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Hair Removal: Find a Doctor & Treatment Information

Depending on the cultural context, removing hair from certain parts of the body is considered part of routine personal hygiene. Hair removal is generally performed for cosmetic reasons. In some cases of inflammatory skin conditions, there is a medical benefit—or even a necessity—for hair removal.

Here you will find the most important information as well as qualified hair removal specialists.

Recommended Doctors for Hair Removal

Article Overview

Hair Removal - Further Information

Background Information on Hair Growth

Hair Trends

In line with Western beauty standards, most women tend to remove hair from certain areas of the body, such as

  • the legs,
  • the bikini line,
  • the underarms,
  • the chin, and
  • the upper lip.

For men, a subtle amount of body hair is considered aesthetically pleasing to a certain extent. However, there is also a trend toward hair removal among men, particularly on the chest, underarms, and back. This is not only for aesthetic reasons—thick hair can also be a nuisance during sports and when sweating.

Laser Hair Removal
Many women opt for “permanent” laser hair removal, for example in the bikini area © Kzenon | AdobeStock

Causes of Excessive Hair Growth

A medical cause of excessive body hair must be ruled out in each individual case. Particularly pronounced or rapidly developing body hair may suggest such a cause. If women simultaneously develop menstrual irregularities, it is advisable to investigate the cause.

Possible causes include

  • hormonal disorders of the adrenal cortex,
  • ovarian disorders, e.g., polycystic ovary syndrome,
  • Cushing’s disease,
  • tumors, and
  • certain medications (e.g., glucocorticoids, minoxidil, cyclosporine).

In most cases, excessive hair growth is not pathological but rather genetically inherited. There is simply a genetically determined increased sensitivity of the hair follicles to androgens, but no detectable increase in androgen production.

Hair Growth Cycle

In the structure of the hair, the hair follicle (located deep within the skin) is the structure responsible for hair growth. As part of their follicular cycle, hairs go through phases of growth and shedding.

During such a growth cycle, a distinction is made between

  • the actual growth phase (= anagen phase),
  • the subsequent atrophy phase (catagen phase), and
  • the shedding phase (telogen phase).

The duration of the individual phases of the cycle depends on the anatomical location where hair growth occurs. The hair follicles in a given area are not synchronized; that is, they are at different stages of the growth cycle at the same time.

In a healthy state, the three phases are in a natural balance in terms of their duration.

What methods of hair removal are available?

A wide variety of epilation and depilation methods are available for removing hair.

  • Depilation refers to the removal of only the visible part of the hair (shaving, hair removal cream).
  • Epilation, on the other hand, involves removing the hair from the hair follicle. In temporary epilation, the hair is removed without destroying the hair root, which is why the hair can regrow after a certain period of time. In permanent epilation, the hair root is also destroyed.

Depilation Methods for Hair Removal

Shaving is the best-known and fastest method of hair removal. Men, in particular, shave their beards daily. The hair is cut off directly at the skin’s surface. With modern razors, the risk of cutting oneself is very low.

The disadvantage of shaving is that, depending on the body area, it must be repeated every few days. Regrowth may “appear” thicker because shaving cuts off the fine tips. However, the hair diameter does not change measurably.

Depilatory creams (chemical depilators) usually contain substituted mercaptans and 2 to 10 percent thioglycolates mixed with 2 to 6 percent sodium hydroxide solution. The chemicals are applied in the form of

  • pastes,
  • creams, or
  • lotions

. They break down the hair directly at the skin’s surface, which in turn can lead to skin irritation. This may result in localized redness or a “rash.”

To avoid widespread skin irritation, you can first test the cream on a small area. If no skin irritation has occurred after 48 hours, you tolerate the product well. 

Applying the creams is painless. The effect lasts up to 14 days.

Options for “Permanent” Hair Removal

Permanent hair removal is defined as hair-free skin lasting more than three months.

Common methods include:

  • Laser therapy: Alexandrite and ruby lasers, in particular, are very well suited for treating unwanted hair growth.
  • IPL (Intense Pulsed Light) treatment: These relatively new devices often produce excellent results after multiple treatments of unwanted hair. They are also particularly well-suited for use on the face.
  • Waxing: In this method, unwanted hair is “pulled out” in one swift motion by tugging on the hardened wax. Many people find this treatment option quite painful.

Multiple Treatments for “Permanent” Hair Removal

Laser or IPL treatments always require multiple sessions. Hair is constantly in different growth phases, but it responds to the treatment only during one phase—the anagen phase.