Laser Hair Removal

What is laser hair removal?

Laser hair removal works by targeting pigment within the root of the hair, generating heat that removes the hair from your body and prevents it from regrowing. Because the laser technology targets pigment in the hair follicle, laser hair removal is most effective when there is greater contrast between the hair and the skin, meaning it is most effective for people with hair tones ranging from light brown to black. For an optimal outcome, you will need at least 6 sessions to achieve a 90% permanent reduction, these sessions are spaced out every 8 weeks. Bespoke Surgical is proud to be using one of the best, most advanced machines, the Cynosure Elite+, which is safe for all skin types, and a dual wavelength system that is safe for all skin types.

Small Areas:

  • Hands and Fingers: $100/session or 6 sessions for $500 (1 free session)
  • Feet and Toes: $100/session or 6 sessions for $500 (1 free session)
  • Neck: $100/session or 6 sessions for $500 (1 free session)
  • Underarms: $100/session or 6 sessions for $500 (1 free session)
  • Pilonidal Cyst Area: $100/session or 6 sessions for $500 (1 free session)

Medium Areas:

  • Butt: $200/session or 6 sessions for $1,000 (1 free session)
    • Outer and Inner Cheek
  • “Pubic Clean-up”: $200/session or 6 sessions for $1,000 (1 free session)
    • Choose your style – shape up your groin, thigh area, perineum, etc.
  • “Face Clean-up”: $150/session or 6 sessions for $750 (1 free session)
    • Choose your style – shape up your beard/scruff focusing on the cheeks and the neck
  • Chest: $200/session or 6 sessions for $1,000 (1 free session)
  • Abdomen: $200/session or 6 sessions for $1,000 (1 free session)
  • Shoulders: $200/session or 6 sessions for $1,000 (1 free session)
  • Half Arms: $150/session or 6 sessions for $750 (1 free session)
    • Above OR Below Elbows
  • Half Legs: $250/session or 6 sessions for $1,250 (1 free session)
    • Above OR Below Knee
  • Half Back: $200/session or 6 sessions for $1,000 (1 free session)
    • Upper OR Lower Back

Large Areas:

  • Brazilian: $350/session or 6 sessions for $1,750 (1 free session)
    • Entire pubic and anal area
  • Legs: $400/session or 6 sessions for $2,000 (1 free session)
  • Arms: $250/session or 6 sessions for $1,250 (1 free session)
  • Face & Neck: $300/session or 6 sessions for $1,500 (1 free session)
  • Chest & Abdomen: $350/session or 6 sessions for $1,750 (1 free session)
  • Back: $350/session or 6 sessions for $1,750 (1 free session)
  • Back & Shoulders: $400/session or 6 sessions for $2,000 (1 free session)

Before Your Visit:

  • Shave the area the 24-48 hours before your session
  • Avoid exposing the area to the sun or tanning bed
  • Do not wax or pluck area for one month prior to treatment
  • Avoid taking antibiotics, or any medication that increases photosensitivity
  • Do not use any products that may increase your skin sensitivity for one week prior to treatment
    • Such as Retinols, Salicylic Acid, Benzoyl Peroxide, Glycolic Acid, etc
  • Do not use self-tanning lotion in the area being treated

After Your Visit:

  • After your session, a pink or reddish color bumps may linger for a day or so. This will fade, and your skin should regain its natural color and texture shortly following your hair removal session.
  • Avoid sun exposure for two weeks
  • Avoid friction and excessive heat to the treated area for at least 8 hours
  • Do not exfoliate your skin or use products that may cause irritation for several days after
  • Resume moisturizing the area to keep hydration levels optimal 24 hours post-treatment

Frequently Asked Questions

1. How does laser hair removal work?
Our Aesthetics Nurse glides the laser instrument across the skin while emitting the laser beam. The laser beam penetrates through the skin and specifically targets the hair follicles. The heat and light from the laser strategically damage the follicles and eliminate hair growth.

2. How many laser hair removal treatments will I need?
Laser hair removal is only effective on hair that is in the growth phase, which is why multiple sessions are required to reach the goal of hair reduction or elimination. Various factors affect how many treatments a patient will need. Some of these factors include: the difference in the level of pigment between the hair and skin, the density and amount of hair present, and whether the patient has a hormone disorder or is currently undergoing hormone replacement. Treatments vary as the laser targets melanin (the pigment) in the hair follicles. The darker your skin is, the harder it is to distinguish between the skin color and the pigment in the follicles. Darker skin types can still get great results, but it may just take more treatments. If you have lighter skin and darker hair, you will likely get greater results after just a few treatments. Patients undergoing hormone replacement for testosterone will have greater difficulty with hair reduction and will require more sessions to achieve their goals. Some patients notice great results after three treatments, while others may have to undergo as many as nine treatments.

3. Does laser hair removal work for everyone?
Laser hair removal works on all hair types and colors, except for gray hair.

4. Is radiation involved in laser hair removal?
No. A “laser” uses light amplification. Laser hair removal is safe and effective.

5. How should I prepare for my laser hair removal session?
Sun exposure and antibiotics should be avoided for 2 weeks prior to receiving laser hair removal. Skin that is exposed to sun is more sensitive to the laser. Tanned skin is also more difficult to treat when it comes to seeing results. Therefore, we ask patients to try to be at their baseline skin color. Patients must be off Accutane for at least one year before being treated. Patients should ideally shave 1-3 days before their appointment. Same day shaving is not recommended as the skin is more irritated and it’s harder for the laser to find the hair follicle to treat. Waxing, sugaring, and chemical hair removal (like Nair) should be discontinued at least a month before laser hair removal treatment.

6. How long does each laser hair removal session take?
This depends on the area being treated. Smaller areas, like the underarms, may only take 10 minutes, whereas a full brazilian may take about 30 minutes.

7. Does laser hair removal hurt?
Our hair follicles are linked closely with our nerves in the dermis so there is a little pinch associated with the hair being targeted. Most patients tolerate the pain very well and we use a cooling system that attaches to the laser handle that promotes comfort to the patient.

8. Are there areas on the body where laser hair removal doesn’t work?
Laser hair removal works anywhere that hair grows, but we do avoid areas like the inner nostrils and the eyelids. Keep in mind that gray or white hair cannot be treated effectively with a laser.

9. What can I expect after my laser hair removal session?
Laser hair removal is effective for most people and is very safe. Some patients experience minor swelling of the hair follicle, along with slight redness or irritation. For most people, this resolves in a few hours. For patients with sensitive skin, it may last a few days.

10. How long does laser hair removal last? Will hair grow back after?
Although the laser permanently destroys the active hair follicles it hits, the body is able to create new hair follicles. The amount of hair follicles your body makes is related to age, gender, hormone levels, and metabolism. Most patients who want to maintain a smooth appearance will go on a maintenance plan that usually consists of a laser session every few months vs. the original treatment plan of every few weeks. Otherwise, most patients see very little hair regrowth and many think it’s fine as is.

11. How will it look if I get laser hair removal on my butt, but not my legs?
A lot of patients ask about this. We recommend buzzing 2-3 inches below the butt with a trimmer at a medium length to create a fade. Once patients try this method, they’re usually very into this natural looking aesthetic. It compliments speedos and boy shorts well, too. It just requires some experimentation to find the right trimmer (and length) for you.

12. I want to get laser hair removal for my pubes, but I don’t want to be completely hairless. Is this possible?
Yes. Our Aesthetic Nurse can customize the shape and style of your pubes however you want. Some people will leave hair above, but like to get the inner legs done since this area is more prone to ingrown hairs and razor burns. Regardless of your aesthetic preferences, just let us know and we’ll customize your treatment to your preference.

13. I’ve had laser hair removal before, but it didn’t work. Is your service any different?
It depends. There are a lot of medspas and clinics using outdated lasers. We still sometimes hear about some places using IPL machines, which are not actually designed for laser hair removal. Here at Bespoke Surgical, we use the Alexandrite and Yag Duo laser, which is the gold standard machine for laser hair removal. What this means is we can fully customize the settings to your skin and hair type to deliver the best results possible.

14. I can’t seem to trim my own butt without getting ingrown hairs. Any suggestions?
This is a very common problem for a lot of men. We have a few tips: trim the hair with a larger clipper so you’re not getting so close to the skin. Problems arise when you nick the skin because it heals over the hair follicle, resulting in ingrown hairs, butt acne, etc. You can also use a cleanser designed to treat acne that contains salicylic acid. After shaving, lather the cleanser on your butt and leave it on for 3 minutes. This will help a lot in preventing ingrown hairs and butt acne that results from clogged hair follicles. Finally, laser hair removal is a great option to remove unwanted hair. It’s quick and cost/time effective.

15. How do you safely manscape your hole and should you?
There are definitely a lot of weird bending, leg going up one way, and other unnatural moves going on– it’s basically yoga! While shaving, sugaring, using Nair, and waxing are all effective ways of removing hair, if you’re looking to rock a smoother butt, then laser hair removal is your best option. We don’t recommend regularly shaving, sugaring, using Nair, or waxing because of microtrauma caused to the hole that can trigger HPV activity (most people already have it in this area), which is when we start to see skin tags and other growths. That said, trimming regularly with a buzzer is safe and effective to manage the hair.

16. What’s the best scrub you’ve found for keeping cheeks smooth and healthy?
The best scrubs are those that contain an exfoliant component such as sugar, charcoal, coffee, etc, but also contain moisturizing components such as vitamin e, oils, niacinamide, and glycerin.

17. I have tattoos. Am I still eligible to get laser hair removal?
Yes. We see plenty of patients with tattoos at our practice. Our Aesthetic Nurse carefully marks around tattoos to avoid going over them with the laser. The laser cannot go over tattoos as the laser is attracted to pigment and would burn the skin; however, avoiding them is super easy.

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Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein, D.O.

Dr. Evan Goldstein is the founder and President of Bespoke Surgical, a surgical practice for modern males and members of all other identities based in New York. He received his medical doctorate from the University of Medicine and Dentistry School of Osteopathic Medicine in 2002. Receiving the highest osteopathic education was pivotal in shaping his holistic whole-life approach towards his practice of private surgical care.

Learn More about DR. EVAN GOLDSTEIN, D.O.