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J Cosmet Derm

Laser Hair Removal With Alexandrite Laser

Tailoring Brushing and Stamping Protocols for Optimal Comfort and Efficiency

Zorman A

Journal of Cosmetic DermatologyIn the feed 31 Aug 2026, published online 30 Aug 2026, issue 2026 Sep

Topics: HairCosmetic & skin careLasers & devices

Abstract

OBJECTIVESThe study aimed to evaluate the safety and efficacy of the Avalanche brushing protocol across various body regions, assess the clinical outcomes of the combined brushing-stamping treatment scheme, and compare patient-reported comfort levels between the two approaches.

METHODSSixty-one distinct paired treatment areas were treated. The left side received the brushing protocol exclusively across all sessions, whereas the right side underwent a combined regimen: brushing for the initial three sessions, followed by stamping for the remaining three. Alexandrite (755 nm) laser was used.

RESULTSThe mean hair reduction score was 3.02 (Avalanche method) and 2.98 (stamping method) at the 6-month follow-up. Both treatment methods offered low discomfort; the brushing technique (2.2/10) was associated with significantly lower (p < 0.05) patient discomfort compared to stamping (2.7/10).

CONCLUSIONSWe recommend initiating hair removal with the brushing protocol in patients exhibiting increased sensitivity and/or thick, dense hair, particularly during the early treatment sessions. As hair density and thickness diminish over the course of therapy, transitioning to the stamping protocol may be appropriate.

Abstract from Crossref

DOI 10.1111/jocd.71150 · Not in PubMed: details from Crossref