Alexandrite and Nd:YAG Laser vs. IPL in the Management of Facial Hirsutism: A Retrospective Study

Abstract

Background and objectives: Hirsutism is characterized by the abnormal presence of hair in women, which occurs in typically male areas. The causes of this symptom can be many; however, it is often associated with PCOS. Among the most effective procedures that can be used for hair removal are lasers such as the Alex laser, Nd: YAG, and IPL. Materials and Methods: This study analyzed a total of 71 patients who were treated for hirsutism caused mainly by PCOS; the remaining cases were idiopathic. The patients were divided into two groups: the first group was treated with laser sources, specifically Alex and Nd: YAG, and the second group underwent treatment with IPL. The results were evaluated six months after the last treatment. Results: Out of 71 treated patients, all patients experienced good or excellent hair reduction with greater efficacy in laser-treated patients. The incidence of side effects was low, particularly in the IPL group. Conclusions: Both laser and IPL are efficient, safe, and tolerable procedures in treating PCOS-related and idiopathic facial hirsutism, and both have been shown to have a low rate of side effects. However, the Alex and Nd: YAG lasers guaranteed better hair removal results. A more extensive clinical study will be necessary to confirm our study’s results.