How to Remove Facial Hair
Most important, professionalism demands unwavering personal integrity. Regrettably, examples of unprofessional behavior exist. An excerpt from a note from a third-year medical student to the core clerkship director reads as follows I have seen attendings make sexist, racist jokes or remarks during surgery. I have met residents who joke about deaf patients and female patients with facial hair. I have encountered teams joking and counting down the days until patients die. This kind of exposure to unprofessional conduct and language can influence young people negatively, and it must change.
Face, exaggeration of natural lines, and loss of facial hair produce the so-called ''lion face.'' As the disease progresses, ulcerating skin lesions lead to destruction of cartilage and bone. About 30 percent of all victims of Hansen's disease eventually develop crippling deformities due to damaged joints, paralysis of muscles, and loss of soft tissue and bone, especially the fingers and toes. Loss of sensitivity caused by nerve damage results in repeated injuries and infections.
Self-reported severity of facial hair and time spent on hair removal in a randomized controlled trial carried out in 88 women with PCOS (9). A retrospective study assessed 242 patients with hirsutism who received diode laser treatments over 4 years (10). After an average of two treatments (range 16), a sufficient reduction in terminal hairs was achieved for a mean period of 8 months, and the hair-plucking interval was raised from a mean of 3.7 days before treatment to 15.2 days after laser epilation. The procedure was well accepted by about 80 of the subjects. At least in the short term, ruby, alexandrite, and diode lasers or the intense pulsed light resulted in similar success rates. The long-pulsed diode and Nd YAG wavelength-based laser systems are best suited to treat patients with darker skin.
Eflornithine is an irreversible inhibitor of ornithine decarboxylase. This enzyme catalyzes the conversion of ornithine to polyamines, which are involved in the regulation of cell growth and differentiation in several tissues. The enzyme is modulated by androgens and takes part in the physiology of hair growth, regulating the proliferation of matrix cells in the hair follicle. Studies have indicated that blockade of this enzyme activity in hair follicles slows hair growth, and the drug has recently been licensed for topical treatment of facial hirsutism. Percutaneous absorption of the drug is negligible. In short-term clinical studies, eflornithine 11.5-15 cream was better than placebo in reducing hair growth in women with unwanted facial hair, as demonstrated by objective and subjective methods (11). However, hair growth returned to pretreatment rates within a few weeks after stopping treatment. Mild irritation and folliculitis may affect the skin with treatment. Anecdotal evidence...