Folliculitis following hair removal using Intense Pulsed Light: Successful management with 1927 nm Thulium laser - A case report

Abstract

   Background: Hair holds significant aesthetic value; however, unwanted hair growth often negatively impacts psychological well-being and quality of life. Energy-based devices (EBDs), such as lasers and intense pulsed light (IPL), are currently effective and popular solutions for hair removal with few complications. Nevertheless, post-treatment folliculitis can occur, adversely affecting skin health and reducing patient satisfaction with the procedure.
   Case Report: A 22-year-old male (Fitzpatrick skin type IV) presented with acne vulgaris accompanied by pseudofolliculitis barbae. He was initially treated with topical medications combined with IPL hair removal. Following the second IPL session, the patient experienced a massive pustular flare-up. Initial management with IPL in acne mode yielded an incomplete response. Subsequent combination therapy with a 1927 nm Thulium laser resulted in rapid inflammation reduction within 7 days. Clinical outcomes showed significant remission of symptoms alongside a reduction in hair density, meeting the patient's therapeutic goals.
   Conclusions: Folliculitis following hair removal using IPL or other EBDs is a rare and transient complication but requires careful clinical assessment and device parameter adjustment for prevention. Therapeutic interventions, utilizing topical agents or EBDs such as the 1927 nm Thulium laser originally indicated for acne can significantly improve the condition should complications arise. Further research is needed to optimize treatment parameters, particularly for Asian skin types, to maximize hair removal efficacy without compromising the patient's quality of life.

DOI: 10.59715/pntjmp.5.2.22