Specialists in the Medical & Psychological Aspects of Transgender Health Care 

Carl W. Bushong, Ph.D., LMFT
Richard A. Martin, Jr., M.D., FACEP
Kimberly L. Westwood, CPE, CCE
et al.
  electrolysis guide  
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home > Electrolysis Guide > Choosing an Electrologist

 CHOOSING AN ELECTROLOGIST TOPICS  
Treatment Necessities : The most basic requirements for any type of successful treatment.
Training & Licensing Issues : Qualifications to check when choosing your practitioner.
Professional Study : General knowledge and skills found in a trained electrologist.
Telephone Interviews : Deciding what questions to ask of a prospective electrologist; narrowing your list of possibilities.
In-Office Interviews : Sizing up a prospective electrologist.
Your First Session : How to determine if future treatment will likely be successful.
   CLICK ON AN ITEM, ABOVE, TO GO TO THAT TOPIC

Your First Session

Your first electrology session will be a time of learning, both for you and your electrologist. You will be able to observe your provider's techniques, determine how painful electrology may be for you, examine some of the treated hairs which will indicate the effectiveness of treatment, and form some impressions regarding her (his) speed.

Your electrologist will also form some impressions about you.  She will be able determine your tolerance to electrology pain, your ability to be physically still and cooperative during treatment, and the condition of the skin area.  The condition of the skin will affect the speed and ease of treatment.

Under most circumstances, the first session should be kept to a duration of one to two hours length. Some clinics may provide extensive treatment (including the first treatment encounter), with sessions lasting all day or even spanning over two to three days duration. In these instances, we highly recommend medical direction, providing (in order of importance) topical antibiotic/anti-inflammatory medication, topical pain relievers (analgesics), and appropriate aftercare medications and instructions.

At some point during your first electrolysis session, ask the practitioner to show you the next few hairs being treated.  It is possible to draw an educated conclusion about the effectiveness of treatment from examining the hair, and its removal.

The following factors are so closely linked to successful outcome, that one can be relatively assured of a good outcome by their presence:

  • Treatment Method

    • Using a blended current will typically provide a much higher kill rate than a heat only (thermolysis) current method.

  • Duration

    • Longer (6 to 12 seconds) duration treatment of a follicle using a moderate treatment energy will be more effective and less likely to scar than fast, high energy (under 1 second to 5 seconds) treatment.

  • Mechanical Attachment

    • Properly treated hair loses its mechanical attachment with the follicle. As the cells lining the lower portion of the follicle are destroyed, a working point is reached whereby the hair shaft begins to give way to a gentle tug of the electrologist's tweezers. The electrologist may continue to keep the needle in the now hairless follicle for a few seconds duration to additionally treat the follicle.

  • Appearance of Treated Hair Shaft

    • The hair shaft, now gently removed from the follicle, has a distinctive appearance as compared to a tweezed-only hair.  The hair shaft of the treated follicle usually contains a bulbous end and a very thin glassy-like coating of cells around its base.  Regularly seeing this appearance is a very good indicator of proper treatment.

Your first session should end with a brief discussion between you and your electrologist, relating any impressions concerning the treatment process.  Topics might include any pain or discomfort that occurred during treatment, response to treatment (reddening, swelling, etc.), and an overview of aftercare techniques.  With extensive treatment (under physician's direction), you might expect to receive topical antibiotic medication for aftercare along with an aftercare instructions sheet.


Information provided and accessed through TransGenderCare.com is presented in a summary form and should not be used as a substitute for a consultation or visit with a physician, psychologist, electrologist or other health care provider. (See Terms & Conditions.) 

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