Table 1. Paradoxical hypertrichosis after laser hair removal
Light Source |
Incidence |
Location |
Fitzpatrick Skin Type |
Months / # of treatments until onset |
Possible contributing factors |
Level of Evidence |
Reference |
Long-pulsed diode laser |
1/1 |
Upper back (M) |
III |
12 / 3 |
None identified |
Case report |
Bernstein et al [7] |
Long-pulsed alexandrite laser |
3/489 (0.6%) |
Face (2, M/F) Back (1, M) |
IV |
? / 6-11 |
? |
Retrospective review |
Alajian et al [11] |
Intense pulsed light |
5/49 (10%) |
Face (F) |
III |
4-20 / 2-8 |
PCOS (5), hormone therapy (3) |
Retrospective review |
Moreno-Arias et al [5] |
Intense pulsed light |
51/991 (5%) |
Face (F) |
? |
? / ? |
? |
Retrospective review |
Radmanesh et al [10] |
IPL, long-pulsed alexandrite laser |
30/750 (4%) |
Face (28, F) Abdomen (1, F) Back (1, M) |
II (4) III/IV (26) |
3-24 / 3-10 |
PCOS (1), oral prednisone (1) |
Retrospective review |
Kontoes et al [9] |
Intense pulsed light, long-pulsed alexandrite and Nd:YAG lasers |
57/543 (10%) |
Face (M/F) |
III/IV > I/II |
? / 3-10 |
Irregular menses/ovarian cysts (16) |
Retrospective review |
Willey et al [8] |
Long-pulsed diode, alexandrite, and Nd:YAG lasers |
8/75 (10%) |
Face |
? |
? / ? |
? |
Retrospective review |
Bouzari et al [6] |
M, male; F, female; Nd:YAG, neodymium:yttrium-aluminum-garnet; PCOS, polycystic ovarian syndrome |