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Working With Clients Considering Hair Removal: With Exclusive Advice from Eric Bernstein, MD, Spokesperson of the ASDS

Posted: September 14, 2011

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“I think if you have someone with skin type 5 or 6, you have to use a YAG laser. The margin of safety is better. Always start low. Do test spots, even if patients are in a hurry. You don’t want to take a risk of hurting the skin. Then bring the person back in a week. You’re not looking for efficacy; you’re making sure that you don’t get side effects. Make sure it is a small test spot.

“You have to pay attention to the patient. Also, tell them the bad news and then repeat it. For example, if you want to have no hair, there will always be maintenance treatments. That’s in bold lettering on my consent form. Even if you don’t say it works in one treatment, that’s not what they think. It’s compelling to try and give good news, but you have to slake that impulse and under-promise and over-deliver.

“Clients to watch out for include people with unrealistic expectations, and people who tell you you’re the greatest and they’ve been to five other doctors and they are horrible. Also, I charge a lot more for initial visit to manage patients with complications from previous procedures. They’re going to be scared and worried and angry at you and their past doctor, so it always takes three visits for them to be happy.”