Medical laser hair removal: a new rotational approach

Medical laser hair removal is a common treatment for both aesthetic and pathological conditions, permitting the reduction of dark and thick terminal hairs and increasing the number of vellus hairs. This study aims to present the clinical outcomes and safety of a new approach for hair removal, combining Nd: YAG (1064 nm), diode (808–810 nm), and Alexandrite (755 nm) lasers in a rotational regimen. From January 2022 to December 2023, 60 patients underwent a complete course of hair removal treatment, which included three sessions with Nd: YAG (1064 nm), diode (808–810 nm), and Alexandrite (755 nm) lasers in a rotational regimen. Follow-up visits were conducted three and six months after the last treatment session to assess the results. Across all treated body areas, the hair reduction at six months was 75.07%, with a significant reduction in hair thickness and an increase in vellus hairs. Additionally, the treatment was well-tolerated, with patients reporting only slight discomfort during laser irradiation, reflected by average pain scores of 2/4. No long-term adverse effects were observed, and transient side effects, such as erythema and perifollicular edema, resolved within days. This new rotational regimen for laser hair removal has proven to be effective, safe, and satisfactory for patients. The tailored approach enhances the treatment’s efficacy and ensures comprehensive targeting of various hair types and colors. This protocol promises a significant advancement in the field of laser hair removal, offering a reliable and patient-friendly solution for long-term hair reduction. © The Author(s) 2025.