents the fee to the service providers paid by the consumer. Table 10.1 lists various hair-removal options available to the women.

Hair removal can be broadly put into two categories, depilation and epilation. The two terms are quite often used interchangeably in the scientific and the patent literature. Sted – man’s medical dictionary probably comes closest to defining them. Epilate is defined as “to extract a hair, to remove the hair from a part by forcible extraction…”. Depilate is defined as “to remove hair by any means.” An important distinction is that in epilation, the com­plete hair shaft is removed from its roots, whereas, in depilation superfluous hair is removed and the hair-root is left undamaged.

Updated: September 19, 2015 — 10:52 pm