Boston Electrolysis for Safe Permanent Hair removal

Author Kimberly Williams, R.E, Dean

Massachusetts Licensed & Registered Electrologist,

November 2020,


The supervision of unwanted hair is a challenge for all transgender men and women, for observable reasons. Unwanted hair presents a roadblock for the transgendered. This bars access to experienced, licensed and registered electrologists due to confusion and misinformation in regards to cost, the risks and more importantly the benefits of a licensed electrologist. While insurance coverage for hair removal in transgender persons is increasing, it still remains inconsistent and is a constant source of anxiety, driven by aggravation and despair for the patient and provider.

All transmen and transwomen, and other gender orientated individuals should seek a primary professional with a care plan tailored to the individuals needs and primary transition goals. Specifically, transwomen must seek permanent hair removal on the face, neck, as well as other areas such as chest, back, arms and occasionally the groin area. Pre- transgender men, characteristically seeking hair reduction on forearms or thighs in preparation of future graft sites for phalloplasty. If you are seeking unwanted permanent hair removal please call me 480-607-8121to set up a consultation and working appointment. We are now offering electrolysis intensives preformed by my qualified apprentice electrolysis and myself.

Standard Electrolysis, Thermolysis and Blend-Treatments by an educated, licensed and registered electrologists will always result in achieving permanent hair removal without damage to the skin. As with any referral for care, it is ideal to establish relationships with an experienced, state licensed and registered electrologists with a positive reputation in the transgender community. It’s a known fact that plucking, waxing, tweezing, and depilatories offer temporary hair removal only and often damage the skin permanently.

Methods: pros and cons of each

The hair growth cycle consists of three successive stages that include the Anagen (active growth) phase, the Catagen (Mid-Transitional-Stage), and the Telogen (Dormant Stage). Time in each phase can vary by location, from an Anagen Stage of one to two months on the body and up to two to six years on the scalp. Patterns of hair growth may also vary based on gender and ethnicity. The effectiveness of both methods relies on the time of each hair growth sequence with the ideal response being when hairs are in the active Anagen growth phase. They always require multiple sessions, and since effectiveness is approximately 85-95%. An experienced licensed and registered electrologist always achieves the best results known as complete hair removal. Lastly, lifelong treatment is not required for sustained effect.

Why Laser Hair Removal is a scam? The use of lasers is not considered a medical procedure because the course required for certification is only 50 hours long and at best, can claim permanent hair


Laser Hair Removal emits cancer causing ultra-violet radiation. Unfortunately, the lasers cannot treat blonde, white, gray, red, or mix colored hairs. In addition, temporary laser hair removal offers the use of light to supposedly target dark, coarse hairs. In many cases the laser treated hairs lighten after treatments to become white or grey which they know cannot permanently kill the hair. Laser hair removal techs also know that the pigment in dark hairs cannot absorb the light to create heat that is transmitted down the base of hair shaft to destroy the root of the follicle without causing severe third degree burns of the skin.

Laser Hair Removal treats larger surface areas and is less time consuming than electrolysis. Treatments are typically every 4-8 weeks, depending on the treatment location, as the hair growth cycles vary by area. Safety and effectiveness may vary depending on the platform used (diode, ruby, neodymium-doped yttrium aluminum garnet) patient skin type and hair characteristics. LHR is generally ineffective on thin, light, red, blonde or gray hairs.

FDA-approved for permanent hair reduction which has not been proven. Patients are required to be evaluated by a medical provider prior to being treated; regulations on the qualifications and licensure of the laser operator vary by US state, with some states requiring registered nurses. In the end most laser parlor operators do not have a physician on staff to approve the treatment.

As with any light-based treatment that uses selective photo thermolysis, overheating does result in third degree burns, redness, blisters, burns, and hyper or hypo-pigmentation. It is suggested that patients with a history of herpes simplex outbreaks should be aware of the potential for a light- stimulated outbreak (in treatment area) and have antivirals available for self-treatment. Treatments should be avoided when photosensitizing medications are being used. Do not treat areas of active infection. Flashing lights have been known to induce seizures in susceptible patients, so patients should be screened for this risk. Treatments on the face require occlusion of both eyes to protect from retinal exposure and damage. Protective, wavelength specific, eye-ware is used during non-facial body treatments.

Electrolysis involves use of an electric current using a very fine needle- shaped probe to destroy the root of individual hair follicles. There are three types of electrolysis, galvanic (direct electrical current produces sodium hydroxide which is a chemical reaction), Thermolysis also known as short- wave produces heat and Blend (combination of Galvanic and Thermolysis). Since electrolysis involves direct mechanical and the internal destruction of the root, it can be used on all hair colors and skin types. Electrolysis treatments are typically once or twice weekly and lasting up to 1 to 2 hours, based on the skill level on the electrologist. You pay for what you get and an experienced skilled licensed and registered electrologist can treat up to 500 hairs per-hour without sacrificing accuracy treating each individual hair.

Some may think it may be time consuming and costly, however it is very effective and superior when used to treat hairs that have not or will not respond to temporary laser hair removal. Newer technologies with computerized state of the art R.A. Fischer Computerized Epilators with a skilled electrologist offer a more comfortable treatment and may be safer than older model machines. As the current is increased, so is the heat produced, resulting in improved effectiveness. Electrolysis is FDA- approved for permanent hair removal. In the US, electrologists are licensed in their state of practice and practice independently. However, one must be aware that 18 states do not license or legislate electrolysis in any form or manner, including:

  • Alabama
  • Alaska
  • Arizona
  • Colorado
  • Georgia
  • Kentucky
  • Minnesota
  • Missouri
  • New York
  • Pennsylvania
  • South Carolina
  • South Dakota
  • Texas
  • Virginia
  • Washington
  • West Virginia
  • Wyoming

Some of the same risks associated with LHR also apply to electrolysis: redness, pigment changes, and avoiding areas of active dermatitis or infection. Patients with pacemakers are most safely treated with thermolysis, but should discuss with their cardiologist prior to treatment. Home laser or electrolysis devices have not demonstrated effectiveness and may cause harm. Most licensed electrologists take a brief course in Pharmacology to learn the medications that cause unwanted hair problems. The following drugs may cause increased hair growth: penicillin, cyclosporins, corticosteroids, haldol, phenytoin, and thyroid medications.


electrolysis is caused by the uneducated non-licensed electrologist. Some minor discomfort can be expected during treatment. Each patient is best assessed individually to determine the optimal approach for pain control. When a patient is gun shy from a previous non-licensed electrologist it will take longer to win over their confidence. However, the response to each treatment should be based on accurate insertions but, can vary based on the location of treatment, level of hydration, anxiety and stress. Creating a soothing environment, the use of reassurance, deep-breathing, thoughtful orientation to the device, use of a 'test-spot,' pre-treatment with a cold compress and over-the-counter pain medication (acetaminophen) may all be helpful. It is best to avoid NSAIDS immediately prior and after treatments to minimize the risk of bruising.

Authored by Kimberly Williams, R.E.,Dean


  • Arizona State School of Electrology (Never Existed)
  • Rocky Mountain Laser School (A 50hr course to become Laser Operator)
  • Certificate of Achievement Altus Medical
  • Certificate of Achievement Candela
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  • Certificate of Achievement ESC Medical Systems
  • Society of Clinical and Medical Electrologists
  • International Guild of Professional Electrologists
  • Arizona Association of Electrologists

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