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← The DC JournalLaser & Skin

Medical Laser vs IPL: the Difference, Explained Simply, and How to Choose

Many people call a spa's pulsed light a "laser". Here is the difference, why hair grows back with one of them, and how to spot a real clinic.

Settings screen on the Clarity II hair removal laser, adjusted by hand before a session, Clinique DC in Sainte-Rose, Laval

A medical laser sends one single light, well aimed, toward the root of the hair. Intense pulsed light (IPL) sends a mix of lights, scattered over the whole area. Both aim at the same thing, the hair's pigment, but the root isn't reached the same way. That's why hair grows back more often with IPL.

You may have seen "laser hair removal" at a spa, at a very low price. In many cases the device is IPL, and the word "laser" is just a sales name. It isn't the same technology. We explain the difference, which laser to choose, and how to recognize a real clinic.

A medical laser aims at the root of the hair. Pulsed light lights up the whole area.

What both do: heat the root through the pigment

Every hair grows from a small pocket under the skin, the follicle. It's the root that makes the hair. A razor cuts what sticks out. As long as the root is there, the hair comes back.

Pigment is what gives hair its colour. Light passes through, gets absorbed, and turns into heat. The heat travels down to the root and weakens it. With no pigment, there's nothing to heat.

According to the Cleveland Clinic, dark hair holds a lot of pigment and so absorbs the most heat. That's why contrast matters: dark hair on lighter skin is the simplest case.

Why hair grows back with IPL, and less with a laser

The difference is in the light itself. A laser emits a single wavelength (one "colour" of light), fired in one direction. IPL emits a mix of wavelengths that goes in every direction. Think of a laser pointer next to a studio lamp.

Skin cross-section: IPL light spreads and heats the skin around the hair
With IPL, the light spreads out. Part of the energy heats the skin around it. The root heats less: it can wake up again, and the hair grows back.
Skin cross-section: the laser beam travels down the hair and heats its root
With a medical laser, the energy goes straight to the root. The beam targets the hair's pigment down to the follicle, the root that makes it. Session after session, less and less grows back.

With a laser, nearly all the energy goes to the target. With IPL, part of it never touches the hair. It heats the skin around it, or misses.

Medical laserPulsed light (IPL)
The lightOne single wavelengthA mix of wavelengths
Where the energy goesToward the root of the hairScattered over the area
Who uses itA trained professional, in a clinicA salon, a spa, or you, at home
The result over timeLasting hair reductionReduction that takes more passes

How many sessions: 8 versus more than 20

One session isn't enough with either. Hair grows in cycles, and a pulse only reaches hairs in full growth that day. You have to come back to catch the others.

At Clinique DC, with the laser, it's 8 sessions on average, four to six weeks apart. With IPL, it's more than 20 sessions, based on what we see at the clinic. It's an observed average, not a promise: the number changes with the area and with your hormones.

Cleveland Clinic, for its part, gives six to eight laser treatments. Figures vary from one source to another, which is normal: it all depends on the device, the area and the hair.

If you stop midwayLaserPulsed light
Hairs already reachedMostly don't grow backResume their cycle sooner
Hairs not yet reachedCome backCome back
To keep the resultAn occasional session is often enoughMore regular upkeep

Which laser to choose: it depends on your skin and your hair

The brand isn't what matters most. It's your skin tone and your hair colour, together.

When the skin is fair and the hair dark, the light goes straight to the hair. When the skin is medium or dark, it absorbs part of the energy itself: the risk is heating the skin instead of the root. A longer wavelength goes deeper while sparing more of the skin. That's why a laser with two wavelengths is better indicated for medium or dark skin. Our device, the Clarity II, has two: 755 and 1064 nanometres, according to the manufacturer.

Your skinYour hairWhat works
FairDarkLaser and IPL both respond well
Medium to darkDarkA two-wavelength laser; IPL is riskier
Fair or darkGolden blonde, light brown, brownEnough pigment: the laser works
Fair or darkVery pale blonde or light redVery little grip; it's checked at the assessment
Fair or darkWhite, grey, platinumNo grip: with no pigment, nothing to heat

Why a blonde hair can be treated, and a white one can't

A golden blonde hair still has enough pigment. A white hair has almost none. In both cases, it's the pigment that lets the heat travel down to the root.

Skin cross-section: a golden blonde hair, its root heats under the beam
Golden blonde, light brown, brown: enough pigment, the root heats up. The beam finds the hair's pigment and travels down to the root.
Skin cross-section: a white hair, the light passes without heating the root
White, grey, platinum: nothing to target, the light passes through. Without pigment, the laser finds nothing to heat. We tell you before, not after a session.

No device, laser or IPL, changes that: it's physics, not brand. According to the American Academy of Dermatology, laser doesn't work on blonde, white, grey or red hair. Here, a golden blonde hair can be treated, and we tell you at the assessment whether yours is dark enough. If not, electrolysis, which works hair by hair, remains the method that works.

What changes when the device is at home

A home device is also mostly pulsed light. According to the American Academy of Dermatology, you need to use it much longer to see results. The Cleveland Clinic adds that without supervision by an experienced person, the risk of misuse and injury goes up.

In a clinic, the person adjusting the device reads your skin before each session. At home, you're both the person being treated and the one adjusting, without having learned to read skin. It's also why these devices are limited in power.

Sessions in clinicHome device
Who adjusts the deviceA medical esthetician, who checks your skin and your hairYou
How you payA flat monthly rate, or per sessionAn upfront purchase, then refills
The rateDoesn't change with the number of zonesDepends on how often you use it

À la carte, a single zone starts at $40 per session. The Unlimited Zones plan costs $497/mo for women and $697/mo for men, taxes extra. It's the zones that are unlimited, not the sessions: one session a month, as many zones as you want. What it takes to qualify is written on the offer page. We don't know what home devices cost, so we won't give a figure.

How to recognize a real medical laser clinic

Four things can be checked before you book:

  1. The device's name is written, and you're told whether it's a laser or pulsed light.
  2. The person holding the handpiece is trained on that device, and you're told who it is before the session.
  3. Your skin and your hair are looked at first, before anything is suggested.
  4. You're told when it won't work: white, grey or too-pale hair, rather than being sold sessions.

Here, those four points are explained in detail, with names and photos, in our checklist guide. And if someone mentioned Soprano, the comparison with our laser is here.

Questions we get asked

What's the difference between laser and pulsed light?

A laser sends a single wavelength, aimed at the root of the hair. Pulsed light sends a mix of wavelengths, scattered over the area. As a result, more energy reaches the root with a laser, and less hair grows back.

How do I know whether I got a laser or pulsed light?

You can ask for the device's name, and you should be given it without hesitation. The word "laser" on a sign proves nothing: many spas use it for pulsed light.

Which laser should I choose for dark skin?

A laser with two wavelengths, one of them long, which spares the skin better. IPL is riskier on medium or dark skin. The right setting is chosen at the assessment, by looking at your skin.

Can I switch from pulsed light to laser?

Yes, it's common, if your skin and hair colour suit it. We assess your skin at the first visit, whatever you tried before.

Does the laser hurt more than pulsed light?

It's felt a little more, like a rubber band snapping, because the energy is concentrated. The built-in cooling on our device greatly reduces the discomfort of each pulse.

Sources

  • American Academy of Dermatology, "Remove unwanted hair: laser hair removal." Read the page
  • Cleveland Clinic, "Laser Hair Removal: How it Works & What to Expect." Read the page
  • Cynosure Lutronic, Clarity II product page (manufacturer). Read the page

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