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The Best of the Best
July 2010

Top-Accessed Article: Hair Removal in Pigmented Skin

Arch Dermatol. 2010;146(7):718. doi:10.1001/archdermatol.2010.98

Alster TS, Bryan H, Williams C. Long-pulsed Nd:YAG laser-assisted hair removal in pigmented skin. Arch Dermatol. 2001;137:885-889.

This was a nonrandomized study that analyzed the clinical and histologic effects of the Nd:YAG laser as a hair removal device. The study showed that laser hair removal could be done safely with minimum dyspigmentation and other adverse effects in the 20 women who were skin types IV through VI. The article also provided the degree of response (70%-90%), the response at different body sites (face, axilla, and leg), the duration (over a 12-month period), and the findings of histologic analysis. The work behind this article opened up the field of laser hair removal to all skin types. It also helped create a new treatment option for diseases that are centered around the hair follicile, such as pseudofolliculitis barbae and hidradenitis suppurativa.

From June 2004 through August 2009, this article was viewed 3575 times on the Archives of Dermatology Web site.

Contact Dr Hamzavi at the Department of Dermatology, Multicultural Dermatology Center, Henry Ford Hospital, Detroit, MI 48202 (ihamzav1@hfhs.org).