Hairy ears

Small Hairy Ears: Requesting advice for electrolysis treatment plan!

I have a healthy 50 y/o male with small ears with
coarse black hair growth on auricle, helix,
mostly around outer cartilage.
Ears have little fat and cartilage is prominent.
We have done short 20 minute sessions per ear.

Topical anesthetic of BLT, 20%-8%-8% for 30 minutes prior
To procedure.
Even with topical, client has significant discomfort,.
Insertions are smooth, visuals with surgical loupes
He has pain brief pain 7 on 10 scale.

I use the Evolution 7 by silhouette tone
Ballet gold f2 or ballet insulated f2

Settings for ears: thermolysis, T 0.16, INT 90%

These are presets on machine.

Have also tried blend, which he does not tolerate.

Skin without significant problems. Looks good after
Treatment full clearance.

After 4 sessions, 4-5 weeks I have not seen decrease in
Regrowth.

I would appreciate any advice or insight you all could
Give me.

Thanks in advance

Francia

I am not sure what strategy to use next.

1 Like

Some thoughts here:

A size 2 is too small for coarse hair. A smaller probe is a hotter probe. That is probably why he is having more discomfort. Try to use a size 4 or 5 probe. Note, you will have to increase your energy level when using a bigger probe.

Energy levels are specific to epilator brands. You will have to start somewhere and tweak it up or down, until the hair slides out nicely. Ears do ouch more than other places, but you can press, pull or pinch to fool the nerve impulses. Hopefully the BLT penetrates the skin barrier deep enough to offer some relief.

Get him CLEARED every single time. Space the appointments out every 6 weeks. If you do this, the hair you see will be NEW hair growth, not REGROWTH. The first 6-9 months are the hardest, but you should see improvement after that. Educate the client about being patient and instruct him on hair growth cycles. Encourage him to give you time to CLEAR and wait…Clear and wait…>>>>>>> No traction should be felt when the treated hair is lifted out.

Lastly, get those pre-pictures and document at the six month mark and so forth until finished. Offer reassurance as needed.

Hello Dedra,

Thanks for responding promptly.

It is great to get input and feedback from other Electrologist.
I have really been stressing about this.
I am the only ELECTROLOGIST in the city. So no one to consult with.
This office has been operating for 24 years. I purchased the business three years ago. The previous owner has retired and has some medical problems now, so not able to consult.
This forum has been very helpful and informative.

This clients ears are tiny, I will send photos at next appointment.
I did try f3 insulated and gold plated on 2nd appointment, but tiny follicles, got blanching of skin upon insertion, making me think the probe was too large?

I will do as you suggested on next appointment.

This guy is determined to get those ears cleared.
I really want him to have a good outcome.

I will keep you posted.

Best regards

Follow up:

Apologies Deedra , auto correct
Misspelled your name.

Thanks

Do you offer multi needle? I find it very successful on ears. I do 30 minutes per ear per fortnight due to extra healing required. The client does not require emila, comfort level is acceptable to most. After 4 hours of treatment you will see a dramatic reduction. I use sterex 4R 2piece probes. settings: 160 microamps about 5 minutes depending on coarseness of hair. Works every time!

HI,

Thanks for input.

Our Practice is in USA, southern region. I was exposed to the galvanic theory and setup during training and didactic, but have not used straight galvanic mode.

We have used only various models of Silhouette-Tone,
The Evolution HD and the newer Evolution X-D models.
These have all the bells :bell: and whistles. :joy:
Thermolysis and Blend are the factory loaded modes.

Not sure if sterex products are compatible with these epilators.
Do you have access to any videos or a platform where straight galvanic is demonstrated?

I am always looking to expand services in electrology
and open to learning more about straight galvanic.

Our office is the referral center from the local dermatology, gynecology offices, and spa centers that do laser.
We have a steady customer base and looking to give our clients the best possible outcomes.

Thanks for sharing your insights and experiences.

Best regards

Oh yea, to answer the question. We don’t use multi-needle. I really do not have a working knowledge of that mode.

Thanks so very much.

Thanks for the information, looking for more data.

I used the Sil-Tone VMC for years. It was a GREAT epilator. I still own one, but when the probe holder goes kaput, the epilator goes kaput. One question for you: can you go outside those factory presets, far and wide? I worked with the first Evolution and it greatly frustrated me that I coulcn’t be creative with my own recipes to go too far outside those presets. Not good. Has that changed with the newer generations?

Hey Dedra,

We are on CST and just finishing up at office for the day.

We still our VMC in pristine condition but retired to the closet. :joy:
Could not get any probe holders. All our backup holders finally broke and were just un repairable. Even had an electrical engineer try to piece the probes together. Finally, epilator was unsafe to use. Talked with silhouette’s account rep. She assured us that there were no probes anymore. The company quit making them and the newer models did not have probe compatibility.

The HD is very similar and have about 16 pre-sets . Thermo and Blend, with hair density parameters. you can adjust timing and intensity.

The newest Evolution XHD is about 25 pounds and promoted as the bridge between IPL -laser and electrology.
It works very well on vellus hair and that pesky hypertrichosis which we get lots of referrals to address.
IT has 3 frequencies specific for each type of hair. We had some success with it. And for sure have purchased backup probes and cables. :joy:

These are the only epilators we have used here since the business started. It has been 25 years now.

Considered the Apilus xCell Pro, but decided to stay with what we know.
Although Electrology is our primary niche
We also use Spectrum Laser/IPL sytem , mostly the Diode for hair removal.

Great chatting with a group of experienced hair removal specialists!

I am relatively new to the business and need all the insight I can get.

Thanks and best regards

When you say you can adjust the intensity and timing, specifically I’m wondering how much? When I used the first generation, it would only let me go so far above the preset. On my Apilus Xcell Pro, I am given the freedom to go from 1-100% intensity and the timing adjustment is just as generous. I’m not a fan of factory presets, but I know why they have to exist.

Have you considered trying a lower intensity setting, even if it means more sessions? Sometimes less is more when it comes to pain management, especially on sensitive areas like the ears.

Hello

Hello,

Thanks for all the feedback.

I have tried lowering the intensity and/or increasing the timing with variations in results.
With the tiny hairy ears client,
I am at the point in thinking I was inserting probe too deep in follicle and missing my target area.

He is scheduled for next appointment in four weeks and
I will send photos at that time.

Just sharing a training video fro the newest generation

We have been using the latest generation of silhouette’s
EVO X HD.

So far has been user friendly and has many options.

In manual mode you can override presets and increase or decrease timing and intensity. The video has just been uploaded on U Tube for a couple of weeks and has been helpful.

We are still acclimating ourselves to all the functions.

If you get some down time, please consider viewing the video and share your thoughts.

Thanks

https://youtu.be/ZIdoiTy8Rys?t=230 https://youtu.be/ZIdoiTy8Rys?t=230