| DereGuLaTion | opinion
skin types based on long-term use and safety, and is especially effective in people in types i-iV. it covers large areas and allows for fast treatment of large body areas.
Nd YAG The nd YaG (yttrium aluminium gamet) long pulse laser (wavelength 1064 nm) can be used on all skin types (i-Vi), including tanned. Fast repetition rates and large coverage areas allow large areas of the body to be treated quickly. The nd YaG is especially recommended for tanned or darker skins. Studies have shown that the lasers achieve a significant delay before hair grows again in the treated areas.
Intense Pulsed Light iPL devices are not lasers per se, but they use the same concept of selective photothermolysis for hair removal. iPL hair removal is regarded as the most effective and the safest method, the side effects having been minimised. it is effective on all skin types, except darker skin or unpigmented hair. it produces better results in darker hair/lighter skin combinations.
other cosmetic laser types include:
pulsed dye lasers, for lightening or removal of unwanted or abnormal blood vessels in the skin; ablative Co2 treatment, for softening/ removing wrinkles or depressed scars; erbium laser, to treat ageing and sun-damaged skin; the Q-switched YaG laser is used for removal of brown age spots on the face, chest, hands and arms, and for tattoo removal. The sheer variety of laser types and
brands has made the provision and regulation of training of operators a complicated issue. indeed, there is no standard required amount of training, which must be seen as a weakness in the system, says Dr Gault. “There is much room for a shake-up and improvement of the whole system.”
Financial issue The change to deregulation in the uK is a financial issue, says Dr Gault. But if it is designed to save money, the sums don’t seem to add up. registration, monitoring and inspections of premises costs the government £1.4m per year (2008 data, covering around 920 licensed premises),
according to a report in the uK observer. But the cost to the nHS of treating the extra adverse incidents is put at up to £1.8m. in addition, the government will forego the fee income that the HCC (now CQC) collected. Cosmetic services in europe are
regulated nationally, not at eu level, but the effects of eu legislation are looming, in the shape of the eu working time directive. This will affect the whole clinician sector – regulated and unregulated – as it will limit the number of hours that clinicians, including laser operators, may work. But in the short-term, the cosmetic laser
industry in the uK will soon have to get used to operating under a new set of relaxed of rules, which most regulated businesses oppose. many within the industry are adamant
that deregulation is not the best course to take. For his part, Dr Gault in convinced the uK has taken the wrong path. He says: “any change in regulation that is made should be to control use of lasers more stringently.”
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