Manual thermolysis

Hi all,

I have been a lurker of these forums for quite some time and this is my very first post. I will start by saying that I have found this community to be an extremely valuable and informative one that has helped me greatly over the last year.

I am a 27 year old male in Melbourne, Australia. I began getting laser hair removal in Sydney when I was 20 years old and like many others I experienced hair stimulation in several areas that resulted in a lot of frustration and depression. I continued with laser for years as I really didn’t think there was any other way to manage the excess hair, but thanks to these forums I made the decision to begin electrolysis about six months ago.

Unfortunately it has been very difficult to find an experienced electrologist in Melbourne, and none that I have come across seem to use new machines that have micro/picoflash technology. The first electrologist I saw for five months was ok but was ‘plucking’ quite a lot of hairs (she used a combination of manual thermolysis and blend) - so I made the decision to find someone else. I have been seeing another electrologist for about a month now and she has been practicing electrolysis for about 35 years. While I am happy with the treatments themselves, she only performs manual thermolysis on her very old Sterex(?) epilator. I am seeing her for two hours per week and I am wondering if I am actually likely to achieve any permanent results with his kind of method within the usually quoted timeframe of 12-18 months. I have read that manual thermolysis can take years to be effective. Is it worth continuing, or should I perhaps start thinking about getting my treatments interstate from an electrologist who uses more modern technology? I have often seen comments on this forum that the effectiveness depends on the skill of the operator, but would still love some insights from some professionals in this field.

Thanks so much for your help!

Manual thermolysis is no less effective than computerized pico flash. It may not be able to be epilated per hair as fast but the result, a dead hair follicle is as effective either way.Neither does the age of the machine matter all that much, thermolysis has been done successfully for many years.

That said was one of the electrologists you tried Christine O’ Connell in Sydney? She posts here and seems to know what she’s doing.I believe she uses modern equipment as well.

Seana

Hi amatthew.

Laser induced hair growth is something I personally experienced when I worked for a clinic back in the 90’s. I was the electrologist there and then trained to do laser. I was initially a guinea pig for that clinic. Sigh. So, I understand the upset and frustration. There are just some criteria/areas that are not ideal to treat with laser and other body areas where the results are phenomenal. Clarify, you got laser hair removal during a 7 year period? Did they grade your skin pigment? Were the hairs thick overall? Hair color and hair thickness? How frequently did you go? What areas did you see good results? What areas did you see stimulated growth?

More people are discovering that skin color and hair color do not matter for electrolysis. We successfully treat it all. Now that you discovered electrolysis, your new concerns are:
> new machine vs. old machine
> completion of treatment within a 12 - 18 mo. time

If you happen to come across an electrologist who is using a high-end modern epilator and works in a way where the hairs are removed very quickly with minimal/no resistance, great! If you can’t find this, then what is the best criteria outside of that situation?

Find an electrologist, regardless of needle type epilator, who can get those hairs to release most easily. The advantage of the newer machines is that the electrologist has many options in the way energy is released. This can mean that more follicles are treated with greater comfort in your 2 hour appointment.
Go for the operator that gets a higher percentage of easy releases - regardless of needle type epilator.

Would you add some clarification on your use of the term, “manual”?
When you indicate, “Manual” do you mean that the epilator was analog (with dials) rather than digital? Do you mean, “Manual” as using foot pedals/finger switch?

In any event, it is not the machine that will determine the better treatment. It is the way the tech. is using it.

You worry that the speed is a little slower and that you might not be completed within a year to a year in a half. What time frame did the electrologist give you?

Please clarify, in your 2 hour weekly appointment, is your electrologist clearing over and over again all of the areas that you want completed? Are new areas being treated in this 2 hr. appointment? Those areas that were treated first and is consistently being treated, might very well be hair free in under 2 years. What did your electrologist tell you about overall treatment time?

All the best,

Hi Seana and Arlene,

Thank you for your responses!

Seana, I am aware of Christine in Sydney and would LOVE to be treated by her as I have heard such wonderful things, but unfortunately I am in Melbourne (1.5 hour flight away…)

Arlene, to answer your questions and give you some background;

  • I have not had my skin tone graded, however I am of mediterranean background (Italian). Most of the year my skin is pretty white, however there is always a very subtle olive colouring regardless of whether I have been exposed to sun or not. I would guess I would be a III or IV. I can develop a nice tan gradually but still get burnt occasionally.

  • I have only ever been treated with a Candela GentleLase (Alexandrite)

  • In 2006 I began laser treatments on the following areas: lower and upper legs, lower and upper arms, chest and stomach and back of neck. The hair was thick, black and dense on my legs (more so lower), lower arms and very centre of my chest. The hair on the periphery of the chest, entire stomach, upper arms and back of neck was light brown and quite ‘fluffy’ - but as I was hair-obsessed I wanted it treated thinking laser would get rid of any hair with pigment in it (this is what I was told by the clinic). From 2006-2008 I was getting treatments every 6-8 weeks and am not sure of the settings that were used during this period.

  • When I first started treatments I also had a few ‘stray’ light black hairs on my shoulders and these spots were ‘zapped’ during my regular treatments. Over time, there seemed to be more darker hairs appearing in this area and I would say after about 12 months, I was getting my entire shoulder area treated. After 24 months, I was getting the entire upper half of my back treated as well.

  • 24 months after I began treatments, I would say I had a 40-50% reduction of hair density on the legs and chest. Arms did not really change - maybe a few very small patches with little/no growth. At this point I had experienced stimulation on the back of my neck, upper arms, shoulders and upper back, and possibly on the peripheral areas of the stomach and chest. The hair that was stimulated was light to medium brown, but quite dense - the worst areas for stimulation were the shoulders and back of neck. There were also a few random nasty terminal hairs that popped up on my inner arms that were very thick and black.

  • I moved interstate in 2008 and from this point I only got the ‘problem areas’ (i.e. upper arms, shoulders, upper back and neck) treated. Generally I was happy with how my legs and chest were looking - the hair was sparse and not very noticeable if I clippered it. For the first 6-12 months of 2008, I was being treated on 12-18J, 18mm spot size (gradually increasing the joules at each treatment). From 2009-2013, I was being treated on the ‘highest setting’ - 20J, 18mm spot size. I was getting these treatments every 10-12 weeks.

Although I have stopped laser on my ‘problem areas’ in favour of electrolysis, I recently started laser again on my lower arms only at higher settings (16J, 18mm) in October 2013 and I am noticing some improvements. I have had two treatments so far at 12 week intervals and the regrowth seems to be a lot sparser and lighter. I have my next appointment in a few days - but I’m a bit worried about the laser going back over those ‘bald patches’ or areas where the hair has thinned dramatically following the last treatment. I don’t want to be back at square one…

Now for electrolysis…

By ‘manual’, I meant that the unit my current electrologist is using is not digital or ‘modern’ in any way - my guess is it would be about 20 years old. It’s very small and has a single dial to adjust the current. The current is released manually with a finger switch. She works efficiently and I feel absolutely no resistance or pulling - I am pretty confident that she is zapping those hairs quite well, especially compared to my previous electrologist. She is quite obsessed with making sure she is approaching the hair from the right angles and has me changing positions quite a lot (she is also moving around a bit too to get the ideal position for the area she is treating). I guess time will tell!

As for the 12-18 month timeframe, this is what my previous electrologist quoted - however she also said that it would take about 10 hours to entirely clear my upper arms, shoulders, neck and half back and it took about 50 hours minimum. My current electrologist is kind of hesitant to quote a timeframe - she’s just used previous clients as examples and said it can take up to a few years.

I currently have two one hour appointments each week and the goal is to clear and re-treat. We do not move on to new areas until regrowth in the previously treated areas have been cleared again. My feeling is that we will only need a single one hour appointment each week in about 6 months time (hopefully!)

All best,

-amatthew

Analog thermolysis machines work fine in the hands of a skilled operator.That your electrologist has that much passion for getting the angle just right, tells me you have a winner.

Seana

Analog and Digital?

Think about this for a second folks.

When you step into a brand new Mercedes or BMW and look at the instrumentation what do you see? You SEE analog indicators. You do not see a “digital read-out” any more, because the top designers understood that “the old fashioned speedo,” for example, made more sense to people.

Still, there is nothing “analog” in a Mercedes’ system. The speedometer is not attached to the wheel with a cable (early 20th Century) or to the distributor (‘til the mid-1980s) because there aren’t distributors any more in ANY cars!

Likewise, there are no “analog” electrolysis machines any more. All machines are microprocessor controlled. Hell, you CAN’T even buy “analog components” any more (maybe in some random antique store?). Indeed, several manufacturers are using analog “dials” to satisfy the demands of their clients (and doing this is actually more expensive for them).

Furthermore, the CURRENTS used are not “magically digital.” There are no “zeros and ones” going into the follicle and the follicle is not filled with “pixels” … no … this is Galvanic DC (producing lye) and HF (heat producing). Humans are “analog” and so is the actual current! There is nothing digital about a “burn.” (Electrolysis is a controlled burn!)

What makes machines interesting is their use of programming … very interesting and worthy of note too. I am not “knocking” the “computer-controlled” units … please! I think they are terrific and I support the new technology.

However, the whole “digital age” nomenclature is significantly overused these days. And, of course, historically, every era does this.

At one point we were in the “Atomic Age” and, YES FOLKS, the electrolysis machines of the period stated that their “output” was RADIATION! RADIATION! Yes, everybody wanted an “Atomic Age epilator!" (Seriously, there was never a reactor in any electrolysis unit!) And, at one time, we were all going to drive “atomic powered cars!” (Probably not a good idea?)

Same goes for the “Radio Age.” Ever wonder about “Radio City Music Hall,” or why early movies always stated “Radio” in the title? Did you know that originally “RKO Studios” called themselves “an RKO RADIO Movie.” Why? Because we were in the “Radio Age” and everybody got into the action. Is there anything about a movie that’s, well, RADIO?

It’s not that “analog machines still work fine …” It’s just that there aren’t “analog” machines any more.

Yes, I have talked about this a few times before … but, I know this will never get any traction. You cannot change the “talk of the period.” But, I’m just “saying … “

And besides, this is my “morning book.”
(Seana, I’m just going outside to remove some snow … tee hee!)

You’re absolutely right Michael. I should have said " non-computerized units" work just as well as ones with fancy routines. It’s a bit nitpicky though isnt it?

Seana

No, “words” are my craft.
I love the English language.

Most of us (well, mostly Americans) are sloppy with our usage (butchery?) … sadly; the British seem to be catching up to us. (This statement only relates to the general “populace at large.”)

To me “analog” denotes electrolysis units with vacuum tubes and hand wiring.

Remember the days when “everything” had a TRANSISTOR? And, predictably, the electrolysis manufacturers declared their revolutionary units: "TRANSISTORIZED!”

The Clare Company (now called Clareblend … and I did work for them for a few years) proudly advertised “the first transistorized electrolysis unit in the world.”

(Thing is, you could pretty much only buy transistors … and vacuum tubes had already become ancient history.)

In the 1950s, a battery-powered radio itself was called a “Transistor!” I don’t think we use that term any more. Does anybody know what a transistor is, or use the term? If you said, “I’m going to buy a transistor,” people would think you’re nuts. At one point in history that did mean something!

Words change. Meaning IS important. Crafting language is vital and not all that easy to communicate your message. (Remember too that all my thinking is usually based on the “history of the thing.” It was my university training.)

Can I say ‘test patch’ again?

Sure. I think everybody knows what “test patch” means? Clear, unambiguous and to the point. The language changes all the time, meanings change, it’s all about communication: overt and “subtle.” (Notice I used a lot of sentence fragments … it’s what we do today.)

In the old “Soviet days,” the Russians wanted to give the world the “blessings of communism.” Communism had a different meaning in the West!

Today the operative word “democracy” has wildly different meanings. In the West this is our cultural icon of the “holy grail.” In the theocracies of the Middle East, “democracy” has the meaning of uncontrolled people living sinful lives.

A friend that grew up in Syria said he was instructed in school that if “we have democracy, all the women will become whores and all the men homosexuals.” Which is REALLY funny if you think about it!

It’s all about meanings, and if people understand your meaning as you intended. This is no easy task. And, I’m certainly no arbiter of language. Damn!

As Churchill once said, “This is the sort of language up with which I shall not put!” Now, let’s all get back to pimples, swelling, regrowth and all that other “fun stuff!”

Note:

I think the real advantage of the newer “programmable/computerized” machines is that they offer more tools: more possibilities to tailor the treatment to the individual client.

I don’t think anybody actually cares what makes a machine work … it’s in HOW it works and what it DOES that matters.

Worrying about machine components, “digital or analog,” or even megahertz is pretty meaningless. I think it’s all about the “new tools” available and the possibilities. If I worked with, say, “Dectro” … this would be how I would “pitch” the machine! Because I think this is the real meaning of these devices.

The larger array of tools might be disadvantageous to a complete beginner. These “possibilities” could look daunting when you are starting out. In the hands of an expert, however, that takes control of these tools, it’s pretty exciting really.

Hi amatthew. You have been very patient in your hair removal journey. I think, based on the amount of time you have devoted to laser, your best bet for the remaining hair is electrolysis.

I understand that getting a quote of 10 hours to clear an area and discovering that it took 50, is disheartening. Wow. Did you ask the electrologist what the 10 hours meant? 10 hours for an initial clearing? 50 hours to completion? I can’t imagine being able to complete such a large area in only 10 hours. A first clearance might be what she meant.

Sometimes, when a client comes in, after they have had laser, we are unaware of how much hair will grow in. Perhaps this is why your current electrologist is hesitant. The thing is, continue asking questions. Communicate with your techs.

Regarding your skin, my laser tech friends suggest Bio Oil after treatment to prevent hyperpigmentation. I suggest warm and cold compresses after electrolysis. For your skin type, try some warm water for 5 minutes and then an additional 5 minutes, on and off, of ice cold water.

Do you still have any concerns about your current electrolysis treatment?

All the best,

Hi Arlene,

Sorry for my delayed reply - I had difficulties accessing the site for a while!

Did you ask the electrologist what the 10 hours meant? 10 hours for an initial clearing? 50 hours to completion? I can’t imagine being able to complete such a large area in only 10 hours. A first clearance might be what she meant.

The electrologist definitely quoted 10 hours for an initial clearing and 50 hours for completion (which I was dubious about after doing plenty of research on these forums) … and of course those estimates were way off - the clearing itself probably took close to 50 hours, but in all fairness we were frequently going back over regrowth during the clearing. I didn’t really question her about the time, we just continued with the treatments. Anyway, as I mentioned, I decided to leave this person and seek someone new (for other reasons - mainly because I was feeling too much plucking) and I feel much better about my current electrologist even though it is still early days.

Thanks for your suggestions on skin treatments following laser and electrolysis - I’ll give these a go! I frequently use aloe vera too which I like.

Based on the reassurance I have gotten from this thread, I don’t have any concerns about my current electrologist at the moment. I’m pretty confident she is getting most of those hairs and will update in a few months’ time - fingers crossed that it is all good news!

Thank you to all for your help. I really appreciate it.

Best,
-amatthew

Having been “plucked” myself.

Yes, I was there too. I spent three years with an electrologist in Santa Barbara (at least 2 hours every week) getting my upper body worked on … with about 10% reduction. This horrid experience is what initially propelled me to enter the field. I thought, “If I can’t ‘beat ‘em,’ I’ll ‘join ‘em’.”

I have no answer for you, except to say that in my decades of being in this trade, the outcomes from disparate practitioners is so extreme that none of it makes any sense to me.

One electrologist completes, say, an underarm case and it takes her 200 hours … another (same identical-type case) does the whole thing in 15 hours or less. Standards in the field? There are no standards of performance. Let me put this in another context.

Say you go in for a brake job on your car. Would you expect the mechanic to give you an estimate for the job? Would you accept if he said, “Well, this all depends on many factors … “ Would you accept that one mechanic can do the job and charge you $350, and another might end up charging you $3,000? Yeah, it’s like that!

Indeed, I still believe that most electrologists do a great job and that the really bad work is rare. (But then, I also believe in unicorns!) I have never been able to get a real “handle” on these issues, because PATIENTS almost never complain. Most people “put their tail between their legs” and accept that they have been cheated! And, they blame themselves. (I did it too!)

What I see consistently is that patients RUSH into treatment (laser/electrolysis) without doing a serious TEST to see for themselves if the “thing” is going to work! On Hairtell, here and there, the “correct ‘patch’ test” has been detailed and I hope prospective clients “get it” and stop being PLUCKED! (Or should I say, “Fleeced?”)

Here’s what screws everybody up: BELIEF!

You “believe” the work will go well because you: 1) like the website, 2) like the person, 3) the office is “state of the art,” 4) they have the best equipment, 5) they are a “certified” member of some respected association, etc.

What matters only is direct objective evidence. Something you can quantify and measure. You know, real observable evidence you can count! Still, almost none of us do this and this “very human” behavior always “trips us up!”

Still, no client asks the ONE QUESTION that is essential and real …

Michael, more and more people who are willing to follow your recommendation. “Try the water before jumping!”

I have to add this quote to my collection!

[quote=Michael Bono

Standards in the field? There are no standards of performance.

What matters only is direct objective evidence. Something you can quantify and measure. You know, real observable evidence you can count! Still, almost none of us do this and this “very human” behavior always “trips us up!”

Still, no client asks the ONE QUESTION that is essential and real …
[/quote]

You are right. This should be the main goal of all schools and associations. This case woman belly could have been mine, but does not. It is a work done by one of my assistants. I will not give her name because she does not want, so I will respect her wish. My purpose is to show that the results can and should be standardized:

Before first clearing(December 2012)

Before second clearing (March 2013):

8 months later (November 2013):

Another example of a work that is not mine:

Before first clearing (May 2013)

After (November 2013)

Josse, only another electrologist can say this to you:

Looking at your photos … you work too hard! I hope your patients appreciate you; and I know they do.

I was, of course, fishing for somebody to ask me what that “ONE important question” would be … no takers (probably didn’t read my long-winded post).

However, the "key” question is not based on any standard, or what you or me or Dee Dee can do. The important thing is to ask the electrologist what SHE can do! If you want to clear off an area every 3 months, or every 6 weeks … it’s all a matter of strategy. And, strategies are different; not necessarily better.

For example, if I were having my chest hair removed, I would ask these questions:

  1. How many “chests” have you done?
    (This is a real number and not vague. The electrologist (or laser person) should have some idea. Is the number “zero,” five or maybe 200 cases?

  2. On average, how many hours of treatment did it take to complete this type of job?
    (Also a straightforward questions and one the electrologist should know.)

All of this is based ONLY on the one electrologist … not some “universal standards” (that will never be established).

Variables? YES of course. But there is an average base-line with all cases. A guy with more than average hair (or less than) will take longer or less time … that’s all factored in.

Answering these questions with: “Oh, I do a lot of this work, I do this all the time,” or “Oh, that will take a year or so,” means absolutely nothing.

Anyway, that’s my thought for the evening.

Yeah, for some reason patients are reluctant to ask these questions. Remember, getting answers to these questions could save you a ton of money and wasted time!

Amattew can I ask which electrologist you saw in melb and what the outcome
Was ?